keyword
MENU ▼
Read by QxMD icon Read
search

proactive care

keyword
https://www.readbyqxmd.com/read/28917219/reuma-pt-contribution-to-the-knowledge-of-immune-mediated-systemic-rheumatic-diseases
#1
Maria José Santos, Helena Canhão, Ana Filipa Mourão, Filipa Oliveira Ramos, Cristina Ponte, Cátia Duarte, Anabela Barcelos, Fernando Martins, José António Melo Gomes
Patient registries are key instruments aimed at a better understanding of the natural history of diseases, at assessing the effectiveness of therapeutic interventions, as well as identifying rare events or outcomes that are not captured in clinical trials. However, the potential of registries goes far beyond these aspects. For example, registries promote the standardization of clinical practice, can also provide information on domains that are not routinely collected in clinical practice and can support decision-making...
September 14, 2017: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/28911977/screening-for-sexual-dissatisfaction-among-people-with-type-2-diabetes-in-primary-care
#2
Anne Bijlsma-Rutte, Annemarie M J Braamse, Patricia van Oppen, Frank J Snoek, Paul Enzlin, Peter Leusink, Giel Nijpels, Petra J M Elders
AIMS: The identification and discussion of sexual care needs in people with type 2 diabetes mellitus (T2DM) in primary care is currently insufficient. The objective of this study was to determine the prevalence of sexual dissatisfaction, sexual problems and need for help by using a screening instrument among people with T2DM in primary care. METHODS: Data were collected in 45 general practices in the Netherlands from January 2015 to February 2016. The Brief Sexual Symptom Checklist (BSSC) was used to screen among 40-75 year old men and women...
August 4, 2017: Journal of Diabetes and its Complications
https://www.readbyqxmd.com/read/28895218/strengthening-multipayer-collaboration-lessons-from-the-comprehensive-primary-care-initiative
#3
Grace Anglin, H A Tu, Kristie Liao, Laura Sessums, Erin Fries Taylor
Policy Points: Collaboration across payers to align financial incentives, quality measurement, and data feedback to support practice transformation is critical, but challenging due to competitive market dynamics and competing institutional priorities. The Centers for Medicare & Medicaid Services or other entities convening multipayer initiatives can build trust with other participants by clearly outlining each participant's role and the parameters of collaboration at the outset of the initiative. Multipayer collaboration can be improved if participating payers employ neutral, proactive meeting facilitators; develop formal decision-making processes; seek input on decisions from practice representatives; and champion the initiative within their organizations...
September 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/28894072/-a-concept-analysis-of-uncertainty-in-epilepsy
#4
Juna Lee, Insook Lee
PURPOSE: This concept analysis was done to clarify 'uncertainty in epilepsy'. METHODS: Walker and Avant's methodology guided the analysis. In addition, the concept was compared with uncertainty in other health problems. RESULTS: 'Uncertainty in epilepsy' was defined as being in the condition as seen from the epilepsy experience where cues were difficult to understand because they changed, were in discord with past ones, or they had two or more contradictory values at the same time...
August 2017: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/28890084/contingent-engagement-what-we-learn-from-patients-with-complex-health-problems-and-low-socioeconomic-status
#5
Miriam Komaromy, Erin Fanning Madden, Andrea Zurawski, Summers Kalishman, Kristin Barker, Patricia O'Sullivan, Martin Jurado, Sanjeev Arora
OBJECTIVE: Elicit patients' perceptions of factors that facilitate their engagement in care METHODS: In-depth interviews with 20 adult Medicaid patients who had complex health problems, frequent hospitalizations/emergency department use, and who were enrolled in an intensive, team-based care program designed to address medical, behavioral, and social needs. RESULTS: Prior to engaging in the program, participants described weak relationships with primary care providers, frequent hospitalizations and emergency visits, poor adherence to medications and severe social barriers to care...
September 1, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28887068/the-rationale-design-and-methods-of-a-randomized-controlled-trial-to-evaluate-the-effectiveness-of-collaborative-telecare-in-preserving-function-among-patients-with-late-stage-cancer-and-hematologic-conditions
#6
Andrea L Cheville, Timothy Moynihan, Jeffrey R Basford, John A Nyman, Marty L Tuma, Debra A Macken, Terry Therneau, Daniel Satelel, Kurt Kroenke
Disablement affects over 40% of patients with advanced stage cancer, devastates their quality of life (QoL), and increases their healthcare costs. Proactively treating the causes of disablement; physical impairments, pain, and immobility, can prolong functional independence, improve QoL and, potentially, reduce utilization. However rehabilitation service delivery models are reactive in nature and focus on catastrophic rather than incipient disability. A validated collaborative approach, the Three Component Model (TCM), optimizes important clinical outcomes and may provide an ideal framework to overcome barriers to proactively integrating rehabilitation into cancer care...
September 5, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28885970/essential-medications-for-patients-with-suspected-or-confirmed-ebola-virus-disease-in-resource-limited-environments
#7
William F Pierce, Selena D Ready, John Tyson Chapman, Corrinne Kulick, Anastasia Shields, Jialynn Wang, Kimberly Andrews, Richard W Childs, Carlos Bell, Alexandr Kosyak, Jade Pham
BACKGROUND: In 2014, the U.S. Public Health Service (USPHS) Commissioned Corps deployed to Monrovia, Liberia, to operate a 25-bed Ebola treatment unit (ETU) constructed by the U.S. Military. The ETU was named the Monrovia Medical Unit (MMU) and was constructed from an U.S. Air Force Expeditionary Medical Support (EMEDS) unit with modifications on the basis of consultation from Médecins Sans Frontières, the World Health Organization, and expert panels from the U.S. Department of Defense and Department of Health and Human Services...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28885522/debrief-in-emergency-departments-to-improve-compassion-fatigue-and-promote-resiliency
#8
Madeline Schmidt, Kristin Haglund
The purpose of this case study was to describe compassion fatigue using one nurse's experience as an example and to present the process of Personal Reflective Debrief as an intervention to prevent compassion fatigue in emergency department (ED) nurses. Debriefing after adverse outcomes using a structured model has been used in health care as a nonthreatening and relatively low-cost way to discuss unanticipated outcomes, identify opportunities for improvement, and heal as a group. There are many methods of debrief tailored to specific timing around events, specific populations of health care workers, and amount of time for debriefing...
September 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/28882926/digital-technology-to-facilitate-proactive-assessment-of-obesity-risk-during-infancy-proask-a-feasibility-study
#9
Sarah A Redsell, Jennie Rose, Stephen Weng, Joanne Ablewhite, Judy Anne Swift, Aloysius Niroshan Siriwardena, Dilip Nathan, Heather J Wharrad, Pippa Atkinson, Vicki Watson, Fiona McMaster, Rajalakshmi Lakshman, Cris Glazebrook
OBJECTIVE: To assess the feasibility and acceptability of using digital technology for Proactive Assessment of Obesity Risk during Infancy (ProAsk) with the UK health visitors (HVs) and parents. DESIGN: Multicentre, pre- and post-intervention feasibility study with process evaluation. SETTING: Rural and urban deprived settings, UK community care. PARTICIPANTS: 66 parents of infants and 22 HVs. INTERVENTION: ProAsk was delivered on a tablet device...
September 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28876455/the-age-friendly-health-system-imperative
#10
Terry Fulmer, Kedar S Mate, Amy Berman
The unprecedented changes happening in the American healthcare system have many on high alert as they try to anticipate legislative actions. Significant efforts to move from volume to value, along with changing incentives and alternative payment models, will affect practice and the health system budget. In tandem, growth in the population aged 65 and older is celebratory and daunting. The John A. Hartford Foundation is partnering with the Institute for Healthcare Improvement to envision an age-friendly health system of the future...
September 6, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28874487/high-levels-of-capitation-payments-needed-to-shift-primary-care-toward-proactive-team-and-nonvisit-care
#11
Sanjay Basu, Russell S Phillips, Zirui Song, Asaf Bitton, Bruce E Landon
Capitated payments in the form of fixed monthly payments to cover all of the costs associated with delivering primary care could encourage primary care practices to transform the way they deliver care. Using a microsimulation model incorporating data from 969 US practices, we sought to understand whether shifting to team- and non-visit-based care is financially sustainable for practices under traditional fee-for-service, capitated payment, or a mix of the two. Practice revenues and costs were computed for fee-for-service payments and a range of capitated payments, before and after the substitution of team- and non-visit-based services for low-complexity in-person physician visits...
September 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28872535/the-opportunity-awaits-to-lead-orthopaedic-telehealth-innovation-aoa-critical-issues
#12
Montri D Wongworawat, Gary Capistrant, John M Stephenson
Telehealth is a way to provide health-care services to a patient from a provider who is at another location. The most common methods include a live interactive visit with the patient, interpretation of imaging, and monitoring of patient progress. Principally, telehealth is a way of providing a service rather than a type of service. It is about patient care, not data care.Examples of orthopaedic applications include conducting patient examinations, interpreting imaging studies, and providing postoperative care...
September 6, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28868929/voices-and-views-of-congolese-refugee-women-a-qualitative-exploration-to-inform-health-promotion-and-reduce-inequities
#13
Shannon McMorrow, Jyotika Saksena
Refugees have recently been thrust into the spotlight worldwide. The strikingly negative rhetoric currently surrounding refugees calls for increased action from public health educators. In 2016, the largest proportion of refugees to the United States came from the Democratic Republic of Congo. This presents the opportunity to explore health needs as Congolese refugees resettle in the United States, with women taking priority due to health disparities linked to gender-based discrimination, trauma, sexual and gender-based violence, lower literacy rates, and less access to learning English...
September 1, 2017: Health Education & Behavior: the Official Publication of the Society for Public Health Education
https://www.readbyqxmd.com/read/28866967/a-humanisation-approach-for-the-management-of-joint-hypermobility-syndrome-ehlers-danlos-syndrome-hypermobility-type-jhs-eds-ht
#14
Carol J Clark, Isobel Knight
Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome-Hypermobility Type (JHS/EDS-HT) is a complex and multisystemic condition which significantly impacts on a person's health and well-being and is challenging for health professionals (HPs) to manage. People with JHS/EDS-HT and HPs recognise the individual nature and the complexities of the condition. There is a requirement to understand the condition within the context of the individual human dimensions of illness and healing. The aim of this paper is to explore the management of this condition using a theoretical model referred to as the Humanisation Framework...
December 2017: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/28859659/few-opportunities-to-influence-decisions-regarding-the-care-and-treatment-of-an-older-hospitalized-family-member-a-qualitative-study-among-family-members
#15
Ingrid Nyborg, Lars Johan Danbolt, Marit Kirkevold
BACKGROUND: The drive towards patient involvement in health services has been increasingly promoted. The World Health Organisation emphasizes the family's perspective in comprehensive care. Internationally there is an increased emphasis on what patients and their family tell about the hospital experiences. However, current literature does not adequately address the question of participation experiences among relatives of older hospitalized family members. There is a paucity of research with a generational perspective on relatives' opportunities to exert influence...
August 31, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28858221/telemonitoring-via-self-report-and-video-review-in-community-palliative-care-a-case-report
#16
Deidre D Morgan, Kate Swetenham, Timothy H M To, David C Currow, Jennifer J Tieman
Continuous monitoring and management of a person's symptoms and performance status are critical for the delivery of effective palliative care. This monitoring occurs routinely in inpatient settings; however, such close evaluation in the community has remained elusive. Patient self-reporting using telehealth offers opportunities to identify symptom escalation and functional decline in real time, and facilitate timely proactive management. We report the case of a 57-year-old man with advanced non-small cell lung cancer who participated in a telehealth trial run by a community palliative care service...
August 31, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/28854919/adaption-implementation-and-evaluation-of-collaborative-service-improvements-in-the-testing-and-result-communication-process-in-primary-care-from-patient-and-staff-perspectives-a-qualitative-study
#17
Ian J Litchfield, Louise M Bentham, Richard J Lilford, Richard J McManus, Ann Hill, Sheila Greenfield
BACKGROUND: Increasing numbers of blood tests are being ordered in primary care settings and the swift and accurate communication of test results is central to providing high quality care. The process of testing and result communication is complex and reliant on the coordinated actions of care providers, external groups in laboratory and hospital settings, and patients. This fragmentation leaves it vulnerable to error and the need to improve an apparently fallible system is apparent. However, primary care is complex and does not necessarily adopt change in a linear and prescribed manner influenced by a range of factors relating to practice staff, patients and organisational factors...
August 30, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28854604/self-perceptions-of-aging-and-perceived-barriers-to-care-reasons-for-health-care-delay
#18
Jennifer K Sun, Jacqui Smith
Background and Objectives: Self-perceptions of aging (SPA), or attitudes toward one's aging experience, have been linked to health through multiple pathways. Few studies, however, have investigated how older adults' views on aging influence their care-seeking behaviors. Research Design and Methods: Using two independent subsamples from the Health and Retirement Study (2011 Health Care Mail Survey: N = 2,866; 2013 Health Care and Nutrition Study: N = 2,474), logistic regression and negative binomial regression were used to examine the association between SPA and health care delay over the next 12 months...
August 1, 2017: Gerontologist
https://www.readbyqxmd.com/read/28854594/transparent-collaboration-between-industry-and-academia-can-serve-unmet-patient-need-and-contribute-to-reproductive-public-health
#19
Thomas D'Hooghe
The pharmaceutical and device industry has greatly contributed to diagnostic and therapeutic approaches in reproductive medicine in a very highly regulated environment, ensuring that development and manufacturing follow the highest standards. In spite of these achievements, collaboration between industry and physicians/academia is often presented in a negative context. However, today more than ever, partnership between industry and academia is needed to shorten the timeline between innovation and application, and to achieve faster access to better diagnostics, drugs and devices for the benefit of patients and society, based on complementary knowledge, skills and expertise...
August 1, 2017: Human Reproduction
https://www.readbyqxmd.com/read/28851421/engaging-and-staying-engaged-a-phenomenological-study-of-barriers-to-equitable-access-to-mental-healthcare-for-people-with-severe-mental-disorders-in-a-rural-african-setting
#20
Maji Hailemariam, Abebaw Fekadu, Martin Prince, Charlotte Hanlon
BACKGROUND: In low-and middle-income countries, integration of mental health into primary care is recommended to reduce the treatment gap. In this study we explored barriers to initial and ongoing engagement of people with severe mental disorders (SMD) in rural Ethiopia after implementing integrated primary mental healthcare services. METHODS: A qualitative approach was employed. In-depth interviews were conducted with 50 key informants: service users/caregivers engaged with care (n = 17), non-engagers and their caregivers (n = 10), those who had initiated treatment but disengaged and their caregivers (n = 12) and primary healthcare professionals (n = 11)...
August 29, 2017: International Journal for Equity in Health
keyword
keyword
54212
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"