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https://www.readbyqxmd.com/read/28209701/patient-and-citizen-innovation-council-in-family-practice
#1
Ron T Garnett, Jane Bowman, Joanne Ganton
PROBLEM ADDRESSED: Patient engagement is integral to the Patient's Medical Home model. Patient-centred care is more than what happens in the examination room. Decisions around clinic processes, work flow, and initiative prioritization also warrant a patient perspective. OBJECTIVE OF PROGRAM: The Academic Family Medicine Clinic at the South Health Campus in Calgary, Alta, identified a need for patient and community advisory expertise regarding clinic initiatives and quality improvement...
February 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28209677/narratives-in-family-medicine-a-global-perspective-the-besrour-papers-a-series-on-the-state-of-family-medicine-in-the-world
#2
REVIEW
Christine Gibson, Robert Woollard, Videsh Kapoor, David Ponka
OBJECTIVE: To explore the development of family medicine postgraduate training in countries with varying levels of resources at different stages of development of the discipline. COMPOSITION OF THE COMMITTEE: Since 2012, the College of Family Physicians of Canada has hosted the Besrour Conferences to reflect on its role in advancing the discipline of family medicine globally. The Besrour Narrative Working Group was conceived in 2012 at the first Besrour Conference...
February 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28209185/health-literacy-in-a-community-with-low-levels-of-education-findings-from-chakaria-a-rural-area-of-bangladesh
#3
Susmita Das, Mohammad Nahid Mia, Syed Manzoor Ahmed Hanifi, Shahidul Hoque, Abbas Bhuiya
BACKGROUND: Health literacy (HL) helps individuals to make effective use of available health services. In low-income countries such as Bangladesh, the less than optimum use of services could be due to low levels of HL. Bangladesh's health service delivery is pluralistic with a mix of public, private and informally trained healthcare providers. Emphasis on HL has been inadequate. Thus, it is important to assess the levels of HL and service utilization patterns. The findings from this study aim to bridge the knowledge gap...
February 16, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28202407/epilepsy-monitoring-the-patients-views-a-qualitative-study-based-on-kolcaba-s-comfort-theory
#4
Andrea Egger-Rainer, Eugen Trinka, Julia Höfler, Anna Maria Dieplinger
PURPOSE: The aim of this qualitative study was to determine which perception of personal comfort patients name in the context of their hospitalization in an Austrian Epilepsy Monitoring Unit (EMU). METHODS: Problem-centred interviews with twelve inpatients were conducted. Data analyses were done according to Mayring's qualitative content analyses following the technique of structuring-deductive category assignment. RESULTS: Patients experienced different kinds of comfort along with their hospitalization in the EMU...
February 12, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/28196475/nutrition-and-dementia-care-developing-an-evidence-based-model-for-nutritional-care-in-nursing-homes
#5
Jane L Murphy, Joanne Holmes, Cindy Brooks
BACKGROUND: There is a growing volume of research to offer improvements in nutritional care for people with dementia living in nursing homes. Whilst a number of interventions have been identified to support food and drink intake, there has been no systematic research to understand the factors for improving nutritional care from the perspectives of all those delivering care in nursing homes. The aim of this study was to develop a research informed model for understanding the complex nutritional problems associated with eating and drinking for people with dementia...
February 14, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28193399/community-resource-centres-to-improve-the-health-of-women-and-children-in-informal-settlements-in-mumbai-a-cluster-randomised-controlled-trial
#6
Neena Shah More, Sushmita Das, Ujwala Bapat, Glyn Alcock, Shreya Manjrekar, Vikas Kamble, Rijuta Sawant, Sushma Shende, Nayreen Daruwalla, Shanti Pantvaidya, David Osrin
BACKGROUND: Around 105 million people in India will be living in informal settlements by 2017. We investigated the effects of local resource centres delivering integrated activities to improve women's and children's health in urban informal settlements. METHODS: In a cluster-randomised controlled trial in 40 clusters, each containing around 600 households, 20 were randomly allocated to have a resource centre (intervention group) and 20 no centre (control group)...
March 2017: Lancet Global Health
https://www.readbyqxmd.com/read/28188361/the-role-of-the-general-practitioner-in-cancer-care-a-survey-of-the-patients-perspective
#7
V Lang, S Walter, J Fessler, M J Koester, D Ruetters, J Huebner
PURPOSE: Modern cancer care is provided in highly specialized structures as certificated centres and comprehensive cancer center, as well as specialized practices. In contrast, the position of the general practitioner (GP) is less well characterised and there is a lack of information about his importance in the care for cancer patients. The aim of our survey was to assess the role of GPs in German cancer care from patients' perspective. METHODS: In several steps we developed a standardized anonymous questionnaire in cooperation with the German Association of General Practitioners and the Federal Association of German Self-Help Groups...
February 10, 2017: Journal of Cancer Research and Clinical Oncology
https://www.readbyqxmd.com/read/28182960/paediatric-nurses-perceptions-and-practices-of-family-centred-care-in-saudi-hospitals-a-mixed-methods-study
#8
Hawa Alabdulaziz, Cheryle Moss, Beverley Copnell
BACKGROUND: Family-centred care is widely accepted as the underlying philosophy of paediatric nursing. Studies of family-centred care have mainly been conducted in western countries and little is known of its practice in other contexts. No studies have been undertaken in the Middle East. AIM: To explore family-centred care in the Saudi context from the perspectives of paediatric nurses. DESIGN: A mixed methodology was utilised with an explanatory sequential design...
January 30, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28169810/regards-crois%C3%A3-s-entre-l%C3%A2-%C3%A3-valuation-de-la-qualit%C3%A3-de-vie-per%C3%A3-ue-par-le-r%C3%A3-sident-h%C3%A3-berg%C3%A3-en-%C3%A3-tablissement-m%C3%A3-dico-social-et-par-le-soignant-r%C3%A3-f%C3%A3-rent
#9
Valérie Baud Mermoud, Diane Morin
<ce:para>Introduction : quality of life (QoL) has become a clinical, ethical, and political challenge in long term care. The literature shows that it is underestimated by professionals, and it is recommended that even in the presence of cognitive impairment, it must be taken into account, promoted and valued.</ce:para><ce:para>Aim : to describe the QoL as perceived by patients and by their main caregiver and to examine whether there are differences between these two perceptions.</ce:para><ce:para>Methods : descriptive study and comparisons between patients QoL scores and that of their main caregiver...
October 27, 2016: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/28167747/integrated-collaborative-care-teams-to-enhance-service-delivery-to-youth-with-mental-health-and-substance-use-challenges-protocol-for-a-pragmatic-randomised-controlled-trial
#10
Joanna L Henderson, Amy Cheung, Kristin Cleverley, Gloria Chaim, Myla E Moretti, Claire de Oliveira, Lisa D Hawke, Andrew R Willan, David O'Brien, Olivia Heffernan, Tyson Herzog, Lynn Courey, Heather McDonald, Enid Grant, Peter Szatmari
INTRODUCTION: Among youth, the prevalence of mental health and addiction (MHA) disorders is roughly 20%, yet youth are challenged to access evidence-based services in a timely fashion. To address MHA system gaps, this study tests the benefits of an Integrated Collaborative Care Team (ICCT) model for youth with MHA challenges. A rapid, stepped-care approach geared to need in a youth-friendly environment is expected to result in better youth MHA outcomes. Moreover, the ICCT approach is expected to decrease service wait-times, be more youth-friendly and family-friendly, and be more cost-effective, providing substantial public health benefits...
February 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28166776/implementation-and-maintenance-of-patient-navigation-programs-linking-primary-care-with-community-based-health-and-social-services-a-scoping-literature-review
#11
Ruta K Valaitis, Nancy Carter, Annie Lam, Jennifer Nicholl, Janice Feather, Laura Cleghorn
BACKGROUND: Since the early 90s, patient navigation programs were introduced in the United States to address inequitable access to cancer care. Programs have since expanded internationally and in scope. The goals of patient navigation programs are to: a) link patients and families to primary care services, specialist care, and community-based health and social services (CBHSS); b) provide more holistic patient-centred care; and, c) identify and resolve patient barriers to care. This paper fills a gap in knowledge to reveal what is known about motivators and factors influencing implementation and maintenance of patient navigation programs in primary care that link patients to CBHSS...
February 6, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28161976/exploring-senior-nurses-understanding-of-compassionate-leadership-in-the-community
#12
Sulekha Ali, Louise Terry
Developing compassionate leadership is a priority since high profile failings in older people care have come to light. Little is known regarding how compassionate leadership is perceived in community health care organisations. The aim was to understand how leaders and senior staff within a Community NHS Trust perceive compassionate leadership and its importance. This qualitative study employed semi-structured, audio-recorded interviews analysed using interpretative phenomenological analysis. Purposive sampling was used to recruit nursing leaders (n=11) within one Community NHS Trust...
February 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28161789/treatment-of-pancreatic-insufficiency-using-pancreatic-extract-in-patients-with-advanced-pancreatic-cancer-a-pilot-study-picnic
#13
Nicholas Zdenkowski, George Radvan, Leanna Pugliese, Julie Charlton, Christopher Oldmeadow, Allison Fraser, Antonino Bonaventura
PURPOSE: Survival with advanced pancreatic cancer is less than 12 months. Pancreatic exocrine insufficiency may contribute to pancreatic cancer-related cachexia, via nutrient malabsorption. We aimed to determine the feasibility of prescribing pancreatic extract (Creon®) for patients with advanced pancreatic cancer. METHODS: Patients with advanced pancreatic cancer, without frank malabsorption, were randomised in this feasibility study to pancreatic extract 50,000 units with meals and 25,000 units with snacks, or placebo...
February 4, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28161302/-professionalism-values-and-competences-in-specialized-medical-training
#14
N Giménez, J Alcaraz, M Gavagnach, R Kazan, A Arévalo, M Rodríguez-Carballeira
OBJECTIVE: To determine the perception of healthcare professionals (tutors, residents and teaching collaborators) involved in specialist medical training on the core values and skills to develop their tasks. METHODS: A tailor-made questionnaire aimed at healthcare professionals in 9health care centres and a referral hospital. Questionnaire: 4 sections and 51 variables (scale 1-10). RESULTS: A total of 287 professionals participated, which included 97% tutors (n=59), 38% residents (n=61), and 56% others (97 teaching collaborators and 70 not associated with teaching)...
February 1, 2017: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
https://www.readbyqxmd.com/read/28156608/when-home-means-another-nation-the-power-and-pitfalls-of-repatriation-at-the-end-of-life-from-a-tertiary-cancer-centre
#15
(no author information available yet)
: 46 Background: How people die lives on in the memory of those who survive. It is therefore pivotal for palliative teams to help craft an ending in line with patient and family goals. It has been observed in a tertiary cancer centre that there is often a spiritual imperative for patients to return to their nation of birth, once treatment is stopped and mortality accepted. METHODS: Retrospective chart review of 3 patients repatriated for end of life care to their nation of birth (Romania, Portugal, Ireland), focusing on: the conversations about the goal of repatriation and its meaning to the patient; the practical barriers and enablers of repatriation of patients with advanced cancer...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28156192/cost-analysis-of-a-prospective-multi-site-cohort-study-of-palliative-care-consultation-teams-for-adults-with-advanced-cancer-where-do-cost-savings-come-from
#16
Peter May, Melissa M Garrido, J Brian Cassel, Amy S Kelley, Diane E Meier, Charles Normand, Thomas J Smith, R Sean Morrison
BACKGROUND: Studies report cost-savings from hospital-based palliative care consultation teams compared to usual care only, but drivers of observed differences are unclear. AIM: To analyse cost-differences associated with palliative care consultation teams using two research questions: (Q1) What is the association between early palliative care consultation team intervention, and intensity of services and length of stay, compared to usual care only? (Q2) What is the association between early palliative care consultation team intervention and day-to-day hospital costs, compared to a later intervention? DESIGN: Prospective multi-site cohort study (2007-2011)...
February 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28155299/experiences-of-women-who-reported-sexual-assault-at-a-provincial-hospital-south-africa
#17
Jeanette M Sebaeng, Mashudu Davhana-Maselesele, Eva Manyedi
BACKGROUND: Sexual assault poses a serious health problem to both the survivor and the health system. Experiencing sexual assault requires women to seek medical and psychological assistance as part of their journey towards recovery. This study examined the experiences of women who received post-sexual assault services from a specialised care centre within a provincial hospital. METHODS: A qualitative, exploratory and contextual design was used to explore and describe experiences of women...
November 16, 2016: Curationis
https://www.readbyqxmd.com/read/28153558/middle-east-respiratory-syndrome-coronavirus-mers-cov-outbreak-in-south-korea-2015-epidemiology-characteristics-and-public-health-implications
#18
K H Kim, T E Tandi, J W Choi, J M Moon, M S Kim
BACKGROUND: Since the first case of Middle East respiratory syndrome coronavirus (MERS-CoV) in South Korea was reported on 20(th) May 2015, there have been 186 confirmed cases, 38 deaths and 16,752 suspected cases. Previously published research on South Korea's MERS outbreak was limited to the early stages, when few data were available. Now that the outbreak has ended, albeit unofficially, a more comprehensive review is appropriate. METHODS: Data were obtained through the MERS portal by the Ministry for Health and Welfare (MOHW) and Korea Centres for Disease Control and Prevention, press releases by MOHW, and reports by the MERS Policy Committee of the Korean Medical Association...
February 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28153387/-the-elderly-living-alone-and-malnutrition-solger-study
#19
Lidia Paino Pardal, Laia Poblet I Montells, Laura Ríos Álvarez
OBJECTIVE: This study aims to determine if there are any connections between living alone and suffering from malnutrition or having a risk of being malnourished, in people over 79years old in a Mediterranean population. DESIGN: A questionnaire was used in a cross-sectional and multicentre study conducted between June and December 2014 in three Primary Care Centres (PCC). PARTICIPANTS: A quota was chosen for each centre, including all patients over 79years, with a total of 167 people...
January 30, 2017: Atencion Primaria
https://www.readbyqxmd.com/read/28152875/validation-of-a-real-time-patient-reported-experience-measurement-tool-for-cancer-patients-in-ontario
#20
Sarah Benn, Luciano Ieraci, Saurabh Ingale, Simron Singh
: 174 Background: Cancer Care Ontario (CCO) organizes and ensures quality cancer care for 16 million residents in Ontario. CCO's goal is to create a tool to enable reporting of the patient experience in real time. The study objective was to develop a validated real-time (close to or at point of care) patient reported experience measurement (PREM) tool to drive quality improvement, advance system planning and ensure cost effective resource allocation based on patients' needs, wants and preferences in ambulatory oncology treatment phase...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
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