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https://www.readbyqxmd.com/read/29017542/financial-burden-of-healthcare-for-cancer-patients-with-social-medical-insurance-a-multi-centered-study-in-urban-china
#1
Wenhui Mao, Shenglan Tang, Ying Zhu, Zening Xie, Wen Chen
BACKGROUND: Cancer accounts for one-fifth of the total deaths in China and brings heavy financial burden to patients and their families. Chinese government has made strong commitment to develop three types of social medical insurance since 1997 and recently, more attempts were invested to provide better financial protection. To analyze health services utilization and financial burden of insured cancer patients, and identify the gaps of financial protection provided by insurance in urban China...
October 10, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29017480/longitudinal-assessment-of-daily-activity-patterns-on-weight-change-after-involuntary-job-loss-the-adapt-study-protocol
#2
Patricia L Haynes, Graciela E Silva, George W Howe, Cynthia A Thomson, Emily A Butler, Stuart F Quan, Duane Sherrill, Molly Scanlon, Darlynn M Rojo-Wissar, Devan N Gengler, David A Glickenstein
BACKGROUND: The World Health Organization has identified obesity as one of the most visible and neglected public health problems worldwide. Meta-analytic studies suggest that insufficient sleep increases the risk of developing obesity and related serious medical conditions. Unfortunately, the nationwide average sleep duration has steadily declined over the last two decades with 25% of U.S. adults reporting insufficient sleep. Stress is also an important indirect factor in obesity, and chronic stress and laboratory-induced stress negatively impact sleep...
October 10, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28991132/a-new-lease-on-life-preliminary-needs-assessment-for-the-development-of-a-survivorship-program-for-young-adult-survivors-of-cancer-in-south-texas
#3
Susanne Schmidt, L Aubree Shay, Harriet V King, Jordan Buckley, Leanne Embry, Helen M Parsons
Priorities for young adult survivorship care from the survivors' perspective are not well documented. To address this within our patient population, we conducted a multimethod needs assessment of young adult survivors of pediatric, adolescent, and young adult cancer in South Texas to get a better understanding of the ongoing challenges and priorities for their survivorship needs and related services. Participants were 18 to 39 years at the time of the needs assessment and predominately Hispanic. In an online survey, survivors most commonly cited being concerned about their physical and mental health, long-term treatment effects, recurrence, and health insurance issues...
October 4, 2017: Journal of Pediatric Hematology/oncology
https://www.readbyqxmd.com/read/28990719/japanese-outreach-model-project-for-patients-who-have-difficulty-maintaining-contact-with-mental-health-services-comparison-of-care-between-higher-functioning-and-lower-functioning-groups
#4
Aki Tsunoda, Yoshifumi Kido, Mami Kayama
AIM: The Japanese Ministry of Health, Labor and Welfare sponsored the current examination of a new community mental health service, the Japan Outreach Model Project (JOMP), for persons with mental illnesses and who find it difficult to continue with ongoing treatment. Shorter readmission rates and hospital stays were found. In this study, the amount and type of care that were delivered by the JOMP were examined in order to inform the process of establishing the public insurance system...
October 9, 2017: Japan Journal of Nursing Science: JJNS
https://www.readbyqxmd.com/read/28987824/economic-analysis-of-a-nurse-led-programme-for-comorbidities-management-of-rheumatoid-arthritis-patients
#5
Charline Mourgues, Marie Blanquet, Laurent Gerbaud, Martin Soubrier, Maxime Dougados
OBJECTIVES: Rheumatoid arthritis (RA) cause major functional, psychological, social and occupational repercussions for patients and has important economic consequences for society. The principal objective of this work was to determine the economic pertinence of a staff nurse specialised in preventive management for these patients. METHODS: The COMEDRA multicentre randomised controlled clinical trial, conducted from March 2011 to June 2012, showed the effectiveness of a nurse-led programme dedicated to the management of comorbidities trough the promotion of 11 preventive procedures...
October 4, 2017: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/28973507/supplemental-nutrition-assistance-program-snap-participation-and-health-care-expenditures-among-low-income-adults
#6
Seth A Berkowitz, Hilary K Seligman, Joseph Rigdon, James B Meigs, Sanjay Basu
Importance: Food insecurity is associated with high health care expenditures, but the effectiveness of food insecurity interventions on health care costs is unknown. Objective: To determine whether the Supplemental Nutrition Assistance Program (SNAP), which addresses food insecurity, can reduce health care expenditures. Design, Setting, and Participants: This is a retrospective cohort study of 4447 noninstitutionalized adults with income below 200% of the federal poverty threshold who participated in the 2011 National Health Interview Survey (NHIS) and the 2012-2013 Medical Expenditure Panel Survey (MEPS)...
September 25, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28965800/short-and-long-term-readmission-rates-after-infrainguinal-bypass-in-a-safety-net-hospital-are-higher-than-expected
#7
Brianna M Krafcik, Sevan Komshian, Kimberly Lu, Lauren Roberts, Alik Farber, Jeffrey A Kalish, Denis Rybin, Jeffrey J Siracuse
OBJECTIVE: Readmission rates are expected to have an increasing effect on both the hospital bottom line and physician reimbursements. Safety net hospitals may be most vulnerable. We examined readmissions at 30 days, 90 days, and 1 year in a large safety net hospital to determine the magnitude and effect of short and long-term readmission rates after lower extremity infrainguinal bypass in this setting. METHODS: All nonemergent extremity infrainguinal bypass performed at a large safety net hospital between 2008 and 2016 were identified...
September 28, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28962656/equity-in-health-financing-of-guangxi-after-china-s-universal-health-coverage-evidence-based-on-health-expenditure-comparison-in-rural-guangxi-zhuang-autonomous-region-from-2009-to-2013
#8
Xianjing Qin, Hongye Luo, Jun Feng, Yanning Li, Bo Wei, Qiming Feng
BACKGROUND: Healthcare financing should be equitable. Fairness in financial contribution and protection against financial risk is based on the notion that every household should pay a fair share. Health policy makers have long been concerned with protecting people from the possibility that ill health will lead to catastrophic financial payments and subsequent impoverishment. A number of studies on health care financing equity have been conducted in some provinces of China, but in Guangxi, we found such observation is not enough...
September 29, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28959773/development-of-a-method-to-obtain-more-accurate-general-and-oral-health-related-information-retrospectively
#9
Golkari A, Sabokseir A, Blane D, Sheiham A, Watt Rg
STATEMENT OF PROBLEM: Early childhood is a crucial period of life as it affects one's future health. However, precise data on adverse events during this period is usually hard to access or collect, especially in developing countries. OBJECTIVES: This paper first reviews the existing methods for retrospective data collection in health and social sciences, and then introduces a new method/tool for obtaining more accurate general and oral health related information from early childhood retrospectively...
June 2017: J Dent Biomater
https://www.readbyqxmd.com/read/28956300/chronic-disease-and-self-injection-ethnographic-investigations-into-the-patient-experience-during-treatment
#10
Michael Schiff, Shane Saunderson, Irina Mountian, Paul Hartley
INTRODUCTION: Drug administration by self-injection provides an option to treat chronic inflammatory diseases such as rheumatoid arthritis (RA) and Crohn's disease (CD). However, a negative self-injection experience for patients may reduce patient adherence to the recommended treatment regimen. In this study, a holistic approach was used to identify common themes along the treatment pathway and at self-injection that, if changed, could improve patient experience and treatment outcomes...
September 27, 2017: Rheumatology and Therapy
https://www.readbyqxmd.com/read/28954394/economic-activity-and-health-conditions-in-adults-aged-65-years-and-older-findings-of-the-korean-national-longitudinal-study-on-aging
#11
Chae-Bong Kim, Seok-Jun Yoon, Jesuk Ko
The population is aging because lifespans have continued to increase due to developments in modern medical science. The economic activity and health of the elderly are very important factors with reference to the problems of the aged. This cross-sectional study examined the association between the economic activity and health of the elderly. Subjects included 4226 elderly aged over 65 years among the adults who participated in the Fifth Korean National Longitudinal Study on Aging (KLoSA). Basic analysis, cross-analysis, binary logistic regression analysis, and multiple regression analysis were performed to fulfill each research purpose...
September 26, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/28936486/the-burden-and-social-determinants-of-asthma-for-adults-in-the-state-of-georgia
#12
Mark Ebell, Christian Marchello, Jean O'Connor
BACKGROUND: Asthma is a serious chronic health condition, and social determinants may affect its prevalence. METHODS: Data from the Behavioral Risk Factors Surveillance Survey (BRFSS), the Georgia Asthma Call-back Survey (ACBS), and the Georgia hospital and emergency department survey for patients with a diagnosis of asthma were used. All data were from the years 2011 through 2014. SAS and SUDAAN software were used to calculate weighted prevalence estimates and to perform univariate and multivariate analyses of the association between social determinants, other risk factors, and asthma outcomes...
2017: Journal of the Georgia Public Health Association
https://www.readbyqxmd.com/read/28931972/relationship-of-health-sociodemographic-and-economic-factors-and-life-satisfaction-in-young-old-and-old-old-elderly-a-cross-sectional-analysis-of-data-from-the-korean-longitudinal-study-of-aging
#13
Jin-Won Noh, Kyoung-Beom Kim, Ju Hyun Lee, Min Hee Kim, Young Dae Kwon
[Purpose] The purpose of the present study was to investigate the relationship of health, sociodemographic, and economic factors and life satisfaction in young-old and old-old elderly groups. [Subjects and Methods] In the 2012 data from the Korean Longitudinal Study of Ageing, 4,134 of the final survey subjects aged 65 or older were analyzed. Multivaribale linear regression was performed to examine the degrees of explanatory power as factors (health, sociodemographic, and economic) in young-old (65 to 79 years) and old-old (80 years or older)...
September 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28914663/physicians-decision-making-when-implementing-buprenorphine-with-new-patients-conjoint-analyses-of-data-from-a-cohort-of-current-prescribers
#14
Hannah K Knudsen, Michelle R Lofwall, Sharon L Walsh, Jennifer R Havens, Jamie L Studts
OBJECTIVES: Few studies have considered how providers make decisions to prescribe buprenorphine to new patients with opioid use disorder. This study examined the relative importance of patients' clinical, financial, and social characteristics on physicians' decision-making related to willingness to prescribe buprenorphine to new patients and the number of weeks of medication that they are willing to initially prescribe after induction. METHODS: A national sample of 1174 current prescribers was surveyed...
September 13, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28911961/sociocultural-considerations-in-juvenile-arthritis-a-review
#15
REVIEW
Kimberly A Lewis, Sharon A Brown, Stefano Tiziani, Ruy Carrasco
PROBLEM: Juvenile Arthritis (JA) is one of the most common autoimmune diseases in children. A variety of sociocultural factors that influence health outcomes in children with JA have been examined in previous research. However, clinical guidelines to guide the care of these children lack support because this research has not been systematically examined and synthesized. ELIGIBILITY CRITERIA: Primary research articles from five internet databases were included if they were peer-reviewed articles in English of studies conducted in the U...
September 11, 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/28904527/cost-effectiveness-of-vildagliptin-versus-glimepiride-as-add-on-treatment-to-metformin-for-the-treatment-of-diabetes-mellitus-type-2-patients-in-greece
#16
Hara Kousoulakou, Magdalini Hatzikou, Varvara Baroutsou, John Yfantopoulos
OBJECTIVES: This study was designed to assess the cost-effectiveness of vildagliptin versus glimepiride as add-on to metformin in the management of type 2 diabetes mellitus (T2DM) patients in the Greek healthcare setting. METHODS: A cost-effectiveness model was designed, using MS Excel, to compare two treatment strategies. Strategy 1 consisted of first-line metformin, followed by metformin + vildagliptin in second-line, while strategy 2 consisted of first line metformin, followed by metformin + glimepiride in second line...
2017: Cost Effectiveness and Resource Allocation: C/E
https://www.readbyqxmd.com/read/28904248/the-system-and-human-resources-for-occupational-health-in-republic-of-indonesia-for-japanese-enterprises-to-manage-proper-occupational-health-activities-at-overseas-workplaces
#17
Ko Hiraoka, Shigeyuki Kajiki, Yuichi Kobayashi, Nuri Purwito Adi, Dewi Sumaryani Soemarko, Masamichi Uehara, Shigemoto Nakanishi, Koji Mori
OBJECTIVES: To consider the appropriate occupational health system for Japanese enterprises in Indonesia with information on the regulations and development of the specialists. METHODS: In this study, we used the information-gathering checklist developed by Kajiki et al. Along with literature and internet surveys, we surveyed local corporations owned and operated by Indonesians, central government agencies in charge of medical and health issues, a Japanese independent administrative agency supporting subsidiaries of overseas Japanese enterprises, and an educational institution formulating specialized occupational physician training curricula...
September 13, 2017: Sangyō Eiseigaku Zasshi, Journal of Occupational Health
https://www.readbyqxmd.com/read/28900663/-costs-of-allergic-diseases-and-saving-potential-by-allergen-specific-immunotherapy-a-personal-assessment
#18
REVIEW
L Klimek, A M Chaker, R Mösges
BACKGROUND: The burden of allergic diseases is of particular relevance for the economy and the social welfare and health insurance framework. Allergic rhinitis (AR) has a life-time prevalence of approximately 30% and is one of the most common chronic diseases with considerable socioeconomic impact thus leading to substantial direct, indirect and intangible costs. This article explores the common hypothesis that allergen-specific immunotherapy (ASIT) saves national economic expenses in the long term in comparison to other standard symptomatic treatment or no therapy...
September 12, 2017: HNO
https://www.readbyqxmd.com/read/28889402/social-freezing-in-medical-practice-experiences-and-attitudes-of-gynecologists-in-germany
#19
Maximilian Schochow, Giovanni Rubeis, Grit Büchner-Mögling, Hansjakob Fries, Florian Steger
Surveys of the German public have revealed a high acceptance of social freezing, i.e. oocyte conservation without medical indication. Up to now, there are no investigations available on the experiences and attitudes of health professionals towards social freezing. Between August 2015 and January 2016, we surveyed gynecologists Germany-wide on the topic social freezing. Five gynecologists specialized in reproductive medicine and five office-based gynecologists in standard care were chosen for the survey. The survey was conducted with an explorative, qualitative research design...
September 9, 2017: Science and Engineering Ethics
https://www.readbyqxmd.com/read/28877209/unmet-healthcare-needs-in-homeless-women-with-children-in-the-greater-paris-area-in-france
#20
Cécile Vuillermoz, Stéphanie Vandentorren, Ruben Brondeel, Pierre Chauvin
BACKGROUND: Despite their poor health status, homeless women encounter many barriers to care. The objectives of our study were to estimate the prevalence of unmet healthcare needs in homeless women and to analyse associated relationships with the following factors: financial and spatial access to care, housing history, migration status, healthcare utilisation, victimization history, caring for children, social network and self-perceived health status. METHODS: We used data from 656 homeless women interviewed during the ENFAMS representative survey of sheltered homeless families, conducted in the Paris region in 2013...
2017: PloS One
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