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https://www.readbyqxmd.com/read/28927676/a-pilot-study-to-expand-treatment-of-chronic-hepatitis-c-in-resource-limited-settings
#1
REVIEW
Poonam Mathur, Emily Comstock, Edward McSweegan, Natalia Mercer, Nongthombam Suraj Kumar, Shyamasundaran Kottilil
The past five years have seen a revolution in the treatment of chronic hepatitis C, as short duration oral regimens of direct-acting antiviral drugs (DAAs), with nearly 100% cure rates for all genotypes, have replaced longer courses of ribavirin and injected interferon. Although initially very expensive, these DAAs are now becoming available in generic equivalents in countries with large numbers of chronically infected people, such as India. However, a number of obstacles may hinder the delivery of these drugs in resource-limited settings, including lack of access to diagnostic testing and the restriction of treatment to a small number of medical specialists...
September 16, 2017: Antiviral Research
https://www.readbyqxmd.com/read/28923163/patients-experiences-of-nurse-case-management-in-primary-care-a-meta-synthesis
#2
Anna Askerud, Anna Askerud, Jenny Conder, Jenny Conder
The health system in New Zealand and Australia requires health practitioners to prepare for the challenge of long-term conditions. Wagner's 1998 Chronic Care Model advocates a move away from the traditional acute model of primary health care to a model that addresses the long-term episodic nature of chronic disease. Nurse case management has been developed over the last 2 decades as a means to coordinate health services for people with long-term conditions. This meta-synthesis combines the results of 15 qualitative research studies that have a similar research question regarding peoples' perceptions of nurse case management...
September 19, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28922452/impact-of-an-educational-intervention-for-district-nurses-about-preparedness-to-encounter-women-exposed-to-intimate-partner-violence
#3
Eva Sundborg, Lena Törnkvist, Per Wändell, Nouha Saleh-Stattin
AIM: To evaluate the impact of an educational intervention on the preparedness of district nurses at primary healthcare centres to encounter women exposed to intimate partner violence. METHODOLOGICAL DESIGN: An observational quasi-experimental study. Participants were divided into an intervention group (n = 117) and a control group (n = 204), both from the eastern part of Sweden. A group of nurses from across Sweden (the 'national group,' n = 217) was also recruited...
September 18, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28906171/association-of-state-level-restrictions-in-nurse-practitioner-scope-of-practice-with-the-quality-of-primary-care-provided-to-medicare-beneficiaries
#4
Jennifer Perloff, Sean Clarke, Catherine M DesRoches, Monica O'Reilly-Jacob, Peter Buerhaus
CONTEXT: State scope of practice (SoP) laws impose significant restrictions on the services that a nurse practitioner (NP) may provide in some states, yet evidence about SoP limitations on the quality of primary care is very limited. METHOD: This study uses six different classifications of state regulations and bivariate and multivariate analyses to compare beneficiaries attributed to primary care nurse practitioners and primary care physicians in 2013 testing two hypotheses: (1) chronic disease management, cancer screening, preventable hospitalizations, and adverse outcomes of care provided by primary care nurse practitioners are better in reduced and restricted practice states compared to states without restrictions and (2) by decreasing access to care, SoP restrictions negatively affect the quality of primary care...
September 1, 2017: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/28899259/delivery-of-hiv-antiretroviral-therapy-adherence-support-services-by-hiv-care-providers-in-the-united-states-2013-to-2014
#5
John Weiser, Linda Beer, John T Brooks, Kathleen Irwin, Brady T West, Christopher C Duke, Garrett W Gremel, Jacek Skarbinski
BACKGROUND: Little is known about clinicians' adoption of recommendations of the International Association of Providers of AIDS Care and others for supporting adherence to antiretroviral therapy (ART). METHODS: We surveyed a probability sample of US HIV care providers to estimate the percentage offering 3 ART adherence support services to most or all patients and assessed the characteristics of providers offering all 3 services (comprehensive support) to most or all patients...
January 1, 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28893514/nurse-practitioners-physician-assistants-and-physicians-are-comparable-in-managing-the-first-five-years-of-diabetes
#6
Yihan Yang, Qi Long, Sandra L Jackson, Mary K Rhee, Anne Tomolo, Darin Olson, Lawrence S Phillips
BACKGROUND: Increasing use of nurse practitioners (NPs) and physician assistants (PAs) is a possible solution to the shortage of primary care providers (PCPs) in the US, but the quality of care they provide is not well understood. METHODS: Since the scope of practice of the three provider types is similar in the Veterans Health Administration (VA), we determined whether patients managed by primary care NPs, PAs or physicians had similar HbA1c levels at comparable times in the natural history of diabetes...
September 8, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28893343/physiotherapy-as-first-point-of-contact-service-for-patients-with-musculoskeletal-complaints-understanding-the-challenges-of-implementation
#7
Fiona Moffatt, Rob Goodwin, Paul Hendrick
BACKGROUND: Primary care faces unprecedented challenges. A move towards a more comprehensive, multi-disciplinary service delivery model has been proposed as a means with which to secure more sustainable services for the future. One seemingly promising response has been the implementation of physiotherapy self-referral schemes, however there is a significant gap in the literature regarding implementation. Aim This evaluation aimed to explore how the professionals and practice staff involved in the delivery of an in-practice physiotherapy self-referral scheme understood the service, with a focus on perceptions of value, barriers and impact...
September 12, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28886738/gaps-in-care-for-patients-with-memory-deficits-after-stroke-views-of-healthcare-providers
#8
Eugene Yee Hing Tang, Christopher Price, Blossom Christa Maree Stephan, Louise Robinson, Catherine Exley
BACKGROUND: Stroke is a common cause of physical disability but is also strongly associated with cognitive impairment and a risk for future dementia. Despite national clinical guidelines, the service provided for stroke survivors with cognitive and memory difficulties varies across localities. This study critically evaluated the views of healthcare professionals about barriers and facilitators to their care. METHODS: Seventeen semi-structured individual interviews were conducted by a single interviewer with both primary and secondary care clinicians in regular contact with stroke-survivors...
September 8, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28885951/providers-perspectives-on-barriers-and-facilitators-to-connecting-women-veterans-to-alcohol-related-care-from-primary-care
#9
Traci H Abraham, Eleanor T Lewis, Michael A Cucciare
BACKGROUND: Unhealthy drinking is relatively common among women U.S. military Veterans. Primary care is often the setting where patients first come into contact with the health care system, and providers in this setting play a critical role in connecting unhealthy drinkers to appropriate care. Little is known about primary care providers' perspectives on factors that affect whether women Veterans presenting to primary care with unhealthy drinking connect to alcohol-related care. Understanding factors that affect whether patients connect to alcohol-related care may improve providers' ability to support women Veterans with unhealthy drinking get needed care...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28877940/qualitative-meta-synthesis-of-barriers-and-facilitators-that-influence-the-implementation-of-community-pharmacy-services-perspectives-of-patients-nurses-and-general-medical-practitioners
#10
Lutfun N Hossain, Fernando Fernandez-Llimos, Tim Luckett, Joanna C Moullin, Desire Durks, Lucia Franco-Trigo, Shalom I Benrimoj, Daniel Sabater-Hernández
OBJECTIVES: The integration of community pharmacy services (CPSs) into primary care practice can be enhanced by assessing (and further addressing) the elements that enable (ie, facilitators) or hinder (ie, barriers) the implementation of such CPSs. These elements have been widely researched from the perspective of pharmacists but not from the perspectives of other stakeholders who can interact with and influence the implementation of CPSs. The aim of this study was to synthesise the literature on patients', general practitioners' (GPs) and nurses' perspectives of CPSs to identify barriers and facilitators to their implementation in Australia...
September 5, 2017: BMJ Open
https://www.readbyqxmd.com/read/28875593/implementing-an-evidence-based-clinical-decision-support-tool-to-improve-the-detection-evaluation-and-referral-patterns-of-adult-chronic-kidney-disease-patients-in-primary-care
#11
Mary E Regan
BACKGROUND AND PURPOSE: Chronic kidney disease (CKD) is undertreated and under-recognized in primary care. The majority of primary care providers (PCPs) are not aware or knowledgeable of current CKD guidelines. The purpose of this project was to develop a quality improvement intervention for PCPs through the delivery of evidence-based guidelines at the point of care. METHODS: An evidence-based clinical algorithm was developed in the electronic medical record for providers to access within one organization comprising 11 primary care offices with 80 PCPs...
September 6, 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28870732/processes-and-outcomes-of-congestive-heart-failure-care-by-different-types-of-primary-care-models
#12
Yong-Fang Kuo, Deepak Adhikari, Chiemeziem G Eke, James S Goodwin, Mukaila A Raji
BACKGROUND: Having nurse practitioners (NPs) as primary care providers for patients with congestive heart failure (CHF) is one way to address the growing shortage of primary care physicians (PCPs). METHODS AND RESULTS: We used inverse probability of treatment weighted with propensity score to examine the processes and outcomes of care for patients under three care models. Approximately 72.9%, 0.8%, and 26.3% of CHF patients received care under the PCP model, the NP model, and the shared care model, respectively...
September 1, 2017: Journal of Cardiac Failure
https://www.readbyqxmd.com/read/28867005/review-and-analysis-of-the-mental-health-nurse-incentive-program
#13
Brenda Happell, Chris Platania-Phung
Objective The aim of the present study was to review and synthesise research on the Mental Health Nurse Incentive Program (MHNIP) to ascertain the benefits and limitations of this initiative for people with mental illness, general practitioners, mental health nurses and the wider community.Methods An electronic and manual search was made of the research literature for MHNIP in May 2017. Features of studies, including cohorts and findings, were tabulated and cross-study patterns in program processes and outcomes were closely compared...
September 4, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28857960/novel-interprofessional-mentoring-intervention-to-improve-spirometry-in-primary-care-uptake-feedback-and-effects-on-behavioral-intention
#14
Samir Gupta, Christopher Allen, Dilshad Moosa, Ana MacPherson, Itamar E Tamari
INTRODUCTION: Little is known about the nature and effects of mentoring interventions on evidence-based clinician behaviors. We sought to design and evaluate a novel mentorship-based intervention to improve the usage of spirometry in primary care. METHODS: This was a prospective one-year study of a pragmatic intervention across Canadian primary care sites. We established mentor-mentee pods, each including physician and nurse/allied health mentors and mentees, and enabled communication through a secure online portal; email; telephone; teleconference; videoconference; fax; and/or in person...
July 2017: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/28857487/improving-the-care-of-veterans-the-role-of-nurse-practitioners-in-team-based-population-health-management
#15
Alexandra Hobson, Alexa Curtis
BACKGROUND AND PURPOSE: Improving healthcare delivery for U.S. veterans is a national priority. The Veterans Health Administration (VHA) employs a variety of team-based, population health strategies to address critical issues in veterans' health including the effective management of chronic disease. Nurse practitioners (NPs) are integral members of the VHA patient care team with a substantial role to play in the organization and delivery of healthcare services for veterans. This report explores the contributions of NPs in team-based, population health strategies within the VHA...
August 31, 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28856134/interprofessional-oral-health-education-improves-knowledge-confidence-and-practice-for-pediatric-healthcare-providers
#16
REVIEW
Devon Cooper, JungSoo Kim, Karen Duderstadt, Ray Stewart, Brent Lin, Abbey Alkon
Dental caries is the most prevalent chronic childhood disease in the United States. Dental caries affects the health of 60-90% of school-aged children worldwide. The prevalence of untreated early childhood dental caries is 19% for children 2-5 years of age in the U.S. Some factors that contribute to the progression of dental caries include socioeconomic status, access to dental care, and lack of anticipatory guidance. The prevalence of dental caries remains highest for children from specific ethnic or racial groups, especially those living in underserved areas where there may be limited access to a dentist...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28854916/the-quality-safety-and-governance-of-telephone-triage-and-advice-services-an-overview-of-evidence-from-systematic-reviews
#17
Rebecca Lake, Andrew Georgiou, Julie Li, Ling Li, Mary Byrne, Maureen Robinson, Johanna I Westbrook
BACKGROUND: Telephone triage and advice services (TTAS) are increasingly being implemented around the world. These services allow people to speak to a nurse or general practitioner over the telephone and receive assessment and healthcare advice. There is an existing body of research on the topic of TTAS, however the diffuseness of the evidence base makes it difficult to identify key lessons that are consistent across the literature. Systematic reviews represent the highest level of evidence synthesis...
August 30, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28845555/nurse-practitioner-led-transitional-care-interventions-an-integrative-review
#18
REVIEW
Kathlyen Mora, Xiomara M Dorrejo, Kimberly Mae Carreon, Sadia Butt
BACKGROUND AND PURPOSE: Chronically ill patients 65 and above have an increased risk of preventable readmission within 30 days of discharge from the hospital. The Transitional Care Model (TCM) introduced by Naylor and colleagues was implemented to improve the transition between hospital and home while decreasing readmissions. This article examines whether nurse practitioner (NP)- led TCM interventions as compared to standard care decrease hospital readmission rates in older adults. METHODS: A literature review was conducted from June 2016 to March 2017 using Cochrane Library, PubMed, Cumulative Index to Nursing and Health Literature (CINAHL) PLUS, Joanna Briggs Institute, and ProQuest Central to seek out the highest level of evidence...
August 28, 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28842820/hiv-infection-is-not-a-contraindication-to-laparoscopic-sleeve-gastrectomy-for-morbid-obesity
#19
Nancy Panko, Gerrit Dunford, Rami Lutfi
BACKGROUND: The efficacy of antiretroviral therapy has made HIV a chronic condition. The prevalence of obesity in HIV positive patients has subsequently risen and is present in 6-34% of men and 21-30% of women (Keithley et al. J Assoc Nurses AIDS Care 20(4):260-74, 2009). Sleeve gastrectomy is a safe and effective procedure for weight loss in the general population, but having HIV may bring hesitation to performing bariatric surgery for some practitioners. OBJECTIVES: The aim of this study is to evaluate the safety and efficacy of laparoscopic sleeve gastrectomy (LSG) in patients with HIV...
August 26, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28839942/early-palliative-home-care-evaluation-of-an-interprofessional-educational-intervention-for-district-nurses-and-general-practitioners-about-nutritional-care
#20
Erika Berggren, Ann Ödlund Olin, Ylva Orrevall, Peter Strang, Sven-Erik Johansson, Lena Törnkvist
BACKGROUND: Teamwork is important in early palliative home care, and interprofessional education is required to achieve teamwork. It is thus crucial to ensure that interprofessional education works well for the members of all participating professions because levels of knowledge and educational needs may vary. AIM: To evaluate, by profession, the effectiveness of an interprofessional educational intervention for district nurses and general practitioners on three areas of nutritional care for patients in a palliative phase...
2017: SAGE Open Medicine
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