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https://www.readbyqxmd.com/read/29452743/medication-wasted-contents-and-costs-of-medicines-ending-up-in-household-garbage
#1
Sabine Vogler, Roger H P F de Rooij
BACKGROUND: Despite potentially considerable implications for public health, the environment and public funds, medicine waste is an under-researched topic. This study aims to analyse medicines drawn from household garbage in Vienna (Austria) and to assess possible financial implications for public payers. METHODS: Four pharmaceutical waste samples collected by the Vienna Municipal Waste Department between April 2015 and January 2016 were investigated with regard to their content...
February 10, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29449199/implementation-of-digital-awareness-strategies-to-engage-patients-and-providers-in-a-lung-cancer-screening-program-retrospective-study
#2
Dana L Jessup, McKinley Glover Iv, Dania Daye, Lynda Banzi, Philip Jones, Garry Choy, Jo-Anne O Shepard, Efrén J Flores
BACKGROUND: Lung cancer is the leading cause of cancer-related deaths in the United States. Despite mandated insurance coverage for eligible patients, lung cancer screening rates remain low. Digital platforms, including social media, provide a potentially valuable tool to enhance health promotion and patient engagement related to lung cancer screening (LCS). OBJECTIVE: The aim was to assess the effectiveness of LCS digital awareness campaigns on utilization of low-dose computed tomography (LDCT) and visits to institutional online educational content...
February 15, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29445246/the-economic-consequences-of-hospital-admissions
#3
Carlos Dobkin, Amy Finkelstein, Raymond Kluender, Matthew J Notowidigdo
We use an event study approach to examine the economic consequences of hospital admissions for adults in two datasets: survey data from the Health and Retirement Study, and hospitalization data linked to credit reports. For non-elderly adults with health insurance, hospital admissions increase out-of-pocket medical spending, unpaid medical bills and bankruptcy, and reduce earnings, income, access to credit and consumer borrowing. The earnings decline is substantial compared to the out-of-pocket spending increase, and is minimally insured prior to age-eligibility for Social Security Retirement Income...
February 2018: American Economic Review
https://www.readbyqxmd.com/read/29443597/what-is-the-us-health-spending-problem
#4
David M Cutler
Is increased spending on medical care harmful to the US economy? The overall share of the gross domestic product spent on medical care is not a problem, provided that the services bought are worth more than their cost. However, high and rising costs expose two often-overlooked problems. First, spending is too high because many dollars are wasted. Estimates suggest that unnecessary medical spending costs the typical American family thousands of dollars each year. Second, high medical costs combined with stagnant incomes for a large share of the population and the inability of governments at all levels to raise tax dollars leads to increased health and economic disparities: fewer people covered by private insurance, the rationing of care in public health programs, and the lack of funds for other social programs...
February 14, 2018: Health Affairs
https://www.readbyqxmd.com/read/29439073/characteristics-of-medical-disputes-arising-from-dental-practice-in-guangzhou-china-an-observational-study
#5
Zifeng Liu, Yong Zhang, Joseph Obiri Asante, Yixiang Huang, Xin Wang, Lijin Chen
OBJECTIVES: Doctor-patient conflict is a phenomenon that has become one of the major social problems affecting China's medical system today. This study aimed to analyse the nature of medical dispute incidents arising from dental practice, discover the related factors that may have incited such disputes and explore measures whereby the incidents of patients' conflicts towards dentists can be reduced. METHODS: A survey conducted in six public hospitals in Guangzhou, one of the largest cities in China, showed that more than two million patients received dental treatment between 2008 and 2012...
February 8, 2018: BMJ Open
https://www.readbyqxmd.com/read/29429602/-characteristics-and-health-status-of-homeless-women-born-in-france-and-abroad-results-of-insee-ined-2012-survey
#6
M-E Gomes do Espirito Santo, A-L Perrine, C Bonaldi, I Guseva-Canu
BACKGROUND: French national surveys among the homeless population in 2001 and 2012 provided a general description of the homeless beneficiaries of medical and social aids. However, given the increasing number of women in this population, mostly born abroad and accompanied by their children, a descriptive study of homeless women according to the fact of being born in France or abroad was conducted. METHODS: A probability sample of 1470 French-speaking homeless women was recruited for the Insee-Ined 2012 survey...
February 8, 2018: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/29427490/how-to-control-highly-endemic-hepatitis-b-in-asia
#7
REVIEW
Shan Shan, Fuqian Cui, Jidong Jia
Chronic hepatitis B virus (HBV) infection is an enormous economic and social burden. Asian countries such as Vietnam, Mongolia, Laos, China, the Philippines, South Korea, Singapore and Cambodia have high or high-intermediate HBsAg prevalence. Most of the chronic HBV carriers in this region acquire their infection during early childhood or through mother-to-child transmission (MTCT). Asia has been highly successful in controlling HBV in the last 2 decades. For example, China has adopted a comprehensive strategy to control HBV and has offered universal HBV vaccination to infants since 1992...
February 2018: Liver International: Official Journal of the International Association for the Study of the Liver
https://www.readbyqxmd.com/read/29410590/effect-of-musculoskeletal-pain-of-care-workers-on-job-satisfaction
#8
DeokJu Kim
[Purpose] The purpose of this study was to examine the musculoskeletal pain of care workers and investigate its effect on their job satisfaction. [Subjects and Methods] Subjects were 87 care workers working at C elderly care service center in P region. The average age of men was 62.5 ± 3.4 years and that of women was 57.3 ± 2.7 years. The 'Guidelines for Risk Factor Survey on Tasks with Musculoskeletal Burden' of the KOSHA CODE (H-30-2003) of the Korea Occupational Safety and Health Agency (KOSHA) was used for measurement of musculoskeletal pain...
January 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29405014/-sharing-perspectives-on-home-healthcare
#9
Pi-Shan Hsu, Jui-An Chen, Yu-Tso Chen, Han-Ming Wu, Szu-Ying Lee, Chung-Liang Lai
The baby boom after World War II, coupled with the rapid advances in medical technology and public health, has led to the current rapid aging in the world's population. Countries in Asia are experiencing a faster rate of aging than most other countries around the world. Taiwan is expected to advance from an aged society to a super-aged society in the next 7~10 years. Consequently, the demand for long-term care is increasing. The focus of healthcare has changed from acute to chronic, from disease-oriented to function-oriented and from cure to care...
February 2018: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/29402665/malpractice-litigation-in-the-endovascular-era
#10
Kenny Oh, Goda Savulionyte, Satish Muluk
OBJECTIVE: The standard of care in the treatment of vascular disease continues to evolve as endovascular therapies develop. Currently, it is unclear how medical malpractice litigation has adapted to the "endovascular era." This retrospective case review is the most comprehensive analysis to date of malpractice actions involving endovascular procedures performed by vascular surgeons (VSs), interventional radiologists (IRs), interventional cardiologists (ICs), and cardiothoracic surgeons (CTSs)...
February 3, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29394933/social-health-insurance-healthcare-utilization-and-costs-in-middle-aged-and-elderly-community-dwelling-adults-in-china
#11
Zhonghua Wang, Xiangjun Li, Mingsheng Chen, Lei Si
BACKGROUND: Although many studies have analyzed health insurance worldwide, most focus on whole populations rather than specific vulnerable groups. There is a lack of studies that compare different schemes. This paper evaluates the impact of different types of social health insurance and other associated factors on healthcare utilization and costs among middle-aged and elderly Chinese adults. METHODS: Data were obtained from a nationally representative middle-aged and elderly household survey, the China Health and Retirement Longitudinal Study, which was conducted in 2015...
February 2, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29391059/strategies-for-improving-the-lives-of-us-women-aged-40-and-above-living-with-hiv-aids-an-evidence-map
#12
Gaelen P Adam, Mengyang Di, Susan Cu-Uvin, Christopher Halladay, Bryant T Smith, Suchitra Iyer, Thomas A Trikalinos
BACKGROUND: While in its early years the HIV epidemic affected primarily the male and the young, nowadays, the population living with HIV/AIDS is approximately 24% women, and its age composition has shifted towards older ages. Many of the older women who live with HIV/AIDS also live with the medical and social conditions that accompany aging. This work aims to identify and characterize empirical studies of strategies for the comprehensive management of women over 40, including transgender women, who live with HIV/AIDS...
February 2, 2018: Systematic Reviews
https://www.readbyqxmd.com/read/29390165/satisfaction-with-cancer-care-self-efficacy-and-health-related-quality-of-life-in-latino-cancer-survivors
#13
Patricia I Moreno, Amelie G Ramirez, Sandra L San Miguel-Majors, Rina S Fox, Leopoldo Castillo, Kipling J Gallion, Edgar Munoz, Ryne Estabrook, Arely Perez, Thomas Lad, Courtney Hollowell, Frank J Penedo
BACKGROUND: The objective of the current study was to examine how modifiable factors such as satisfaction with cancer care and self-efficacy impact health-related quality of life (HRQOL) among Latino cancer survivors. METHODS: Latinos previously diagnosed with breast, prostate, or colorectal cancer (N = 288) completed questionnaires (Patient Satisfaction with Cancer Care Scale, Stanford Chronic Disease Self-Management Measures, Functional Assessment of Cancer Therapy-General, and Short Acculturation Scale for Hispanics) within 2 years after receiving primary cancer treatment...
February 1, 2018: Cancer
https://www.readbyqxmd.com/read/29385435/level-of-agreement-between-physician-and-patient-assessment-of-non-medical-health-factors
#14
Casanova Ludovic, Ringa Virginie, Chatelard Sophia, Paquet Sylvain, Pendola-Luchel Isabelle, Panjo Henri, Bideau Camille, Deflesselle Eric, Delpech Raphaëlle, Bloy Géraldine, Rigal Laurent
Background: GPs need to consider assorted relevant non-medical factors, such as family or work situations or health insurance coverage, to determine appropriate patient care. If GPs' knowledge of these factors varies according to patients' social position, less advantaged patients might receive poorer care, resulting in the perpetuation of social inequalities in health. Objective: To assess social disparities in GPs' knowledge of non-medical factors relevant to patient care...
January 29, 2018: Family Practice
https://www.readbyqxmd.com/read/29374096/human-service-work-gender-and-antidepressant-use-a-nationwide-register-based-19-year-follow-up-of-752-683-women-and-men
#15
André Buscariolli, Anne Kouvonen, Lauri Kokkinen, Jaana I Halonen, Aki Koskinen, Ari Väänänen
OBJECTIVES: To examine antidepressant use among male and female human service professionals. METHODS: A random sample of individuals between 25 years and 54 years of age (n=752 683; 49.2% women; mean age 39.5 years). Information about each individual's filled antidepressant prescriptions from 1995 to 2014 was provided by the Social Insurance Institution. First, antidepressant use in five broad human service categories was compared with that in all other occupations grouped together, separately for men and women...
January 26, 2018: Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29366485/patient-and-social-characteristics-contributing-to-disparities-in-outcomes-after-burn-injury-application-of-database-research-to-minority-health-in-the-burn-population
#16
Jason H Chen, Lauren B Nosanov, Bonnie C Carney, Mariana Vigiola Cruz, Lauren T Moffatt, Jeffrey W Shupp
BACKGROUND: Although racial disparities have been well described in trauma and medical literature, less is known about disparities in the burn population, especially the Native American, Hispanic, Black, and Asian minority groups. This study seeks to identify at-risk populations for differences in patient and social characteristics that may link certain race groups to disparate burn outcomes. METHODS: Data was reviewed from the National Burn Repository. Information regarding patient demographics, co-morbidities, complications, and clinical outcomes was recorded...
January 20, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29362855/-medical-knowledge-in-accident-insurance-assessing-pneumatic-tool-damages-at-the-bergmannsheil-hospital-1929-1944
#17
Alexa Geisthövel
The article focuses on one central element of medical activity in the context of the German social insurance system: providing expert assessments in accident pension cases. Taking an example from interwar coal mining, it aims to reconstruct how social policy makers first conceived of "pneumatic tool damages" as occupational disease and how trauma surgeons had to deal with this new entity of social law once it had been institutionalized in 1929. Drawing on physicians' publications as well as archival sources from the supreme court in social insurance, the Reichsversicherungsamt, the article examines how the controversial generation of new knowledge took place...
January 23, 2018: NTM
https://www.readbyqxmd.com/read/29360097/renunciation-of-health-care-by-people-living-with-hiv-in-france-is-still-associated-with-discrimination-in-health-care-services-and-social-insecurity-results-from-the-anrs-vespa2-survey
#18
Marion Fiorentino, Marie Suzan-Monti, Antoine Vilotitch, Luis Sagaon-Teyssier, Rosemary Dray-Spira, France Lert, Bruno Spire
BACKGROUND: This study aimed to estimate the frequency of renunciation of healthcare among people living with HIV (PLHIV) in France, including healthcare unrelated to HIV, and to characterize associated socioeconomic and psychosocial risk factors. METHODS: The cross-sectional ANRS-VESPA2 survey was conducted on adult PLHIV attending French hospitals in 2011. Correlates of healthcare renunciation in the 12 months before the survey were assessed through logistic modelling...
January 23, 2018: Antiviral Therapy
https://www.readbyqxmd.com/read/29353630/illness-cognitions-and-the-associated-socio-demographic-and-clinical-factors-in-chinese-women-with-breast-cancer
#19
Jing Han, Jun-E Liu, Hui Qiu, Zhi-Hong Nie, Ya-Li Su
PURPOSE: Illness cognitions are important mediators between disease and psychological adjustment. Evidence related to illness cognitions among patients with breast cancer remains limited. The purpose of this study was to examine illness cognitions among Chinese women with breast cancer and associations with socio-demographic and clinical factors. METHODS: A cross-sectional study was carried out involving 313 women with breast cancer recruited from a general hospital and a social cancer support club in Beijing from October 2016 to May 2017...
February 2018: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://www.readbyqxmd.com/read/29335771/risk-perception-of-heat-waves-and-its-spatial-variation-in-nanjing-china
#20
Lei Huang, Qianqi Yang, Jie Li, Jin Chen, Ruoying He, Can Zhang, Kai Chen, Steven Guanpeng Dong, Yang Liu
The intensity, frequency, and duration of heat waves are expected to increase with climate change. In this study, we found a significant difference of public perceived effects of heat waves and trust in government among urban, suburban, and rural districts. Rural residents had a significant higher effect perception than urbanites and also showed stronger willingness to have medical insurance or regular physical examinations. Meanwhile, suburban residents had the lowest trust perception in government among these three districts, which may be due to suburban districts' unique social structure and complex social issues...
December 13, 2017: International Journal of Biometeorology
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