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https://www.readbyqxmd.com/read/28631761/-management-of-outpatients-with-cardiac-disease-follow-up-timing-and-modalities
#1
Roberta Rossini, Daniela Lina, Marco Ferlini, Giuseppina Belotti, Salvatore Ivan Caico, Fabrizio Caravati, Pompilio Faggiano, Annamaria Iorio, Davide Lauri, Corrado Lettieri, Emanuela Teresa Locati, Antonio Maggi, Ferdinando Massari, Andrea Mortara, Luigi Moschini, Giuseppe Musumeci, Daniele Nassiacos, Fabrizio Negri, Domenico Pecora, Simona Pierini, Roberto Pedretti, Pierfranco Ravizza, Michele Romano, Fabrizio Oliva
The increasing rate of cardiovascular diseases, the improved survival after the acute phase, the aging of the population and the implementation of primary prevention caused an exponential increase in outpatient cardiac performance, thereby making it difficult to maintain a balance between the citizen-patient request and the economic sustainability of the healthcare system. On the other side, the prescription of many diagnostic tests with a view to defensive medicine and the related growth of patients' expectations, has led several scientific societies to educational campaigns highlighting the concept that "less is more"...
June 2017: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/28629358/inequities-in-utilization-of-reproductive-and-maternal-health-services-in-ethiopia
#2
REVIEW
Firew Tekle Bobo, Elias Ali Yesuf, Mirkuzie Woldie
BACKGROUND: Disparities in health services utilization within and between regional states of countries with diverse socio-cultural and economic conditions such as Ethiopia is a frequent encounter. Understanding and taking measures to address unnecessary and avoidable differences in the use of reproductive and maternal health services is a key concern in Ethiopia. The aim of the study was to examine degree of equity in reproductive and maternal health services utilization in Ethiopia. METHOD: Data from Ethiopia demographic health survey 2014 was analyzed...
June 19, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28629224/-it-s-not-my-business-exploring-heteronormativity-in-young-people-s-discourses-about-lesbian-gay-bisexual-transgender-and-queer-issues-and-their-implications-for-youth-health-and-wellbeing
#3
Cara Ky Ng, Rebecca J Haines-Saah, Rodney E Knight, Jean A Shoveller, Joy L Johnson
In Canada, the issue of creating safe and inclusive school environments for lesbian, gay, bisexual, transgender, and queer students has been in the spotlight. Several researchers and advocates have pointed out the positive effects of lesbian, gay, bisexual, transgender, and queer-positive policy frameworks on the health and wellbeing of all young people. In this article, we take a critical approach to analyzing narrative findings from qualitative interviews conducted with youth in three communities in British Columbia, Canada: "the North," Vancouver, and Abbotsford...
June 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28626068/colorectal-cancer-screening-how-health-gains-and-cost-effectiveness-vary-by-ethnic-group-the-impact-on-health-inequalities-and-the-optimal-age-range-to-screen
#4
Melissa McLeod, Giorgi Kvizhinadze, Matt Boyd, Jan Barendregt, Diana Sarfati, Nick Wilson, Tony Blakely
Background Screening programmes consistently underserve indigenous populations despite a higher overall burden of cancer. In this study we explore the likely health gains and cost-effectiveness of a national colorectal cancer (CRC) screening programme for the indigenous Māori population of New Zealand (NZ). Methods A Markov model estimated: health benefits (QALYs), costs and cost-effectiveness of biennial immunochemical faecal occult blood testing (FOBTi) of 50-74 year olds, from 2011. Input parameters came from: literature reviews, the NZ Bowel Screening Programme Pilot, and NZ linked health datasets...
June 16, 2017: Cancer Epidemiology, Biomarkers & Prevention
https://www.readbyqxmd.com/read/28625309/maternal-mortality-and-the-role-of-the-obstetric-anesthesiologist
#5
REVIEW
Gillian Abir, Jill Mhyre
Maternal mortality is increasing in the United States and remains unacceptably high in many parts of the world. Pre-existing conditions and social determinants of health frequently contribute to maternal death. General solutions to enhance maternal safety focus on systems to identify women at high risk and to tailor the management before, during, and after pregnancy. This review highlights condition-specific solutions for the leading etiologies of maternal death, including cardiac disease, sepsis, hemorrhage, venous thromboembolism, hypertensive disorders of pregnancy, and amniotic fluid embolism...
March 2017: Best Practice & Research. Clinical Anaesthesiology
https://www.readbyqxmd.com/read/28620969/black-and-white-parents-willingness-to-seek-help-for-children-s-internalizing-and-externalizing-symptoms
#6
Idia B Thurston, Robin Hardin, Kristina Decker, Trisha Arnold, Kathryn H Howell, Vicky Phares
OBJECTIVE: Understanding social and environmental factors that contribute to parental help-seeking intentions is an important step in addressing service underutilization for children in need of treatment. This study examined factors that contribute to parents' intentions to seek formal and informal help for child psychopathology (anxiety and attention-deficit/hyperactivity disorder [ADHD]). METHOD: A total of 251 parents (N = 128 mothers, N = 123 fathers; 49% Black, 51% White) read 3 vignettes describing children with anxiety, ADHD, and no diagnosis...
June 16, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28619411/where-we-fall-down-tensions-in-teaching-social-medicine-and-global-health
#7
Amy Finnegan, Michelle Morse, Marisa Nadas, Michael Westerhaus
BACKGROUND: As global health interest has risen, so too has the relevance of education on the social determinants of health and health equity. Social medicine offers a particularly salient framework for educating on the social determinants of health, health disparities, and health equity. SocMed and EqualHealth, 2 unique but related organizations, offer annual global health courses in Uganda, Haiti, and the United States, which train students to understand and respond to the social determinants of health through praxis, self-reflection and self-awareness, and building collaborative partnerships across difference...
March 2017: Annals of Global Health
https://www.readbyqxmd.com/read/28619076/effectiveness-and-equity-of-the-tanzania-national-voucher-scheme-for-mosquito-nets-over-10%C3%A2-years-of-implementation
#8
Karen Kramer, Renata Mandike, Rose Nathan, Ally Mohamed, Matthew Lynch, Nick Brown, Ally Mnzava, Wilhelmina Rimisho, Christian Lengeler
BACKGROUND: The Tanzania National Voucher Scheme (TNVS) was a public private partnership managed by the Ministry of Health that provided pregnant women and infants with highly subsidized (long-lasting) insecticide-treated nets between 2004 and 2014. It was implemented in the context of the National Insecticide Treated Nets (NATNETS) Programme and was the main keep up strategy for vulnerable populations. CASE DESCRIPTION: The programme design was adjusted considerably over time to incorporate new evidence, shifting public health policies, and changing donor priorities...
June 15, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28617266/sustainable-public-health-systems-for-rare-diseases
#9
Rita Maria Ferrelli, Amalia Egle Gentile, Marta De Santis, Domenica Taruscio
INTRODUCTION: In the framework of the Joint Action for Rare Diseases (RD-ACTION), a specific task was defined to identify mechanisms influencing sustainability, equity and resilience of health systems for rare diseases (RDs). METHOD: Literature narrative review on health systems sustainability and resilience for RDs. Years: 2000-2015. Databases: PubMed, Scopus, EBSCOHost, EMBAL, PASCAL, EMBASE, STN International and GoogleScholar. ANALYSIS: interpretive synthesis concept and thematic analysis (Dixon-Wood, et al...
April 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/28615990/the-challenges-and-opportunities-of-translating-best-practice-immunisation-strategies-among-low-performing-general-practices-to-reduce-equity-gaps-in-childhood-immunisation-coverage-in-new-zealand
#10
Nikki M Turner, Nadia A Charania, Angela Chong, Joanna Stewart, Lynn Taylor
BACKGROUND: Immunisation coverage rates vary considerably at the local level across New Zealand and challenges remain with effectively translating best available research evidence into public health practice. This study aimed to translate best practices from high performing general practices into strategies to improve childhood immunisation coverage among low performing practices. METHODS: An intervention study was undertaken of general practices with low immunisation coverage rates and a high percentage of the enrolled population being of Māori ethnicity...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28614510/relationship-between-risk-classifications-used-to-organize-the-demand-for-oral-health-in-a-small-city-of-s%C3%A3-o-paulo-brazil
#11
João Peres, Karine Laura Cortellazzi Mendes, Ronaldo Seichi Wada, Maria da Luz Rosario de Sousa
Oral health teams can work with both information of the people related to the family context as individual epidemiological through risk ratings, considering equity and service organization. The purpose of our study was to evaluate the association between tools that classify individual and family risk. The study group consisted of students from the age group of 5-6 years and 11-12 years who were classified regarding risk of caries and whether their parents had periodontal disease, in addition to the family risk...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28614483/-public-health-impact-of-a-remote-diagnosis-system-implemented-in-regional-and-district-hospitals-in-paraguay
#12
Pedro Galván, Miguel Velázquez, Gualberto Benítez, José Ortellado, Ronald Rivas, Antonio Barrios, Enrique Hilario
Objective: Determine the viability of a remote diagnosis system implemented to provide health care to remote and scattered populations in Paraguay. Methods: The study was conducted in all regional and general hospitals in Paraguay, and in the main district hospitals in the country's 18 health regions. Clinical data, tomographic images, sonography, and electrocardiograms (ECGs) of patients who needed a diagnosis by a specialized physician were entered into the system...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28610626/social-accountability-in-primary-health-care-in-west-and-central-africa-exploring-the-role-of-health-facility-committees
#13
Elsbet Lodenstein, Eric Mafuta, Adolphe C Kpatchavi, Jean Servais, Marjolein Dieleman, Jacqueline E W Broerse, Alpha Amadou Bano Barry, Thérèse M N Mambu, Jurrien Toonen
BACKGROUND: Social accountability has been emphasised as an important strategy to increase the quality, equity, and responsiveness of health services. In many countries, health facility committees (HFCs) provide the accountability interface between health providers and citizens or users of health services. This article explores the social accountability practices facilitated by HFCs in Benin, Guinea and the Democratic Republic of Congo. METHODS: The paper is based on a cross-case comparison of 11 HFCs across the three countries...
June 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28608451/commissioning-and-equity-in-primary-care-in-australia-views-from-primary-health-networks
#14
Julie Henderson, Sara Javanparast, Tamara MacKean, Toby Freeman, Fran Baum, Anna Ziersch
This paper reports findings from 55 stakeholder interviews undertaken in six Primary Health Networks (PHNs) in Australia as part of a study of the impact of population health planning in regional primary health organisations on service access and equity. Primary healthcare planning is currently undertaken by PHNs which were established in 2015 as commissioning organisations. This was a departure from the role of Medicare Locals, the previous regional primary health organisations which frequently provided services...
June 12, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28607244/policy-opportunities-and-limitations-of-evidence-based-planning-for-immunization-lessons-learnt-from-a-field-trial-in-bangladesh
#15
John Grundy, Shukhrat Rakhimdjanov, Merina Adhikari
Despite success in scaling up immunization, the national immunization programme in Bangladesh remains challenged by persisting inequities in health access related to geographic location and social factors, including income and education status. In order to tackle these inequities in access, the national immunization programme has conducted a field trial of the evidence-based planning model in Bangladesh between 2011 and 2013, in 11 low-performing districts and 3 city corporations. The main elements of this intervention included bottleneck analysis in local areas, action planning and budgeting to correct the bottlenecks, and establishment of a monitoring system to track progress...
September 2016: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28606147/the-variation-in-the-health-status-of-immigrants-and-italians-during-the-global-crisis-and-the-role-of-socioeconomic-factors
#16
Alessio Petrelli, Anteo Di Napoli, Alessandra Rossi, Gianfranco Costanzo, Concetta Mirisola, Lidia Gargiulo
BACKGROUND: The effects of the recent global economic and financial crisis especially affected the most vulnerable social groups. Objective of the study was to investigate variation of self-perceived health status in Italians and immigrants during the economic global crisis, focusing on demographic and socioeconomic factors. METHODS: Through a cross-sectional design we analyzed the national sample of multipurpose surveys "Health conditions and use of health services" (2005 and 2013) conducted by the Italian National Institute of Statistics (ISTAT)...
June 12, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28606131/improving-primary-health-care-facility-performance-in-ghana-efficiency-analysis-and-fiscal-space-implications
#17
Jacob Novignon, Justice Nonvignon
BACKGROUND: Health centers in Ghana play an important role in health care delivery especially in deprived communities. They usually serve as the first line of service and meet basic health care needs. Unfortunately, these facilities are faced with inadequate resources. While health policy makers seek to increase resources committed to primary healthcare, it is important to understand the nature of inefficiencies that exist in these facilities. Therefore, the objectives of this study are threefold; (i) estimate efficiency among primary health facilities (health centers), (ii) examine the potential fiscal space from improved efficiency and (iii) investigate the efficiency disparities in public and private facilities...
June 12, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28606031/how-socioeconomic-status-affects-patient-perceptions-of-health-care-a-qualitative-study
#18
Nicholas C Arpey, Anne H Gaglioti, Marcy E Rosenbaum
INTRODUCTION: Clinician perceptions of patients with low socioeconomic status (SES) have been shown to affect clinical decision making and health care delivery in this group. However, it is unknown how and if low SES patients perceive clinician bias might affect their health care. METHODS: In-depth interviews with 80 enrollees in a state Medicaid program were analyzed to identify recurrent themes in their perceptions of care. RESULTS: Most subjects perceived that their SES affected their health care...
July 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28604354/mental-health-insurance-parity-and-provider-wages
#19
Ezra Golberstein, Susan H Busch
BACKGROUND: Policymakers frequently mandate that employers or insurers provide insurance benefits deemed to be critical to individuals' well-being. However, in the presence of private market imperfections, mandates that increase demand for a service can lead to price increases for that service, without necessarily affecting the quantity being supplied. We test this idea empirically by looking at mental health parity mandates. OBJECTIVE: This study evaluated whether implementation of parity laws was associated with changes in mental health provider wages...
June 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28603146/after-10-years-a-vision-forward-for-i-progress-in-community-health-partnerships-i
#20
Suzanne Dolwick Grieb, Latrice Pichon, Simona Kwon, Karen Kim Yeary, Darius Tandon
BACKGROUND: In 2007 the journal Progress in Community Health Partnerships was launched to advance the field of community-engaged research and the journal's editors engaged in a Delphi process to identify priorities for the journal and field. Ten years later, the increased adoption of community-engaged research continues to improve public health. OBJECTIVES: The purpose of this manuscrip t is to i dentify community-engaged research priorities for the next 10 years...
2017: Progress in Community Health Partnerships: Research, Education, and Action
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