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Medical school health policy

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https://www.readbyqxmd.com/read/27903563/leveraging-ongoing-research-to-evaluate-the-health-impacts-of-south-africa-s-salt-reduction-strategy-a-prospective-nested-cohort-within-the-who-sage-multicountry-longitudinal-study
#1
Karen Charlton, Lisa J Ware, Elias Menyanu, Richard Berko Biritwum, Nirmala Naidoo, Chiné Pieterse, Savathree Lorna Madurai, Jeannine Baumgartner, George A Asare, Elizabeth Thiele, Aletta E Schutte, Paul Kowal
INTRODUCTION: Attempting to curb the rising epidemic of hypertension, South Africa implemented legislation in June 2016 mandating maximum sodium levels in a range of manufactured foods that contribute significantly to population salt intake. This natural experiment, comparing two African countries with and without salt legislation, will provide timely information on the impact of legislative approaches addressing the food supply to improve blood pressure in African populations. This article outlines the design of this ongoing prospective nested cohort study...
November 30, 2016: BMJ Open
https://www.readbyqxmd.com/read/27899071/having-a-usual-source-of-care-and-its-associated-factors-in-korean-adults-a-cross-sectional-study-of-the-2012-korea-health-panel-survey
#2
Ah Reum An, Kyoungwoo Kim, Jae-Ho Lee, Nak-Jin Sung, Sang-Il Lee, Min Kyung Hyun
BACKGROUND: Usual source of care (USC) is one of the hallmarks of primary care. We aimed to examine the status of having a USC and its patient-related sociodemographic factors among Korean adults. METHODS: Data were obtained from the 2012 Korea Health Panel survey. Panel participants were selected for the study who were aged 18 years or older and who replied to questionnaire items on having a USC (n = 11,935). RESULTS: Of the participants, 21...
November 29, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27875994/do-primary-care-professionals-agree-about-progress-with-implementation-of-primary-care-teams-results-from-a-cross-sectional-study
#3
E Tierney, M O'Sullivan, L Hickey, A Hannigan, C May, W Cullen, N Kennedy, L Kineen, A MacFarlane
BACKGROUND: Primary care is the cornerstone of healthcare reform with policies across jurisdictions promoting interdisciplinary team working. The effective implementation of such health policies requires understanding the perspectives of all actors. However, there is a lack of research about health professionals' views of this process. This study compares Primary Healthcare Professionals' perceptions of the effectiveness of the Primary Care Strategy and Primary Care Team (PCT) implementation in Ireland...
November 22, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27869943/use-of-generic-drugs-in-s%C3%A3-o-paulo-city-brazil-in-2003-a-population-based-study
#4
Camila Nascimento Monteiro, Reinaldo José Gianini, Neuber José Segri, Moisés Goldbaum, Marilisa Berti de Azevedo Barros, Chester Luiz Galvão Cesar
OBJECTIVE: to analyze the use and perception of generic drugs by people with diabetes and hypertension in São Paulo City, Brazil, considering the Brazilian Generic Drug Policy. METHODS: this was a cross-sectional study using data from a household health survey (ISA-Capital) in 2003; analysis was performed on knowledge regarding generic drugs and on the association between their use and sociodemographic and socio-economic characteristics. RESULTS: 603 people with hypertension and diabetes were included in the study, low use of generic drugs was found (33...
April 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/27818848/an-examination-of-cultural-competence-training-in-us-medical-education-guided-by-the-tool-for-assessing-cultural-competence-training
#5
Valarie Blue Bird Jernigan, Jordan B Hearod, Kim Tran, Keith C Norris, Dedra Buchwald
In the United States, medical students must demonstrate a standard level of "cultural competence," upon graduation. Cultural competence is most often defined as a set of congruent behaviors, attitudes, and policies that come together in a system, organization, or among professionals that enables effective work in cross-cultural situations. The Association of American Medical Colleges developed the Tool for Assessing Cultural Competence Training (TACCT) to assist schools in developing and evaluating cultural competence curricula to meet these requirements...
2016: Journal of Health Disparities Research and Practice
https://www.readbyqxmd.com/read/27807877/social-network-analysis-in-medical-education
#6
Rachel Isba, Katherine Woolf, Robert Hanneman
CONTENT: Humans are fundamentally social beings. The social systems within which we live our lives (families, schools, workplaces, professions, friendship groups) have a significant influence on our health, success and well-being. These groups can be characterised as networks and analysed using social network analysis. SOCIAL NETWORK ANALYSIS: Social network analysis is a mainly quantitative method for analysing how relationships between individuals form and affect those individuals, but also how individual relationships build up into wider social structures that influence outcomes at a group level...
November 2, 2016: Medical Education
https://www.readbyqxmd.com/read/27802560/outcomes-oriented-medical-training-a-critical-curricular-design-consideration-in-developing-21st-century-health-care-professionals
#7
Darrin D'Agostino, Frank J Papa
The core competencies of medical schools and residencies have initiated a change in curricular design but have been limited in their execution of systems-based practice. The introduction of milestones and entrustable professional activities has emerged to enhance the current educational paradigm. Linking public health systemic approaches with evidence-based practices focused on population-level health care will affect patients more than current non-systems-based approaches. Curricular redesign, including population health-based strategies, public health competency, health care policy, and education linking the "determinants of health" to patient care, will better prepare future physicians to practice in the emerging paradigm of health care of the future...
November 1, 2016: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/27792032/self-reported-medical-leave-by-brazilian-labor-law-magistrates
#8
Ada Ávila Assunção, Adriane Mesquita de Medeiros
BACKGROUND: Sick leave can be envisaged as an important public health indicator. Health problems and trouble at work are predictors of absenteeism. OBJECTIVE: Within the context of reforming the judicial system, the aim of this study was to examine whether individual characteristics and working conditions influenced reports of sick leave amongst a population of Brazilian magistrates. METHODS: A web-based survey was conducted in 2011 in such a way as to reach the entire population of Brazilian Labor-law magistrates across the country...
October 28, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/27780023/medical-schools-willingness-to-accommodate-medical-students-with-sensory-and-physical-disabilities-ethical-foundations-of-a-functional-challenge-to-organic-technical-standards
#9
Michael McKee, Ben Case, Maureen Fausone, Philip Zazove, Alicia Ouellette, Michael D Fetters
Students with sensory and physical disabilities are underrepresented in medical schools despite the availability of assistive technologies and accommodations. Unfortunately, many medical schools have adopted restrictive "organic" technical standards based on deficits rather than on the ability to do the work. Compelling ethical considerations of justice and beneficence should prompt change in this arena. Medical schools should instead embrace "functional" technical standards that permit accommodations for disabilities and update their admissions policies to promote applications from qualified students with disabilities...
October 1, 2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27771545/insurance-coverage-and-socioeconomic-differences-in-patient-choice-between-private-and-public-health-care-providers-in-china
#10
Qing Wang, Donglan Zhang, Zhiyuan Hou
The private health care sector has become an increasingly important complement to China's health care system. During the health care reform in 2009, China's central government established multiple initiatives to relax constraints on the growth of the private health care sector. However, private health services have not been growing as rapidly as private health care facilities. Using data from the China Health and Retirement Longitudinal Study collected between 2011 and 2013, this study investigated patient choice between private and public providers for outpatient care and estimated its relationship with health insurance and socioeconomic status (SES)...
October 18, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27769205/addressing-medical-absenteeism-in-pre-vocational-secondary-students-effectiveness-of-a-public-health-intervention-using-a-quasi-experimental-design
#11
Yvonne T M Vanneste, Jolanda J P Mathijssen, Ien A M van de Goor, Carin M C Rots-de Vries, Frans J M Feron
BACKGROUND: Students' health and school absenteeism affect educational level, with adverse effects on their future health. This interdependence is reflected in medical absenteeism. In the Netherlands, a public health intervention has been developed to address medical absenteeism in pre-vocational secondary education. This study aims to investigate the effectiveness of this intervention on students' medical absenteeism, compared to "medical absenteeism policy as usual". METHODS: A quasi-experimental design with an intervention group (493 students) and a control group (445 students) was applied...
October 21, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27757714/false-dichotomies-and-health-policy-research-designs-randomized-trials-are-not-always-the-answer
#12
Stephen B Soumerai, Rachel Ceccarelli, Ross Koppel
Some medical scientists argue that only data from randomized controlled trials (RCTs) are trustworthy. They claim data from natural experiments and administrative data sets are always spurious and cannot be used to evaluate health policies and other population-wide phenomena in the real world. While many acknowledge biases caused by poor study designs, in this article we argue that several valid designs using administrative data can produce strong findings, particularly the interrupted time series (ITS) design...
October 18, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27745951/seasonal-influenza-vaccination-in-china-landscape-of-diverse-regional-reimbursement-policy-and-budget-impact-analysis
#13
Juan Yang, Katherine E Atkins, Luzhao Feng, Mingfan Pang, Yaming Zheng, Xinxin Liu, Benjamin J Cowling, Hongjie Yu
BACKGROUND: To explore the current landscape of seasonal influenza vaccination across China, and estimate the budget of implementing a national "free-at-the-point-of-care" vaccination program for priority populations recommended by the World Health Organization. METHODS: In 2014 and 2016, we conducted a survey across provincial Centers for Disease Control and Prevention to collect information on regional reimbursement policies for influenza vaccination, estimated the national uptake using distributed doses of influenza vaccines, and evaluated the budget using population size and vaccine cost obtained from official websites and literatures...
October 13, 2016: Vaccine
https://www.readbyqxmd.com/read/27716155/specialty-preferences-among-final-year-medical-students-in-medical-schools-of-southeast-nigeria-need-for-career-guidance
#14
Edmund Ndudi Ossai, Kenechi Anderson Uwakwe, Uchenna Chidi Anyanwagu, Ntat Charles Ibiok, Benedict Ndubueze Azuogu, Ngozi Ekeke
BACKGROUND: In resource-poor settings with low doctor-population ratio, there is need for equitable distribution of healthcare workforce. The specialty preferences of medical students determine the future composition of physician workforce hence its relevance in career guidance, healthcare planning and policy formulation. This study was aimed at determining the specialty preferences of final year medical students in medical schools of southeast Nigeria, the gender differences in choice of specialty and the availability of career guidance to the students during the period of training...
October 4, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27660119/2016-presidential-address-diabetes-at-212%C3%A2-confronting-the-invisible-disease
#15
Desmond Schatz
This address was delivered by Desmond Schatz, MD, President, Medicine & Science, of the American Diabetes Association (ADA), at the Association's 76th Scientific Sessions in New Orleans, LA, on 12 June 2016. Dr. Schatz is Professor and Associate Chairman of Pediatrics, Medical Director of the University of Florida Diabetes Institute, and Director of the Clinical Research Center at the University of Florida, Gainesville, FL. A physician-scientist, he has been involved in type 1 diabetes research since the mid-1980s and has published over 300 articles and book chapters...
October 2016: Diabetes Care
https://www.readbyqxmd.com/read/27658883/commentary-expectations-for-global-health-program-prioritization-from-a-selection-of-international-students-studying-at-a-european-university
#16
John Quinn, Vít Lidinský, Venu Rajaratnam, Marta Kruszcynski, Tomas Zeleny, Vladimir Bencko
BACKGROUND: Some university curricula struggle to present evidence-based promotion of global health principles and global health diplomacy within an undergraduate setting. The de facto global health paradigm has experienced significant stress and pressure from epidemics, war and violence, climate change and resource challenges. These stressors may lead to increased morbidity and mortality, in turn requiring medical professionals to play a larger role in global health action across borders...
2016: Globalization and Health
https://www.readbyqxmd.com/read/27648195/an-investigation-on-social-accountability-of-general-medicine-curriculum
#17
Ali Emadzadeh, Hossein Karimi Moonaghi, Mojtaba Mousavi Bazzaz, Sharareh Karimi
INTRODUCTION: Experts consider social accountability as a new paradigm in medical education and a cultural change that is necessary to be studied and understood more deeply. One of the problems of medical education is the inadequacy of medicine graduates to meet the social accountability. Therefore, the aim of this study was to examine the general medicine curriculum for social accountability. METHODS: This cross-sectional study was conducted on three groups of experts, faculty members, and general physicians working in health centers in Mashhad in 2014...
July 2016: Electronic Physician
https://www.readbyqxmd.com/read/27627631/holistic-review-in-medical-school-admissions-and-selection-a-strategic-mission-driven-response-to-shifting-societal-needs
#18
Sarah S Conrad, Amy N Addams, Geoffrey H Young
Medical schools and residency programs have always sought excellence in the areas of education, research, and clinical care. However, these pursuits are not accomplished within a vacuum-rather, they are continually and necessarily influenced by social, cultural, political, legal, and economic forces. Persistent demographic inequalities coupled with rapidly evolving biomedical research and a complex legal landscape heighten our collective awareness and emphasize the continued need to consider medicine's social contract when selecting, educating, and developing physicians and physician-scientists...
September 13, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27580433/value-added-clinical-systems-learning-roles-for-medical-students-that-transform-education-and-health-a-guide-for-building-partnerships-between-medical-schools-and-health-systems
#19
Jed D Gonzalo, Catherine Lucey, Terry Wolpaw, Anna Chang
To ensure physician readiness for practice and leadership in changing health systems, an emerging three-pillar framework for undergraduate medical education integrates the biomedical and clinical sciences with health systems science, which includes population health, health care policy, and interprofessional teamwork. However, the partnerships between medical schools and health systems that are commonplace today use health systems as a substrate for learning. Educators need to transform the relationship between medical schools and health systems...
August 30, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27567288/a-spatiotemporal-analysis-of-non-medical-exemptions-from-vaccination-california-schools-before-and-after-sb277
#20
Paul L Delamater, Timothy F Leslie, Y Tony Yang
Childhood vaccination programs are considered one of the most beneficial public health programs in modern history. In the United States, the increasing use of non-medical exemptions (NMEs) from school entry vaccination requirements has garnered attention and scrutiny in the popular press, academic literature, and policy forums. In 2016, California law SB277 goes into effect, eliminating the NME option for students attending the state's public and private schools. Whereas SB277 is a strong move to increase vaccination coverage within California's schools, the new law contains an important caveat - students already having a valid NME (obtained prior to the 2016 school year) are "grandfathered" in until their next grade checkpoint (seventh grade)...
November 2016: Social Science & Medicine
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