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https://www.readbyqxmd.com/read/29678798/analysis-of-college-students-personal-health-information-activities-online-survey
#1
Sujin Kim, Donghee Sinn, Sue Yeon Syn
BACKGROUND: With abundant personal health information at hand, individuals are faced with a critical challenge in evaluating the informational value of health care records to keep useful information and discard that which is determined useless. Young, healthy college students who were previously dependents of adult parents or caregivers are less likely to be concerned with disease management. Personal health information management (PHIM) is a special case of personal information management (PIM) that is associated with multiple interactions among varying stakeholders and systems...
April 20, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29671080/-lutetium-177-psma-radioligand-therapy-consensus-within-the-framework-of-gkv-funded-care-between-the-university-hospitals-in-aachen-bonn-d%C3%A3-sseldorf-essen-and-cologne-and-the-mdk-nordrhein
#2
REVIEW
H Ahmadzadehfar, P Albers, A Bockisch, M Boegemann, C Böhme, W Burchert, M Dietlein, A Drzezga, U Fabry, G Feldmann, A Heidenreich, A Heinzel, K Herrmann, A Heyll, C Höhling, C Kreuzer, D Laufer, R Mengel, F M Mottaghy, H-W Müller, S C Müller, E Ost, K Rahbar, W Reifenhäuser, M Schäfers, C Schlenkhoff, M Schmidt, I Schmidt-Wolf, C Wildenhain, B Zimmer, M Essler
In the last 3 years, Lutetium-177 prostate-specific membrane antigen radioligand therapy (Lu-177-PSMA-RLT) has received increasing attention in nuclear medicine as a new form of treatment for castration-resistant metastatic prostate cancer. This therapy combines the radionuclide Lutetium-177, which has been therapeutically used in nuclear medicine for many years, with a molecular target of the transmembrane prostate-specific membrane antigen expressed by prostate cancer cells. Since there are no prospective randomized studies on Lu-177-PSMA-RLT and the question of reimbursement has repeatedly been the subject of review by the MDK Nordrhein (Medischenische Dienst der Krankenversicherung), there was a desire because of the increasing number of patients being treated to clarify under which circumstances Lu-177-PSMA-RLT can be reimbursed by German statutory health insurance...
April 18, 2018: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29666139/last-year-of-life-study-cologne-lyol-c-protocol-for-a-cross-sectional-mixed-methods-study-to-examine-care-trajectories-and-transitions-in-the-last-year-of-life-until-death
#3
Julia Strupp, Gloria Hanke, Nicolas Schippel, Holger Pfaff, Ute Karbach, Christian Rietz, Raymond Voltz
INTRODUCTION: The last year of life constitutes a particularly vulnerable phase for patients, involving nearly all health and social care structures. Yet, little scientific evidence is available that provides insight into the trajectories including the number and types of care setting transitions, transitions into palliative care and the dying phase. Only few studies have focused on difficulties associated with having to move between health and social care settings in the last year of life, although patients face a significant risk of adverse events...
April 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29664035/out-of-pocket-expenditure-for-hospitalization-in-haryana-state-of-india-extent-determinants-financial-risk-protection
#4
Deepshikha Sharma, Shankar Prinja, Arun Kumar Aggarwal, Pankaj Bahuguna, Atul Sharma, Saroj Kumar Rana
Background & objectives: India aspires to achieve universal health coverage, which requires ensuring financial risk protection (FRP). This study was done to assess the extent of out-of-pocket (OOP) expenditure and FRP for hospitalization in Haryana State, India. Further, the determinants for FRP were also evaluated. Methods: Data collected as a part of a household level survey conducted in Haryana 'Concurrent Evaluation of National Rural Health Mission: Haryana Health Survey' were analyzed...
December 2017: Indian Journal of Medical Research
https://www.readbyqxmd.com/read/29660010/costs-for-breast-cancer-care-in-the-military-health-system-an-analysis-by-benefit-type-and-care-source
#5
Yvonne L Eaglehouse, Janna Manjelievskaia, Stephanie Shao, Derek Brown, Keith Hofmann, Patrick Richard, Craig D Shriver, Kangmin Zhu
Introduction: Breast cancer care imposes a significant financial burden to U.S. healthcare systems. Health services factors, such as insurance benefit type and care source, may impact costs to the health system. Beneficiaries in the U.S. Military Health System (MHS) have universal healthcare coverage and access to a network of military facilities (direct care) and private practices (purchased care). This study aims to quantify and compare breast cancer care costs to the MHS by insurance benefit type and care source...
April 11, 2018: Military Medicine
https://www.readbyqxmd.com/read/29658152/extending-health-insurance-coverage-to-the-informal-sector-lessons-from-a-private-micro-health-insurance-scheme-in-lagos-nigeria
#6
Lauren Peterson, Alison Comfort, Laurel Hatt, Thierry van Bastelaer
BACKGROUND: As a growing number of low- and middle-income countries commit to achieving universal health coverage, one key challenge is how to extend coverage to informal sector workers. Micro health insurance (MHI) provides a potential model to finance health services for this population. This study presents lessons from a pilot study of a mandatory MHI plan offered by a private insurance company and distributed through a microfinance bank to urban, informal sector workers in Lagos, Nigeria...
April 15, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29653298/voluntary-health-insurance-in-nigeria-effects-on-takers-and-non-takers
#7
Igna Bonfrer, Ellen Van de Poel, Emily Gustafsson-Wright, Eddy van Doorslaer
Interventions aiming to simultaneously improve financial protection and quality of care may provide an important avenue towards universal health coverage. We estimate the effects of the introduction of the Kwara State Health Insurance program in Nigeria on not only the insured but also the uninsured. A subsidized voluntary low cost health insurance was offered by a private insurer as well as a quality upgrade in selected health care facilities. Using propensity score matching and panel data collected in 2009 and 2011 (n = 3509), we find that, for the insured, the program increased health care utilization (36 percent, p < 0...
April 3, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29653067/who-is-willing-to-come-back-college-students-willingness-to-seek-help-after-using-campus-mental-health-services
#8
Sara B Oswalt, Alyssa M Lederer, Kimberly Chestnut-Steich
OBJECTIVE: To examine characteristics of college students who have previously received mental health (MH) services on campus and are willing to seek help again in the future. PARTICIPANTS: Spring 2015 ACHA-NCHA II (N = 12,501) undergraduate respondents who had previously used MH services on their current campus. METHODS: Binary logistic regression with willingness to seek MH services in the future as the dependent variable Results: Among students who had already utilized campus MH services, significant predictors for future help-seeking were: female, white, gay/lesbian, those not working for pay, having the college/university health insurance plan, and not currently/previously serving in the military (p<...
April 13, 2018: Journal of American College Health: J of ACH
https://www.readbyqxmd.com/read/29652932/analysis-of-length-of-hospital-stay-using-electronic-health-records-a-statistical-and-data-mining-approach
#9
Hyunyoung Baek, Minsu Cho, Seok Kim, Hee Hwang, Minseok Song, Sooyoung Yoo
BACKGROUND: The length of stay (LOS) is an important indicator of the efficiency of hospital management. Reduction in the number of inpatient days results in decreased risk of infection and medication side effects, improvement in the quality of treatment, and increased hospital profit with more efficient bed management. The purpose of this study was to determine which factors are associated with length of hospital stay, based on electronic health records, in order to manage hospital stay more efficiently...
2018: PloS One
https://www.readbyqxmd.com/read/29652882/association-between-supplementary-private-health-insurance-and-visits-to-physician-offices-versus-hospital-outpatient-departments-among-adults-with-diabetes-in-the-universal-public-insurance-system
#10
Chang Hoon You, Ji Heon Choi, Sungwook Kang, Eun-Hwan Oh, Young Dae Kwon
BACKGROUND: Diabetes mellitus is a chronic disease with a high prevalence across the world as well as in South Korea. Most cases of diabetes can be adequately managed at physician offices, but many diabetes patients receive outpatient care at hospitals. This study examines the relationship between supplementary private health insurance (SPHI) ownership and the use of hospitals among diabetes outpatients within the universal public health insurance scheme. METHODS: Data from the 2011 Korea Health Panel, a nationally representative sample of Korean individuals, was used...
2018: PloS One
https://www.readbyqxmd.com/read/29650871/-a-discussion-of-involvement-of-pharmacists-in-home-medical-care-in-foreign-countries-and-international-comparison-of-medical-care-system
#11
Tokuko Okuda
In an aging society, the sustainability of the public medical system is the most important factor. I surveyed leading cases in Japan, as well as corresponding cases overseas. I also conducted interviews in Britain, North America, and Europe, and these indicated the current trends and issues. The UK has a universal insurance system and, facing a declining birthrate and an aging population, they have adopted a policy of immigration, which has various problems. However, the GP system is highly regarded by the OECD...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29643152/refugee-maternal-and-perinatal-health-in-ontario-canada-a-retrospective-population-based-study
#12
Susitha Wanigaratne, Yogendra Shakya, Anita J Gagnon, Donald C Cole, Meb Rashid, Jennifer Blake, Parisa Dastoori, Rahim Moineddin, Joel G Ray, Marcelo L Urquia
OBJECTIVES: Immigrants are thought to be healthier than their native-born counterparts, but less is known about the health of refugees or forced migrants. Previous studies often equate refugee status with immigration status or country of birth (COB) and none have compared refugee to non-refugee immigrants from the same COB. Herein, we examined whether: (1) a refugee mother experiences greater odds of adverse maternal and perinatal health outcomes compared with a similar non-refugee mother from the same COB and (2) refugee and non-refugee immigrants differ from Canadian-born mothers for maternal and perinatal outcomes...
April 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29629922/medicaid-managed-care-in-florida-and-racial-and-ethnic-disparities-in-preventable-emergency-department-visits
#13
Tianyan Hu, Karoline Mortensen, Jie Chen
BACKGROUND: In an effort to address health care spending growth, coordinate care, and improve access to primary care in the Medicaid program, Florida implemented the Statewide Mandatory Managed Care (SMMC) program in May of 2014. OBJECTIVES: The objective of this study is to investigate the impact of implementation of mandatory managed care in Medicaid on the preventable emergency department (ED) utilizations, with a focus on racial/ethnic minorities. RESEARCH DESIGN: The primary data source is the universe of Florida ED visit and inpatient discharge data from 2010 to 2015, maintained by the Florida Agency for Health Care Administration...
April 7, 2018: Medical Care
https://www.readbyqxmd.com/read/29629051/the-challenges-of-strategic-purchasing-of-healthcare-services-in-iran-health-insurance-organization-a-qualitative-study
#14
Hasan Abolghasem Gorji, Sayyed Masoud Shajari Pour Mousavi, Ali Shojaei, Anahita Keshavarzi, Hossein Zare
Background: Strategic purchasing in healthcare services is a key component in improving health system performance, and it has been one of the most important issues in health system reform around the world, especially Europe in the last decade. Iran health system and insurance, although sometimes considered the issue of strategic purchasing goals, has not been made possible to achieve or even to implement, due to the associated problems. Objective: To determine the associated problems of strategic purchasing in the Iran Health Insurance Organization (IHIO)...
February 2018: Electronic Physician
https://www.readbyqxmd.com/read/29617393/cost-and-economic-burden-of-illness-over-15-years-in-nepal-a-comparative-analysis
#15
Khin Thet Swe, Md Mizanur Rahman, Md Shafiur Rahman, Eiko Saito, Sarah K Abe, Stuart Gilmour, Kenji Shibuya
BACKGROUND: With an increasing burden of non-communicable disease in Nepal and limited progress towards universal health coverage, country- and disease-specific estimates of financial hardship related to healthcare costs need to be evaluated to protect the population effectively from healthcare-related financial burden. OBJECTIVES: To estimate the cost and economic burden of illness and to assess the inequality in the financial burden due to catastrophic health expenditure from 1995 to 2010 in Nepal...
2018: PloS One
https://www.readbyqxmd.com/read/29609640/is-there-an-association-between-the-use-of-complementary-medicine-and-vaccine-uptake-results-of-a-pilot-study
#16
Jane E Frawley, Erica McIntyre, Jon Wardle, Debra Jackson
OBJECTIVE: Despite the incredible success of paediatric immunisation, support is not universal. It has been suggested that complementary medicine practitioners enable vaccine rejection and his study aims to explore the relationship between complementary medicine use and paediatric vaccination. A total of 149 Australian parents were recruited via a parenting website and Facebook groups to complete an online questionnaire. RESULTS: The majority of parents (66.4%) stated that their children's vaccination status was up-to-date...
April 2, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29609583/risk-factors-for-neonatal-early-onset-group-b-streptococcus-related-diseases-after-the-implementation-of-a-universal-screening-program-in-taiwan
#17
Li-Chen Hung, Pei-Tseng Kung, Tsan-Hung Chiu, Hsun-Pi Su, Ming Ho, Hui-Fen Kao, Li-Ting Chiu, Kuang-Hua Huang, Wen-Chen Tsai
BACKGROUND: We examined the risk for Group B streptococcus (GBS)-related diseases in newborns born to mothers who participated in a universal GBS screening program and to determine whether differences are observed in factors affecting the morbidity for neonatal early-onset GBS-related diseases. METHODS: This is a retrospective study and the study subjects were women who had undergone GBS screening and who gave birth naturally and their newborns between April 15, 2012 and December 31, 2013...
April 2, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29608610/strategic-purchasing-and-health-system-efficiency-a-comparison-of-two-financing-schemes-in-thailand
#18
Walaiporn Patcharanarumol, Warisa Panichkriangkrai, Angkana Sommanuttaweechai, Kara Hanson, Yaowaluk Wanwong, Viroj Tangcharoensathien
Strategic purchasing is an essential health financing function. This paper compares the strategic purchasing practices of Thailand's two tax-financed health insurance schemes, the Universal Coverage Scheme (UCS) and the Civil Servant Medical Benefit Scheme (CSMBS), and identifies factors contributing to successful universal health coverage outcomes by analysing the relationships between the purchaser and government, providers and members. The study uses a cross-sectional mixed-methods design, including document review and interviews with 56 key informants...
2018: PloS One
https://www.readbyqxmd.com/read/29606357/who-where-and-why-are-patients-lost-to-follow-up-a-20-year-study-of-bladder-exstrophy-patients-at-a-single-institution
#19
Emily Haddad, Ahmet Ali Sancaktutar, Blake W Palmer, Christopher Aston, Bradley P Kropp
INTRODUCTION: Individuals with bladder and cloacal exstrophy are at increased risk for kidney disease, renal failure, and bladder complications. Given the social implications and sensitive nature of the disease, these patients are also at risk for psychosocial problems. Lack of regular medical follow-up visits may pose serious risks to their long-term health status. The aim of this study is determine what factors place an affected individual at risk for limited long term follow up. MATERIALS AND METHODS: We identified all patients with bladder or cloacal exstrophy seen by the pediatric urology department at the Oklahoma University Health Sciences Center (OUHSC) between January 1996 and August 2016...
March 19, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29602185/stakeholder-perspectives-regarding-transfer-of-free-maternity-services-to-national-health-insurance-fund-in-kenya-implications-for-universal-health-coverage
#20
Timothy Abuya, Francis Obare, Dennis Matanda, Mardieh L Dennis, Ben Bellows
BACKGROUND: Kenya is developing strategies to finance health care through prepayment to achieve universal health coverage (UHC). Plans to transfer free maternity services (FMS) from the Ministry of Health to the National Health Insurance Fund (NHIF) are a step towards UHC. We examined views of health workers and women regarding the transition of FMS to NHIF to inform the process. METHODS: In-depth interviews among 14 facility-level managers and providers, 11 county-level managers, and 21 focus group discussions with women who gave birth before and after the introduction of FMS...
March 30, 2018: International Journal of Health Planning and Management
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