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https://www.readbyqxmd.com/read/29219097/analysis-of-the-impact-of-healthcare-support-initiatives-for-physically-disabled-people-on-their-access-to-care-in-the-city-of-saint-louis-senegal
#1
Diarra Bousso Senghor, Oumar Diop, Issa Sombié
BACKGROUND: People with disabilities represent approximately 6% of the Senegalese population. They face significant barriers to accessing health care. Although several initiatives have been implemented to improve access to health care for this vulnerable population, few studies have examined the effects of these initiatives. We conducted a mixed methods study in three neighborhoods in Saint-Louis City (Senegal) to assess the impact of health systems and social assistance programs aimed at improving access to health care for people with disabilities...
December 4, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29217468/availability-of-hepatitis-c-diagnostics-and-therapeutics-in-european-and-eurasia-countries
#2
Hakan Leblebicioglu, Joop E Arends, Resat Ozaras, Giampaolo Corti, Lurdes Santos, Christoph Boesecke, Andrew Ustianowski, Ann-Sofi Duberg, Simona Ruta, Nermin N Salkic, Petr Husa, Ivana Lazarevic, Juan A Pineda, Natalia Yurievna Pshenichnaya, Tengiz Tsertswadze, Mojca Matičič, Edmond Puca, Gulzhan Abuova, Judit Gervain, Ramin Bayramli, Salih Ahmeti, Mairi Koulentaki, Badreddine Kilani, Adriana Vince, Francesco Negro, Mustafa Sunbul, Dominique Salmon
BACKGROUND: Treatment with direct acting antiviral agents (DAAs) has provided sustained virological response rates in >95% of patients with chronic hepatitis C virus (HCV) infection. However treatment is costly and market access, reimbursement and governmental restrictions differ among countries. We aimed to analyze these differences among European and Eurasian countries. METHODS: A survey including 20-item questionnaire was sent to experts in viral hepatitis...
December 4, 2017: Antiviral Research
https://www.readbyqxmd.com/read/29216790/dual-therapy-appears-superior-to-monotherapy-for-low-income-individuals-with-newly-diagnosed-type-2-diabetes
#3
Elizabeth M Vaughan, Craig A Johnston, David J Hyman, Daphne C Hernandez, Vagish Hemmige, John P Foreyt
BACKGROUND: There are variable recommendations regarding initiating monotherapy or dual therapy in patients with newly diagnosed type 2 diabetes (T2D). Clear initial strategies are of particular importance in underserved settings where access to care and financial burdens are significant barriers. OBJECTIVES: To provide descriptive data of metabolic outcomes to therapy regimens for low-income individuals with newly diagnosed T2D placed on oral hypoglycemic agents (OAs)...
December 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/29208447/impact-of-advanced-practice-registered-nurses-on-quality-measures-the-missouri-quality-initiative-experience
#4
Marilyn J Rantz, Lori Popejoy, Amy Vogelsmeier, Colleen Galambos, Greg Alexander, Marcia Flesner, Cathy Murray, Charles Crecelius, Bin Ge, Gregory Petroski
PURPOSE: The purpose of this article is to review the impact of advanced practice registered nurses (APRNs) on the quality measure (QM) scores of the 16 participating nursing homes of the Missouri Quality Initiative (MOQI) intervention. The MOQI was one of 7 program sites in the US, with specific interventions unique to each site tested for the Centers for Medicaid and Medicare Services Innovations Center. While the goals of the MOQI for long-stay nursing home residents did not specifically include improvement of the QM scores, it was anticipated that improvement most likely would occur...
December 2, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29208419/planning-of-polish-physician-workforce-systemic-inconsistencies-challenges-and-possible-ways-forward
#5
Alicja Domagała, Jacek Klich
BACKGROUND: Poland has the lowest number of physicians per 1000 population (2.2/1000) in the EU. This is accompanied by a considerable migration rate of Polish physicians to other EU countries (estimated at above 7%). Among other consequences, this results in waiting lists and unmet health needs. OBJECTIVE: The aim of this article is an identification of the main challenges for physician workforce planning in Poland. METHODS: The authors analysed national and international documents, reports, official statements, publications and statistical databases...
December 1, 2017: Health Policy
https://www.readbyqxmd.com/read/29202924/mental-health-consultations-in-the-perinatal-period-a-cost-analysis-of-medicare-services-provided-to-women-during-a-period-of-intense-mental-health-reform-in-australia
#6
Georgina M Chambers, Sean Randall, Cathrine Mihalopoulos, Nicole Reilly, Elizabeth A Sullivan, Nicole Highet, Vera A Morgan, Maxine L Croft, Mary Lou Chatterton, Marie-Paule Austin
Objective To quantify total provider fees, benefits paid by the Australian Government and out-of-pocket patients' costs of mental health Medicare Benefits Schedule (MBS) consultations provided to women in the perinatal period (pregnancy to end of the first postnatal year).Method A retrospective study of MBS utilisation and costs (in 2011-12 A$) for women giving birth between 2006 and 2010 by state, provider-type, and geographic remoteness was undertaken.Results The cost of mental health consultations during the perinatal period was A$17...
December 5, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29201430/evaluation-of-the-challenges-faced-in-increasing-contraceptive-access-within-a-community-college-population
#7
EDITORIAL
Jacqueline Lamme, Alison Edelman, Emily Padua, Jeffrey T Jensen
Background: Research demonstrates removing barriers to access, decreasing costs and offering same-day placement of long-acting reversible contraception (LARC) increases contraceptive uptake in young women. For those in community college (CC), LARC utilization might reduce the risk of dropout and improve degree completion. We identified a local school who had documented an unmet need for on-campus services through a recent student assessment. We then established an on-campus, same day contraceptive clinic at the CC as part of a clinical trial...
2017: Contraception and Reproductive Medicine
https://www.readbyqxmd.com/read/29201422/demographic-analysis-of-a-low-resource-socioculturally-diverse-urban-community-presenting-for-infertility-care-in-a-united-states-public-hospital
#8
Jacqueline R Ho, Jacquelyn R Hoffman, Lusine Aghajanova, James F Smith, Marisela Cardenas, Christopher N Herndon
Background: Infertility is a prevalent disease of reproductive health that exerts an impact on an estimated 80 million people worldwide. For many, involuntary childlessness becomes a central and preoccupying issue in their lives, the impact of which is exacerbated by lack of access to basic care and treatment. These effects maybe further magnified among immigrant communities, a growing but highly marginalized population that has been shown in other areas of reproductive health to experience worse health outcomes and delays in access to care...
2017: Contraception and Reproductive Medicine
https://www.readbyqxmd.com/read/29199056/screening-mammography-utilization-and-medicare-beneficiaries-perceptions-of-their-primary-care-physicians
#9
Andrew B Rosenkrantz, Margaret M Fleming, Linda Moy, James S Babb, Richard Duszak
RATIONALE AND OBJECTIVES: To assess associations between screening mammography utilization and Medicare beneficiaries' relationships with, and impressions of, their primary care physicians. MATERIALS AND METHODS: Using the Medicare Current Beneficiary Survey Access to Care Public Use File, we retrospectively studied responses from a national random cross section of Medicare beneficiaries surveyed in 2013 regarding perceptions of their primary care physicians and their screening mammography utilization...
November 30, 2017: Academic Radiology
https://www.readbyqxmd.com/read/29198256/the-global-burden-of-paediatric-heart-disease
#10
Ndidiamaka L Musa, Vibeke Hjortdal, Bistra Zheleva, Indah K Murni, Shunji Sano, Steven Schwartz, Sandra L Staveski
An estimated 15 million children die or are crippled annually by treatable or preventable heart disease in low- and middle-income countries. Global efforts to reduce under-5 mortality have focused on reducing death from communicable diseases in low- and middle-income countries with little to no attention focusing on paediatric CHD and acquired heart disease. Lack of awareness of CHD and acquired heart disease, access to care, poor healthcare infrastructure, competing health priorities, and a critical shortage of specialists are important reasons why paediatric heart disease has not been addressed in low resourced settings...
December 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29192839/telephone-helplines-as-a-source-of-support-for-eating-disorders-service-user-carer-and-health-professional-perspectives
#11
Amie-Louise Prior, Debbie Woodward, Toni Hoefkens, Debbie Clayton, Katie Thirlaway, Caroline Limbert
Access to care for eating disorders can be problematic for numerous reasons including lack of understanding and delays with treatment referrals. Previous research has highlighted the benefits of telephone helplines as an accessible source of support for those who may not wish to access face-to-face support or to fill a gap for those waiting for treatment. This study aimed to gain an insight into the perspectives of those who may use or refer others to a telephone helpline in order to identify the requirements of such a service...
December 1, 2017: Eating Disorders
https://www.readbyqxmd.com/read/29192471/biologic-agents-perception-in-patients-attending-for-the-first-time-to-psoriasis-centers-a-multicenter-italian-survey
#12
Maria Luca, Maria L Musumeci, Federico Bardazzi, Concetta Potenza, Nicoletta Bernardini, Francesca Ferrara, Alessandra Pavone, Giuseppe Micali
BACKGROUND: Inadequate treatment and delayed access to care represent critical issues regarding psoriasis. In Italy, patients treated with biologics are scanty and patients' misinformation could interfere with both biologics prescription and access to care. Literature provide data on disease awareness and perception about biologics in already-treated patients, but there is a lack of information concerning patients never treated with such drugs. METHODS: We conducted a national survey including three academic-based psoriasis care centers at Bologna, Rome and Catania...
November 30, 2017: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
https://www.readbyqxmd.com/read/29191588/timeliness-of-access-to-lung-cancer-diagnosis-and-treatment-a-scoping-literature-review
#13
REVIEW
Margo M Jacobsen, Sophie C Silverstein, Michael Quinn, Leo B Waterston, Christian A Thomas, James C Benneyan, Paul K J Han
The Institute of Medicine recently called for increased understanding of and commitment to timely care. Lung cancer can be difficult to diagnose, resulting in delays that may adversely affect survival; rapid diagnosis and treatment therefore is critical for enabling improved patient outcomes. This scoping review provides an update on timeliness of lung cancer care over the past decade. We searched PubMed for English-language articles published from 2007 to 2016 that report wait time intervals related to diagnosis and treatment of lung cancer...
October 2017: Lung Cancer: Journal of the International Association for the Study of Lung Cancer
https://www.readbyqxmd.com/read/29190167/engaging-the-transgender-community-to-improve-medical-education-and-prioritize-healthcare-initiatives
#14
Emily J Noonan, Susan Sawning, Ryan Combs, Laura A Weingartner, Leslee J Martin, V Faye Jones, Amy Holthouser
Phenomenon: Transgender patients experience discrimination, limited access to care, and inadequate provider knowledge in healthcare settings. Medical education to address transgender-specific disparities is lacking. Research that engages transgender community members may help address health disparities by empowering patients, increasing trust, and informing medical curricula to increase competence. APPROACH: A 2015 Community Forum on Transgender Health Care was hosted at the University of Louisville School of Medicine, which included healthcare professionals and transgender community members to facilitate dialogue among mixed-participant groups using a World Café model...
November 30, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29189491/project-echo-a-telementoring-network-model-for-continuing-professional-development
#15
Sanjeev Arora, Summers G Kalishman, Karla A Thornton, Miriam S Komaromy, Joanna G Katzman, Bruce B Struminger, William F Rayburn
INTRODUCTION: A major challenge with current systems of CME is the inability to translate the explosive growth in health care knowledge into daily practice. Project ECHO (Extension for Community Healthcare Outcomes) is a telementoring network designed for continuing professional development (CPD) and improving patient outcomes. The purpose of this article was to describe how the model has complied with recommendations from several authoritative reports about redesigning and enhancing CPD...
November 15, 2017: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/29188286/association-of-dermatologist-density-with-the-volume-and-costs-of-dermatology-procedures-among-medicare-beneficiaries
#16
Sally Y Tan, Daphne Tsoucas, Arash Mostaghimi
Importance: The persistent shortage of dermatologists in the United States affects access to care and patient outcomes. Objective: To characterize the effect of geographic variations in dermatologist density on the provision of dermatology procedures within Medicare. Design, Setting, and Participants: This was a cross-sectional study using the 2013 Medicare Provider Utilization and Payment Database. Dermatology-related procedures were defined by the top 50 billing codes accounting for more than 95% of procedures billed by dermatologists...
November 29, 2017: JAMA Dermatology
https://www.readbyqxmd.com/read/29184818/transition-of-care-for-patients-with-type-1-diabetes-mellitus-from-pediatric-to-adult-health-care-systems
#17
REVIEW
Elizabeth O Buschur, Bethany Glick, Manmohan K Kamboj
Planning for the transition from pediatric to adult healthcare is broadly understood to be beneficial to the quality of care of patients with chronic illness. Due to the level of self-care that is necessary in the maintenance of most chronic diseases, it is important that pediatric settings can offer support during a time when adolescents are beginning to take more responsibility in all areas of their lives. Lack of supportive resources for adolescents with chronic conditions often results in both decreased access to care and impaired health and function likely leading to increased medical costs later...
October 2017: Translational Pediatrics
https://www.readbyqxmd.com/read/29181792/medicaid-expansion-mental-health-and-access-to-care-among-childless-adults-with-and-without-chronic-conditions
#18
Tyler N A Winkelman, Virginia W Chang
BACKGROUND: While the Affordable Care Act's (ACA) Medicaid expansion has increased insurance coverage, its effects on health outcomes have been mixed. This may be because previous research did not disaggregate mental and physical health or target populations most likely to benefit. OBJECTIVE: To examine the association between Medicaid expansion and changes in mental health, physical health, and access to care among low-income childless adults with and without chronic conditions...
November 27, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29180178/telemedicine-broadening-access-to-care-for-complex-cases
#19
Joshua S Jue, Sydney A Spector, Seth A Spector
BACKGROUND: Surgical and nonsurgical specialists are highly centralized, making access to high-quality care difficult for many Americans. We explored the feasibility, benefits, preliminary outcomes, and patient satisfaction with a new type of health visit, in which a surgical oncologist used video telecommunication to manage and treat complex cancer diseases, including patients with severe comorbidities. MATERIALS AND METHODS: Patients visited local VA medical centers throughout Florida to engage in video telecommunication visits with a centralized surgical oncologist in Miami, who directed their oncology treatment...
December 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29179662/patient-experience-with-healthcare-services-among-older-adults-with-serious-mental-illness-compared-to-the-general-older-population
#20
Karen L Fortuna, Matthew C Lohman, John A Batsis, Elizabeth A DiNapoli, Peter R DiMilia, Martha L Bruce, Stephen J Bartels
Objective To compare patient experience with healthcare services and providers among older patients (≥50 years old) with and without serious mental illness. Methods Using secondary data from the Medical Expenditures Panel Survey from 2003 through 2013, we compared adults aged 50 years and older with schizophrenia spectrum disorder ( n = 106), mood disorders (i.e., major depressive disorder and bipolar disorder) ( n = 419), and no serious mental illness ( n = 34,921). Results Older adults with schizophrenia spectrum disorder reported significantly worse provider communication than older adults without serious mental illness...
July 2017: International Journal of Psychiatry in Medicine
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