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Patient-practitioner relationship

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https://www.readbyqxmd.com/read/28229855/-how-can-we-achieve-balanced-communication-to-be-clearer-more-exhaustive-and-more-efficient-what-techniques-are-needed
#1
Michel Bartala
INTRODUCTION: Patient/practitioner communication plays a major role in the acceptance of treatment. Since the Kouchner law in France, patients must be allowed to give their free and informed consent and to be made aware of all the available therapies given their situation. MATERIALS AND METHODS: Practitioners have nowadays access to a range of aids enabling them to present the treatments they envisage as thoroughly as possible, exposed by the author in this article...
March 2017: L' Orthodontie Française
https://www.readbyqxmd.com/read/28225703/do-acute-hospitalised-patients-in-australia-have-a-different-body-mass-index-to-the-general-australian-population-a-point-prevalence-study
#2
Diane M Dennis, Vicki Carter, Michelle Trevenen, Jacinta Tyler, Luisa Perrella, Erika Lori, Ian Cooper
Objective The aim of the present study was to provide a current snapshot of the body mass index (BMI) of the entire patient cohort of an Australian tertiary hospital on one day and compare these data with current published Australian and state (Western Australia) population norms.Methods A single-centre prospective point prevalence study was performed whereby BMI was calculated following actual measurement of patient weight (nurse) and height (physiotherapist) on one day during 2015. Variables were summarised descriptively, and one-way analysis of variance was used to investigate the relationship between continuous BMI and hospital speciality...
February 23, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28217451/erectile-dysfunction-masculinity-and-psychosocial-outcomes-a-review-of-the-experiences-of-men-after-prostate-cancer-treatment
#3
REVIEW
Suzanne K Chambers, Eric Chung, Gary Wittert, Melissa K Hyde
Prostate cancer (PC) treatment side-effects such as erectile dysfunction (ED) can impact men's quality of life (QoL), psychosocial and psycho-sexual adjustment. Masculinity (i.e., men's identity or sense of themselves as being a man) may also be linked to how men respond to PC treatment and ED however the exact nature of this link is unclear. This review aims to provide a snapshot of the current state of evidence regarding ED, masculinity and psychosocial impacts after PC treatment. Three databases (Medline/PsycINFO, CINHAL, and EMBASE) were searched January 1st 1980 to January 31st 2016...
February 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28215122/the-role-of-age-sex-interaction-in-the-development-of-post-herpetic-neuralgia
#4
Daniela Amicizia, Alexander Domnich, Lucia Arata, Daniela Zoli, Carla Maria Zotti, Elena Cacello, Maria Rosaria Gualano, Roberto Gasparini, Donatella Panatto
Post-herpetic neuralgia is the most frequent complication of herpes zoster and affects up to 30% of patients. Increased age is a well-recognized risk factor, while the role of gender is highly uncertain. Little research has been performed into a possible combined effect of age and sex in post-herpetic neuralgia. The objective of the study was to study the role of age and sex and their combined effect in the development of post-herpetic neuralgia. This retrospective study enrolled adult subjects with at least one episode of herpes zoster in the previous 10 y...
February 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/28214475/hunter-and-new-england-healthpathways-a-4-year-journey-of-integrated-care
#5
Jane S Gray, Judith R Swan, Margaret A Lynch, Tracey M Tay, Marika-Jane Mackenzie, John H Wiggers, Karen A Harrison, Robert C McDonald, Ian P O'Dea, Louise M Harrigan, Sandra M Fitzgerald
Objective This paper describes the 4-year journey of Hunter and New England HealthPathways - a password-protected web-based portal designed to provide localised evidence-informed clinical and referral information to support general practice at the point of care.Methods A process evaluation was conducted in 2013, with a case study comparison performed in 2014 to assess impact of HealthPathways on patient referral and access to specialist care, followed by a review in 2016 of utilisation of the online portal to assess whether healthcare providers continued to access HealthPathways...
February 20, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28213902/professional-identity-of-korean-nurse-practitioners-in-the-united-states
#6
Kumsook Seo, Miyoung Kim
BACKGROUND: Despite nurse practitioners' (NPs) professional identity having important implications for the confirmation of nursing practice characteristics, few studies have examined the professional identity of NPs overlaid with the immigrant experience. PURPOSE: The aim of this study was to explore the career characteristics of Korean nurse immigrants who became NPs in the United States. METHODS: Seven Korean NPs in the United States underwent in-depth interviews from August 2013 to May 2015...
February 17, 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28207909/the-psychometric-properties-of-the-safety-attitudes-questionnaire-in-out-of-hours-primary-care-services-in-the-netherlands
#7
Marleen Smits, Ellen Keizer, Paul Giesen, Ellen Catharina Tveter Deilkås, Dag Hofoss, Gunnar Tschudi Bondevik
BACKGROUND: The Safety Attitudes Questionnaire (SAQ) is one of the most widely used instruments to assess safety culture among healthcare providers. The ambulatory version of the SAQ (SAQ-AV) can be used in the primary care setting. Our study objective was to examine the underlying factors and psychometric properties of the Dutch translation of the SAQ-AV in out-of-hours primary care services. DESIGN: Cross-sectional observational study using a web-survey. SETTING: Sixteen out-of-hours general practitioner cooperatives and two call centers in the Netherlands...
2017: PloS One
https://www.readbyqxmd.com/read/28207666/are-they-complying-physicians-knowledge-attitudes-and-readiness-to-change-regarding-low-back-pain-treatment-guideline-adherence
#8
Sheera Epstein-Sher, Dena H Jaffe, Amnon Lahad
STUDY DESIGN: Cross-sectional survey of 145 primary care practitioners (PCPs). OBJECTIVE: To examine low back pain (LBP) guideline knowledge, readiness to implement (RTI) these guidelines, and LBP attitudes and beliefs among Israeli PCPs and determine whether physician age, guideline familiarity, and medical specialty affect these variables. SUMMARY OF BACKGROUND DATA: LBP is a common condition managed primarily by PCPs. Little is known, however, about physician's LBP knowledge, attitudes, and beliefs and how these factors (knowledge, A&B) influence their practice behavior...
February 15, 2017: Spine
https://www.readbyqxmd.com/read/28202204/expedited-partner-therapy-a-review-for-the-pediatric-nurse-practitioner
#9
Lauren M Hopson, Sabrina Opiola McCauley
The rate of sexually transmitted infections in the United States increased in 2015 for the second year in a row. Adolescents bear an undue portion of this burden because of increased physiologic susceptibility, higher rates of reinfection, and developmental age. Despite expedited partner therapy (EPT) being legalized in 39 states, health care providers still report infrequently providing EPT to their adolescent patients. Patients who benefit most from EPT include those with high-risk sexual behavior, a steady relationship status, higher education level, or an established relationship with the provider...
February 12, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28196951/understanding-repeated-non-attendance-in-health-services-a-pilot-analysis-of-administrative-data-and-full-study-protocol-for-a-national-retrospective-cohort
#10
Andrea E Williamson, David A Ellis, Philip Wilson, Ross McQueenie, Alex McConnachie
INTRODUCTION: Understanding the causes of low engagement in healthcare is a pre-requisite for improving health services' contribution to tackling health inequalities. Low engagement includes missing healthcare appointments. Serially (having a pattern of) missing general practice (GP) appointments may provide a risk marker for vulnerability and poorer health outcomes. METHODS AND ANALYSIS: A proof of concept pilot using GP appointment data and a focus group with GPs informed the development of missed appointment categories: patients can be classified based on the number of appointments missed each year...
February 14, 2017: BMJ Open
https://www.readbyqxmd.com/read/28179928/prevalence-of-extra-roots-in-permanent-mandibular-first-molars-in-iranian-population-a-cbct-analysis
#11
Saeed Rahimi, Hadi Mokhtari, Bahram Ranjkesh, Masoomeh Johari, Mohammad Frough Reyhani, Shahriar Shahi, Sina Seif Reyhani
INTRODUCTION: Having knowledge about the anatomy of root canal system is essential for success of endodontic treatment. The present study used cone-beam computed tomography (CBCT), to evaluate the prevalence of third root in mandibular first molars in a selected Iranian population. METHODS AND MATERIALS: A total of 386 CBCT images from subjects referred to oral and maxillofacial radiology department of dental faculty of Tabriz University of Medical Sciences from 2011 to 2013 were selected and evaluated for this study and the cases with well-developed permanent mandibular first molars were included...
2017: Iranian Endodontic Journal
https://www.readbyqxmd.com/read/28178909/doctoring-undercover-updating-the-educational-tradition-of-shadowing
#12
Claire D Clark
BACKGROUND: Premedical students are educated in basic biological and health sciences. As a complement to traditional premedical coursework, medical school applicants are encouraged to shadow practitioners, with the hope that observation will introduce students to the culture and practice of healthcare. Yet the shadowing experience varies widely across practitioners and institutions; resources that guide students' critical reflection and structure the experience are scarce. DEVELOPMENT: A pilot experiential learning course, Doctoring Undercover: Shadowing and the Culture of Medicine, was developed to fill this gap...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28174225/supporting-shared-decision-making-for-older-people-with-multiple-health-and-social-care-needs-a-protocol-for-a-realist-synthesis-to-inform-integrated-care-models
#13
Frances Bunn, Claire Goodman, Jill Manthorpe, Marie-Anne Durand, Isabel Hodkinson, Greta Rait, Paul Millac, Sue L Davies, Bridget Russell, Patricia Wilson
INTRODUCTION: Including the patient or user perspective is a central organising principle of integrated care. Moreover, there is increasing recognition of the importance of strengthening relationships among patients, carers and practitioners, particularly for individuals receiving substantial health and care support, such as those with long-term or multiple conditions. The overall aims of this synthesis are to provide a context-relevant understanding of how models to facilitate shared decision-making (SDM) might work for older people with multiple health and care needs, and how they might be applied to integrated care models...
February 7, 2017: BMJ Open
https://www.readbyqxmd.com/read/28173827/integrated-solutions-for-sustainable-fall-prevention-in-primary-care-the-isolve-project-a-type-2-hybrid-effectiveness-implementation-design
#14
Lindy Clemson, Lynette Mackenzie, Chris Roberts, Roslyn Poulos, Amy Tan, Meryl Lovarini, Cathie Sherrington, Judy M Simpson, Karen Willis, Mary Lam, Anne Tiedemann, Dimity Pond, David Peiris, Sarah Hilmer, Sabrina Winona Pit, Kirsten Howard, Lorraine Lovitt, Fiona White
BACKGROUND: Despite strong evidence giving guidance for effective fall prevention interventions in community-residing older people, there is currently no clear model for engaging general medical practitioners in fall prevention and routine use of allied health professionals in fall prevention has been slow, limiting widespread dissemination. This protocol paper outlines an implementation-effectiveness study of the Integrated Solutions for Sustainable Fall Prevention (iSOLVE) intervention which has developed integrated processes and pathways to identify older people at risk of falls and engage a whole of primary care approach to fall prevention...
February 7, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28166768/quality-of-sleep-and-risk-for-obstructive-sleep-apnoea-in-ambulant-individuals-with-type-2-diabetes-mellitus-at-a-tertiary-referral-hospital-in-kenya-a-cross-sectional-comparative-study
#15
COMPARATIVE STUDY
Sairabanu Mohammed Rashid Sokwalla, Mark David Joshi, Erastus Olonde Amayo, Kirtida Acharya, Jared Ongechi Mecha, Kenneth Kipyegon Mutai
BACKGROUND: Sleep disorders are common and associated with multiple metabolic and psychological derangements. Obstructive sleep apnoea (OSA) is among the most common sleep disorders and an inter-relationship between OSA, insulin resistance, obesity, type 2 diabetes (T2DM) and cardiovascular diseases has been established. Prevalence of sleep disorders in Kenyans, particularly in individuals with T2DM is unknown. We thus aimed to determine prevalence of poor quality of sleep (QOS) and high risk for OSA, among persons with T2DM and determine their associations with socio-demographic and anthropometric variables...
February 6, 2017: BMC Endocrine Disorders
https://www.readbyqxmd.com/read/28166244/patient-factors-that-influence-clinicians-decision-making-in-self-management-support-a-clinical-vignette-study
#16
Irene D Bos-Touwen, Jaap C A Trappenburg, Ineke van der Wulp, Marieke J Schuurmans, Niek J de Wit
BACKGROUND AND AIM: Self-management support is an integral part of current chronic care guidelines. The success of self-management interventions varies between individual patients, suggesting a need for tailored self-management support. Understanding the role of patient factors in the current decision making of health professionals can support future tailoring of self-management interventions. The aim of this study is to identify the relative importance of patient factors in health professionals' decision making regarding self-management support...
2017: PloS One
https://www.readbyqxmd.com/read/28155753/-introduction-telemedicine-is-a-rapidly-growing-new-mode-of-healthcare-practice-it-is-particularly-used-and-needed-in-remote-areas-in-lorraine-north-east-of-france-that-currently-face-a-shortage-of-general-practitioners-and-specialists-the-objective-of-160
#17
Maxime Durupt, Olivier Bouchy, Sonia Christophe, Joëlle Kivits, Jean-Marc Boivin
More than 100 medical procedures are delivered by telemedicine in Lorraine each month. This new technology is a solution to provide healthcare services in medically underserved areas. However, general practitioners want to preserve the “doctor-patient” relationship and do not wish to change their practice.</ce:para>.
October 19, 2016: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/28149470/frequency-of-craniofacial-pain-in-patients-with-ischemic-heart-disease
#18
Mahin Bakhshi, Rezvan Rezaei, Maryam Baharvand, Sedigheh Bakhtiari
BACKGROUND: Referred craniofacial pain of cardiac origin might be the only symptom of ischemic heart accidents. This study aimed to determine the frequency of craniofacial pain in patients with ischemic heart disease. MATERIAL AND METHODS: This cross-sectional study was accomplished on 296 patients who met the criteria of having ischemic heart disease. Data regarding demographics, medical history and referred craniofacial pain were recorded in data forms. In addition, patients underwent oral examination to preclude any source of dental origin...
January 2017: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/28134086/the-spectrum-of-early-rheumatoid-arthritis-practice-across-the-globe-results-from-a-multinational-cross-sectional-survey
#19
Elena Nikiphorou, James Galloway, Piet van Riel, Yusuf Yazici, Glenn Haugeberg, Andrew Ostor, Feride Gogus, Markku Kauppi, Tuulikki Sokka
OBJECTIVES: To explore patterns of real-world early RA (ERA) care across countries. METHODS: An online survey was disseminated to practising rheumatologists across Europe and the US, also made accessible on social media between April and May 2015. Survey questions (n=38) assessed the structure and setting of ERA clinics, times to diagnosis and treatment, patient monitoring, guideline use and data recording. RESULTS: A total of 212 rheumatologists from 39 countries (76% European) completed the survey...
January 27, 2017: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/28132016/increasing-general-practitioners-confidence-and-self-efficacy-in-managing-obesity-a-mixed-methods-study
#20
Elizabeth Sturgiss, Emily Haesler, Nicholas Elmitt, Chris van Weel, Kirsty Douglas
OBJECTIVES: Internationally, general practitioners (GPs) are being encouraged to take an active role in the care of their patients with obesity, but as yet there are few tools for them to implement within their clinics. This study assessed the self-efficacy and confidence of GPs before and after implementing a weight management programme in their practice. DESIGN: Nested mixed methods study within a 6-month feasibility trial. SETTING: 4 urban general practices and 1 rural general practice in Australia...
January 27, 2017: BMJ Open
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