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https://www.readbyqxmd.com/read/29335037/is-freedom-still-therapy-the-40th-anniversary-of-the-italian-mental-health-care-reform
#1
A Fioritti
On 13 May 1978, the Italian Parliament approved Law 180, universally known as 'Basaglia Law' after the name of the leader of the anti-institutional movement which promoted this radical community mental health care reform. Forty years later, Italian psychiatry still runs a community care system, albeit with degrees of solidity and quality very varied along the peninsula. Mental health care is still an integral part of the National Health System, with liberal regulations on coercion and a lowest number of general hospital and residential facilities beds...
January 16, 2018: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/29334523/not-a-straight-line-patient-s-experiences-of-prostate-cancer-and-their-journey-through-the-healthcare-system
#2
Kristina Schildmeijer, Oscar Frykholm, Åsa Kneck, Mirjam Ekstedt
BACKGROUND: Cancer and its treatment can severely impact quality of life, giving rise to complex needs with respect to follow-up care. To support patient needs and increase efficiency of care with limited resources, the Swedish government has launched national reforms to redesign cancer care pathways. OBJECTIVE: The aim of this study was to explore how prostate cancer patients experience their journey through the healthcare system when their care is provided according to the standardized care pathway, as described in healthcare policy documents...
January 12, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29327343/changes-in-out-of-pocket-charges-associated-with-obstetric-care-provided-under-medicare-in-australia
#3
Emily Callander, Haylee Fox
Recent health reforms alongside unregulated provider fees have led to increased attention being given to out-of-pocket healthcare costs. This study utilised annual statistics published by the Department of Health for services provided under the Medicare Benefits Schedule (MBS) from 1992/3 to 2016/17 to identify changes in out-of-pocket charges for obstetric items over time, and estimate the change in demand for obstetric items in response to price increases. Since 1992/3 out-of-pocket charges increased by 1035% for out-of-hospital items and 77% for in-hospital items...
January 12, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29326814/paediatric-dentistry-novel-evolvement
#4
REVIEW
Saleha Shah
Pediatric dentistry provides primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, together with special health care needs. This specialty encompasses a variety of skills, disciplines, procedures and techniques that share a common origin with other dental specialties however these have been modified and reformed to the distinctive requirements of infants, children, adolescents and special health care needs. Disciplines comprise of behavior guidance, care of the medically and developmentally compromised and disabled patient, supervision of orofacial growth and development, caries prevention, sedation, pharmacological management, and hospital dentistry including other traditional fields of dentistry...
January 2018: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/29325404/recent-iranian-health-system-reform-an-operational-perspective-to-improve-health-services-quality
#5
Mahdi Mahdavi, Mahboubeh Parsaeian, Ebrahim Jaafaripooyan, Shahram Ghaffari
The operational management of healthcare services is expected to directly touch patient experiences. Iranian Ministry of Health and Medical Education (MoHME) for the first time, as such, has sought to improve the operational management of healthcare delivery within a reform agenda by setting benchmarks for 'number of visit per hour' and waiting time in outpatient clinics of about 700 affiliated hospitals. As a new initiative, it has faced with mixed reactions and various doubts have been cast on its successful implementation...
August 1, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29309219/understanding-the-relationship-between-medicaid-expansions-and-hospital-closures
#6
Richard C Lindrooth, Marcelo C Perraillon, Rose Y Hardy, Gregory J Tung
Decisions by states about whether to expand Medicaid under the Affordable Care Act (ACA) have implications for hospitals' financial health. We hypothesized that Medicaid expansion of eligibility for childless adults prevents hospital closures because increased Medicaid coverage for previously uninsured people reduces uncompensated care expenditures and strengthens hospitals' financial position. We tested this hypothesis using data for the period 2008-16 on hospital closures and financial performance. We found that the ACA's Medicaid expansion was associated with improved hospital financial performance and substantially lower likelihoods of closure, especially in rural markets and counties with large numbers of uninsured adults before Medicaid expansion...
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29306889/physician-engagement-in-hospitals-a-scoping-review-protocol
#7
Tyrone Perreira, Laure Perrier, Melissa Prokopy, Anthony Jonker
INTRODUCTION: Literature on healthcare reforms highlights the importance of physician engagement, suggesting that it is a critical factor for lowering costs while improving efficiency, quality of care, patient safety, physician satisfaction and retention. As a result, many hospitals have adopted physician engagement as a top strategic priority, but little is known about the actual evidence, making it difficult for hospital leadership to identify relationships between true physician 'work engagement' and work outcomes...
January 5, 2018: BMJ Open
https://www.readbyqxmd.com/read/29302988/social-health-insurance-difference-in-inpatient-expenditure-and-service-category-in-china
#8
Qing Wang, Jay Shen, Jennifer Rice, Kaitlyn Frakes
China successfully achieved universal health insurance coverage in 2011. Previous work on the effects of social health insurance in China has overlooked the association between health insurance and inpatient service category as well as the mechanisms of institutional characteristics. This study seeks to estimate the social health insurance difference in inpatient expenditure and service category. The role of institutional characteristics was also studied. The logistic model was applied to estimate the association of social health insurance and service category...
January 1, 2018: Asia-Pacific Journal of Public Health
https://www.readbyqxmd.com/read/29301537/social-health-insurance-contributes-to-universal-coverage-in-south-africa-but-generates-inequities-survey-among-members-of-a-government-employee-insurance-scheme
#9
Jane Goudge, Olufunke A Alaba, Veloshnee Govender, Bronwyn Harris, Nonhlanhla Nxumalo, Matthew F Chersich
BACKGROUND: Many low- and middle-income countries are reforming their health financing mechanisms as part of broader strategies to achieve universal health coverage (UHC). Voluntary social health insurance, despite evidence of resulting inequities, is attractive to policy makers as it generates additional funds for health, and provides access to a greater range of benefits for the formally employed. The South African government introduced a voluntary health insurance scheme (GEMS) for government employees in 2005 with the aim of improving access to care and extending health coverage...
January 4, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29290394/the-impact-of-the-financial-crisis-and-austerity-policies-on-the-service-quality-of-public-hospitals-in-greece
#10
Ioanna Keramidou, Loukas Triantafyllopoulos
The influence of the financial crisis on the efficiency of Greek public hospitals has been widely debated. Despite this increasing interest in such research, the question of to what extent the recent reforms in the Greek National health care system were effective in establishing a health care structure and process that provide better results for patients has yet to be fully investigated. As a step in this direction, the paper focuses on patient's experience with public hospital care quality before and during the economic crisis...
December 24, 2017: Health Policy
https://www.readbyqxmd.com/read/29277951/rationing-nurses-realities-practicalities-and-nursing-leadership-theories
#11
Olive Fast, Janet Rankin
In this paper, we examine the practicalities of nurse managers' work. We expose how managers' commitments to transformational leadership are undermined by the rationing practices and informatics of hospital reform underpinned by the ideas of new public management. Using institutional ethnography, we gathered data in a Canadian hospital. We began by interviewing and observing frontline leaders, nurse managers, and expanded our inquiry to include interviews with other nurses, staffing clerks, and administrators whose work intersected with that of nurse managers...
December 25, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/29277162/a-european-late-starter-lessons-from-the-history-of-reform-in-irish-health-care
#12
Maev-Ann Wren, Sheelah Connolly
The Irish health care system is unusual within Europe in not providing universal, equitable access to either primary or acute hospital care. The majority of the population pays out-of-pocket fees to access primary health care. Due to long waits for public hospital care, many purchase private health insurance, which facilitates faster access to public and private hospital services. The system has been the subject of much criticism and repeated reform attempts. Proposals in 2011 to develop a universal health care system, funded by Universal Health Insurance, were abandoned in 2015 largely due to cost concerns...
December 26, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/29276254/factors-associated-with-burnout-among-us-hospital-clinical-pharmacy-practitioners-results-of-a-nationwide-pilot-survey
#13
G Morgan Jones, Neil A Roe, Les Louden, Crystal R Tubbs
Background: In health care, burnout has been defined as a psychological process whereby human service professionals attempting to positively impact the lives of others become overwhelmed and frustrated by unforeseen job stressors. Burnout among various physician groups who primarily practice in the hospital setting has been extensively studied; however, no evidence exists regarding burnout among hospital clinical pharmacists. Objective: The aim of this study was to characterize the level of and identify factors independently associated with burnout among clinical pharmacists practicing in an inpatient hospital setting within the United States...
December 2017: Hospital Pharmacy
https://www.readbyqxmd.com/read/29273338/increased-academic-productivity-of-orthopaedic-surgery-residents-following-2011-duty-hour-reform
#14
Joey P Johnson, Kevin Savage, Joseph A Gil, Craig P Eberson, Mary K Mulcahey
BACKGROUND: In 2003 and again in 2011, the Accreditation Council for Graduate Medical Education (ACGME) mandated increasingly stringent resident duty hour restrictions. With less time required at the hospital, residents theoretically have more time for other academic activities, such as research. Our study seeks to examine whether the number of research publications by orthopaedic residents increased following implementation of the 2011 ACGME duty hour restrictions. DESIGN: Pubmed was queried using publicly available alumni lists from programs across the United States...
December 19, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29260267/-responsibilities-and-concepts-for-undergraduate-and-postgraduate-medical-education-in-germany-a%C3%A2-plea-for-a%C3%A2-reorientation
#15
REVIEW
Hendrik van den Bussche, Detlef Niemann, Bernt-Peter Robra, Udo Schagen, Beate Schücking, Nobert Schmacke, Claudia Spies, Alf Trojan, Uwe Koch-Gromus
BACKGROUND: Undergraduate medical education in Germany takes place in the medical faculties of universities, whereas postgraduate medical education takes place in nearly all hospitals under the aegis of medical associations. Both phases of the medical qualification process live on their own; the communication between the two responsible bodies is negligible. Previous reforms have always tackled undergraduate education only, whereas postgraduate education takes place without public attention...
December 19, 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/29247946/effective-teaching-behaviors-in-the-emergency-department-a-qualitative-study-with-millennial-nursing-students-in-shanghai
#16
Jinxia Jiang, Li Zeng, Jennifer Kue, Hong Li, Yan Shi, Cuiping Chen
BACKGROUND: Millennial nursing students are different from generations before especially with the rapid development of China's economy, their varieties of characteristics affect the clinical teaching and learning. But how their learning preference impact their learning outcomes remain unclear. OBJECTIVES: The aim of this study is to explore effective teaching methods in the emergency department from the perspective of Millennial nursing students in Shanghai, China...
December 12, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29247287/-the-role-of-psychopharmacotherapy-in-the-development-of-social-psychiatry-in-germany
#17
REVIEW
H Helmchen
Early experiences and indications are reported that psychopharmacotherapy, particularly as prophylactic long-term medication for prevention of relapses, has led to an increased recognition of social determinants of the course of illness, especially in schizophrenic patients. As a result, institutions combining both social and psychopharmacological treatment have developed, e. g., in Berlin beginning with "Phönix" a transition home ("Übergangsheim") in 1956 to a catamnesis for long-term outpatient treatment of schizophrenic patients in 1957, a social service in 1960, a day and night hospital in 1962 up to a university department of social psychiatry in 1972 with a rich spectrum of facilities for a step by step rehabilitation of mentally ill patients...
December 15, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/29239248/use-of-and-microbial-resistance-to-antibiotics-in-china-a-path-to-reducing-antimicrobial-resistance
#18
Dan Cui, Xinliang Liu, Peter Hawkey, Hao Li, Quan Wang, Zongfu Mao, Jing Sun
We analyzed China's current use of and microbial resistance to antibiotics, and possible means of reducing antimicrobial resistance. Interventions like executive orders within clinical settings and educational approach with vertical approaches rather than an integrated strategy to curb the use of antimicrobials remain limited. An underlying problem is the system of incentives that has resulted in the intensification of inappropriate use by health professionals and patients. There is an urgent need to explore the relationship between financial and non-financial incentives for providers and patients, to eliminate inappropriate incentives...
January 1, 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/29236136/occupational-class-and-the-changing-patterns-of-hospitalization-for-affective-and-neurotic-disorders-a-nationwide-register-based-study-of-the-finnish-working-age-population-1976-2010
#19
Pekka Varje, Anne Kouvonen, Lauri Kokkinen, Aki Koskinen, Ari Väänänen
PURPOSE: This study aimed to examine the long-term changes and socioeconomic disparities in hospitalization for affective and neurotic disorders among the Finnish working-age population from 1976 to 2010. METHODS: Register-based study, consisting of a 5-year follow-up of 3,223,624 Finnish working-age (18-64-year old) individuals in seven consecutive cohorts. We calculated the hazard ratios of psychiatric hospitalization for different occupational classes using Cox regression models...
December 13, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/29233529/innovating-patient-care-delivery-dsrip-s-interrupted-time-series-analysis-paradigm
#20
Amrita G Shenoy, Charles E Begley, Lee Revere, Stephen H Linder, Stephen P Daiger
INTRODUCTION: Adoption of Medicaid Section 1115 waiver is one of the many ways of innovating healthcare delivery system. The Delivery System Reform Incentive Payment (DSRIP) pool, one of the two funding pools of the waiver has four categories viz. infrastructure development, program innovation and redesign, quality improvement reporting and lastly, bringing about population health improvement. BACKGROUND: A metric of the fourth category, preventable hospitalization (PH) rate was analyzed in the context of eight conditions for two time periods, pre-reporting years (2010-2012) and post-reporting years (2013-2015) for two hospital cohorts, DSRIP participating and non-participating hospitals...
December 7, 2017: Healthcare
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