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https://www.readbyqxmd.com/read/29781196/professionalised-intimacy-how-dementia-care-workers-navigate-between-domestic-intimacy-and-institutional-detachment
#1
Tobias Haeusermann
This article reports an ethnographic study of the handover routines in Germany's first dementia village, with a central focus on how care is balanced between domestic intimacy and institutional detachment. The term 'professionalised intimacy' is used for the vivid interplay between comfort and intimacy that renders the interaction between care workers and residents far more complex than previous theories have articulated. Because of the intimacy involved in community building, however, the promise of personalised care must clash with the bureaucratic structures of an official institution, potentially depriving the care workers of their public, respected identity in the process...
May 20, 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29764983/is-there-a-nocebo-response-that-results-from-disease-awareness-campaigns-and-advertising-in-australia-and-can-this-effect-be-mitigated
#2
Stuart Benson, David Hunter
Direct-to-consumer advertising is banned in Australia, and instead pharmaceutical companies use disease awareness campaigns as a strategy to raise public awareness of conditions for which the company produces a treatment. This practice has been justified by promoting individual autonomy and public health, but it has attracted criticism regarding medicalisation of normal health and ageing, and exaggeration of the severity of the condition in question, imbalanced reporting of risks and benefits, and damaging the patient-clinician relationship...
May 15, 2018: Journal of Medical Ethics
https://www.readbyqxmd.com/read/29730621/how-a-deliberative-approach-includes-women-in-the-decisions-of-screening-mammography-a-citizens-jury-feasibility-study-in-andalusia-spain
#3
José M Baena-Cañada, Violeta Luque-Ribelles, Alicia Quílez-Cutillas, Petra Rosado-Varela, Encarnación Benítez-Rodríguez, Soledad Márquez-Calderón, Juan Manuel Rivera-Bautista
OBJECTIVES: To verify whether a citizens' jury study is feasible to the Andalusian population and to know if women, when better informed, are able to answer the research question of whether the Andalusian Public Health System must continue offering screening mammography to women aged 50-69. The reasons for the pertinent decision and recommendations to the political authorities will be stated. DESIGN: Qualitative research study with the methodology of citizens' jury...
May 5, 2018: BMJ Open
https://www.readbyqxmd.com/read/29715281/real-life-management-of-patients-hospitalized-with-multiple-myeloma-in-france
#4
Charles Dumontet, Sandrine Couray-Targe, Marion Teisseire, Lionel Karlin, Delphine Maucort-Boulch
BACKGROUND: Patients with multiple myeloma included in prospective clinical trials are highly selected and therefore are expected not to be representative of the entire patient population. Additionally recommendations based on literature data and randomized trials are not systematically implemented in all patients. We sought to determine how patients hospitalized with a diagnosis of multiple myeloma are currently treated in France. METHODS AND FINDINGS: We performed a nation-wide search using the Programme de Médicalisation des Systèmes d'Information (PMSI) database which includes anonymous data for all patients hospitalized in France...
2018: PloS One
https://www.readbyqxmd.com/read/29695089/social-network-analysis-applied-to-a-historical-ethnographic-study-surrounding-home-birth
#5
Elena Andina-Diaz, Mª Antonia Ovalle-Perandones, Ignacio Ramos-Vidal, Francisca Camacho-Morell, Jose Siles-Gonzalez, Pilar Marques-Sanchez
Safety during birth has improved since hospital delivery became standard practice, but the process has also become increasingly medicalised. Hence, recent years have witnessed a growing interest in home births due to the advantages it offers to mothers and their newborn infants. The aims of the present study were to confirm the transition from a home birth model of care to a scenario in which deliveries began to occur almost exclusively in a hospital setting; to define the social networks surrounding home births; and to determine whether geography exerted any influence on the social networks surrounding home births...
April 24, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29680130/-clinical-characteristics-of-patients-with-als-hospitalised-at-home
#6
REVIEW
Catherine Nativel, Odile Marquestaut
A study was carried out in 2013 in order to describe, using data from the programme for a medicalised information system, the population of patients with amyotrophic lateral sclerosis (ALS) cared for through the hospital at home service of the AP-HP Paris hospital group. This study highlights the highly technical nature of the care, in a context of palliative care and patient dependency. Patient care needs to be coordinated, preferably within a network.
April 2018: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/29679820/joy-guilt-and-disappointment-an-interpretative-phenomenological-analysis-of-the-experiences-of-women-transferred-from-midwifery-led-to-consultant-led-care
#7
Patricia Larkin
BACKGROUND: Irish maternity services are predominantly medicalised and consultant led, therefore women who choose midwifery led care (MLC) do so in the context of limited birth choices. Transfers to consultant led unit (CLU) for consultant led care (CLC) can be unpredictable and can affect women's birth experiences. This study provides an in-depth exploration of women's experiences of transfer fromMLC to CLC during late pregnancy or labour. METHODS: Transfer experiences are explored through qualitative explorative in-depth interviews using interpretative phenomenological analysis (IPA)...
April 11, 2018: Midwifery
https://www.readbyqxmd.com/read/29622389/dying-in-hospital-qualitative-study-among-caregivers-of-terminally-ill-patients-who-are-transferred-to-the-emergency-department
#8
Martin Pillet, Aline Chassagne, Régis Aubry
INTRODUCTION: Most people in France die in the hospital, even though a majority would like to die at home. These end-of-life hospital admissions sometimes occur in the emergency setting, in the hours preceding death. OBJECTIVE: To understand the motives that incite main natural caregivers to transfer terminally ill patients at the end of life to the emergency department. METHODS: A qualitative study was performed among caregivers of terminally ill patients receiving palliative care and living at home, and who died within 72hours of being admitted to the emergency department of the University Hospital of Besançon, France...
April 2, 2018: La Presse Médicale
https://www.readbyqxmd.com/read/29616876/a-framework-for-medical-power-in-two-case-studies-of-health-policymaking-in-india-and-niger
#9
Sarah L Dalglish, Veena Sriram, Kerry Scott, Daniela C Rodríguez
Medical professionals influence health policymaking but the power they exercise is not well understood in low- and middle-income countries. We explore medical power in national health policymaking for child survival in Niger (late 1990s-2012) and emergency medicine specialisation in India (early 1990s-2015). Both case studies used document review, in-depth interviews and non-participant observation; combined analysis traced policy processes and established theoretical categories around power to build a conceptual framework of medical power in health policymaking...
April 4, 2018: Global Public Health
https://www.readbyqxmd.com/read/29553011/surveilling-the-mind-and-body-medicalising-and-de-medicalising-homosexuality-in-1970s-new-zealand
#10
James E Bennett, Chris Brickell
'Medicalisation' of same sex relations is a phenomenon that reached its peak in the 1950s and 1960s. The rise of gay liberation produced a divisive political contest with the psychiatric profession and adherents of the orthodox 'medical model' in the United States and - to a lesser extent - in the United Kingdom. This socio-historical process occurred throughout the English-speaking world, but much less is known about its dynamics in smaller countries such as New Zealand where the historiography on this issue is very sparse...
April 2018: Medical History
https://www.readbyqxmd.com/read/29524934/what-enables-and-constrains-the-inclusion-of-the-social-determinants-of-health-inequities-in-government-policy-agendas-a-narrative-review
#11
REVIEW
Phillip Baker, Sharon Friel, Adrian Kay, Fran Baum, Lyndall Strazdins, Tamara Mackean
BACKGROUND: Despite decades of evidence gathering and calls for action, few countries have systematically attenuated health inequities (HI) through action on the social determinants of health (SDH). This is at least partly because doing so presents a significant political and policy challenge. This paper explores this challenge through a review of the empirical literature, asking: what factors have enabled and constrained the inclusion of the social determinants of health inequities (SDHI) in government policy agendas? METHODS: A narrative review method was adopted involving three steps: first, drawing upon political science theories on agenda-setting, an integrated theoretical framework was developed to guide the review; second, a systematic search of scholarly databases for relevant literature; and third, qualitative analysis of the data and thematic synthesis of the results...
November 11, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29517399/active-ageing-emotional-care-and-the-threat-of-stigma-identity-management-in-older-adults-using-sleeping-medication-long-term
#12
Georgia Smith, Hannah Farrimond
Amid fears about the medicalisation of old age, the high prevalence of sleeping medication use in older cohorts is a significant public health concern. Long-term use is associated with a plethora of negative effects, such as cognitive impairment and risk of addiction. However, little is known about the lived experience of older adults using sleeping medication longer term. Episodic interviews lasting approximately 90 minutes were conducted with 15 independently living adults, aged 65-88 years, who were using sedative-hypnotic or tricyclic sleeping medication for more than 11 years on average...
March 1, 2018: Health (London)
https://www.readbyqxmd.com/read/29486208/meat-in-the-post-truth-era-mass-media-discourses-on-health-and-disease-in-the-attention-economy
#13
Frédéric Leroy, Malaika Brengman, Wouter Ryckbosch, Peter Scholliers
The debate on meat's role in health and disease is a rowdy and dissonant one. This study uses the health section of the online version of The Daily Mail as a case study to carry out a quantitative and qualitative reflection on the related discourses in mass media during the first fifteen years of the 21st century. This period ranged from the fall-out of the bovine spongiform encephalopathy (BSE) crisis and its associated food safety anxieties, over the Atkins diet-craze in 2003 and the avian flu episode in 2007, to the highly influential publication of the report on colon cancer by the International Agency for Research on Cancer (IARC) in 2015...
June 1, 2018: Appetite
https://www.readbyqxmd.com/read/29478876/health-systems-reforms-in-singapore-a-qualitative-study-of-key-stakeholders
#14
Suan Ee Ong, Shilpa Tyagi, Jane Mingjie Lim, Kee Seng Chia, Helena Legido-Quigley
In response to a growing chronic disease burden and ageing population, Singapore implemented Regional Health Systems (RHS) in 2008. In January 2017, the MOH announced that the six RHS clusters would be reorganised into three in 2018. This qualitative study sought to identify the health system challenges, opportunities, and ways forward for the implementation of the RHS. We conducted semi-structured interviews with 35 key informants from RHS clusters, government, academia, and private and voluntary sectors. Integration, innovation, and people-centeredness were identified as the key principles of the RHS...
April 2018: Health Policy
https://www.readbyqxmd.com/read/29468777/caring-for-crying-babies-a-mixed-methods-study-to-understand-factors-influencing-nurses-and-doctors-management-of-infant-colic
#15
James McGann, Jaqueline Manohar, Harriet Hiscock, Denise O'Connor, Jan Hodgson, Franz Babl, Valerie Sung
AIM: The aim of this study was to determine the barriers and enablers influencing the uptake of two recommendations from a tertiary paediatric hospital's clinical practice guidelines by maternal and child health nurses (MCHNs) and emergency department (ED) doctors: (i) explaining normal crying; and (ii) avoiding attributing crying to gastro-oesophageal reflux (GOR) and limiting anti-reflux medication use. METHODS: The study was designed as 1-h focus group discussions, guided by the Theoretical Domains Framework, and a short questionnaire, with a purposive sample of MCHNs and ED doctors in Victoria, Australia in (March to September) 2015...
February 22, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29458347/the-contribution-of-a-mooc-to-community-discussions-around-death-and-dying
#16
Jennifer Tieman, Lauren Miller-Lewis, Deb Rawlings, Deborah Parker, Christine Sanderson
BACKGROUND: Advances in medicine have helped many to live longer lives and to be able to meet health challenges. However death rates are anticipated to increase given the ageing population and chronic disease progression. Being able to talk about death is seen to be important in normalising death as part of life and supporting preparedness for death. Massive Open Online Courses (MOOCs) provide opportunities for the community to engage in collaborative learning. A 5 week MOOC was developed covering four main topics (language and humour, representations of death, medicalisation of dying, and digital dying) aiming: To enable participants to openly and supportively discuss and learn about issues around living, death and dying, To explore the normally unheard opinions and views of Australians around death and dying, and To determine what effect online learning and discussions offered through the MOOC had on participants' feelings and attitudes towards death and dying...
February 20, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29428123/innovations-reviews-and-proposals-on-the-dsm-5-the-case-of-sexual-dysfunctions-gender-dysphoria-and-paraphilic-disorders
#17
Adalberto Campo-Arias, Edwin Herazo
Human behaviours have different meanings according to the historical moment and context. In this article sexual behaviours are taken as a category in order to analyse how psychiatric nosology is structured, as manifested in texts such as the DSM-5. The development of these diagnostic manuals are tools that are far from being free of subjectivities and interference of elements of power, expressed in the way health, illness, mental health, and mental disorders, are assumed; in short, the normal and pathological...
January 2018: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/29411393/culturally-embedded-health-beliefs-self-care-and-the-use-of-anti-ageing-medicine-among-australian-and-japanese-older-adults
#18
Maho Omori, Deborah Dempsey
Adopting Kleinman's and Lock's ideas that there are cultural variations in understandings of health care and the medicalisation of ageing bodies, this study compares and contrasts older adults' use of anti-ageing medicine in two cultural settings. Based on 42 interviews conducted in Australia and Japan with adults aged 60 and over, findings revealed distinct pathways to initiating anti-ageing medicine use between the two cohorts which reflect different attitudes to the medicalisation of ageing in the two settings...
March 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29325518/experiences-of-gestational-diabetes-and-gestational-diabetes-care-a-focus-group-and-interview-study
#19
Judith Parsons, Katherine Sparrow, Khalida Ismail, Katharine Hunt, Helen Rogers, Angus Forbes
BACKGROUND: Gestational diabetes mellitus (GDM) is an increasingly common condition of pregnancy. It is associated with adverse fetal, infant and maternal outcomes, as well as an increased risk of GDM in future pregnancies and type 2 diabetes for both mother and offspring. Previous studies have shown that GDM can result in an emotionally distressing pregnancy, but there is little research on the patient experience of GDM care, especially of a demographically diverse UK population. The aim of this research was to explore the experiences of GDM and GDM care for a group of women attending a large diabetes pregnancy unit in southeast London, UK, in order to improve care...
January 11, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29283037/a-critique-of-medicalisation-three-instances
#20
Sonia Ryang
By briefly exploring three different examples where the existence of mental illness and developmental delay has been presumed, this paper sheds light on the way what Foucault calls the emergence of a regime of truth, i.e. where something that does not exist is made to exist through the construction of a system of truth around it. The first example concerns the direct marketing of pharmaceutical products to consumers in the US, the second the use of psychology in semi-post-Cold War Korea, and the third the persisting authority of psychology in the treatment of the developmentally delayed...
December 2017: Anthropology & Medicine
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