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https://www.readbyqxmd.com/read/27648258/shifting-chronic-disease-management-from-hospitals-to-primary-care-in-estonian-health-system-analysis-of-national-panel-data
#1
Rifat Atun, Ipek Gurol-Urganci, Thomas Hone, Lisa Pell, Jonathan Stokes, Triin Habicht, Kaija Lukka, Elin Raaper, Jarno Habicht
BACKGROUND: Following independence from the Soviet Union in 1991, Estonia introduced a national insurance system, consolidated the number of health care providers, and introduced family medicine centred primary health care (PHC) to strengthen the health system. METHODS: Using routinely collected health billing records for 2005-2012, we examine health system utilisation for seven ambulatory care sensitive conditions (ACSCs) (asthma, chronic obstructive pulmonary disease [COPD], depression, Type 2 diabetes, heart failure, hypertension, and ischemic heart disease [IHD]), and by patient characteristics (gender, age, and number of co-morbidities)...
December 2016: Journal of Global Health
https://www.readbyqxmd.com/read/27298211/a-web-based-and-mobile-health-social-support-intervention-to-promote-adherence-to-inhaled-asthma-medications-randomized-controlled-trial
#2
Justin T Koufopoulos, Mark T Conner, Peter H Gardner, Ian Kellar
BACKGROUND: Online communities hold great potential as interventions for health, particularly for the management of chronic illness. The social support that online communities can provide has been associated with positive treatment outcomes, including medication adherence. There are few studies that have attempted to assess whether membership of an online community improves health outcomes using rigorous designs. OBJECTIVE: Our objective was to conduct a rigorous proof-of-concept randomized controlled trial of an online community intervention for improving adherence to asthma medicine...
2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27175280/shifting-chronic-disease-management-from-hospitals-to-primary-care-in-estonian-health-system-analysis-of-national-panel-data
#3
Rifat Atun, Ipek Gurol-Urganci, Thomas Hone, Lisa Pell, Jonathan Stokes, Triin Habicht, Kaija Lukka, Elin Raaper, Jarno Habicht
BACKGROUND: Following independence from the Soviet Union in 1991, Estonia introduced a national insurance system, consolidated the number of health care providers, and introduced family medicine centred primary health care (PHC) to strengthen the health system. METHODS: Using routinely collected health billing records for 2005-2012, we examine health system utilisation for seven ambulatory care sensitive conditions (ACSCs) (asthma, chronic obstructive pulmonary disease [COPD], depression, Type 2 diabetes, heart failure, hypertension, and ischemic heart disease [IHD]), and by patient characteristics (gender, age, and number of co-morbidities)...
December 2016: Journal of Global Health
https://www.readbyqxmd.com/read/27103316/effects-of-a-12-month-multi-faceted-mentoring-intervention-on-knowledge-quality-and-usage-of-spirometry-in-primary-care-a-before-and-after-study
#4
Samir Gupta, Dilshad Moosa, Ana MacPherson, Christopher Allen, Itamar E Tamari
BACKGROUND: Asthma is among the most common chronic diseases in adults. International guidelines have emphasized the importance of regular spirometry for asthma control evaluation. However, spirometry use in primary care remains low across jurisdictions. We sought to design and evaluate a knowledge translation intervention to address both the poor quality of spirometry and the underuse of spirometry in primary care. METHODS: We designed a 1-year intervention consisting of initial interactive education and hands-on training followed by unstructured peer expert mentoring (through an online portal, email, telephone, videoconference, fax, and/or in-person)...
2016: BMC Pulmonary Medicine
https://www.readbyqxmd.com/read/26215651/details-of-development-of-the-resource-for-adults-with-asthma-in-the-raisin-randomized-trial-of-an-asthma-internet-self-management-intervention-study
#5
Deborah Morrison, Frances S Mair, Rekha Chaudhuri, Marilyn McGee-Lennon, Mike Thomas, Neil C Thomson, Lucy Yardley, Sally Wyke
BACKGROUND: Around 300 million people worldwide have asthma and prevalence is increasing. Self-management can be effective in improving a range of outcomes and is cost effective, but is underutilised as a treatment strategy. Supporting optimum self-management using digital technology shows promise, but how best to do this is not clear. We aimed to develop an evidence based, theory informed, online resource to support self-management in adults with asthma, called 'Living well with Asthma', as part of the RAISIN (Randomized Trial of an Asthma Internet Self-Management Intervention) study...
July 28, 2015: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/24434570/the-effects-on-health-behavior-and-health-outcomes-of-internet-based-asynchronous-communication-between-health-providers-and-patients-with-a-chronic-condition-a-systematic-review
#6
REVIEW
Catharina Carolina de Jong, Wynand Jg Ros, Guus Schrijvers
BACKGROUND: In support of professional practice, asynchronous communication between the patient and the provider is implemented separately or in combination with Internet-based self-management interventions. This interaction occurs primarily through electronic messaging or discussion boards. There is little evidence as to whether it is a useful tool for chronically ill patients to support their self-management and increase the effectiveness of interventions. OBJECTIVE: The aim of our study was to review the use and usability of patient-provider asynchronous communication for chronically ill patients and the effects of such communication on health behavior, health outcomes, and patient satisfaction...
2014: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/24003383/a-survey-of-the-prescription-patterns-of-allergen-immunotherapy-in-korea
#7
Gyu-Young Hur, Tae-Bum Kim, Man Yong Han, Dong-Ho Nahm, Jung-Won Park
PURPOSE: Allergen immunotherapy (AIT) has been used as a curative and specific treatment of allergic diseases. However, no data on the prescription patterns of AIT in Korea is available. Therefore, we surveyed the prescription patterns of AIT by allergy specialists in Korea. METHODS: We emailed a questionnaire on AIT prescription patterns to the 690 members of the Korean Academy of Asthma, Allergy and Clinical Immunology with clinical practice experience. All returned answers were evaluated...
September 2013: Allergy, Asthma & Immunology Research
https://www.readbyqxmd.com/read/23460785/remote-monitoring-of-inhaled-bronchodilator-use-and-weekly-feedback-about-asthma-management-an-open-group-short-term-pilot-study-of-the-impact-on-asthma-control
#8
David Van Sickle, Sheryl Magzamen, Shaun Truelove, Teresa Morrison
OBJECTIVE: Adequate symptom control is a problem for many people with asthma. We asked whether weekly email reports on monitored use of inhaled, short-acting bronchodilators might improve scores on composite asthma-control measures. METHODS: Through an investigational electronic medication sensor attached to each participant's inhaler, we monitored 4 months' use of inhaled, short-acting bronchodilators. Participants completed surveys, including the Asthma Control Test(TM) (ACT), to assess asthma control at entry and monthly thereafter...
2013: PloS One
https://www.readbyqxmd.com/read/23235644/mobile-phone-messaging-for-facilitating-self-management-of-long-term-illnesses
#9
REVIEW
Thyra de Jongh, Ipek Gurol-Urganci, Vlasta Vodopivec-Jamsek, Josip Car, Rifat Atun
BACKGROUND: Long-term illnesses affect a significant proportion of the population in developed and developing countries. Mobile phone messaging applications, such as Short Message Service (SMS) and Multimedia Message Service (MMS), may present convenient, cost-effective ways of supporting self-management and improving patients' self-efficacy skills through, for instance, medication reminders, therapy adjustments or supportive messages. OBJECTIVES: To assess the effects of mobile phone messaging applications designed to facilitate self-management of long-term illnesses, in terms of impact on health outcomes and patients' capacity to self-manage their condition...
2012: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/22789438/the-short-synacthen-test-a-questionnaire-survey-of-current-usage
#10
Charlotte Jane Elder, Pooja Sachdev, Neil Peter Wright
BACKGROUND: Supported by meta-analyses, the low-dose Synacthen test (LDST) has gained in popularity, with many believing it to be more sensitive than the supraphysiological standard (250 µg) short ST (SSST), particularly when assessing children prescribed high-dose inhaled corticosteroids (HDICS). However, consensus is lacking about its specific clinical application, what is considered 'low dose' and how that dose is made up. METHODS: To ascertain current use of the short Synacthen test (SST), a questionnaire was emailed to members of the British Society of Paediatric Endocrinology and Diabetes in the UK and Ireland (N=257), requesting a response from each department (N=92)...
October 2012: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/21946237/the-design-and-implementation-of-an-open-source-data-driven-cohort-recruitment-system-the-duke-integrated-subject-cohort-and-enrollment-research-network-discern
#11
Jeffrey M Ferranti, William Gilbert, Jonathan McCall, Howard Shang, Tanya Barros, Monica M Horvath
OBJECTIVE: Failure to reach research subject recruitment goals is a significant impediment to the success of many clinical trials. Implementation of health-information technology has allowed retrospective analysis of data for cohort identification and recruitment, but few institutions have also leveraged real-time streams to support such activities. DESIGN: Duke Medicine has deployed a hybrid solution, The Duke Integrated Subject Cohort and Enrollment Research Network (DISCERN), that combines both retrospective warehouse data and clinical events contained in prospective Health Level 7 (HL7) messages to immediately alert study personnel of potential recruits as they become eligible...
June 2012: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/21864099/social-media-text-messaging-and-email-preferences-of-asthma-patients-between-12-and-40-years-old
#12
Alan P Baptist, Michael Thompson, Karla Stoermer Grossman, Layla Mohammed, Annie Sy, Georgiana M Sanders
BACKGROUND: Electronic media such as social media (Facebook, Twitter, MySpace), email, and text messaging could be useful in the management of asthma. However, patient use and preferences for electronic media in asthma management is currently unknown. METHODS: A survey was sent to asthma patients between 12-40 years of age. The survey collected demographic information, use of electronic media, interest in using electronic media to receive asthma information, and interest in using electronic media to communicate with a health care provider about asthma...
October 2011: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/21629463/attitudes-of-clinicians-at-the-canadian-memorial-chiropractic-college-towards-the-chiropractic-management-of-non-musculoskeletal-conditions
#13
Jodi Parkinson, Jennifer Lau, Sandeep Kalirah, Brian J Gleberzon
OBJECTIVE: The objective of this study was to determine the attitudes of clinical faculty during the 2009-2010 academic year at the Canadian Memorial Chiropractic College towards the treatment of various non-musculoskeletal disorders. METHODS: A confidential survey was distributed to the clinical faculty via email. It consisted of several questions polling the demographic of the respondent such as years in clinical practice, and a list of 29 non-musculoskeletal conditions...
June 2011: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/21481237/treatment-trends-in-allergic-rhinitis-and-asthma-a-british-ent-survey
#14
Ravinder S Natt, Petros D Karkos, Davinia K Natt, Eva G Theochari, Apostolos Karkanevatos
BACKGROUND: Allergic Rhinitis is a common Ear, Nose and Throat disorder. Asthma and Allergic Rhinitis are diseases with similar underlying mechanism and pathogenesis. The aim of this survey was to highlight current treatment trends for Allergic Rhinitis and Asthma. METHOD: A questionnaire was emailed to all registered consultant members of the British Association of Otorhinolaryngologists - Head and Neck Surgeons regarding the management of patients with Allergic Rhinitis and related disorders...
2011: BMC Ear, Nose, and Throat Disorders
https://www.readbyqxmd.com/read/20562092/health-information-technology-to-facilitate-communication-involving-health-care-providers-caregivers-and-pediatric-patients-a-scoping-review
#15
REVIEW
Stephen James Gentles, Cynthia Lokker, K Ann McKibbon
BACKGROUND: Pediatric patients with health conditions requiring follow-up typically depend on a caregiver to mediate at least part of the necessary two-way communication with health care providers on their behalf. Health information technology (HIT) and its subset, information communication technology (ICT), are increasingly being applied to facilitate communication between health care provider and caregiver in these situations. Awareness of the extent and nature of published research involving HIT interventions used in this way is currently lacking...
2010: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/17942385/stakeholder-perspectives-on-the-development-of-a-virtual-clinic-for-diabetes-care-qualitative-study
#16
Natalie Armstrong, Hilary Hearnshaw, John Powell, Jeremy Dale
BACKGROUND: The development of the Internet has created new opportunities for health care provision, including its use as a tool to aid the self-management of chronic conditions. We studied stakeholder reactions to an Internet-based "virtual clinic," which would allow people with diabetes to communicate with their health care providers, find information about their condition, and share information and support with other users. OBJECTIVE: The aim of the study was to present the results of a detailed consultation with a variety of stakeholder groups in order to identify what they regard as the desirable, important, and feasible characteristics of an Internet-based intervention to aid diabetes self-management...
2007: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/16751469/understanding-reasons-for-asthma-outpatient-non-attendance-and-exploring-the-role-of-telephone-and-e-consulting-in-facilitating-access-to-care-exploratory-qualitative-study
#17
J D van Baar, H Joosten, J Car, G K Freeman, M R Partridge, C van Weel, A Sheikh
OBJECTIVE: To understand factors influencing patients' decisions to attend for outpatient follow up consultations for asthma and to explore patients' attitudes to telephone and email consultations in facilitating access to asthma care. DESIGN: Exploratory qualitative study using in depth interviews. SETTING: Hospital outpatient clinic in West London. PARTICIPANTS: Nineteen patients with moderate to severe asthma (12 "attenders" and 7 "non-attenders")...
June 2006: Quality & Safety in Health Care
https://www.readbyqxmd.com/read/16138940/the-asthma-consultation-what-is-important
#18
REVIEW
Martyn R Partridge
Sufficient time and effective communication are the main requirements in an ideal asthma consultation. One way of using limited time effectively is for patients to be offered more information prior to the consultation. Physician-patient communication during the consultation may be improved by patients receiving, in advance, pertinent information related to their appointment and leaflets may be used to encourage patients to list any questions, fears or concerns prior to the consultation. Directing patients to appropriate internet sites may also facilitate information transfer...
2005: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/15210254/an-assessment-of-the-feasibility-of-telephone-and-email-consultation-in-a-chest-clinic
#19
Martyn R Partridge
One hundred and sixty-four consecutive patients attending a busy respiratory outpatient service were asked how acceptable was the concept of alternating face to face consultation with consultation by either telephone or email. The patients were then assessed as to their suitability for such non-traditional methods of consultation. Thirty patients (18.3%) were not agreeable to other forms of consultation and five could not speak English. One hundred and thirty-three (84%) had a suitable daytime telephone number for consultation purposes, but only 34 (21%) had email access, with this being commoner in the younger ages...
July 2004: Patient Education and Counseling
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