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https://www.readbyqxmd.com/read/28092758/between-a-rock-and-a-hard-place-economic-expansion-and-social-responsibility-in-uk-media-discourses-on-the-global-alcohol-industry
#1
Mary Thornton, Benjamin Hawkins
CONTEXT: Transnational alcohol corporations (TACs) employ a range of strategies to achieve their business objectives, including attempts to frame perceptions of their activities in media debates. TACs aim to achieve a favourable regulatory environment by presenting themselves as socially responsible actors. However, the need to secure financial investment means they must also emphasise their potential for growth. This article investigates tensions between these objectives in coverage of the global alcohol industry in the UK print media...
January 4, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28092210/the-insights-of-health-and-welfare-professionals-on-hurdles-that-impede-economic-evaluations-of-welfare-interventions
#2
J Schepers, J Plaete, I De Bourdeaudhuij, L Annemans, S Simoens
OBJECTIVES: Four hurdles associated with economic evaluations in welfare interventions were identified and discussed in a previous published literature review. These hurdles include (i) 'Ignoring the impact of condition-specific outcomes', (ii) 'Ignoring the impact of QoL externalities', (iii) 'Calculation of costs from a too narrow perspective' and (iv) 'The lack of well-described & standardized interventions'. This study aims to determine how healthcare providers and social workers experience and deal with these hurdles in practice and what solutions or new insights they would suggest...
January 16, 2017: Expert Review of Pharmacoeconomics & Outcomes Research
https://www.readbyqxmd.com/read/28076260/medical-home-implementation-in-small-primary-care-practices-provider-perspectives
#3
Gilbert Gimm, Jay Want, Dan Hough, Treniese Polk, Margaret Rodan, Len M Nichols
BACKGROUND: CareFirst BlueCross BlueShield of Maryland implemented a voluntary patient-centered medical home (PCMH) program in 2011 that did not require formal certification to participate. This study assessed attitudes and awareness of PCMH programs among participating providers in Maryland and Northern Virginia. METHODS: This qualitative study used information from 13 focus groups. In addition, 39 telephone interviews were conducted. An experienced facilitator moderated the focus groups...
November 2016: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28075696/dual-eligibles-experience-of-care-with-north-carolina-s-patient-centered-medical-home
#4
Sarah Grantham, Debora Goetz Goldberg, Donna Lind Infeld
Although individuals enrolled in both Medicare and Medicaid (dual eligibles) are among those with the nation's greatest need, at $300 billion per year, their care is also expensive and beset by quality problems. Previous research found problems associated with inadequate coordination of benefits and services; however, these studies have largely used quantitative approaches and focused on providers-few studies have explored the perspective of dual eligible patients. In an effort to improve care and reduce costs, North Carolina (NC) developed a Patient-Centered Medical Home (PCMH) model centered on a continuous relationship with a primary care provider who is responsible for coordination of services and addressing patients' health care needs by providing direct services or arranging care with other qualified professionals...
January 11, 2017: Population Health Management
https://www.readbyqxmd.com/read/28064517/experiences-of-patients-undergoing-repeated-intravitreal-anti-vascular-endothelial-growth-factor-injections-for-neovascular-age-related-macular-degeneration
#5
Jessica Boyle, Meri Vukicevic, Konstandina Koklanis, Catherine Itsiopoulos, Gwyneth Rees
Current therapy to slow disease progression in patients with neovascular age-related macular degeneration (AMD) entails regular intravitreal anti-vascular endothelial growth factor (VEGF) injections, often indefinitely. Little is known about the burden imposed on patients by this repetitive treatment schedule and how this can be best managed. The aim of this study was to explore the psychosocial impact of repeated intravitreal injections on patients with neovascular AMD. Forty patients (16 males, 24 females) with neovascular AMD undergoing anti-VEGF treatment were recruited using purposive sampling from a private ophthalmology practice and public hospital in Melbourne...
January 9, 2017: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/28062898/why-vascular-surgeons-and-interventional-radiologists-collaborate-or-compete-a-look-at-endovascular-stent-placements
#6
Eric J Keller, Jeremy D Collins, Megan Crowley-Matoka, Howard B Chrisman, Magdy P Milad, Robert L Vogelzang
PURPOSE: To understand how cultural differences between vascular surgeons (VSs) and interventional radiologists (IRs) affect their clinical decision making and inter-specialty relationships. METHODS: Twenty-four conversational interviews were conducted with IRs and VSs about their approaches to patient care, views of their specialty and others, and solutions to any expressed concerns. Interview transcripts were systematically analyzed to identify and compare key themes according to the constructivist grounded theory and content analysis using NVivo 10 software...
January 6, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28061899/selection-of-essential-medicines-for-south-africa-an-analysis-of-in-depth-interviews-with-national-essential-medicines-list-committee-members
#7
Velisha Ann Perumal-Pillay, Fatima Suleman
BACKGROUND: The South African (SA) public health system has employed an Essential Medicines List (EML) with Standard Treatment Guidelines (STGs) in the public sector since 1996. To date no studies have reported on the process of selection of essential medicines for SA EMLs and how this may have changed over time. This study reports on the decision making process for the selection of essential medicines for SA EMLs, over the years, as described by various members of the National Essential Medicines List Committee (NEMLC) and their task teams...
January 7, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28061818/perspectives-preferences-and-needs-regarding-early-prediction-of-preeclampsia-in-dutch-pregnant-women-a-qualitative-study
#8
Neeltje M T H Crombag, Marije Lamain-de Ruiter, Anneke Kwee, Peter C J I Schielen, Jozien M Bensing, Gerard H A Visser, Arie Franx, Maria P H Koster
BACKGROUND: To improve early risk-identification in pregnancy, research on prediction models for common pregnancy complications is ongoing. Therefore, it was the aim of this study to explore pregnant women's perceptions, preferences and needs regarding prediction models for first trimester screening for common pregnancy complications, such as preeclampsia, to support future implementation. METHOD: Ten focus groups (of which five with primiparous and five with multiparous women) were conducted (n = 45)...
January 7, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28061039/long-term-breastfeeding-in-african-american-mothers
#9
Tyra Toston Gross, Marsha Davis, Alex K Anderson, Jori Hall, Karen Hilyard
BACKGROUND: According to the Centers for Disease Control and Prevention, 39.1% of African American infants are breastfed at 6 months. However, few studies have explored the breastfeeding experiences of African American women who successfully breastfeed to 6 months or longer durations. Research aim: The goal of this qualitative study was to explore the long-term breastfeeding experiences of low-income African American women using the positive deviance approach. METHODS: African American women with breastfeeding experience were recruited through Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) breastfeeding peer counselors...
December 1, 2016: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/28045193/support-and-sabotage-a-qualitative-study-of-social-influences-on-health-behaviors-among-rural-adults
#10
Urshila Sriram, Emily H Morgan, Meredith L Graham, Sara C Folta, Rebecca A Seguin
PURPOSE: Social environments exert an important influence on health behaviors, yet evidence from rural-specific contexts is limited. This study explored how social relationships influence health-related behaviors among midlife and older rural adults at increased risk of chronic disease. METHODS: Seventeen focus groups were conducted with 125 sedentary, overweight/obese adults (aged 40-91 years) residing in "medically underserved" rural Montana towns in 2014. Groups were stratified by age (40-64 and ≥65) and gender...
January 3, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28033502/a-developmentally-informed-adaptation-of-minority-stress-for-sexual-minority-adolescents
#11
Jeremy T Goldbach, Jeremy J Gibbs
Sexual minority adolescents (lesbian, gay, bisexual) experience disparities in behavioral health outcomes compared to their heterosexual peers, generally attributed to minority stress. Although evidence of the applicability of the minority stress model among adolescents exists, it is based on a primarily adult literature. Developmental and generational differences demand further examination of minority stress to confirm its applicability. Forty-eight life history interviews with sexual minority adolescents in California (age 14-19; M = 19...
December 26, 2016: Journal of Adolescence
https://www.readbyqxmd.com/read/28003295/-it-promoted-a-positive-culture-around-falls-prevention-staff-response-to-a-patient-education-programme-a-qualitative-evaluation
#12
Anne-Marie Hill, Nicholas Waldron, Jacqueline Francis-Coad, Terry Haines, Christopher Etherton-Beer, Leon Flicker, Katharine Ingram, Steven M McPhail
OBJECTIVES: The purpose of this study was to understand how staff responded to individualised patient falls prevention education delivered as part of a cluster randomised trial, including how they perceived the education contributed to falls prevention on their wards. DESIGN: A qualitative explanatory study. METHODS: 5 focus groups were conducted at participatory hospital sites. The purposive sample of clinical staff (including nurses, physiotherapists and quality improvement staff) worked on aged care rehabilitation wards when a cluster randomised trial evaluating a patient education programme was conducted...
December 21, 2016: BMJ Open
https://www.readbyqxmd.com/read/28003095/weight-control-in-adolescents-focus-groups-with-korean-adolescents-and-their-teachers
#13
Sun-Mi Chae, Ji-Young Yeo, Ji-Hye Hwang, Ji-Hye Lee, Jiyoung Lim, Insook Kwon
PURPOSE: This qualitative descriptive study sought to identify perceptions about and status of weight control in adolescents from the perspective of adolescents and their teachers. METHODS: Focus groups were used with six separate groups, 20 adolescents divided into four groups and 14 teachers divided into two groups. The qualitative data were analyzed using a thematic analysis in NVivo 11.0. Consolidated criteria for reporting qualitative studies (COREQ) were followed...
December 18, 2016: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/27986737/evaluating-factors-influencing-the-delivery-and-outcomes-of-an-incentive-based-behaviour-change-strategy-targeting-child-obesity-protocol-for-a-qualitative-process-and-impact-evaluation
#14
Gemma Enright, Alex Gyani, Simon Raadsma, Margaret Allman-Farinelli, Chris Rissel, Christine Innes-Hughes, Sarah Lukeis, Anthony Rodgers, Julie Redfern
INTRODUCTION: Community-based weight management programmes are important in addressing childhood obesity. However, the mechanisms that lead to behaviour change within the programmes are rarely studied within the context of the programmes themselves once they have been implemented. This means that further potential gains in the effectiveness of the programme are often not made and any potential losses of efficacy are often not noticed. Qualitative research alongside randomised controlled trials (RCTs) can tell us the context in which these programmes are implemented and elucidate potential mediators or modifiers of the programmes' effectiveness...
December 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27982312/repercussions-of-imprisonment-for-conjugal-violence-discourses-of-men
#15
Anderson Reis de Sousa, Álvaro Pereira, Gilvânia Patrícia do Nascimento Paixão, Nadirlene Gomes Pereira, Luana Moura Campos, Telmara Menezes Couto
Objective: to know the consequences that men experience related to incarceration by conjugal violence. Methods: qualitative study on 20 men in jail and indicted in criminal processes related to conjugal violence in a Court specialized in Family and Domestic Violence against women. The interviews were classified based on Collective Subject Discourse method, using NVIVO(r) software. Results: the collective discourse shows that the experience of preventive imprisonment starts a process of family dismantling, social stigma, financial hardship and psycho-emotional symptoms such as phobia, depression, hypertension, and headaches...
December 8, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27979497/societal-norms-and-conditions-and-their-influence-on-daily-life-in-children-with-type-1-diabetes-in-the-west-bank-in-palestine
#16
Kawther Elissa, Ewa-Lena Bratt, Åsa B Axelsson, Salam Khatib, Carina Sparud-Lundin
PURPOSE: To explore the experiences of daily life in children with type 1 diabetes (T1D) and their parents living in the West Bank in Palestine. DESIGN AND METHODS: A qualitative study using thematic interviews was performed with 10 children with T1D and their parents (n=10). Content analysis was performed with the assistance of NVIVO 10. RESULTS: The overall theme was facing the social reality of diabetes. This was underpinned by two themes: stigmatization and social constraints...
December 13, 2016: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/27968907/occupational-challenges-of-physicians-involved-in-tuberculosis-control-in-china-a-qualitative-study
#17
Shanquan Chen, Hui Zhang, Yan Qu, Yushan Wu, Qian Long, Limei Ran, Qiuji Xue, Kai Chen, Fei Luo, Lan Yao, Lai-Yi Wong, Hong Fung, Manli Chen, Li Xiang
BACKGROUND: Despite its dramatic improvement, China's tuberculosis burden is still high according to the 2015 WHO TB report. Evidence show that experienced physicians do better in reducing delay diagnosis and patient mortality and are more likely to follow the treatment guidelines. However, in China, few studies have focused on physicians specialised in tuberculosis; and these few studies were mainly centred on the prevalence and risk factors among them. We assessed the occupational challenges of these physicians in China...
October 2016: Lancet
https://www.readbyqxmd.com/read/27956266/what-s-ideal-a-case-study-exploring-handoff-routines-in-practice
#18
Saira N Haque, Carsten S Oesterlund, Lawrence M Fagan
BACKGROUND: Handoffs of care in the healthcare system between responsible providers have traditionally been conceptualized and studied at the point of patient transfer. Thus, clinical practice and associated information systems are designed with the concept of the handoff as a solitary event. This viewpoint does not consider the routine activities necessary for a successful handoff. We propose expanding the analysis of the handoff beyond the single point of transfer to include a routine of interrelated activities leading up to the transfer of responsibility...
December 9, 2016: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/27955670/-the-way-the-country-has-been-carved-up-by-researchers-ethics-and-power-in-north-south-public-health-research
#19
Aisling Walsh, Ruairi Brugha, Elaine Byrne
BACKGROUND: Despite the recognition of power as being central to health research collaborations between high income countries and low and middle income countries, there has been insufficient detailed analysis of power within these partnerships. The politics of research in the global south is often considered outside of the remit of research ethics. This article reports on an analysis of power in north-south public health research, using Zambia as a case study. METHODS: Primary data were collected in 2011/2012, through 53 in-depth interviews with: Zambian researchers (n = 20), Zambian national stakeholders (n = 8) and northern researchers who had been involved in public health research collaborations involving Zambia and the global north (n = 25)...
December 12, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27940626/pay-more-attention-a-national-mixed-methods-study-to-identify-the-barriers-and-facilitators-to-ensuring-equal-access-to-high-quality-hospital-care-and-services-for-children-and-young-people-with-and-without-learning-disabilities-and-their-families
#20
Kate Oulton, Jo Wray, Lucinda Carr, Angela Hassiotis, Carey Jewitt, Sam Kerry, Irene Tuffrey-Wijne, Faith Gibson
INTRODUCTION: Despite evidence of health inequalities for adults with intellectual disability (ID) there has yet to be a comprehensive review of how well hospital services are meeting the needs of children and young people (CYP) with ID and their families. We do not know how relevant existing recommendations and guidelines are to CYP, whether these are being applied in the paediatric setting or what difference they are making. Evidence of parental dissatisfaction with the quality, safety and accessibility of hospital care for CYP with ID exists...
December 9, 2016: BMJ Open
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