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https://www.readbyqxmd.com/read/29781691/enabling-factors-for-specialist-outreach-in-western-kwazulu-natal
#1
Robert I Caldwell, Merridy Grant, Bernard Gaede, Colleen Aldous
BACKGROUND: There exists a major disparity in access to specialist care between patients in urban and rural areas. Specialists are a scarce resource and are concentrated in urban areas. Specialist outreach attempts to fill the gap in service provision for patients situated remotely. While there is international evidence that multifaceted specialist outreach has achieved varying levels of success, factors that influence the effectiveness of outreach have not yet been fully elucidated in South Africa...
May 17, 2018: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29776410/use-of-a-counsellor-supported-disclosure-model-to-improve-the-uptake-of-couple-hiv-testing-and-counselling-in-kenya-a-quasi-experimental-study
#2
Margaret Kababu, Eric Sakwa, Robinson Karuga, Annrita Ikahu, Inviolata Njeri, Jordan Kyongo, Catherine Khamali, Wanjiru Mukoma
BACKGROUND: Heterosexual couples account for 44% of new HIV infections in Kenya and there's low awareness of self and partner HIV status. Different strategies have been employed to promote couple HIV testing and counselling (CHTC). Despite this, HIV incidence among couples continues to rise. This study sought to assess the use of a counsellor-supported disclosure (CSD) model in enhancing the uptake of CHTC and the factors that were associated with it. METHODS: A pre-post quasi experimental study design with an intervention and a comparison arm was utilized...
May 18, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29775692/exploring-canadian-physicians-experiences-providing-medical-assistance-in-dying-a-qualitative-study
#3
Narges Khoshnood, Marie-Clare Hopwood, Bhadra Lokuge, Allison Kurahashi, Anastasia Tobin, Sarina Isenberg, Amna Husain
CONTEXT: MAiD allows a practitioner to administer or prescribe medication for the purpose of ending a patient's life. In 2016, Canada was the latest country, following several European countries and American states, to legalize physician-assisted death. Although some studies report on physician attitudes towards MAiD or describe patient characteristics, there are few that explore the professional challenges faced by physicians who provide MAiD. OBJECTIVES: To explore the professional challenges faced by Canadian physicians who provide MAiD...
May 15, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29772471/erm-for-health-care-organizations-an-economic-enterprise-risk-management-innovation-program-e-2-rm-health-care
#4
Ana Paula Beck da Silva Etges, Veronique Grenon, Joana Siqueira de Souza, Francisco José Kliemann Neto, Elaine Aparecida Felix
BACKGROUND: In recent years, health care organizations have looked to enterprise risk management (ERM) for novel systems to obtain more accurate data on which to base risk strategies. OBJECTIVE: This study proposes a conceptual ERM framework specifically designed for health care organizations. METHODS: We explore how hospitals in the United States and Brazil are structuring and implementing ERM processes within their management structure. This study incorporates interviews with 15 chief risk officers (8 from the United States and 7 from Brazil) with qualitative data analysis using NVivo (QSR International software)...
May 14, 2018: Value in Health Regional Issues
https://www.readbyqxmd.com/read/29769071/informal-workers-access-to-health-care-services-findings-from-a-qualitative-study-in-the-kassena-nankana-districts-of-northern-ghana
#5
James Akazili, Samuel Chatio, John Ele-Ojo Ataguba, Isaiah Agorinya, Edmund Wedam Kanmiki, Osman Sankoh, Abraham Oduro
BACKGROUND: Over the past two decades, employment in the informal sector has grown rapidly in all regions including low and middle-income countries. In the developing countries, between 50 and 75% of workers are employed in the informal sector. In Ghana, more than 80% of the total working population is working in the informal sector. They are largely self-employed persons such as farmers, traders, food processors, artisans, craft-workers among others. The persistent problem in advancing efforts to address health vulnerabilities of informal workers is lack of systematic data...
May 16, 2018: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/29759913/improving-implementation-of-psychological-interventions-to-older-adult-patients-with-cancer-convening-older-adults-caregivers-providers-researchers
#6
Kelly M Trevino, Charlotte Healy, Peter Martin, Beverly Canin, Karl Pillemer, Jo Anne Sirey, M Cary Reid
INTRODUCTION: Older adults with cancer (OACs) are a large and growing population. Psychological distress is prevalent in this population yet few OACs receive evidence-based psychological care. The purpose of this project was to identify barriers and strategies for the implementation of psychological interventions to OACs from the perspective of OACs, OAC caregivers, researchers, clinicians, and advocacy organization members. METHODS: The Cornell Research-to-Practice (RTP) Consensus Workshop Model was used to organize and convene a consensus conference...
May 11, 2018: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/29759096/australian-consumers-views-towards-an-environmentally-sustainable-eating-pattern
#7
Davina Mann, Lukar Thornton, David Crawford, Kylie Ball
OBJECTIVE: The present qualitative study aimed to gain an in-depth understanding of participants' attitudes, knowledge, perceived effectiveness (a person's belief that his/her behaviour can contribute to environmental preservation) and behaviours relating to a sustainable eating pattern. DESIGN: One-to-one interviews (either face-to-face or by telephone) were conducted following a structured interview schedule, audio-recorded, transcribed verbatim and analysed using inductive thematic analysis in NVivo 10...
May 15, 2018: Public Health Nutrition
https://www.readbyqxmd.com/read/29757085/short-videos-addressing-barriers-to-cooking-with-vegetables-in-young-adults-pilot-testing
#8
Monica Nour, Zilvia G Y Cheng, Jessica Lucy Farrow, Margaret Allman-Farinelli
OBJECTIVE: Digital platforms offer innovative opportunities for nutrition education to motivate young adults to improve eating behaviors and practices. This study aimed to pilot test short educational cooking videos for dissemination through a smartphone designed to address barriers to home cooking and vegetable consumption among young adults. METHOD: Instructional videos (1-3 min) were produced and acceptability and perceived effectiveness for reducing barriers was investigated...
May 14, 2018: Journal of the American College of Nutrition
https://www.readbyqxmd.com/read/29753199/acceptability-of-the-predicting-abusive-head-trauma-predaht-clinical-prediction-tool-a-qualitative-study-with-child-protection-professionals
#9
Laura E Cowley, Sabine Maguire, Daniel M Farewell, Harriet D Quinn-Scoggins, Matthew O Flynn, Alison M Kemp
The validated Predicting Abusive Head Trauma (PredAHT) tool estimates the probability of abusive head trauma (AHT) based on combinations of six clinical features: head/neck bruising; apnea; seizures; rib/long-bone fractures; retinal hemorrhages. We aimed to determine the acceptability of PredAHT to child protection professionals. We conducted qualitative semi-structured interviews with 56 participants: clinicians (25), child protection social workers (10), legal practitioners (9, including 4 judges), police officers (8), and pathologists (4), purposively sampled across southwest United Kingdom...
May 9, 2018: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29751752/a-community-based-qualitative-study-on-the-experience-and-understandings-of-intimate-partner-violence-and-hiv-vulnerability-from-the-perspectives-of-female-sex-workers-and-male-intimate-partners-in-north-karnataka-state-india
#10
Andrea K Blanchard, Sapna G Nair, Sharon G Bruce, Satyanarayana Ramanaik, Raghavendra Thalinja, Srikanta Murthy, Prakash Javalkar, Priya Pillai, Martine Collumbien, Lori Heise, Shajy Isac, Parinita Bhattacharjee
BACKGROUND: Research has increasingly documented the important role that violence by clients and the police play in exacerbating HIV vulnerability for women in sex work. However few studies have examined violence in the intimate relationships of women in sex work, or drawn on community partnerships to explore the social dynamics involved. A community-based participatory research study was undertaken by community and academic partners leading intimate partner violence (IPV) and HIV prevention programs in Bagalkot district, Karnataka state, India...
May 11, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/29750617/no-rest-for-the-women-understanding-the-impact-of-on-call-work-for-women-in-the-emergency-services
#11
Sarah M Jay, Jessica L Paterson, Brad Aisbett, Sally A Ferguson
BACKGROUND: The unpredictable, "on-call" component of the emergency services (ES) may be difficult to navigate in the context of domestic and work responsibilities, and especially difficult for women, given they tend to take on a greater household burden than do men. Our aim was to understand women's experiences in the ES, particularly the impact of being on-call and related coping strategies. METHODS: Twenty-four women were recruited from two ES agencies in Australia...
May 11, 2018: Chronobiology International
https://www.readbyqxmd.com/read/29745290/healthcare-providers-understanding-of-hiv-serodiscordance-in-south-africa-and-uganda-implications-for-hiv-prevention-in-sub-saharan-africa
#12
Ross Greener, Cecilia Milford, Francis Bajunirwe, Faith N Mosery, Claudia K Ng, Rachel Rifkin, Jasmine Kastner, Lavanya Pillay, Angela Kaida, David R Bangsberg, Jennifer A Smit, Lynn T Matthews
HIV transmission within stable heterosexual HIV serodiscordant couples accounts for almost half the new incident infections in South Africa and Uganda. Advances in HIV prevention provide opportunities to reduce transmission risk within serodiscordant partnerships (e.g., antiretroviral treatment (ART), pre-exposure prophylaxis (PrEP), medical male circumcision, and couples-based HIV counselling and testing). These interventions require a clinical encounter with a provider who recognises prevention opportunities within these partnerships...
May 10, 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29742159/medications-and-pregnancy-the-role-of-community-pharmacists-a-descriptive-study
#13
Hoi Ying Leung, Bandana Saini, Helen E Ritchie
BACKGROUND: Safe use of medications during pregnancy requires a comprehensive understanding of risk-benefit profiles for individual treatments. Pharmacists are supported in this aspect by clinical information agencies (e.g. MotherSafe, a telephone-based teratogen information service) and reference texts. To what extent and for what reasons Australian pharmacists utilise these services/resources are yet unknown. Further, debate on replacement of conventionally defined medication safety in pregnancy categories (A, B1-3, C, D, X) by narratively stated safety evidence may affect pharmacists' routine practice...
2018: PloS One
https://www.readbyqxmd.com/read/29739463/trade-offs-fairness-and-funding-for-cancer-drugs-key-findings-from-a-deliberative-public-engagement-event-in-british-columbia-canada
#14
Colene Bentley, Sarah Costa, Michael M Burgess, Dean Regier, Helen McTaggart-Cowan, Stuart J Peacock
BACKGROUND: Spending on cancer drugs has risen dramatically in recent years compared to other areas of health care, due in part to higher prices associated with newly approved drugs and increased demand for these drugs. Addressing this situation requires making difficult trade-offs between cost, harms, and ability to benefit when using public resources, making it important for policy makers to have input from many people affected by the issue, including citizens. METHODS: In September 2014, a deliberative public engagement event was conducted in Vancouver, British Columbia (BC), on the topic of priority setting and costly cancer drugs...
May 8, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29736071/assessing-the-extent-of-utilization-of-biopsychosocial-model-in-doctor-patient-interaction-in-public-sector-hospitals-of-a-developing-country
#15
Maha Nadir, Muhammad Hamza, Nadir Mehmood
Background: Biopsychosocial (BPS) model has been a mainstay in the ideal practice of modern medicine. It is attributed to improve patient care, compliance, and satisfaction and to reduce doctor-patient conflict. The study aimed to understand the importance given to BPS model while conducting routine doctor-patient interactions in public sector hospitals of a developing country where health resources are limited. The study was conducted in Rawalpindi, Pakistan. Materials and Methods: The study design is qualitative...
January 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29733050/facilitating-and-limiting-factors-of-workplace-health-promotion-at-rhodes-university-south-africa
#16
Tinatsei Gabriella Chigumete, Nick Townsend, Sunitha Chandrasekhar Srinivas
BACKGROUND: Workplace health promotion programs, when well designed and implemented are beneficial to both employees and their employers. OBJECTIVE: To investigate the factors that affect workplace health promotion initiatives intended for support staff at Rhodes University. To explore ways in which future initiatives that aim to reduce the prevalence of non-communicable diseases in the workplace may be improved. METHODS: A qualitative study, using semi-structured interviews and focus group discussions with key stakeholders and support staff...
2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/29729684/paramedics-perspectives-on-factors-impacting-on-scene-times-for-trauma-calls
#17
Mark Levitan, Madelyn P Law, Richard Ferron, Karen Lutz-Graul
IntroductionAccording to Ontario, Canada's Basic Life Support Patient Care Standards, Emergency Medical Services (EMS) on-scene time (OST) for trauma calls should not exceed 10 minutes, unless there are extenuating circumstances. The time to definitive care can have a significant impact on the morbidity and mortality of trauma patients. This is the first Canadian study to investigate why this is the case by giving a voice to those most involved in prehospital care: the paramedics themselves. It is also the first study to explore this issue from a complex, adaptive systems approach which recognizes that OSTs may be impacted by local, contextual features...
May 6, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29724736/-treading-water-but-drowning-slowly-what-are-gps-experiences-of-living-and-working-with-mental-illness-and-distress-in-england-a-qualitative-study
#18
Ruth Riley, Johanna Spiers, Carolyn A Chew-Graham, Anna K Taylor, Gail A Thornton, Marta Buszewicz
OBJECTIVES: This paper provides an in-depth account of general practitioners' (GPs) experiences of living and working with mental illness and distress, as part of a wider study reporting the barriers and facilitators to help-seeking for mental illness and burn-out, and sources of stress/distress for GP participants. DESIGN: Qualitative study using in-depth interviews with 47 GP participants. The interviews were audio recorded, transcribed, anonymised and imported into NVivo V...
May 3, 2018: BMJ Open
https://www.readbyqxmd.com/read/29724235/how-can-the-use-of-data-within-the-immunisation-programme-be-increased-in-order-to-improve-data-quality-and-ensure-greater-accountability-in-the-health-system-a-protocol-for-implementation-science-study
#19
Binyam Tilahun, Alemayehu Teklu, Arielle Mancuso, Zeleke Abebaw, Kassahun Dessie, Desalegn Zegeye
BACKGROUND: Immunisation remains one of the most important and cost-effective interventions to reduce vaccine-preventable child morbidity, disability and mortality. Health programmes like the Expanded Program of Immunization rely on complex decision-making and strong local level evidence is important to effectively and efficiently utilise limited resources. Lack of data use for decision-making at each level of the health system remains the main challenge in most developing countries. While there is much evidence on data quality and how to improve it, there is a lack of sufficient evidence on why the use of data for decision-making at each level of the health system is low...
May 3, 2018: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29721738/patient-pharmacist-communication-during-a-post-discharge-pharmacist-home-visit
#20
Hendrik T Ensing, Marcia Vervloet, Ad A van Dooren, Marcel L Bouvy, Ellen S Koster
Background With the shifting role of community pharmacists towards patient education and counselling, they are well-positioned to conduct a post-discharge home visit which could prevent or solve drug-related problems. Gaining insight into the communication during these home visits could be valuable for optimizing and consequently improving patient safety at readmission to primary care. Objective To assess patient-pharmacist communication during a post-discharge home visit. Setting The homes of patients recently discharged from a single general hospital in the Netherlands...
May 2, 2018: International Journal of Clinical Pharmacy
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