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Patient-practitioner relationship

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https://www.readbyqxmd.com/read/28521826/practitioners-perspectives-on-evaluating-treatment-outcomes-in-traditional-chinese-medicine
#1
Yan-Hong Zhang, Jing Lv, Wei Gao, Jun Li, Ji-Qian Fang, Li-Yun He, Bao-Yan Liu
BACKGROUND: There are no generally accepted standards for evaluation of treatment outcomes in traditional Chinese medicine (TCM). Pattern differentiation and individual treatments are recognized as the most distinguishing features of TCM. Therefore, how practitioners determine curative effects is an issue worthy of research, though little has been done in this area up to this point. This study examines perceptions of the effectiveness of TCM treatments and the means of evaluating clinical outcomes from the practitioners' perspective...
May 18, 2017: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/28506127/living-into-death-a-case-for-an-iterative-fortified-and-cross-sector-approach-to-advance-care-planning
#2
Rebecca Llewellyn, Chrystal Jaye, Richard Egan, Wayne Cunningham, Jessica Young, Peter Radue
Advance care planning (ACP) has been framed as best practice for quality palliative care, yet a growing body of literature affirms the need for an early iterative ACP process to begin when people are young and healthy. A significant gap appears to exist in the literature regarding the utility of death conversations outside the end-of-life context. Could 'death conversations' early in life be an effective tool by which doctor and patient can co-construct a more healthful way of life, and realistic relationship with death? And what variables must be taken into account for these conversations to proceed successfully? This paper provides a narrative exploration of the value of death conversations in the clinical context in New Zealand...
May 16, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28495815/understanding-the-implementation-and-adoption-of-an-information-technology-intervention-to-support-medicine-optimisation-in-primary-care-qualitative-study-using-strong-structuration-theory
#3
Mark Jeffries, Denham Phipps, Rachel L Howard, Anthony Avery, Sarah Rodgers, Darren Ashcroft
OBJECTIVES: Using strong structuration theory, we aimed to understand the adoption and implementation of an electronic clinical audit and feedback tool to support medicine optimisation for patients in primary care. DESIGN: This is a qualitative study informed by strong structuration theory. The analysis was thematic, using a template approach. An a priori set of thematic codes, based on strong structuration theory, was developed from the literature and applied to the transcripts...
May 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28495348/development-of-a-tripolar-model-of-technology-acceptance-hospital-based-physicians-perspective-on-ehr
#4
Mher Beglaryan, Varduhi Petrosyan, Edward Bunker
BACKGROUND AND PURPOSE: In health care, information technologies (IT) hold a promise to harness an ever-increasing flow of health related information and bring significant benefits including improved quality of care, efficiency, and cost containment. One of the main tools for collecting and utilizing health data is the Electronic Health Record (EHR). EHRs implementation can face numerous barriers to acceptance including attitudes and perceptions of potential users, required effort attributed to their implementation and usage, and resistance to change...
June 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28494743/osteonecrosis-of-the-jaw-and-angiogenesis-inhibitors-a-revival-of-a-rare-but-serous-side-effect
#5
Lorenzo Antonuzzo, Alice Lunghi, Paolo Petreni, Marco Brugia, Alice Laffi, Elisa Giommoni, Marinella Micol Mela, Francesca Mazzoni, Vanni Balestri, Francesco Di Costanzo
Osteonecrosis of the jaw (ONJ) is a rare treatment related side effect that was firstly described in 2002 through a case report in metastatic bone cancer patient treated with bisphosphonates (BPs) therapy. ONJ is defined as an eight weeks or longer clinical finding of exposed bone in the oral cavity without response to appropriate therapy. The diagnosis is mainly clinical but often requires a radiological confirmation with an orthopantomography. So it must be made by a dental specialist with sufficient experience on ONJ and requires a detailed anamnestic exploration of comorbidities and treatments history...
May 10, 2017: Current Medicinal Chemistry
https://www.readbyqxmd.com/read/28494167/-my-whole-life-is-ethics-ordinary-ethics-and-gene-therapy-clinical-trials
#6
Courtney Addison, Jesper Lassen
What and where is ethics in gene therapy? Historical debates have identified a set of ethical issues with the field, and current regulatory systems presume a discrete ethics that can be achieved or protected. Resisting attempts at demarcation or resolution, we use the notions of "ordinary" or "everyday" ethics to develop a better understanding of the complexities of experimental gene therapy for patients, families and practitioners, and create richer imaginings of ethics in the gene therapy sphere. Drawing on ethnographic research in several clinical trials we show that patients/parents can acquire some control in difficult medical situations, and practitioners can attune their care to their patients' needs...
May 11, 2017: Medical Anthropology
https://www.readbyqxmd.com/read/28493281/editorial-being-a-mental-health-nurse
#7
EDITORIAL
Jennifer Oates
Being a mental health nurse can be a fraught experience, leading the reflective practitioner to question where they sit in relation to fellow nurses, fellow mental health professionals, patients and service users. We may question our position in relation to the broad spectrum of fellow mental health nurse colleagues, who work in a diversity of settings (compare the mental health nurse in a high secure setting with one working in a dementia memory clinic, for example). Whilst some aspects of mental health nursing are tasks, such as completing assessments and administering medication, mental health nurses themselves define the work in terms of forming and maintaining therapeutic relationships, 'therapeutic use of self' (Hurley et al, 2009) and 'being with' people (Hercelinskyj, 2014)...
May 10, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/28492116/ethical-and-legal-perspectives-on-the-medical-practitioners-use-of-social-media
#8
Brenda Kubheka
Use of social media has increased exponentially throughout the world. Social media provides a platform for building social and professional relationships that can be used by all, including healthcare professionals. Alongside the benefits of creating networks and spreading information wider and faster than is possible with traditional communication channels, however, it presents ethical and legal challenges. For health professionals, it poses a threat to confidentiality and privacy owed to patients, colleagues and employers...
April 25, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/28491010/integrating-multidisciplinary-results-to-produce-new-knowledge-about-the-physician-patient-relationship-a-methodology-applied-to-the-intermede-project
#9
Anne-Cécile Schieber, Michelle Kelly-Irving, Jean-Paul Génolini, Monique Membrado, Ludovic Tanguy, Cécile Fabre, Pascal Marchand, Thierry Lang
The INTERMEDE Project brought together a number of research teams to study the interaction between a patient and their general practitioner, and how this can produce social inequalities in health. The ultimate objective of the project was to formalize a core of common findings by integrating qualitative and quantitative results. The methodology chosen for the integration was inspired by the Delphi participatory method. It involves several rounds of questions and feedback in writing between all members of project teams, in order to compare contradictory opinions and identify key concepts arising from the project...
April 2017: Journal of Mixed Methods Research
https://www.readbyqxmd.com/read/28488061/the-effects-of-environmental-factors-on-the-efficiency-of-clinical-commissioning-groups-in-england-a-data-envelopment-analysis
#10
Rumbidzai Takundwa, Sue Jowett, Hugh McLeod, Maria Cristina Peñaloza-Ramos
Clinical Commissioning Groups (CCGs) were created in 2013 to make the NHS more responsive, efficient and accountable. A large number of different indicators can be used to measure the quality and outcomes of services provided by CCGs, however there is currently no single measure of overall efficiency available. The performance of CCGs may also be confounded by environmental factors such as deprivation, population size and burden of disease. Data Envelopment Analysis (DEA) is a linear programming technique that can be used to measure the relative efficiency of a given set of organisations...
June 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/28483037/effect-of-the-4-h-target-on-time-to-ecg
#11
James A Hughes, C J Cabilan, Caitlin Young, Andrew Staib
Objectives The aim of this study was to assess the relationship between compliance with time-based Emergency Department (ED) targets (known as NEAT) and the time taken to collect an electrocardiogram (TTE) in patients presenting with chest pain.Methods This was a pilot descriptive retrospective cohort study completed in a large inner city tertiary ED. Patients who presented with active or recent chest pain between July 2014 and June 2015 were eligible for inclusion. Pregnant patients, inter-hospital transfers, and traumatic chest pain were excluded...
May 9, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28481380/factors-for-and-against-establishing-and-working-in-private-practice-correlated-with-work-related-behavior-and-experience-patterns-of-ferman-physicians-in-schleswig-holstein-a-2-year-longitudinal-study
#12
Edgar Voltmer, Claudia Spahn, Erica Frank
OBJECTIVES: To identify factors in favor of or against establishing and working in private practice, to determine the quality of life and work-related behavior and experience patterns of German physicians working in private practice, and to analyze the correlation of those factors. MATERIAL AND METHODS: A representative sample of physicians in private practice in Schleswig-Holstein, Germany, was surveyed according to a 2-year longitudinal design (T1 - 2008, N = 549 and T2 - 2010, N = 414)...
May 8, 2017: International Journal of Occupational Medicine and Environmental Health
https://www.readbyqxmd.com/read/28474240/women-s-expectations-of-breast-reconstruction-following-mastectomy-for-breast-cancer-a-systematic-review
#13
REVIEW
Kathy Flitcroft, Meagan Brennan, Andrew Spillane
PURPOSE: Breast reconstruction (BR) makes an important positive contribution to the quality of life of many women who have undergone mastectomy for breast cancer. The purpose of this article is to evaluate the evidence for possible relationships between women's expectations of BR and their satisfaction with outcomes to inform and facilitate improved communication about BR options prior to initial surgery. METHODS: A systematic review of the literature reporting expectations of BR published between 1 January 1994 and 6 March 2017 identified 2107 initial search results...
May 4, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28472074/data-quality-and-factor-analysis-of-the-danish-version-of-the-relationship-scale-questionnaire
#14
Christina Maar Andersen, Anette Fischer Pedersen, Anders Helles Carlsen, Frede Olesen, Peter Vedsted
BACKGROUND: The Relationship Scale Questionnaire (RSQ) is a widely-used measure of adult attachment, but whether the results obtained by the RSQ fit the attachment construct has only been examined to a limited extent. OBJECTIVE: The objectives of this study were to investigate the psychometric properties of the Danish translation of the RSQ and to test whether the results are consistent with the hypothesized model of attachment. METHODS: The study included two samples: 602 general practitioners and 611 cancer patients...
2017: PloS One
https://www.readbyqxmd.com/read/28460757/our-intellectuals-have-failed-us-system-of-a-down
#15
EDITORIAL
Sundeep Mishra
Medical profession is at cross-roads. On one hand are issues like medical mal-practice and negligence but on the other are loss of respect, low re-imbursement, lawsuits against medical professionals, violence against physicians all contributing to a lot of stress as also a high suicide rate among medical practitioners. While some of the problems seem related to changing societal norms, most of them seem to stem from a failure, active or passive on the part of medical intellectual, moving away from altruism, justice and self regulation to pursuance of self interest with a consequent loss of trust in doctor-patient relationship...
March 2017: Indian Heart Journal
https://www.readbyqxmd.com/read/28456557/no-post-no-core-approach-to-restore-severely-damaged-posterior-teeth-an-up-to-10-year-retrospective-study-of-documented-endocrown-cases
#16
Marcia M Belleflamme, Sabine O Geerts, Marie M Louwette, Charlotte F Grenade, Alain J Vanheusden, Amélie K Mainjot
OBJECTIVES: The objectives of the present study were to (1) retrospectively evaluate documented cases of ceramic and composite endocrowns performed using immediate dentin sealing (IDS); (2) correlate failures with clinical parameters such as tooth preparation characteristics and occlusal parameters. METHODS: 99 documented cases of endocrowns were evaluated after a mean observation period of 44.7±34.6months. A classification of restorations was established in function of the level of damage of residual tooth tissues after preparation, from 1 to 3...
April 27, 2017: Journal of Dentistry
https://www.readbyqxmd.com/read/28452916/never-events-in-uk-general-practice-a-survey-of-the-views-of-general-practitioners-on-their-frequency-and-acceptability-as-a-safety-improvement-approach
#17
Susan J Stocks, Rahul Alam, Paul Bowie, Stephen Campbell, Carl de Wet, Aneez Esmail, Sudeh Cheraghi-Sohi
BACKGROUND: Never events (NEs) are serious preventable patient safety incidents and are a component of formal quality and safety improvement (Q&SI) policies in the United Kingdom and elsewhere. A preliminary list of NEs for UK general practice has been developed, but the frequency of these events, or their acceptability to general practitioner (GPs) as a Q&SI approach, is currently unknown. The study aims to estimate (1) the frequency of 10 NEs occurring within GPs' own practices and (2) the extent to which the NE approach is perceived as acceptable for use...
April 27, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28452651/physicians-and-nurses-attitudes-towards-performance-based-financial-incentives-in-burundi-a-qualitative-study-in-the-province-of-gitega
#18
Martin Rudasingwa, Marie Rose Uwizeye
BACKGROUND: Performance-based financing (PBF) was first implemented in Burundi in 2006 as a pilot programme in three provinces and was rolled out nationwide in 2010. PBF is a reform approach to improve the quality, quantity, and equity of health services and aims at achieving universal health coverage. It focuses on how to best motivate health practitioners. OBJECTIVE: To elicit physicians' and nurses' experiences and views on how PBF influenced and helped them in healthcare delivery...
2017: Global Health Action
https://www.readbyqxmd.com/read/28451911/effective-patient-provider-communication-about-sexual-concerns-in-breast-cancer-a-qualitative-study
#19
Jennifer Barsky Reese, Mary Catherine Beach, Katherine Clegg Smith, Elissa T Bantug, Kristen E Casale, Laura S Porter, Sharon L Bober, James A Tulsky, Mary B Daly, Stephen J Lepore
PURPOSE: Breast cancer patients commonly experience sexual concerns, yet rarely discuss them with clinicians. The study examined patient and provider experiences and preferences related to communication about breast cancer-related sexual concerns with the goal of informing intervention development. METHODS: Patient data (n = 28) were derived from focus groups and interviews with partnered and unpartnered women treated for breast cancer reporting sexual concerns...
April 27, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28450428/impact-of-the-5as-team-study-on-clinical-practice-in-primary-care-obesity-management-a-qualitative-study
#20
Jodie Asselin, Eniola Salami, Adedayo M Osunlana, Ayodele A Ogunleye, Andrew Cave, Jeffrey A Johnson, Arya M Sharma, Denise L Campbell-Scherer
BACKGROUND: The 5As [Ask, Assess, Advise, Agree, Assist] of Obesity Management Team study was a randomized controlled trial of an intervention that was implemented and evaluated to help primary care providers improve clinical practice for obesity management. This paper presents health care provider perspectives of the impacts of the intervention on individual provider and team practices. METHODS: This study reports a thematic network analysis of qualitative data collected during the 5As Team study, which involved 24 chronic disease teams affiliated with family practices in a Primary Care Network in Alberta...
April 26, 2017: CMAJ Open
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