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Qualitative secondary analysis

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https://www.readbyqxmd.com/read/28633636/typology-of-birth-centres-in-the-netherlands-using-the-rainbow-model-of-integrated-care-results-of-the-dutch-birth-centre-study
#1
Inge C Boesveld, Marc A Bruijnzeels, Marit Hitzert, Marieke A A Hermus, Karin M van der Pal-de Bruin, M Elske van den Akker-van Marle, Eric A P Steegers, Arie Franx, Raymond G de Vries, Therese A Wiegers
BACKGROUND: The goal of integrated care is to offer a continuum of care that crosses the boundaries of public health, primary, secondary, and tertiary care. Integrated care is increasingly promoted for people with complex needs and has also recently been promoted in maternity care systems to improve the quality of care. Especially when located near an obstetric unit, birth centres are considered to be ideal settings for the realization of integrated care. At present, however, we know very little about the degree of integration in these centres and we do not know if increased levels of integration improve the quality of the care delivered...
June 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28629468/improving-detection-and-initial-management-of-gestational-diabetes-through-the-primary-level-of-care-in-morocco-protocol-for-a-cluster-randomized-controlled-trial
#2
Bettina Utz, Bouchra Assarag, Amina Essolbi, Amina Barkat, Nawal El Ansari, Bouchra Fakhir, Alexandre Delamou, Vincent De Brouwere
BACKGROUND: Morocco is facing a growing prevalence of diabetes and according to latest figures of the World Health Organization, already 12.4% of the population are affected. A similar prevalence has been reported for gestational diabetes (GDM) and although it is not yet high on the national agenda, immediate and long-term complications threaten the health of mothers and future generations. A situational analysis on GDM conducted in 2015 revealed difficulties in access to screening and delays in receiving appropriate care...
June 19, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28628391/interest-and-attitudes-of-patients-with-advanced-cancer-with-regard-to-secondary-germline-findings-from-tumor-genomic-profiling
#3
Jada G Hamilton, Elyse Shuk, Margaux C Genoff, Vivian M Rodríguez, Jennifer L Hay, Kenneth Offit, Mark E Robson
PURPOSE: Tumor genomic profiling (TGP) can reveal secondary findings about inherited disease risks in a patient with cancer. Little is known about how patients with advanced cancer, currently the primary users of TGP, perceive the benefits and harms of secondary germline findings. METHODS: We conducted semistructured interviews with 40 patients with advanced breast, bladder, colorectal, or lung cancer who had TGP. Qualitative interview data were evaluated by using a thematic content analysis approach...
June 19, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28625111/successful-adaptation-of-a-research-methods-course-in-south-america
#4
Leonardo Tamariz, Diego Vasquez, Cecilia Loor, Ana Palacio
BACKGROUND: South America has low research productivity. The lack of a structured research curriculum is one of the barriers to conducting research. OBJECTIVE: To report our experience adapting an active learning-based research methods curriculum to improve research productivity at a university in Ecuador. DESIGN: We used a mixed-method approach to test the adaptation of the research curriculum at Universidad Catolica Santiago de Guayaquil...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28624298/processes-and-experiences-of-portugal-s-international-recruitment-scheme-of-colombian-physicians-did-it-work
#5
Erika Masanet
The Portuguese Ministry of Health performed five international recruitment rounds of Latin American physicians due to the need for physicians in certain geographic areas of the country and in some specialties, as a temporary solution to shortages. Among these recruitments is that of Colombian physicians in 2011 that was the largest of the five groups. This paper presents an evaluation of the international recruitment procedure of Colombian physicians based on the criteria of procedural outcomes and health system outcomes...
May 17, 2017: Health Policy
https://www.readbyqxmd.com/read/28621259/clinical-effectiveness-and-cost-effectiveness-of-a-multifaceted-podiatry-intervention-for-falls-prevention-in-older-people-a-multicentre-cohort-randomised-controlled-trial-the-reducing-falls-with-orthoses-and-a-multifaceted-podiatry-intervention-trial
#6
Sarah Cockayne, Sara Rodgers, Lorraine Green, Caroline Fairhurst, Joy Adamson, Arabella Scantlebury, Belen Corbacho, Catherine E Hewitt, Kate Hicks, Robin Hull, Anne-Maree Keenan, Sarah E Lamb, Caroline McIntosh, Hylton B Menz, Anthony Redmond, Zoe Richardson, Wesley Vernon, Judith Watson, David J Torgerson
BACKGROUND: Falls are a serious cause of morbidity and cost to individuals and society. Evidence suggests that foot problems and inappropriate footwear may increase the risk of falling. Podiatric interventions could help reduce falls; however, there is limited evidence regarding their clinical effectiveness and cost-effectiveness. OBJECTIVES: To determine the clinical effectiveness and cost-effectiveness of a multifaceted podiatry intervention for preventing falls in community-dwelling older people at risk of falling, relative to usual care...
April 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/28619272/patient-participation-during-oncological-encounters-barriers-and-need-for-supportive-interventions-experienced-by-elderly-cancer-patients
#7
Janneke Noordman, Jeanine A Driesenaar, Inge Henselmans, Jedidja Verboom, Monique Heijmans, Sandra van Dulmen
OBJECTIVE: To enhance patient participation during (oncological) encounters, this study aims to gain insight into communication barriers and supportive interventions experienced by elderly patients with cancer. METHOD: A mixed method design, including both quantitative (secondary survey data analysis) and qualitative (interviews) methods Survey data were used to identify communication barriers and need for supportive interventions of elderly cancer patients, compared to younger patients...
June 9, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28619038/the-experiences-of-women-with-maternal-near-miss-and-their-perception-of-quality-of-care-in-kelantan-malaysia-a-qualitative-study
#8
Mohd Noor Norhayati, Nik Hussain Nik Hazlina, Ab Razak Asrenee, Zaharah Sulaiman
BACKGROUND: Maternal mortality has been the main way of ascertaining the outcome of maternal and obstetric care. However, maternal morbidities occur more frequently than maternal deaths; therefore, maternal near miss was suggested as a more useful indicator for the evaluation and improvement of maternal health services. Our study aimed to explore the experiences of women with maternal near miss and their perception of the quality of care in Kelantan, Malaysia. METHODS: A qualitative phenomenological approach with in-depth interview method was conducted in two tertiary hospitals in Kelantan, Malaysia...
June 15, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28619027/-health-is-my-capital-a-qualitative-study-of-access-to-healthcare-by-chinese-migrants-in-singapore
#9
Wai Jia Tam, Wei Leong Goh, Jeffrey Chua, Helena Legido-Quigley
BACKGROUND: Since the 1970s, Singapore has turned into one of the major receiving countries of foreign workers in Southeast Asia. Over the years, challenges surrounding access to healthcare by Chinese migrant workers have surfaced globally. This study aims to explore the experiences of Chinese migrants accessing primary and secondary/tertiary healthcare in Singapore, and the opportunities for overcoming these barriers. METHODS: We conducted 25 in-depth interviews of 20 Chinese migrants and five staff from HealthServe, a non-governmental organization serving Chinese migrants in Singapore from October 2015 to January 2016...
June 15, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28615156/dr-google-is-here-to-stay-but-health-care-professionals-are-still-valued-an-analysis-of-health-care-consumers-internet-navigation-support-preferences
#10
Kenneth Lee, Kreshnik Hoti, Jeffery David Hughes, Lynne Emmerton
BACKGROUND: The Internet offers great opportunities for consumers to be informed about their health. However, concerns have been raised regarding its impact on the traditional health consumer-health professional relationship. Our recent survey of 400 Australian adults identified that over half of consumers required some form of navigational support in locating appropriate Web-based health information. We propose that support provided by health professionals would be preferred by consumers; this preference is regardless of whether consumers have a need for navigational support...
June 14, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28606909/-treated-as-a-number-not-treated-as-a-person-a-qualitative-exploration-of-the-perceived-barriers-to-effective-pain-management-of-patients-with-chronic-pain
#11
Muhammad Abdul Hadi, David Phillip Alldred, Michelle Briggs, Kathryn Marczewski, S José Closs
OBJECTIVES: To identify barriers to effective pain management encountered by patients with chronic pain within the UK's National Health Service (NHS). DESIGN: Secondary analysis of face-to-face, semistructured qualitative interviews using thematic analysis. SETTING: A community-based chronic pain clinic jointly managed by a nurse and pharmacist located in the North of England. PARTICIPANTS: Nineteen adult (>18 years) patients with chronic pain discharged from a pain clinic, with the ability to understand and speak the English language...
June 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/28606138/exploring-shared-risks-through-public-private-partnerships-in-public-health-programs-a-mixed-method
#12
Wadi B Alonazi
BACKGROUND: The natural assimilation of the process through which health partners sustain long-term relationships is a key issue in maintaining social well-being, reducing health risk factors, and sustaining public health programs. One global initiative in building effective healthcare systems is public-private partnerships (PPPs). This study elucidates the proposed key performance indicators initiated by the Ministry of Health of Saudi Arabia based on the projections of the government, known as Vision 2030, from the perspective of health risk factors...
June 12, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28604233/distance-education-methods-are-useful-for-delivering-education-to-palliative-caregivers-a-single-arm-trial-of-an-education-package-palliative-caregivers-education-package
#13
Liz Forbat, Rowena Robinson, Rachel Bilton-Simek, Karemah Francois, Marsha Lewis, Erna Haraldsdottir
BACKGROUND: Face-to-face/group education for palliative caregivers is successful, but relies on caregivers travelling, being absent from the patient, and rigid timings. This presents inequities for those in rural locations. AIM: To design and test an innovative distance-learning educational package (PrECEPt: PalliativE Caregivers Education Package). DESIGN: Single-arm mixed-method feasibility proof-of-concept trial (ACTRN12616000601437). The primary outcome was carer self-efficacy, with secondary outcomes focused on caregiver preparedness and carer tasks/needs...
June 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28589013/quality-assurance-of-medicines-supplied-to-low-income-and-middle-income-countries-poor-products-in-shiny-boxes
#14
A Nebot Giralt, B Schiavetti, B Meessen, C Pouget, J M Caudron, B Marchal, P Massat, S Thys, R Ravinetto
OBJECTIVE: In today's context of globalisation of pharmaceutical production and distribution, international and national procurement agencies play a de facto key role in defining the quality of medicines available in sub-Saharan Africa. We evaluated the compliance of a sample of pharmaceutical distributors active in sub-Saharan Africa with the standards of the WHO guideline 'Model Quality Assurance System (WHO MQAS) for procurement agencies', and we investigated factors favouring or hindering the adequate implementation of the guideline...
March 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28589000/system-wide-analysis-of-health-financing-equity-in-cambodia-a-study-protocol
#15
Virginia Wiseman, Augustine Asante, Por Ir, Supon Limwattananon, Bart Jacobs, Marco Liverani, Andrew Hayen, Stephen Jan
BACKGROUND: To assess progress towards universal health coverage, countries like Cambodia require evidence on equity in the financing and distribution of healthcare benefits. This evidence must be based on a system-wide perspective that recognises the complex roles played by the public and private sectors in many contemporary healthcare systems. OBJECTIVE: To undertake a system-wide assessment of who pays and who benefits from healthcare in Cambodia and to understand the factors influencing this...
January 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28586361/parents-experience-of-perinatal-post-mortem-following-stillbirth-a-mixed-methods-study
#16
Jane Henderson, Maggie Redshaw
OBJECTIVES: To analyse quantitative and qualitative data, to describe the experience of parents in relation to post-mortem following stillbirth, looking at offer and uptake of post-mortem, information-giving, the type of post-mortem carried out, receiving the results and any sociodemographic differences in care practices in relation to post-mortem. DESIGN: Secondary analysis of a postal survey which included both open and closed questions allowing for a mixed methods study design...
2017: PloS One
https://www.readbyqxmd.com/read/28583698/has-the-quality-of-health-care-for-the-immigrant-population-changed-during-the-economic-crisis-in-catalonia-spain-opinions-of-health-professionals-and-immigrant-users
#17
Victoria Porthé, Ingrid Vargas, Elena Ronda, Davide Malmusi, Lola Bosch, M Luisa Vázquez
OBJECTIVE: To analyse changes in health professionals' and immigrant users' perceptions of the quality of care provided to the immigrant population during the crisis. METHODS: A qualitative descriptive-interpretative and exploratory study was conducted in two areas of Catalonia. Semi-structured individual interviews were used with a theoretical sample of medical (n=24) and administrative (n=10) professionals in primary care (PC) and secondary care (SC), and immigrant users (n=20)...
June 2, 2017: Gaceta Sanitaria
https://www.readbyqxmd.com/read/28583170/community-dialogues-for-child-health-results-from-a-qualitative-process-evaluation-in-three-countries
#18
Sandrine Martin, Jordana Leitão, Denis Muhangi, Anthony Nuwa, Dieterio Magul, Helen Counihan
BACKGROUND: Across the developing world, countries are increasingly adopting the integrated community case management of childhood illnesses (iCCM) strategy in efforts to reduce child mortality. This intervention's effectiveness is dependent on community adoption and changes in care-seeking practices. We assessed the implementation process of a theory-driven community dialogue (CD) intervention specifically designed to strengthen the support and uptake of the newly introduced iCCM services and related behaviours in three African countries...
June 5, 2017: Journal of Health, Population, and Nutrition
https://www.readbyqxmd.com/read/28580845/-nobody-teases-good-girls-a-qualitative-study-on-perceptions-of-sexual-harassment-among-young-men-in-a-slum-of-mumbai
#19
Susannah Zietz, Madhumita Das
Young adulthood is a key period in which gender norms are solidified. As a result, young women are particularly vulnerable to gender-based violence. In Delhi, over 90% of women have ever experienced sexual violence in public spaces. Sexual harassment of girls and women in public spaces is commonly named 'eve teasing' in India. Experience of sexual harassment in public spaces has been found to be associated with restricted mobility, interrupted education, and early age at marriage. Little is known about men's perspectives on eve teasing and how they believe it affects women and girls...
June 5, 2017: Global Public Health
https://www.readbyqxmd.com/read/28578666/affected-family-members-experience-of-and-coping-with-aggression-and-violence-within-the-context-of-problematic-substance-use-a-qualitative-study
#20
Terence V McCann, Dan I Lubman, Gayelene Boardman, Mollie Flood
BACKGROUND: Families have an important role supporting a family member with problematic substance use (PSU), although this can often be challenging and confronting. Previous research has identified high rates of family aggression and violence within the context of PSU, although few studies have examined this issue from the perspective of affected family members (AFMs) supporting a member with PSU. The aims of the current study were to understand AFMs' experience of aggression and violence while supporting a member with PSU, and to explicate the strategies they used to prevent and cope with this behaviour...
June 2, 2017: BMC Psychiatry
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