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Healthcare delivery science

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https://www.readbyqxmd.com/read/29777966/determinants-of-choice-of-delivery-place-testing-rational-choice-theory-and-habitus-theory
#1
Anja Broda, Juliane Krüger, Stephanie Schinke, Andreas Weber
OBJECTIVE: The current study uses two antipodal social science theories, the rational choice theory and the habitus theory, and applies these to describe how women choose between intraclinical (i.e., hospital-run birth clinics) and extraclinical (i.e., midwife-led birth centres or home births) delivery places. DESIGN, SETTING, PARTICIPANTS, MEASUREMENTS: Data were collected in a cross-sectional questionnaire-based survey among 189 women. A list of 22 determinants, conceptualized to capture the two theoretical concepts, were rated on a 7-point Likert scale with 1 = unimportant to 7 = very important...
May 7, 2018: Midwifery
https://www.readbyqxmd.com/read/29747651/the-effects-of-integrated-care-a-systematic-review-of-uk-and-international-evidence
#2
Susan Baxter, Maxine Johnson, Duncan Chambers, Anthea Sutton, Elizabeth Goyder, Andrew Booth
BACKGROUND: Healthcare systems around the world have been responding to the demand for better integrated models of service delivery. However, there is a need for further clarity regarding the effects of these new models of integration, and exploration regarding whether models introduced in other care systems may achieve similar outcomes in a UK national health service context. METHODS: The study aimed to carry out a systematic review of the effects of integration or co-ordination between healthcare services, or between health and social care on service delivery outcomes including effectiveness, efficiency and quality of care...
May 10, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29731951/advanced-computational-methods-in-bio-mechanics
#3
REVIEW
Waleed M S Al Qahtani, Mohamed I El-Anwar
A novel partnership between surgeons and machines, made possible by advances in computing and engineering technology, could overcome many of the limitations of traditional surgery. By extending surgeons' ability to plan and carry out surgical interventions more accurately and with fewer traumas, computer-integrated surgery (CIS) systems could help to improve clinical outcomes and the efficiency of healthcare delivery. CIS systems could have a similar impact on surgery to that long since realised in computer-integrated manufacturing...
April 15, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29720167/development-of-a-neonatal-curriculum-for-medical-students-in-zimbabwe-a-cross-sectional-survey
#4
Simbarashe Chimhuya, Bothwell Mbuwayesango, Eva M Aagaard, Kusum J Nathoo
BACKGROUND: Calls have been made to reassess the curricula of medical schools throughout the world to adopt competence-based programs that address the healthcare needs of society. Zimbabwe is a country characterized by a high neonatal mortality rate of 24 per 1000 live births. The current research sought to determine the content and appropriate teaching strategies needed to guide the development of an undergraduate neonatal curriculum map for medical students at the University of Zimbabwe College of Health Sciences...
May 2, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29717819/recent-advances-in-the-development-of-antimicrobial-nanoparticles-for-combating-resistant-pathogens
#5
REVIEW
Rajamani Lakshminarayanan, Enyi Ye, David James Young, Zibiao Li, Xian Jun Loh
The rapid growth of harmful pathogens and their multidrug-resistance poses a severe challenge for health professionals and for the development of new healthcare products. Various strategies are exploited for the development of effective antimicrobial agents, and nanoparticles are a particularly promising class of materials in this respect. This review summarizes recent advances in antimicrobial metallic, polymeric, and lipid-based nanoparticles such as liposomes, solid lipid nanoparticles, and nanostructured lipid carriers...
May 2, 2018: Advanced Healthcare Materials
https://www.readbyqxmd.com/read/29712711/medical-nutrition-education-training-and-competencies-to-advance-guideline-based-diet-counseling-by-physicians-a-science-advisory-from-the-american-heart-association
#6
REVIEW
Karen E Aspry, Linda Van Horn, Jo Ann S Carson, Judith Wylie-Rosett, Robert F Kushner, Alice H Lichtenstein, Stephen Devries, Andrew M Freeman, Allison Crawford, Penny Kris-Etherton
Growing scientific evidence of the benefits of heart-healthy dietary patterns and of the massive public health and economic burdens attributed to obesity and poor diet quality have triggered national calls to increase diet counseling in outpatients with atherosclerotic cardiovascular disease or risk factors. However, despite evidence that physicians are willing to undertake this task and are viewed as credible sources of diet information, they engage patients in diet counseling at less than desirable rates and cite insufficient knowledge and training as barriers...
April 30, 2018: Circulation
https://www.readbyqxmd.com/read/29700101/evaluation-of-a-decision-aid-for-incidental-genomic-results-the-genomics-adviser-protocol-for-a-mixed-methods-randomised-controlled-trial
#7
Salma Shickh, Marc Clausen, Chloe Mighton, Selina Casalino, Esha Joshi, Emily Glogowski, Kasmintan A Schrader, Adena Scheer, Christine Elser, Seema Panchal, Andrea Eisen, Tracy Graham, Melyssa Aronson, Kara M Semotiuk, Laura Winter-Paquette, Michael Evans, Jordan Lerner-Ellis, June C Carroll, Jada G Hamilton, Kenneth Offit, Mark Robson, Kevin E Thorpe, Andreas Laupacis, Yvonne Bombard
INTRODUCTION: Genome sequencing, a novel genetic diagnostic technology that analyses the billions of base pairs of DNA, promises to optimise healthcare through personalised diagnosis and treatment. However, implementation of genome sequencing faces challenges including the lack of consensus on disclosure of incidental results, gene changes unrelated to the disease under investigation, but of potential clinical significance to the patient and their provider. Current recommendations encourage clinicians to return medically actionable incidental results and stress the importance of education and informed consent...
April 26, 2018: BMJ Open
https://www.readbyqxmd.com/read/29683014/older-adults-perspectives-on-the-process-of-becoming-users-of-assistive-technology-a-qualitative-systematic-review-and-meta-synthesis
#8
Stina Meyer Larsen, Rikke Falgreen Mortensen, Hanne Kaae Kristensen, Lise Hounsgaard
PURPOSE: To identify, synthesize, and evaluate existing literature concerning the process of becoming a user of assistive technology (AT). METHOD: A systematic review and meta-synthesis were carried out. Five bibliographic databases (MEDLINE via PubMed, CINAHL, Web of Science, PsycINFO and SocINDEX) were systematically searched up to 13th of March 2017, using two sets of search terms: (i) elderly and synonyms and (ii) assistive technology and similar words, and combined with a qualitative research filter...
April 22, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29677922/implementing-an-antibiotic-stewardship-information-system-to-improve-hospital-infection-control-a-co-design-process
#9
Mélanie R Maia, Alexandra Simões, Luís V Lapão
HAITooL information system design and implementation was based on Design Science Research Methodology, ensuring full participation, in close collaboration, of researchers and a multidisciplinary team of healthcare professionals. HAITooL enables effective monitoring of antibiotic resistance, antibiotic use and provides an antibiotic prescription decision-supporting system by clinicians, strengthening the patient safety procedures. The design, development and implementation process reveals benefits in organizational and behavior change with significant success...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29667358/human-disease-clinical-medical-sciences-in-dentistry-current-state-and-future-directions-of-undergraduate-teaching-in-the-uk-and-ireland
#10
P A Atkin, S Thomas, R J Cook, M Greenwood, J H Bennett, A Willis, C Donachie, R Ni Riordain, S Galvin, A Crighton, A J Mighell, I Bakri
In March 2017, a group of teachers of human disease/clinical medical science (HD/CMSD) representing the majority of schools from around the UK and Republic of Ireland met to discuss the current state of teaching of human disease and also to discuss how the delivery of this theme might evolve to inform improved healthcare. This study outlines how the original teaching in medicine and surgery to dental undergraduate students has developed into the theme of HD/CMSD reflecting changing needs as well as guidance from the regulators, and how different dental schools have developed their approaches to reach their current state...
April 18, 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29627815/protocol-for-a-mixed-methods-study-of-hospital-readmissions-sensemaking-in-veterans-health-administration-healthcare-system-in-the-usa
#11
Lauren S Penney, Luci K Leykum, Polly Noël, Erin P Finley, Holly Jordan Lanham, Jacqueline Pugh
INTRODUCTION: Effective delivery of healthcare in complex systems requires managing interdependencies between professions and organisational units. Reducing 30-day hospital readmissions may be one of the most complex tasks that a healthcare system can undertake. We propose that these less than optimal outcomes are related to difficulties managing the complex interdependencies among organisational units and to a lack of effective sensemaking among individuals and organisational units regarding how best to coordinate patient needs...
April 7, 2018: BMJ Open
https://www.readbyqxmd.com/read/29624704/implementation-science-to-advance-care-delivery-a-primer-for-pharmacists-and-other-health-professionals
#12
Melanie Livet, Stuart T Haines, Geoff M Curran, Terry Seaton, Caryn Ward, Todd Sorensen, Mary Roth McClurg
There is increasing pressure within healthcare to implement evidence-based interventions that improve quality, control costs, and maximize value. Unfortunately, many clinical services and interventions to optimize medication use do not consistently produce the intended humanistic, clinical, and economic outcomes. The lack of conclusive results is believed to stem from the widely recognized research-to-practice gap. The field of implementation science seeks to discover and apply strategies designed to accelerate successful integration of interventions into routine practice...
April 6, 2018: Pharmacotherapy
https://www.readbyqxmd.com/read/29624408/patient-and-family-engagement-in-the-icu-untapped-opportunities-and-under-recognized-challenges
#13
Karen E A Burns, Cheryl Misak, Margaret Herridge, Maureen O Meade, Simon Oczkowski
The call for meaningful patient and family engagement in healthcare and research is gaining impetus. Healthcare institutions and research funding agencies increasingly encourage clinicians and researchers to work actively with patients and their families to advance clinical care and research. Engagement is increasingly mandated by healthcare organizations and is becoming a prerequisite for research funding. In this article, we review the rationale and the current state of patient and family engagement in patient care and research in the intensive care unit (ICU)...
April 6, 2018: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/29609154/the-use-of-computer-mediated-communication-in-providing-patient-support-a-review-of-the-research-literature
#14
REVIEW
Amanda J Wagg, Margie M Callanan, Alexander Hassett
OBJECTIVES: The aim of this study is to explore how computer mediated communication has been used by a variety of healthcare,professionals to support their patients and discuss the implication that this may have for future practice. DESIGN: A systematized review of the literature. DATA SOURCES: A review of empirical studies within the literature was carried out in April 2016 in CINAHL, MEDLINE, ASSIA, BNI, Psychinfo, and Web of Science databases...
March 16, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29605054/investigating-black-white-disparities-in-gynecologic-oncology-theories-conceptual-models-and-applications
#15
REVIEW
Kemi M Doll
Within gynecologic oncology are two of the top five widest Black-White mortality gaps among all cancer diagnoses in the United States. A rich body of work from the social sciences, including anthropology, sociology and social epidemiology, have broadened the understanding of and research approaches to the study of health and healthcare inequity experienced by Black Americans. Yet, these intellectual advancements in understanding are virtually absent from the gynecologic oncology literature. The goal of this analytic essay will be to introduce three current frameworks of studying racial inequity: The Ecosocial Theory of Disease Distribution, The Fundamental Cause Theory, and The Public Health Critical Race Praxis...
April 2018: Gynecologic Oncology
https://www.readbyqxmd.com/read/29575512/the-role-of-unregulated-care-providers-in-canada-a-scoping-review
#16
Arsalan Afzal, Paul Stolee, George A Heckman, Veronique M Boscart, Chiranjeev Sanyal
AIMS AND OBJECTIVES: This scoping review explored: (i) the role of unregulated care providers in the healthcare system; (ii) their potential role on interprofessional teams; (iii) the impact of unregulated care provider's role on quality of care and patient safety; and (iv) education and employment standards. BACKGROUND: Unregulated care providers in Canada assist older adults with personal support and activities of daily living in a variety of care settings. As the care needs of an aging population become increasingly complex, the role of unregulated care providers in healthcare delivery has also evolved...
March 25, 2018: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/29569104/individualising-therapy-to-minimize-bacterial-multidrug-resistance
#17
REVIEW
A J Heffernan, F B Sime, J Lipman, J A Roberts
The scourge of antibiotic resistance threatens modern healthcare delivery. A contributing factor to this significant issue may be antibiotic dosing, whereby standard antibiotic regimens are unable to suppress the emergence of antibiotic resistance. This article aims to review the role of pharmacokinetic and pharmacodynamic (PK/PD) measures for optimising antibiotic therapy to minimise resistance emergence. It also seeks to describe the utility of combination antibiotic therapy for suppression of resistance and summarise the role of biomarkers in individualising antibiotic therapy...
March 22, 2018: Drugs
https://www.readbyqxmd.com/read/29535915/pragmatic-trial-of-a-multidisciplinary-lung-cancer-care-model-in-a-community-healthcare-setting-study-design-implementation-evaluation-and-baseline-clinical-results
#18
Matthew P Smeltzer, Fedoria E Rugless, Bianca M Jackson, Courtney L Berryman, Nicholas R Faris, Meredith A Ray, Meghan Meadows, Anita A Patel, Kristina S Roark, Satish K Kedia, Margaret M DeBon, Fayre J Crossley, Georgia Oliver, Laura M McHugh, Willeen Hastings, Orion Osborne, Jackie Osborne, Toni Ill, Mark Ill, Wynett Jones, Hyo K Lee, Raymond S Signore, Roy C Fox, Jingshan Li, Edward T Robbins, Kenneth D Ward, Lisa M Klesges, Raymond U Osarogiagbon
Background: Responsible for 25% of all US cancer deaths, lung cancer presents complex care-delivery challenges. Adoption of the highly recommended multidisciplinary care model suffers from a dearth of good quality evidence. Leading up to a prospective comparative-effectiveness study of multidisciplinary vs. serial care, we studied the implementation of a rigorously benchmarked multidisciplinary lung cancer clinic. Methods: We used a mixed-methods approach to conduct a patient-centered, combined implementation and effectiveness study of a multidisciplinary model of lung cancer care...
February 2018: Translational Lung Cancer Research
https://www.readbyqxmd.com/read/29535529/examining-leadership-as-a-strategy-to-enhance-health-care-service-delivery-in-regional-hospitals-in-south-africa
#19
Sagaren Govender, Cecile N Gerwel Proches, Abdulla Kader
Background: Four public hospitals in South Africa, which render both specialized and nonspecialized services to thousands of patients, were examined to determine the impact of leadership on health care service delivery. These hospitals were inundated by various problems that were impacting negatively on health care service delivery. Purpose: This research study aimed to gain a comprehensive understanding of the challenges, complexities and constraints facing public health care in KwaZulu-Natal (KZN) and to examine leadership as a strategy to enhance healthcare service delivery with a particular focus on four regional hospitals in the KZN Province...
2018: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/29516447/an-agenda-for-21st-century-neurodevelopmental-medicine-lessons-from-autism
#20
A Klin, W Jones
The future of neurodevelopmental medicine has the potential of situating child neurology at the forefront of a broad-based public health effort to optimize neurodevelopmental outcomes of children born with high-prevalence and diverse genetic, pre- and peri-natal, and environmental burdens compromising early brain development and leading to lifetime disabilities. Building on advancements in developmental social neuroscience and in implementation science, this shift is already occurring in the case of emblematic neurodevelopmental disorders such as autism...
March 1, 2018: Revista de Neurologia
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