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https://www.readbyqxmd.com/read/28944730/optimization-of-medication-use-at-accountable-care-organizations
#1
Chrisanne Wilks, Erik Krisle, Kimberly Westrich, Kristina Lunner, David Muhlestein, Robert Dubois
BACKGROUND: Optimized medication use involves the effective use of medications for better outcomes, improved patient experience, and lower costs. Few studies systematically gather data on the actions accountable care organizations (ACOs) have taken to optimize medication use. OBJECTIVES: To (a) assess how ACOs optimize medication use; (b) establish an association between efforts to optimize medication use and achievement on financial and quality metrics; (c) identify organizational factors that correlate with optimized medication use; and (d) identify barriers to optimized medication use...
October 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28943168/healthcare-workers-knowledge-and-perceptions-of-the-risks-associated-with-emerging-extensively-drug-resistant-bacteria
#2
C Celeste, S Jolivet, M Bonneton, C Brun-Buisson, C Jansen
OBJECTIVE: Guidelines have been issued in 2010 to prevent the spread of emerging extensively resistant bacteria (eXDR), but their implementation is difficult. We aimed to evaluate healthcare workers' (HCW) knowledge and their risk perception to identify barriers to the implementation of guidelines. METHODS: Semi-structured interviews were conducted at a University Hospital, where case patients are regularly admitted. The interviews focused on HCW's knowledge, risk perception, and challenges met...
September 21, 2017: Médecine et Maladies Infectieuses
https://www.readbyqxmd.com/read/28942693/training-to-reduce-behavioral-health-disparities-how-do-we-optimally-prepare-family-medicine-residents-for-practice-in-rural-communities
#3
Jennifer S Robohm
Family physicians are a critical part of the healthcare system in rural areas, but little is known about the training they need to more effectively address behavioral health disparities. Practicing family physicians in Montana were surveyed about the behavioral health needs of their patients, the behavioral resources at their disposal, their prioritization of a number of behavioral skills and interventions in the training of family physicians, factors that limit their own use of behavioral skills, and the extent of their behavioral science training...
January 1, 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/28942455/fostering-flu-vaccination-in-healthcare-workers-forum-theatre-in-a-university-hospital
#4
Alice Corsaro, Andrea Poscia, Chiara de Waure, Concetta De Meo, Filippo Berloco, Walter Ricciardi, Gianfranco Damiani, Patrizia Laurenti, Collaborating Group
The World Health Organization recommends flu vaccination as the most effective way to prevent the disease and its severe outcomes and has established the minimum vaccination coverage for people at risk at 75%. Even though healthcare workers (HCWs) represent a strongly recommended target group for flu vaccination campaigns, the average coverage among them is still inadequate. In flu season 2015/2016, our University Hospital tested Forum Theatre (FT) as a new participative strategy to foster HCWs engagement regarding flu vaccination...
September 24, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28942205/the-unintended-consequences-of-community-verifications-for-performance-based-financing-in-burkina-faso
#5
Anne-Marie Turcotte-Tremblay, Idriss Ali Gali-Gali, Manuela De Allegri, Valéry Ridde
Performance-based financing (PBF) is being widely implemented to improve healthcare services in Africa. An essential component of PBF involves conducting community verifications, wherein investigators from local associations attempt to trace samples of patients. Community surveys are administered to patients to verify whether healthcare workers reported fictitious services to increase their revenue. At the same time, client satisfaction surveys are administered to assess whether patients are satisfied with the services received...
September 8, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28940823/future-dietitian-2025-informing-the-development-of-a-workforce-strategy-for-dietetics
#6
M Hickson, J Child, A Collinson
BACKGROUND: Healthcare is changing and the professions that deliver it need to adapt and change too. The aim of this research was to inform the development of a workforce strategy for Dietetics for 2020-2030. This included an understanding of the drivers for change, the views of stakeholders and recommendations to prepare the profession for the future. METHODS: The research included three phases: (i) establishing the context which included a literature and document review (environmental scan); (ii) discovering the profession and professional issues using crowd-sourcing technology; and (iii) articulating the vision for the future using appreciative inquiry...
September 21, 2017: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://www.readbyqxmd.com/read/28938880/-keeping-family-matters-behind-closed-doors-healthcare-providers-perceptions-and-experiences-of-identifying-and-managing-domestic-violence-during-and-after-pregnancy
#7
Mary McCauley, Jennifer Head, Jaki Lambert, Shamsa Zafar, Nynke van den Broek
BACKGROUND: Violence against women is an international public health concern and a violation of women's rights. Domestic violence can first occur, and increase in frequency and severity, during and after pregnancy. Healthcare providers have the potential to identify and support women who experience domestic violence. We sought to investigate the knowledge and perceptions of domestic violence among doctors who provide routine antenatal and postnatal care at healthcare facilities in Pakistan...
September 22, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28937973/oral-and-dental-health-issues-in-people-with-mental-disorders
#8
Julio Torales, Iván Barrios, Israel González
Patients with mental disorders are subject to a greater number of risk factors for oral and dental disease than the general population. This is mostly caused by the side effects of the medications that they receive, lack of self-care, difficulty to access health services, a negative attitude towards healthcare providers, and patients’ lack of cooperation in dental treatments. The most common psychiatric disorders in our population are depression, anxiety disorders, schizophrenia, bipolar disorder, and dementia...
September 21, 2017: Medwave
https://www.readbyqxmd.com/read/28937934/an-evaluation-of-new-york-city-s-2015-birth-certificate-gender-marker-regulation
#9
Erica J Lee, Danielle Gurr, Gretchen Van Wye
PURPOSE: In 1971, the New York City (NYC) Department of Health and Mental Hygiene amended Section 207.05 of the NYC Health Code to allow individuals who had undergone "convertive surgery" (interpreted by the code to mean genital surgery) to amend the gender on their birth certificates. This surgery requirement was removed in 2015. In a survey evaluating the regulation change, we sought to characterize the transgender population newly eligible to obtain a gender-congruent NYC birth certificate by comparing respondents with and without genital surgery...
September 22, 2017: LGBT Health
https://www.readbyqxmd.com/read/28936996/caregiver-perceptions-on-intensive-care-a-qualitative-study-from-southern-india
#10
Shuba Kumar, Jony Christina, Anna Revathi Jagadish, John Victor Peter, Kurien Thomas, Thambu David Sudarsanam
BACKGROUND: Admission of a patient to an intensive care unit (ICU) can result in tremendous stress to family caregivers not only because of the need to provide physical and emotional support to the sick relative, but also due to the burden of decision-making on behalf of the critically ill person. We enquired about family caregivers' perspectives on intensive care, the challenges they faced with decision-making and their perceptions on the nature of their interactions with healthcare providers...
May 2017: National Medical Journal of India
https://www.readbyqxmd.com/read/28936897/uk-guidance-on-the-management-of-personal-dosimetry-systems-for-healthcare-staff-working-at-multiple-organisations
#11
Andy Rogers, Claire-Louise Chapple, Maria Murray, David Platton, John Saunderson
There has been concern expressed by the UK regulator, the Health & Safety Executive, regarding the management of occupation dose for healthcare radiation workers who work across multiple organisations. In response to this concern the British Institute of Radiology led a working group of relevant professional bodies to develop guidance in this area. The guidance addresses issues of general system management that would apply to all personal dosimetry systems, regardless of whether or not the workers within that system work across organisational boundaries, along with exploring efficient strategies to comply with legislation where those workers do indeed work across organisational boundaries...
September 12, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28936111/agile-development-of-a-smartphone-app-for-perinatal-monitoring-in-a-resource-constrained-setting
#12
Boris Martinez, Rachel Hall-Clifford, Enma Coyote, Lisa Stroux, Camilo E Valderrama, Christopher Aaron, Aaron Francis, Cate Hendren, Peter Rohloff, Gari D Clifford
Technology provides the potential to empower frontline healthcare workers with low levels of training and literacy, particularly in low- and middle-income countries. An obvious platform for achieving this aim is the smartphone, a low cost, almost ubiquitous device with good supply chain infrastructure and a general cultural acceptance for its use. In particular, the smartphone offers the opportunity to provide augmented or procedural information through active audiovisual aids to illiterate or untrained users, as described in this article...
2017: Journal of Health Informatics in Developing Countries
https://www.readbyqxmd.com/read/28934899/knowledge-about-and-attitude-towards-fertility-preservation-in-young-female-cancer-patients-a-cross-sectional-online-survey
#13
Corinne Urech, Verena Ehrbar, Jacky Boivin, Madleina Müller, Judith Alder, Rosanna Zanetti Dällenbach, Christoph Rochlitz, Sibil Tschudin
Recent advances in cancer therapy have resulted in an increased number of long-term cancer survivors. However, because of their treatment, women might be confronted with impaired fertility. The options of fertility preservation (FP) techniques are increasing. The goal of this study was to assess knowledge about, and attitudes towards, fertility preservation in young female cancer patients. A cross-sectional online survey was conducted including 155 former female cancer patients from English and German speaking countries...
September 22, 2017: Human Fertility: Journal of the British Fertility Society
https://www.readbyqxmd.com/read/28934770/seasonal-influenza-and-vaccination-strategies-is-a-paradigm-shift-needed-a-synopsis-of-the-3rd-new-zealand-influenza-symposium-november-2016
#14
Nadia A Charania, Diana Murfitt, Nikki Turner
Influenza continues to be a global public health problem despite the availability of preventive vaccines and public health vaccination programmes. This paper presents a synopsis of the 3rd New Zealand Influenza Symposium (NZiS) that was hosted by the Immunisation Advisory Centre (IMAC) in November 2016. Experts and service providers convened to discuss current issues in the prevention and management of influenza. One of the key topics discussed was the use of novel vaccines, such as adjuvanted and high-dose vaccines, and antiviral prophylaxis to protect young children and the elderly...
September 22, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28933677/exploring-health-work-a-critical-action-perspective
#15
John Hassard, Paula Hyde, Julie Wolfram Cox, Edward Granter, Leo McCann
Purpose The purpose of this paper is to describe a hybrid approach to the research developed during a multi-researcher, ethnographic study of NHS management in the UK. Design/methodology/approach This methodological paper elaborates a hybrid approach to the sociological analysis - the critical-action theory - and indicates how it can contribute to the critical health management studies. Findings After exploring the various theoretical, methodological and philosophical options available, the paper discusses the main research issues that influenced the development of this perspective and the process by which the critical-action perspective was applied to the studies of managerial work in four health service sectors - acute hospitals, ambulance services, community services and mental healthcare...
August 21, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28932605/is-dementia-screening-of-apparently-healthy-individuals-justified
#16
REVIEW
Larry W Chambers, Saskia Sivananthan, Carol Brayne
Despite efforts to raise awareness and develop guidelines for care of individuals with dementia, reports of poor detection and inadequate management persist. This has led to a call for more identification of people with dementia, that is, screening individuals who may or may not complain of symptoms of dementia in both acute settings and primary care. The following should be considered before recommending screening for dementia among individuals in the general population. Dementia Tests. Low prevalence reduces positive predictive value of tests and screening tests will miss people who have dementia and identify people who do not have dementia in substantial numbers...
2017: Advances in Preventive Medicine
https://www.readbyqxmd.com/read/28931486/caring-for-the-veteran-military-and-family-member-nursing-competencies-strategies-for-integrating-content-into-nursing-school-curricula
#17
Libba Reed McMillan, David Crumbley, Julie Freeman, Marilyn Rhodes, Michele Kane, Joy Napper
In the United States, one in every 15 persons is a Veteran (U. S. Department of Veterans Affairs, 2016; U. S. News & World Report, 2017). An estimated 27% of these Veterans receive healthcare through the Veteran's Health Administration (VHA), leaving 73% to seek care in civilian hospitals (Bagalman, 2014). Realistically, most nurses in the United States will care for military members, Veterans or family members in a variety of healthcare systems and settings. Nurse educators are positioned to lead efforts in providing nursing students with the knowledge necessary to provide competent care and serve as advocates for our nation's heroes...
September 2017: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/28930712/the-ethics-of-research-in-lower-income-countries-double-standards-are-not-the-problem
#18
David S Wendler
Discussion of the ethics of clinical trials in lower income countries has been dominated by concern over double standards. Most prominently, clinical trials of interventions that are less effective than the worldwide best treatment methods typically are not permitted in higher income countries. Commentators conclude that permitting such trials in lower income countries involves an ethical double standard. Despite significant attention to this concern, and its influence over prominent guidelines for research in lower income countries, there has been little analysis of what constitutes an ethical double standard in clinical research...
2017: Journal of Clinical Ethics
https://www.readbyqxmd.com/read/28930706/giving-voice-to-the-voiceless-the-colorado-response-to-unrepresented-patients
#19
Deb Bennett-Woods, Jean Abbott, Jacqueline J Glover
Medical decision making on behalf of unrepresented patients is one of the most challenging ethical issues faced in clinical practice. The legal environment surrounding these patients is equally complex. This article describes the efforts of a small coalition of interested healthcare professionals to address the issue in Colorado. A brief history of the effort is presented, along with discussion of the legal, ethical, practical, and political dimensions that arose in Colorado's effort to address decision making for unrepresented patients through an extension of the existing Colorado Medical Treatment Decision Act (CRS 15-18)...
2017: Journal of Clinical Ethics
https://www.readbyqxmd.com/read/28929889/mental-illness-related-stigma-in-healthcare-barriers-to-access-and-care-and-evidence-based-solutions
#20
Stephanie Knaak, Ed Mantler, Andrew Szeto
Mental illness-related stigma, including that which exists in the healthcare system and among healthcare providers, creates serious barriers to access and quality care. It is also a major concern for healthcare practitioners themselves, both as a workplace culture issue and as a barrier for help seeking. This article provides an overview of the main barriers to access and quality care created by stigmatization in healthcare, a consideration of contributing factors, and a summary of Canadian-based research into promising practices and approaches to combatting stigma in healthcare environments...
March 2017: Healthcare Management Forum
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