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https://www.readbyqxmd.com/read/28727669/differential-pulmonary-rehabilitation-outcomes-in-patients-with-and-without-copd-role-of-gender
#1
Lam-Phuong Nguyen, Emily Beck, Katherine Cayetano, Chin-Shang Li, Kimberly Hardin
PURPOSE: Individuals with all forms of pulmonary disease are referred for pulmonary rehabilitation. This study examines pulmonary rehabilitation outcomes between individuals with chronic obstructive lung disease (COPD) and non-COPD disease and the impact of gender. METHODS: This is a retrospective study at a tertiary center. The primary endpoint was the difference in 6-min walk test distance. Secondary measurements included treadmill and NuStep minutes; biceps curls and front arm raises load; quality of life measured by the St George's Respiratory Questionnaire; and University of California San Diego-Shortness of Breath Questionnaire (UCSD-SOBQ) scores...
July 19, 2017: Journal of Cardiopulmonary Rehabilitation and Prevention
https://www.readbyqxmd.com/read/28727594/quality-payment-program-and-quality-measure-benchmarks
#2
Cathy Thomas Hess
No abstract text is available yet for this article.
August 2017: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/28727545/role-of-age-and-acculturation-in-diet-quality-among-mexican-americans-findings-from-the-national-health-and-nutrition-examination-survey-1999-2012
#3
Yilin Yoshida, Richard Scribner, Liwei Chen, Stephanie Broyles, Stephen Phillippi, Tung-Sung Tseng
Age and acculturation may play a role in diet quality among Mexican Americans. This study examined diet quality in Mexican Americans by age and whether acculturation influences diet quality across different age groups, using data from the National Health and Nutrition Examination Survey (NHANES). Diet quality, measured by the Healthy Eating Index 2010, improved with age except in categories of dairy, sodium, and refined grains. More acculturation was associated with lower scores in overall diet quality and categories of vegetables, fruits, and sodium and empty calories across almost all ages, but higher scores in grain categories, especially in younger groups...
July 20, 2017: Preventing Chronic Disease
https://www.readbyqxmd.com/read/28727487/improving-care-with-a-portfolio-of-physician-led-cancer-quality-measures-at-an-academic-center
#4
Julie Bryar Porter, Eben Lloyd Rosenthal, Marcy Winget, Andrea Segura Smith, Sridhar Belavadi Seshadri, Yohan Vetteth, Eileen F Kiamanesh, Amogh Badwe, Ranjana H Advani, Mark K Buyyounouski, Steven Coutre, Frederick Dirbas, Vasu Divi, Oliver Dorigo, Kristen N Ganjoo, Laura J Johnston, Lawrence David Recht, Joseph B Shrager, Eila C Skinner, Susan M Swetter, Brendan C Visser, Douglas W Blayney
PURPOSE: Development and implementation of robust reporting processes to systematically provide quality data to care teams in a timely manner is challenging. National cancer quality measures are useful, but the manual data collection required is resource intensive, and reporting is delayed. We designed a largely automated measurement system with our multidisciplinary cancer care programs (CCPs) to identify, measure, and improve quality metrics that were meaningful to the care teams and their patients...
July 20, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28712351/bringing-recovery-and-consumers-views-into-the-mainstream-of-mental-health-quality-measurement
#5
Harold A Pincus, Brigitta Spaeth-Rublee, Parashar Pravin Ramanuj
Health policies in the United States and elsewhere are moving to increase accountability of health care systems and providers for providing high-quality, efficient care and driving application of evidence-based improvement strategies. To support these efforts, a "quality measurement industrial complex" has been created to develop, endorse, and apply quality measures that incentivize these behaviors. Parallel to this development in mental health care is an emerging commitment to include recovery orientation approaches in treating serious mental illness...
July 17, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28711186/megavoltage-2d-topographic-imaging-an-attractive-alternative-to-megavoltage-ct-for-the-localization-of-breast-cancer-patients-treated-with-tomodirect
#6
Philippe Meyer, Fabien Le Pennec, Susanta K Hui, Nicolas Dehaynin, Delphine Jarnet, Matthieu Gantier, Claudine Niederst, Christophe Mazzara, Etienne Baudrier, Vincent Noblet
PURPOSE: To show the usefulness of topographic 2D megavoltage images (MV2D) for the localization of breast cancer patients treated with TomoDirect (TD), a radiotherapy treatment technique with fixed-angle beams performed on a TomoTherapy system. METHODS: A method was developed to quickly localize breast cancer patients treated with TD by registering the MV2D images produced before a TD treatment with reference images reconstructed from a kilovoltage CT simulation scanner and by using the projection of the beam-eye-view TD treatment field...
July 2017: Physica Medica: PM
https://www.readbyqxmd.com/read/28709461/do-public-nursing-home-care-providers-deliver-higher-quality-than-private-providers-evidence-from-sweden
#7
Ulrika Winblad, Paula Blomqvist, Andreas Karlsson
BACKGROUND: Swedish nursing home care has undergone a transformation, where the previous virtual public monopoly on providing such services has been replaced by a system of mixed provision. This has led to a rapidly growing share of private actors, the majority of which are large, for-profit firms. In the wake of this development, concerns have been voiced regarding the implications for care quality. In this article, we investigate the relationship between ownership and care quality in nursing homes for the elderly by comparing quality levels between public, for-profit, and non-profit nursing home care providers...
July 14, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28706945/measuring-family-members-satisfaction-with-end-of-life-care-in-long-term-care-adaptation-of-the-canhelp-lite-questionnaire
#8
Shevaun Nadin, Mohammed Ali Miandad, Mary Lou Kelley, Jill Marcella, Daren K Heyland
RATIONALE: Improving end-of-life care (EOLC) in long-term care (LTC) homes requires quality measurement tools that assess families' satisfaction with care. This research adapted and pilot-tested an EOLC satisfaction measure (Canadian Health Care Evaluation Project (CANHELP) Lite Questionnaire) for use in LTC to measure families' perceptions of the EOLC experience and to be self-administered. METHODS AND RESULTS: Phase 1. A literature review identified key domains of satisfaction with EOLC in LTC, and original survey items were assessed for inclusiveness and relevance...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28705350/trajectories-of-relationship-supportiveness-after-childbirth-does-marriage-matter
#9
Marcia J Carlson, Alicia G VanOrman
Relationship quality for married couples typically declines after the birth of a (first) child, as parenthood brings new identities, stresses, and responsibilities for mothers and fathers. Yet, it is less clear whether nonmarital relationship quality follows a similar trajectory, particularly given the greater selectivity of nonmarital relationships that persist over time. This paper uses data from the Fragile Families and Child Wellbeing Study (N = 3,459) with latent growth curve models to examine relationship quality (measured by mothers' perceived supportiveness about fathers) for married and unmarried couples over nine years after a child's birth...
August 2017: Social Science Research
https://www.readbyqxmd.com/read/28700790/association-of-changes-in-medication-use-and-adherence-with-accountable-care-organization-exposure-in-patients-with-cardiovascular-disease-or-diabetes
#10
J Michael McWilliams, Mehdi Najafzadeh, William H Shrank, Jennifer M Polinski
Importance: Many of the quality measures used to assess accountable care organization (ACO) performance in the Medicare Shared Savings Program (MSSP) focus on disease control and medication use among patients with cardiovascular disease and diabetes. To date, the association between participation in the MSSP by provider organizations and medication use or adherence among their patients with cardiovascular disease or diabetes has not been described. Objective: To assess the association between exposure to the MSSP and changes in the use of and adherence to common antihypertensive, lipid-lowering, and hypoglycemic medications...
July 12, 2017: JAMA Cardiology
https://www.readbyqxmd.com/read/28699942/hospital-level-factors-associated-with-pediatric-emergency-department-return-visits
#11
Zachary Pittsenbarger, Cary Thurm, Mark Neuman, Sandra Spencer, Harold Simon, Craig Gosdin, Samir Shah, Richard McClead, Anne Stack, Elizabeth Alpern
BACKGROUND: Return visits (RVs) and RVs with admission (RVAs) are commonly used emergency department quality measures. Visit- and patient-level factors, including several social determinants of health, have been associated with RV rates, but hospital-specific factors have not been studied. OBJECTIVE: To identify what hospital-level factors correspond with high RV and RVA rates. SETTING: Multicenter mixed-methods study of hospital characteristics associated with RV and RVA rates...
July 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28698632/quality-measurement-of-two-dimensional-shear-wave-speed-imaging-for-breast-lesions-the-associated-factors-and-the-impact-to-diagnostic-performance
#12
Dan-Dan Li, Hui-Xiong Xu, Bo-Ji Liu, Xiao-Wan Bo, Xiao-Long Li, Rong Wu
This study aimed to identify the associated factors for quality measurement (QM) of shear wave speed (SWS) imaging and to validate the additional value of QM in the diagnosis of breast lesions. From September 2014 to February 2015, conventional ultrasound and SWS imaging were performed in 338 women with 361 breast lesions. Binary logistic regression was used to identify associated factors for QM. Sensitivity, specificity and the area under receiver operating characteristic (ROC) curve (AUC) among maximum SWS (SWS max ), QM and SWS max plus QM (SWS max +QM) were compared to validate additional value of QM...
July 11, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28697725/the-role-of-family-and-school-level-factors-in-bullying-and-cyberbullying-a-cross-sectional-study
#13
Leonardo Bevilacqua, Nichola Shackleton, Daniel Hale, Elizabeth Allen, Lyndal Bond, Deborah Christie, Diana Elbourne, Natasha Fitzgerald-Yau, Adam Fletcher, Rebecca Jones, Alec Miners, Stephen Scott, Meg Wiggins, Chris Bonell, Russell M Viner
BACKGROUND: Bullying and cyberbullying are common phenomena in schools. These negative behaviours can have a significant impact on the health and particularly mental health of those involved in such behaviours, both as victims and as bullies. This UK study aims to investigate student-level and school-level characteristics of those who become involved in bullying and cyberbullying behaviours as victims or perpetrators. METHODS: We used data from 6667 Year 7 students from the baseline survey of a cluster randomized trial in 40 English schools to investigate the associations between individual-level and school-level variables with bullying victimization, cyberbullying perpetration, and cyberbullying victimization...
July 11, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28697526/-quality-indicators-of-primary-health-care-facilities-in-austria
#14
Thomas Semlitsch, Muna Abuzahra, Florian Stigler, Klaus Jeitler, Nicole Posch, Andrea Siebenhofer
Background The strengthening of primary health care is one major goal of the current national health reform in Austria. In this context, a new interdisciplinary concept was developed in 2014 that defines structures and requirements for future primary health care facilities. Objective The aim of this project was the development of quality indicators for the evaluation of the scheduled primary health care facilities in Austria, which are in accordance with the new Austrian concept. Methods We used the RAND/NPCRDC method for the development and selection of the quality indicators...
July 11, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28697038/sleep-quality-and-its-association-with-postural-stability-and-fear-of-falling-among-spanish-postmenopausal-women
#15
Fidel Hita-Contreras, Noelia Zagalaz-Anula, Antonio Martínez-Amat, David Cruz-Díaz, Indalecio Sánchez-Montesinos, Agustín Aibar-Almazán, Rafael Lomas-Vega
OBJECTIVE: To analyze the association of sleep quality with postural balance, as measured with objective stabilometric parameters, and fear of falling (FoF), among Spanish postmenopausal women. METHODS: In all, 250 women (60 ± 8 years) took part in this cross-sectional study. Sociodemographic and anthropometric data were collected, as well as information concerning history of falls and FoF. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale, and the Pittsburgh Sleep Quality Index was used to analyze sleep quality...
July 10, 2017: Menopause: the Journal of the North American Menopause Society
https://www.readbyqxmd.com/read/28693351/associations-between-community-sociodemographics-and-performance-in-hedis-quality-measures-a-study-of-22-medical-centers-in-a-primary-care-network
#16
Jianhui Hu, Michelle Schreiber, Jack Jordan, Diane L George, David Nerenz
Evaluation and payment for health plans and providers have been increasingly tied to their performance on quality metrics, which can be influenced by patient- and community-level sociodemographic factors. The aim of this study was to examine whether performance on Healthcare Effectiveness Data and Information Set (HEDIS) measures varied as a function of community sociodemographic characteristics at the primary care clinic level. Twenty-two primary care sites of a large multispecialty group practice were studied during the period of April 2013 to June 2016...
March 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28693332/correlations-among-hospital-quality-measures-what-hospital-compare-data-tell-us
#17
Jianhui Hu, Jack Jordan, Ilan Rubinfeld, Michelle Schreiber, Brian Waterman, David Nerenz
A number of quality rating systems to rank health care providers have been developed over the years with the intention of helping consumers make informed health care purchasing decisions. Many use sets of individual quality measures to calculate a global rating. The utility of a global rating for consumer choice hinges on the relationships among included measures and the extent to which they jointly reflect an underlying dimension of quality. Publicly reported data on 4 quality domains-complication, mortality, readmission, and patient safety-from Centers for Medicare & Medicaid Services' Hospital Compare website were used to examine correlations among individual measures within each measure group (within-group correlations) and correlations between pairs of measures across different measure groups (between-group correlations)...
December 1, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28693331/patient-and-provider-characteristics-associated-with-optimal-post-fracture-osteoporosis-management
#18
Natalie N Boytsov, Albert G Crawford, Leslie Ann Hazel-Fernandez, John F McAna, Radhika Nair, Vishal Saundankar, Stefan Varga, Fan Emily Yang
Despite an estimated 2 million osteoporosis (OP)-related fractures annually, quality of care for post-fracture OP management remains low. This study aimed to identify patient and provider characteristics associated with achieving or not achieving optimal post-fracture OP management, as defined by the current HEDIS quality measure. The study included women 67 to 85 years of age, with ≥1 fracture, and continuous enrollment in a Humana insurance plan. The study identified a higher percentage of black women in the not achieved group (6...
February 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28691236/response-to-vogelstein-how-the-2012-aap-task-force-on-circumcision-went-wrong
#19
Robert S Van Howe
Vogelstein cautions medical organizations against jumping into the fray of controversial issues, yet proffers the 2012 American Academy of Pediatrics' Task Force policy position on infant male circumcision as 'an appropriate use of position-statements.' Only a scratch below the surface of this policy statement uncovers the Task Force's failure to consider Vogelstein's many caveats. The Task Force supported the cultural practice by putting undeserved emphasis on questionable scientific data, while ignoring or underplaying the importance of valid contrary scientific data...
July 9, 2017: Bioethics
https://www.readbyqxmd.com/read/28689537/implementation-of-quality-measures-in-site-specific-multidisciplinary-tumour-boards
#20
Ahmed Nadeem Abbasi, Huriye Senay Kiziltan
No abstract text is available yet for this article.
June 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
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