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https://www.readbyqxmd.com/read/29935402/data-value-and-care-value-in-the-practice-of-health-systems-a-case-study-in-uganda
#1
Eleanor Hutchinson, Susan Nayiga, Christine Nabirye, Lilian Taaka, Sarah G Staedke
In anthropology, interest in how values are created, maintained and changed has been reinvigorated. In this case study, we draw on this literature to interrogate concerns about the relationship between data collection and the delivery of patient care within global health. We followed a pilot study conducted in Kayunga, Uganda that aimed to improve the collection of health systems data in five public health centres. We undertook ethnographic research from July 2015 to September 2016 in health centres, at project workshops, meetings and training sessions...
May 23, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29934965/moral-mindfulness-the-ethical-concerns-of-healthcare-professionals-working-in-a-psychiatric-intensive-care-unit
#2
Martin Salzmann-Erikson
Healthcare professionals working on inpatient wards face the externalizing or challenging behaviour of the patients who are admitted. Ethical values and principles in psychiatric nursing have been reported to be important when approaching patients during the most acute phase of deterioration in their mental health. Hence, the aim of this study was to discover and describe staff members' ethical and moral concerns about their work as healthcare professionals in a psychiatric intensive care unit. The study has a qualitative descriptive design and makes use of Framework Analysis...
June 22, 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29934292/role-of-allied-health-care-professionals-in-goals-of-care-discussions-with-hospitalized-patients-and-perceived-barriers-a-cross-sectional-survey
#3
Leslie Martin, Ameen Patel, Katrina Piggott, Arthur Wong, Alexandra Patel, Matthew Patel, Yudong Liu, Sukhbinder Dhesy-Thind, Parveen Wasi, John J You
BACKGROUND: Allied health care professionals can contribute meaningfully to goals-of-care discussions with seriously ill hospitalized patients and their families. We sought to explore the perspective of hospital-based allied health care professionals on their role in goals-of-care discussions and to identify barriers to their participation. METHODS: We surveyed allied health care professionals (social workers, physiotherapists, occupational therapists, registered dietitians, speech-language pathologists and pharmacists) on internal medicine, hematology-oncology, medical oncology and radiation oncology wards at 2 tertiary care hospitals in Hamilton, Ontario, from April 2013 to May 2014...
April 2018: CMAJ Open
https://www.readbyqxmd.com/read/29934208/usefulness-of-the-stop-bang-questionnaire-in-a-cardiac-surgical-population
#4
Martina Mason, Jules Hernández-Sánchez, Alain Vuylsteke, Ian Smith
OBJECTIVE: The aim of this study was to assess the predictive accuracy of the STOP-Bang questionnaire in relation to obstructive sleep apnea (OSA) detected by nocturnal oximetry, as well as postoperative outcomes, in a population undergoing cardiac surgery. DESIGN: A prospective observational cohort study. SETTING: The specialist cardiothoracic center at the Royal Papworth Hospital, Cambridge University Health Partners, United Kingdom. PARTICIPANTS: All adult patients, undergoing elective coronary artery bypass grafting with or without cardiac valve surgery between March 2013 and July 2014 were included...
April 26, 2018: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29932986/care-quality-and-spending-among-commercially-insured-children-with-disabilities
#5
Alyna T Chien, Sara L Toomey, Dennis Z Kuo, Jeanne Van Cleave, Amy J Houtrow, Megumi J Okumura, Matthew Y Westfall, Carter R Petty, Jessica A Quinn, Karen A Kuhlthau, Mark A Schuster
OBJECTIVE: To identify opportunities to improve care value for children with disabilities (CWD), we examined CWD prevalence within a commercially insured population and compared outpatient care quality and annual health plan spending levels for CWD relative to children with complex medical conditions without disabilities, children with chronic conditions that are not complex, and children without disabling, complex, or chronic conditions. METHODS: Cross-sectional study of 1,118,081 person-years of Blue Cross Blue Shield Massachusetts data for beneficiaries aged 1-19 years old during 2008-2012...
June 19, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29932972/venous-thromboembolism-in-adolescent-females-patient-characteristics
#6
Catherine A Hennessey, Vrunda K Patel, Eshetu A Tefera, Veronica Gomez-Lobo, Catherine A Hennessey, Vrunda K Patel, Eshetu A Tefera, Veronica Gomez-Lobo
STUDY OBJECTIVE: Our goal was to describe the period prevalence of VTE and characterize adolescent female patients diagnosed with VTE by describing their age, race, and number of comorbidities. Adolescent females with estrogen exposure were of particular interest since estrogen-containing contraception increases the risk of VTE. DESIGN, SETTING, PARTICIPANTS: We queried the Pediatric Health Information System database for International Classification of Diseases, Ninth/Tenth Revision, Clinical Modification codes to identify females aged twelve to eighteen years old diagnosed with a VTE or PE from April 2006 - March 2016 in the United States...
June 19, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29930967/integrating-social-determinants-of-health-into-primary-care-clinical-and-informational-workflow-during-care-transitions
#7
Sharon Hewner, Sabrina Casucci, Suzanne Sullivan, Francine Mistretta, Yuqing Xue, Barbara Johnson, Rebekah Pratt, Li Lin, Chester Fox
Context: Care continuity during transitions between the hospital and home requires reliable communication between providers and settings and an understanding of social determinants that influence recovery. Case Description: The coordinating transitions intervention uses real time alerts, delivered directly to the primary care practice for complex chronically ill patients discharged from an acute care setting, to facilitate nurse care coordinator led telephone outreach...
July 4, 2017: EGEMS
https://www.readbyqxmd.com/read/29929805/turkish-nurses-perceptions-of-professional-values
#8
Gulhan Erkus, Leyla Dinc
This study aimed to examine the professional values of nurses in Turkey. This descriptive cross-sectional study was conducted with 310 nurses employed at public, university, and private hospitals between May-June 2015. Data were collected using a data collection form and the Nurses' Professional Values Scale-Revised, and they were analysed using descriptive statistics. Associations between socio-demographic variables and mean scores were analysed using the Kruskal-Wallis test. Nurses had higher scores on perception of professional values, and education level and years of professional experience were associated with higher scores...
May 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/29929582/re-architecting-oral-healthcare-for-the-21st-century
#9
Vivek Shetty, John Yamamoto, Kenneth Yale
The convergent forces of rising costs, growing consumerism, expensive new treatments, sociodemographic shifts and increasing health disparities are exerting intense and unsustainable pressures on healthcare systems. As with the other health domains, these disruptive forces demand new approaches and delivery models for oral healthcare. Technological innovations and practices borrowed from the e-commerce and tech sectors could facilitate the move to a sustainable 21st century oral healthcare system, one that delivers high-quality, value-based care to wider groups of patients...
July 2018: Journal of Dentistry
https://www.readbyqxmd.com/read/29929482/small-scale-implementation-with-pragmatic-process-evaluation-a-model-developed-in-primary-health-care
#10
Kirsti Malterud, Aase Aamland, Kristina Riis Iden
BACKGROUND: Research often fails to impose substantial shifts in clinical practice. Evidence-based health care requires implementation of documented interventions, with implementation research as a science-informed strategy to identify core experiences from the process and share preconditions for achievement. Evidence developed in hospital contexts is often neither relevant nor feasible for primary care. Different evidence types may constitute a point of departure, stretching and testing the transferability of the intervention by piloting it in primary care...
June 21, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29929420/-i-ve-put-diabetes-completely-on-the-shelf-till-the-mental-stuff-is-in-place-how-patients-with-doctor-assessed-impaired-self-care-perceive-disease-self-care-and-support-from-general-practitioners-a-qualitative-study
#11
Mads Aage Toft Kristensen, Ann Dorrit Guassora, Anne Beiter Arreskov, Frans Boch Waldorff, Bibi Hølge-Hazelton
OBJECTIVE: This paper investigated patients' experiences of disease and self-care as well as perceptions of the general practitioner's role in supporting patients with impaired self-care ability. DESIGN: Qualitative interviews with 13 patients with type 2 diabetes, concurrent chronic diseases, and impaired self-care ability assessed by a general practitioner. We analyzed our data using systematic text condensation. The shifting perspectives model of chronic illness formed the theoretical background for the study...
June 22, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29929090/nurses-experiences-of-using-clinical-competencies-a-qualitative-study
#12
Paula C Lamb, Christine Norton
Nurses working in haemodialysis units are expected to demonstrate competency and understanding of the technical processes involved in supporting patients undergoing haemodialysis treatment. In 2012 the nursing education team within a large acute National Health Service (NHS) London Hospital Group updated and standardised haemodialysis clinical competencies to assist junior haemodialysis nurses develop their clinical skills and knowledge in delivering nursing care to patients receiving haemodialysis treatment...
June 12, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29927870/the-value-of-real-time-thoracic-radiology-consulting-in-an-integrated-lung-center-clinic-bringing-the-radiologist-to-the-center-of-multidisciplinary-health-care
#13
Eduardo J Mortani Barbosa, Sean Novak
PURPOSE: We have established an integrated thoracic radiology reading room within a multidisciplinary lung center clinic (LC). While our subjective experience has been positive, we sought to quantify how this model affects radiology workflow and whether the referring practitioners perceive value in having real-time access to a radiologist consultant. MATERIALS AND METHODS: Two diagnostic radiology workstations staffed by rotating thoracic radiologists and trainees were integrated within the LC...
July 2018: Journal of Thoracic Imaging
https://www.readbyqxmd.com/read/29927346/the-effect-of-medical-technology-innovations-on-patient-outcomes-1990-2015-results-of-a-physician-survey
#14
David E Wamble, Michael Ciarametaro, Robert Dubois
BACKGROUND: Developments in diagnostics, medical devices, procedures, and prescription drugs have increased life expectancy and quality of life after diagnosis for many diseases. Previous research has shown that, overall, increased investment in medical technology has led to increased health outcomes. In addition, the value of investment in specific innovations, particularly in new pharmaceuticals or biopharmaceuticals, has frequently been shown through an evaluation of the associated health outcomes and costs...
June 21, 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29926542/evaluation-of-the-quality-of-care-among-hospitalized-adult-patients-with-community-acquired-pneumonia-in-korea
#15
REVIEW
Ji Young Hong, Young Ae Kang
Pneumonia is an important cause of morbidity and mortality. Since 2014, the Health Insurance Review and Assessment Service (HIRA) has assessed the overall quality of care among hospitalized adult patients with community-acquired pneumonia (CAP) provided by all medical institutions in Korea. A committee of the Korea Academy of Tuberculosis and Respiratory Diseases developed the hospital inpatient quality measures set for CAP consisting of eight core measures and five monitoring measures. The composite measure score was calculated...
June 19, 2018: Tuberculosis and Respiratory Diseases
https://www.readbyqxmd.com/read/29926271/addressing-health-insurance-literacy-gaps-in-an-urban-african-american-population-a-qualitative-study
#16
Nida M Ali, Ryan M Combs, Baraka Muvuka, Suur D Ayangeakaa
Health insurance and health systems literacy needs are evolving with changes to the U.S. healthcare system. Following the implementation of the Affordable Care Act, many residents in West Louisville, Kentucky, a predominantly African American community, gained health insurance coverage for the first time. A qualitative study was conducted to assess residents' health insurance and health systems needs and to identify ways of assisting residents with navigating the healthcare system and utilizing their health insurance coverage...
June 20, 2018: Journal of Community Health
https://www.readbyqxmd.com/read/29925543/use-of-routinely-captured-echocardiographic-data-in-the-diagnosis-of-severe-aortic-stenosis
#17
Steven M Bradley, Katie Foag, Khua Monteagudo, Pam Rush, Craig E Strauss, Mario Gössl, Paul Sorajja
OBJECTIVE: To determine the implications of applying guideline-recommended definitions of aortic stenosis to echocardiographic data captured in routine clinical care. METHODS: Retrospective observational study of 213 174 patients who underwent transthoracic echocardiographic imaging within Allina Health between January 2013 and October 2017. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of echocardiographic measures for severe aortic stenosis were determined relative to the documented interpretation of severe aortic stenosis...
June 20, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29925441/diabetes-management-in-the-primary-care-setting-a-comparison-of-physicians-performance-by-gender
#18
Alessandra Buja, Riccardo Fusinato, Mirko Claus, Rosa Gini, Mario Braga, Mimma Cosentino, Giovanna Boccuzzo, Paolo Francesconi, Vincenzo Baldo, Mariadonata Bellentani, Gianfranco Damiani
BACKGROUND: A major shift in the gender of the medical-doctor workforce is now underway, and all over the world it is expected that an average 65% of the medical workforce will be women by 2030. In addition, an aging population means that chronic diseases, such as diabetes, are becoming more prevalent and the demand for care is rising. There is growing evidence of female physicians performing better than male physicians.AimOur study aimed to investigate whether any differences in diabetes process indicators are associated with gender, and/or the interaction between gender and different organizational models...
June 21, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29925398/barriers-and-facilitators-to-institutional-delivery-in-rural-areas-of-chitwan-district-nepal-a-qualitative-study
#19
Rajani Shah, Eva A Rehfuess, Deepak Paudel, Mahesh K Maskey, Maria Delius
BACKGROUND: Giving birth assisted by skilled care in a health facility plays a vital role in preventing maternal deaths. In Nepal, delivery services are free and a cash incentive is provided to women giving birth at a health facility. Nevertheless, about half of women still deliver at home. This study explores socio-cultural and health service-related barriers to and facilitators of institutional delivery. METHODS: Six village development committees in hill and plain areas were selected in Chitwan district...
June 20, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29925339/maternal-overweight-is-not-an-independent-risk-factor-for-increased-birth-weight-leptin-and-insulin-in-newborns-of-gestational-diabetic-women-observations-from-the-prospective-each-cohort-study
#20
Raffael Ott, Jens H Stupin, Andrea Loui, Elisabeth Eilers, Kerstin Melchior, Rebecca C Rancourt, Karen Schellong, Thomas Ziska, Joachim W Dudenhausen, Wolfgang Henrich, Andreas Plagemann
BACKGROUND: Both gestational diabetes mellitus (GDM) as well as overweight/obesity during pregnancy are risk factors for detrimental anthropometric and hormonal neonatal outcomes, identified to 'program' adverse health predispositions later on. While overweight/obesity are major determinants of GDM, independent effects on critical birth outcomes remain unclear. Thus, the aim of the present study was to evaluate, in women with GDM, the relative/independent impact of overweight/obesity vs...
June 20, 2018: BMC Pregnancy and Childbirth
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