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https://www.readbyqxmd.com/read/28056999/aboriginal-and-non-aboriginal-australian-former-prisoners-patterns-of-morbidity-and-risk-of-hospitalisation
#1
Jane E Lloyd, Elizabeth McEntyre, Eileen Baldry, Julian Trofimovos, Devon Indig, Penelope Abbott, Jennifer Reath, Kathy Malera-Bandjalan, Mark F Harris
BACKGROUND: People who have been in custody are more likely to experience multiple, long standing health issues. They are at high risk of illness and injury post release and experience poor access to health services both of which contribute to high rates of recidivism. The study was conducted to examine Aboriginal and non-Aboriginal former prisoners' risk of hospitalisation and rehospitalisation in the five years post release from custody and identified the common reasons for hospitalisations...
January 5, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27991418/medical-resource-utilization-by-taiwanese-psychiatric-inpatients-under-the-national-health-insurance-system
#2
Chiachi Bonnie Lee, Chung-Yi Li, Chih-Ming Lin
BACKGROUND: The length of stay in Taiwan's psychiatric facilities is unusually long compared with that of other countries. AIMS OF THE STUDY: To identify factors associated with the high length of stay in the acute and chronic psychiatric wards of a public psychiatric hospital. METHODS: The present study consisted of 912 inpatients discharged from a public psychiatric hospital in Northern Taiwan in 2005. Demographic characteristics, discharge diagnoses, and medical resource utilization were retrieved from the inpatient claim data of the National Health Insurance Database...
December 1, 2016: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/27986229/vi%C3%A1-n-tim-institut-du-coeur-success-of-a-congenital-heart-disease-center-in-a-developing-country
#3
EDITORIAL
Paul S Lajos, Alain F Carpentier
OBJECTIVE: The goal of the Viện Tim Institute du Coeur is to provide high quality cardiac surgical care to the Vietnamese population with 25% of care allocated to the indigent. This article discusses the history; functional and financial implementation of creating a long-term fully sustainable adult and pediatric cardiac surgery center in Southeast Asia in a developing country. METHODS: The Institut du Coeur in Ho Chi Minh City, Vietnam is a fully functional and financially solvent cardiac surgery center that was formed 28 years ago...
July 2016: Annals of Global Health
https://www.readbyqxmd.com/read/27958207/cataract-surgery-in-mobile-eye-surgical-unit-safe-and-viable-alternative
#4
Rajesh Pioneer Sangameswaran, Gajendra Kumar Verma, Narayanan Raghavan, Jayaraj Joseph, Mohanasankar Sivaprakasam
AIM: The aim of this study was to evaluate the utility and safety of a mobile eye surgical unit (MESU) in providing quality cataract surgery for the indigent rural population with poor access to quality eye care. MATERIALS AND METHODS: Two buses connected by a vestibule were built to meet the requirements for a self-sufficient operation theater (OT). In every camp, safe transportation of units, good alignment of buses, safe water, and maintenance of sterile environment were achieved with optimal utilization of OT...
November 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27870674/impact-of-hospital-employed-physician-assistants-on-a-level-ii-community-based-orthopaedic-trauma-system
#5
Peter L Althausen, Steven Shannon, Brianne Owens, Daniel Coll, Michael Cvitash, Minggen Lu, Timothy J O'Mara, Timothy J Bray
OBJECTIVES: The American Academy of Orthopedic Surgeons and the Orthopedic Trauma Association have released guidelines for the provision of orthopedic trauma services such as adequate stipends, designated operating rooms, ancillary staff, and guaranteed reimbursement for indigent care. One recommendation included a provision for hospital-based physician assistants (PAs). Given current reimbursement arrangements, PA collections for billable services may not meet their salary and benefit expenses...
December 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27867247/-extra-oomph-addressing-housing-disparities-through-medical-legal-partnership-interventions
#6
Diana Hernández
Low-income households face common and chronic housing problems that have known health risks and legal remedies. The Medical Legal Partnership (MLP) program presents a unique opportunity to address housing problems and improve patient health through legal assistance offered in clinical settings. Drawn from in-depth interviews with 72 patients, this study investigated the outcomes of MLP interventions and compares results to similarly disadvantaged participants with no access to MLP services. Results indicate that participants in the MLP group were more likely to achieve adequate, affordable and stable housing than those in the comparison group...
2016: Housing Studies
https://www.readbyqxmd.com/read/27865292/katrina-s-legacy-processes-for-patient-disaster-preparation-have-improved-but-important-gaps-remain
#7
Marjorie Icenogle, Sasha Eastburn, Martha Arrieta
BACKGROUND: Ensuring continuity of care for patients with chronic illness, who are elderly or indigent presents unique challenges after disasters; this population has fewer financial resources, is less likely to evacuate, has limited access to recovery resources and is significantly dependent on charitable and government-funded institutions for care. This study expands a previous investigation of the extent to which healthcare providers in coastal Mississippi and Alabama have made changes to facilitate continued care to these populations after disasters...
November 2016: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/27851785/implementation-of-patient-centered-education-for-chronic-disease-management-in-uganda-an-effectiveness-study
#8
Trishul Siddharthan, Tracy Rabin, Maureen E Canavan, Faith Nassali, Phillip Kirchhoff, Robert Kalyesubula, Steven Coca, Asghar Rastegar, Felix Knauf
BACKGROUND: The majority of non-communicable disease related deaths occur in low- and middle-income countries. Patient-centered care is an essential component of chronic disease management in high income settings. OBJECTIVE: To examine feasibility of implementation of a validated patient-centered education tool among patients with heart failure in Uganda. DESIGN: Mixed-methods, prospective cohort. SETTINGS: A private and public cardiology clinic in Mulago National Referral and Teaching Hospital, Kampala, Uganda...
2016: PloS One
https://www.readbyqxmd.com/read/27832754/prevalence-and-socio-economic-burden-of-heart-failure-in-an-aging-society-of-south-korea
#9
Hankil Lee, Sung-Hee Oh, Hyeonseok Cho, Hyun-Jai Cho, Hye-Young Kang
BACKGROUND: Heart failure (HF) is one of the leading causes of morbidity and mortality in South Korea. With the rapidly aging population in the country, the prevalence of HF and its associated costs are expected to rise continuously. This study was carried out to estimate the prevalence and economic burden of HF in order to understand its impact on our society. METHODS: A prevalence-based, cost-of-illness study was conducted using the 2014 Health Insurance Review and Assessment Service-National Patients Sample (HIRA-NPS) data...
November 10, 2016: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/27816068/evaluation-of-the-implementation-of-get-healthy-at-work-a-workplace-health-promotion-program-in-new-south-wales-australia
#10
Santosh Khanal, Beverley Lloyd, Chris Rissel, Claire Portors, Anne Grunseit, Devon Indig, Ismail Ibrahim, Sinead McElduff
Issue addressed: Get Healthy at Work (GHaW) is a statewide program to reduce chronic disease risk among NSW workers by helping them make small changes to modifiable lifestyle chronic disease risk factors and create workplace environments that support healthy lifestyles. It has two primary components: a workplace health program (WHP) for businesses and online or face-to-face Brief Health Checks (BHCs) for workers. In this paper, we discuss our evaluation to identify areas for improvement in the implementation of WHP and to assess the uptake of BHCs by workers...
November 7, 2016: Health Promotion Journal of Australia
https://www.readbyqxmd.com/read/27745572/beyond-fun-runs-and-fruit-bowls-an-evaluation-of-the-meso-level-processes-that-shaped-the-australian-healthy-workers-initiative
#11
Anne C Grunseit, Samantha Rowbotham, Melanie Pescud, Devon Indig, Sonia Wutzke
Issue addressed: The Australian National Partnership Agreement on Preventive Health (NPAPH) charged states and territories with the development and implementation of the Healthy Workers Initiative (HWI) to improve workplace health promotion. Most evaluation efforts focus on the setting (micro) level. In the present study the HWI at the meso-level (state program development) was examined to understand how jurisdictions navigated theoretical, practical, and political priorities to develop their programs, and the programmatic choices that support or hinder perceived success...
October 13, 2016: Health Promotion Journal of Australia
https://www.readbyqxmd.com/read/27721978/patient-reported-outcome-measures-in-a-population-of-medically-indigent-patients-with-systemic-lupus-erythematosus-in-puerto-rico
#12
Diana V Rodríguez-Rivera, Yerania Rodríguez-Navedo, Mariely Nieves-Plaza, Luis M Vilá
OBJECTIVE: To determine patient-reported outcomes measures in indigent patients with systemic lupus erythematosus receiving their healthcare through the Puerto Rico government managed care system and compare these measures with non-indigent patients treated in a private fee-for-service setting. METHODS: A cross-sectional study was conducted in a cohort of 98 Puerto Ricans with systemic lupus erythematosus. Patients from the public group (n = 40) were treated in a university-based specialized systemic lupus erythematosus clinic and the private group (n = 58) in a community-based rheumatology practice...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27694291/predicting-rural-practice-and-service-to-indigent-patients-survey-of-dental-students-before-and-after-rural-community-rotations
#13
C Ken Shannon, Shelia S Price, Jodie Jackson
Community-based clinical rotations in rural areas expose dental students to diverse patient populations, practice models, and career opportunities as well as rural culture. The aims of this study at West Virginia University were to determine the best predictors of rural practice, assess the predictive validity of students' intention to practice in a rural area before and after their rural rotations, and evaluate the relationship between students' intention to practice in a rural area and intention to provide care for indigent patients...
October 2016: Journal of Dental Education
https://www.readbyqxmd.com/read/27585469/complicated-gallstone-disease-diagnosis-and-management-of-mirizzi-syndrome
#14
Sujit S Kulkarni, Mayo Hotta, Linda Sher, Robert R Selby, Dilipkumar Parekh, James Buxbaum, Maria Stapfer
BACKGROUND: Mirizzi syndrome (MS) is characterized by an obstruction of the proximal bile duct due to extrinsic compression by either an impacted stone in the gallbladder neck or local inflammatory changes. Although this is a rare syndrome in developed countries (0.7-1.4 %), preoperative diagnosis and careful surgical management are essential to avoid bilio-vascular injuries and misdiagnosed malignancy. METHODS: The purpose of this study was to review our experience in the diagnosis and management of MS, assess the role of laparoscopy and the risk of concomitant gallbladder carcinoma...
September 1, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27559190/utilization-of-pharmaceutical-patient-and-prescription-assistance-programs-via-a-pharmacy-department-patient-assistance-program-for-indigent-cancer-patients
#15
Limin Gao, Jivin Joseph, Marcelle Santoro-Levy, Alan S Multz, Vladimir K Gotlieb
BACKGROUND: With the advances in cancer treatments, mortality rates in the United States have been consistently falling but they are accompanied by substantial increases in the cost of cancer care. Patient and prescription assistance programs (PPAPs) are offered by pharmaceutical manufacturers to provide free medications to medically indigent patients. To assist the Cancer Care Center (CCC) at Nassau University Medical Center (NUMC) with drug costs for chemotherapies, the pharmacy department uses a patient assistance program (PAP) to obtain medications from the drug companies at no cost...
July 2016: Hospital Pharmacy
https://www.readbyqxmd.com/read/27488737/sleep-quality-a-pilot-study-comparing-patients-with-and-without-injection-related-venous-ulcers
#16
Barbara Pieper, Thomas N Templin
PURPOSE: The purposes of this study were to (a) compare sleep quality of persons with and without injection-related venous ulcers (VU) and (b) examine associations between global sleep quality with age, sex, comorbidities, pain, nutrition, physical health rating, fatigue, emotional problems, health-related quality of life, attitude toward physical activity, and number of ulcers. DESIGN: This study used a cross-sectional design. SUBJECTS AND SETTING: The participants included 31 patients with VU and 30 without VU (men [n = 35] and women; mean age = 54 years) who were attending an indigent clinic for wound care or general health...
September 2016: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/27483993/cost-and-impact-of-policies-to-remove-and-reduce-fees-for-obstetric-care-in-benin-burkina-faso-mali-and-morocco
#17
S Witter, C Boukhalfa, J A Cresswell, Z Daou, V Filippi, R Ganaba, S Goufodji, I L Lange, B Marchal, F Richard
BACKGROUND: Across the Africa region and beyond, the last decade has seen many countries introducing policies aimed at reducing financial barriers to obstetric care. This article provides evidence of the cost and effects of national policies focussed on improving financial access to caesarean and facility deliveries in Benin, Burkina Faso, Mali and Morocco. METHODS: The study uses a comparative case study design with mixed methods, including realist evaluation components...
2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27453807/the-effectiveness-of-specialized-legal-counsel-and-case-management-services-for-indigent-offenders-with-mental-illness
#18
Jeff Bouffard, Elizabeth Berger, Gaylene S Armstrong
BACKGROUND: In recent years, jurisdictions have recognized the strain placed on limited existing resources by criminal offenders with mental illness who frequently cycle through local jail facilities. In response, many locales have developed and implemented specialized programs to more effectively and efficiently manage these offenders, particularly the process of assigning defense attorneys to these often indigent defendants. METHODS: The current study examined the impact of an Indigent Defense Counsel (IDC) program designed to provide specially trained defense attorneys, and enhanced case management services to 257 indigent jail inmates with a qualifying, major mental health diagnosis (e...
2016: Health & Justice
https://www.readbyqxmd.com/read/27451569/the-value-journey-improving-cost-structure-through-performance-improvement
#19
Victor G DeMarco, Barton S Richards, Larry Volkmar, Lauren C Gorski
A performance improvement project helped Bronx-Lebanon Hospital Center in New York, which serves a highly indigent population, to increase efficiencies and cost savings as it moved toward value-based health care. Specific initiatives included in-depth analyses of provider and employee productivity, performed by focus teams led by executive sponsors and the department directors or managers. Through two broad phases, focusing on nonlabor and labor areas, the organization was able to realize savings amounting to more than $20 million...
June 2016: Healthcare Financial Management: Journal of the Healthcare Financial Management Association
https://www.readbyqxmd.com/read/27387534/probing-extracellular-sonic-hedgehog-in-neurons
#20
Erez Eitan, Ronald S Petralia, Ya-Xian Wang, Fred E Indig, Mark P Mattson, Pamela J Yao
The bioactivity of Sonic hedgehog (Shh) depends on specific lipid modifications; a palmitate at its N-terminus and a cholesterol at its C-terminus. This dual-lipid modification makes Shh molecules lipophilic, which prevents them from diffusing freely in extracellular space. Multiple lines of evidence indicate that Shh proteins are carried by various forms of extracellular vesicles (EVs). It also has been shown, for instance, that in some tissues Shh proteins are transported to neighboring cells directly via filopodia...
2016: Biology Open
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