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https://www.readbyqxmd.com/read/29454340/risk-perception-of-blood-transfusions-a-comparison-of-patients-and-allied-healthcare-professionals
#1
Jan A Graw, Katja Eymann, Felix Kork, Martin Zoremba, Rene Burchard
BACKGROUND: Due to an increasing demand in health care services plans to substitute selective physician-conducted medical activities have become attractive. Because administration of a blood transfusion is a highly standardized procedure, it might be evaluated if obtaining a patient's consent for a blood transfusion can be delegated to allied healthcare professionals. Physicians and patients perceive risks of transfusions differently. However, it is unknown how allied healthcare professionals perceive risks of transfusion-associated adverse events...
February 17, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29453006/illicit-and-prescription-drug-misuse-as-reported-to-the-maine-diversion-alert-program
#2
Brian J Piper, Michael J Suarez, John P Piserchio, Dipam T Shah, Olapeju M Simoyan, Kenneth L McCall, Clare E Desrosiers, Stephanie D Nichols
BACKGROUND: The opioid epidemic is rapidly evolving and new tools are needed to combat drug abuse. The Maine Diversion Alert Program (DAP) is an informational resource that facilitates communication about drug arrests between the criminal justice and healthcare fields. The objectives of this report were to: (1) describe the illegal and prescription pharmaceuticals reported to the DAP; (2) determine if the drugs implicated in arrests changed from the first to latter half of 2016; (3) identify the demographic and other characteristics of arrestees; and (4) outline the strengths and limitations of the DAP for other areas considering implementing similar programs...
February 6, 2018: Forensic Science International
https://www.readbyqxmd.com/read/29452043/citizens-jury-and-elder-care-public-participation-and-deliberation-in-long-term-care-policy-in-thailand
#3
Komatra Chuengsatiansup, Kanisorn Tengrang, Tipicha Posayanonda, Siranee Sihapark
Health care policies for the elderly are complex, multi-dimensional and contextually circumscribed. While engagement of health experts, economists, healthcare administrators and political leaders is generally viewed as instrumental to the success and sustainability of elder care programs, the elders themselves are often viewed as passive recipients of care and not included in the policy processes. Experiences and expectations from users' perspectives can be invaluable information for policy formulation and systems design...
February 16, 2018: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/29451517/-burden-of-diverticular-disease-an-observational-analysis-based-on-italian-real-world-data
#4
Francesco Saverio Mennini, Paolo Sciattella, Andrea Marcellusi, Bernardo Toraldo, Maurizio Koch
INTRODUCTION: Diverticular disease (DD) represent a wide variety of conditions associated with the presence of diverticula in the colon. The most serious form is an acute episode of diverticulitis which can lead to hospitalization and surgery with various types of consequences. The main aim of this study was to evaluate, from both cross-sectional and longitudinal perspective, the economic burden of diverticulitis in the real practice. METHOD: A deterministic linkage was performed at individual user level between the different administrative sources of the Marche Region through anonymised ID number for a period of analysis between 1 January 2008 and 31 December 2014...
January 2018: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/29450781/measuring-use-of-evidence-based-psychotherapy-for-posttraumatic-stress-disorder-in-a-large-national-healthcare-system
#5
Shira Maguen, Erin Madden, Olga V Patterson, Scott L DuVall, Lizabeth A Goldstein, Kristine Burkman, Brian Shiner
To derive a method of identifying use of evidence-based psychotherapy (EBP) for post-traumatic stress disorder (PTSD), we used clinical note text from national Veterans Health Administration (VHA) medical records. Using natural language processing, we developed machine-learning algorithms to classify note text on a large scale in an observational study of Iraq and Afghanistan veterans with PTSD and one post-deployment psychotherapy visit by 8/5/15 (N = 255,968). PTSD visits were linked to 8.1 million psychotherapy notes...
February 15, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29449760/pediatric-psychologists-career-satisfaction-2015-society-of-pediatric-psychology-workforce-survey-results
#6
Marisa E Hilliard, Cheryl Brosig, Andre A A Williams, Jessica Valenzuela, Astrida Kaugars, Paul M Robins, Peggy Christidis, Karen E Stamm, Tim Wysocki
Little is known about the career satisfaction of pediatric psychologists, who specialize in psychological research, teaching, and clinical service in the context of pediatric healthcare. As part of the larger Society of Pediatric Psychology Workforce Survey and in collaboration with the American Psychological Association Center for Workforce Studies, this study aimed to: (1) describe the career domains which pediatric psychologists perceive to be important and their satisfaction in each domain, and (2) compare satisfaction of pediatric psychologists across work settings, number of positions, appointment duration, professional roles, career stage, academic rank, and gender...
December 2017: Professional Psychology, Research and Practice
https://www.readbyqxmd.com/read/29449075/cardiac-transplantation-in-children-with-down-syndrome-turner-syndrome-and-other-chromosomal-anomalies-a-multi-institutional-outcomes-analysis
#7
Christopher R Broda, Antonio G Cabrera, Joseph W Rossano, John L Jefferies, Jeffrey A Towbin, Clifford Chin, Pirouz Shamszad
BACKGROUND: The purpose of this study was to describe the prevalence, characteristics, and outcomes in pediatric patients with chromosomal anomalies (CA) undergoing orthotopic heart transplantation (OHT). METHODS: A query of the database of the Pediatric Health Information System, a large administrative and billing database of 43 tertiary children's hospitals, was performed for the Years 2004 to 2016. Pediatric patients who received OHT were analyzed based on presence and type of CA...
January 31, 2018: Journal of Heart and Lung Transplantation
https://www.readbyqxmd.com/read/29446177/how-does-retirement-affect-healthcare-expenditures-evidence-from-a-change-in-the-retirement-age
#8
Anikó Bíró, Péter Elek
Using individual-level administrative panel data from Hungary, we estimate causal effects of retirement on outpatient and inpatient care expenditures and pharmaceutical expenditures. Our identification strategy is based on an increase in the official early retirement age of women, using that the majority of women retire upon reaching that age. According to our descriptive results, people who are working before the early retirement age have substantially lower healthcare expenditures than nonworkers, but the expenditure gap declines after retirement...
February 15, 2018: Health Economics
https://www.readbyqxmd.com/read/29445942/market-structure-and-competition-in-the-healthcare-industry-results-from-a-transition-economy
#9
Martin Lábaj, Peter Silanič, Christoph Weiss, Biliana Yontcheva
The present paper provides first empirical evidence on the relationship between market size and the number of firms in the healthcare industry for a transition economy. We estimate market-size thresholds required to support different numbers of suppliers (firms) for three occupations in the healthcare industry in a large number of distinct geographic markets in Slovakia, taking into account the spatial interaction between local markets. The empirical analysis is carried out for three time periods (1995, 2001 and 2010) which characterise different stages of the transition process...
February 14, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29444779/estimating-the-met-need-for-emergency-obstetric-care-emoc-services-in-three-payams-of-torit-county-south-sudan-a-facility-based-retrospective-cross-sectional-study
#10
Pontius Bayo, Imose Itua, Suzie Paul Francis, Kofi Boateng, Elijo Omoro Tahir, Abdulmumini Usman
OBJECTIVE: To determine the met need for emergency obstetric care (EmOC) services in three Payams of Torit County, South Sudan in 2015 and to determine the frequency of each major obstetric complication. DESIGN: This was a retrospective cross-sectional study. SETTING: Four primary healthcare centres (PHCCs) and one state hospital in three payams (administrative areas that form a county) in Torit County, South Sudan. PARTICIPANTS: All admissions in the obstetrics and gynaecology wards (a total of 2466 patient admission files) in 2015 in all the facilities designated to conduct deliveries in the study area were reviewed to identify obstetric complications...
February 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29444671/tailoring-an-educational-program-on-the-ahrq-patient-safety-indicators-to-meet-stakeholder-needs-lessons-learned-in-the-va
#11
Marlena H Shin, Peter E Rivard, Michael Shwartz, Ann Borzecki, Enzo Yaksic, Kelly Stolzmann, Lisa Zubkoff, Amy K Rosen
BACKGROUND: Given that patient safety measures are increasingly used for public reporting and pay-for performance, it is important for stakeholders to understand how to use these measures for improvement. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) are one particularly visible set of measures that are now used primarily for public reporting and pay-for-performance among both private sector and Veterans Health Administration (VA) hospitals. This trend generates a strong need for stakeholders to understand how to interpret and use the PSIs for quality improvement (QI)...
February 14, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29444289/knowledge-attitude-and-behaviors-of-health-professionals-towards-smoking-cessation-in-primary-healthcare-settings
#12
Abdullah Matouq, Yousef Khader, Albaraa Khader, Anas Al-Rabadi, Mousa Al Omari, Ibrahim Iblan, Nihaya Al-Sheyab
This study aimed to assess the behaviors of multiple health professionals in primary healthcare settings in Jordan towards smoking cessation counseling and to determine the barriers to effective smoking cessation behaviors. A survey of 456 health professionals in primary healthcare settings was conducted. A self-administrated questionnaire was used to collect the data. About half of health professionals reported that they usually ask patients about smoking status and advise them to stop smoking (51.4% and 50...
February 10, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29443701/association-of-polypharmacy-with-survival-complications-and-healthcare-resource-use-after-elective-noncardiac-surgery-a-population-based-cohort-study
#13
Daniel I McIsaac, Coralie A Wong, Gregory L Bryson, Carl van Walraven
BACKGROUND: Polypharmacy is increasingly prevalent in older patients and is associated with adverse events among medical patients. The impact of polypharmacy on outcomes after elective surgery is poorly described. The authors' objective was to measure the association of polypharmacy with survival, complications, and resource use among older patients undergoing elective surgery. METHODS: After registration (NCT03133182), the authors identified all individuals older than 65 yr old having their first elective noncardiac surgery in Ontario, Canada, between 2002 and 2014...
February 14, 2018: Anesthesiology
https://www.readbyqxmd.com/read/29442472/safe-transfusion-of-blood-components
#14
Alister Jones
Administering the wrong blood component to the wrong patient can have serious clinical consequences, including death. Patients have a right to safe clinical practice in line with nurses' professional standards and code of conduct, and other healthcare regulatory frameworks. Transfusion of blood components is no exception to this; therefore, it is important for healthcare organisations to have policies in place to support healthcare practitioners in ensuring patient safety throughout the transfusion process...
February 14, 2018: Nursing Standard
https://www.readbyqxmd.com/read/29439845/adequacy-of-information-provided-by-healthcare-professionals-on-vaccines-results-of-a-population-survey-in-spain
#15
María D Esteban-Vasallo, Ana López de Andrés, Marianela Bayón, José Luis Aréjula, Rodrigo Jiménez-García
OBJECTIVE: To describe the population who self-reported perceiving information on vaccines provided by health professionals as inadequate, and to analyze factors associated. METHODS: A Spanish nationwide representative health survey conducted in individuals ≥18 in 2015 (N = 7 800) was used. Respondents were classified according to the question: 'Do you think that health professionals inform adequately to patients about the advantages and risks of vaccines prior to their administration? (yes/no/non-responders)...
February 5, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29438592/are-all-gonadotropin-releasing-hormone-agonists-equivalent-for-the-treatment-of-prostate-cancer-a-systematic-review
#16
REVIEW
Eva M Bolton, Thomas H Lynch
OBJECTIVES: To review comparative studies of the gonadotropin-releasing hormone (GnRH) agonists goserelin, triptorelin, and leuprorelin for the treatment of prostate cancer, and identify whether there are meaningful clinical differences between these agents. METHODS: In June 2017, the following searches were performed independently by two reviewers in PubMed: (i) 'prostate cancer' and 'triptorelin' and 'leuprorelin', (ii) 'prostate cancer' and 'triptorelin' and 'goserelin', and (iii) 'prostate cancer' and 'goserelin' and 'leuprorelin', without time restriction...
February 13, 2018: BJU International
https://www.readbyqxmd.com/read/29437751/what-are-the-costs-associated-with-child-and-maternal-healthcare-within-australia-a-study-protocol-for-the-use-of-data-linkage-to-identify-health-service-use-and-health-system-and-patient-costs
#17
Emily J Callander, Haylee Fox
INTRODUCTION: The current literature in Australia demonstrates that there are variations in access and outcomes in perinatal care based on socioeconomic factors. However, little has been done looking at the level of out-of-pocket healthcare costs associated with perinatal care. The primary aim of this project will be to quantify health service use and out-of-pocket healthcare expenditure associated with childbearing and early childhood in Queensland, Australia. METHODS AND ANALYSIS: This project will build Australia's first model (called Maternal & Child Cost MOD) of out-of-pocket healthcare expenditure by using administrative data from the Queensland Perinatal Data Collection, of all childbearing women and their resultant children, who gave birth in Queensland between 1 July 2012 and 30 June 2016...
February 6, 2018: BMJ Open
https://www.readbyqxmd.com/read/29436565/level-of-diabetes-knowledge-among-adult-patients-with-diabetes-using-diabetes-knowledge-test
#18
Asim M Zowgar, Muhammad I Siddiqui, Khalid M Alattas
OBJECTIVES: To determine the level of diabetes knowledge and to identify the main knowledge gaps among patients with diabetes (both types 1 and 2) as there is a high prevalence of diabetes in Saudi Arabia. METHODS: A cross-sectional study was conducted in Makkah city, Kingdom of Saudi Arabia and included governmental primary healthcare centers and hospitals from November 2016 until February 2017. A self-administrated Diabetes Knowledge Test 2 (DKT2) was used to determine the level of diabetes knowledge...
February 2018: Saudi Medical Journal
https://www.readbyqxmd.com/read/29434673/practical-differences-between-luteinizing-hormone-releasing-hormone-agonists-in-prostate-cancer-perspectives-across-the-spectrum-of-care
#19
REVIEW
Davide Meani, Mladen Solarić, Harri Visapää, Rose-Marie Rosén, Robert Janknegt, Majana Soče
Background: Androgen deprivation therapy (ADT) with luteinizing hormone-releasing hormone (LHRH) agonists is well established for the treatment of men with metastatic prostate cancer. As clear differences in efficacy, safety, or tolerability between the available LHRH agonists are lacking, the healthcare management team needs to look to practical differences between the formulations when selecting therapy for their patients. Moreover, as the economic burden of prostate cancer rises alongside earlier diagnosis and improved survival, the possibility for cost savings by using products with specific features is growing in importance...
February 2018: Therapeutic Advances in Urology
https://www.readbyqxmd.com/read/29433486/information-about-management-of-chronic-drug-therapies-prescribed-at-hospital-discharge-does-it-affect-patients-knowledge-and-self-confidence
#20
Claudia Pileggi, Emilia Caligiuri, Carmelo G A Nobile, Maria Pavia
BACKGROUND: Hospital stay represents the opportunity for a change of therapy, about which patients may not know indications, contraindications, and mode of administration, which may lead to dosing errors, drug interactions, side effects, etc. It is therefore vital to communicate appropriate information to the discharged patient with a new prescription drug. The purpose of the study was to evaluate: 1) how communication about new chronic therapies is managed at hospital discharge and what kind of information is provided to patients; 2) to what extent patients are aware and confident in the management of these medications; 3) whether the way communication is provided affects patients' awareness and self-confidence in the management of these therapies...
February 12, 2018: BMC Health Services Research
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