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https://www.readbyqxmd.com/read/28522229/patient-centered-communication-in-digital-medical-encounters
#1
Jordan M Alpert, Karen E Dyer, Jennifer Elston Lafata
OBJECTIVE: Patients are increasingly using the secure messaging function available through online patient portals to communicate with their health care providers, yet little is known about the characteristics of conversations that occur. The goal of this study is to describe the types of messages initiated by patients communicating via patient portals and to assess whether providers employ patient-centered strategies in their electronic responses. DESIGN: A total of 193 messages from 58 message threads between patients and providers were collected during a one-week period in a large health care system...
May 2, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28498929/multi-stakeholder-perspectives-in-defining-health-services-quality-in-cataract-care
#2
Aline C Stolk-Vos, Joris J van de Klundert, Niels Maijers, Bart L M Zijlmans, Jan J V Busschbach
Objective: To develop a method to define a multi-stakeholder perspective on health-service quality that enables the expression of differences in systematically identified stakeholders' perspectives, and to pilot the approach for cataract care. Design: Mixed-method study between 2014 and 2015. Setting: Cataract care in the Netherlands. Participants: Stakeholder representatives. Intervention(s): We first identified and classified stakeholders using stakeholder theory...
May 11, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28480471/measuring-quality-of-healthcare-outcomes-in-type-2-diabetes-from-routine-data-a-seven-nation-survey-conducted-by-the-imia-primary-health-care-working-group-primary-health-care-informatics-working-group-contribution-to-the-year-book-of-medical-informatics-2017
#3
W Hinton, H Liyanage, A McGovern, S-T Liaw, C Kuziemsky, N Munro, S de Lusignan
BACKGROUND: The Institute of Medicine framework defines six dimensions of quality for healthcare systems: (1) safety, (2) effectiveness, (3) patient centeredness, (4) timeliness of care, (5) efficiency, and (6) equity. Large health datasets provide an opportunity to assess quality in these areas. OBJECTIVE: To perform an international comparison of the measurability of the delivery of these aims, in people with type 2 diabetes mellitus (T2DM) from large datasets...
May 8, 2017: Yearbook of Medical Informatics
https://www.readbyqxmd.com/read/28475438/when-less-is-more-validating-a-brief-scale-to-rate-interprofessional-team-competencies
#4
Désirée A Lie, Regina Richter-Lagha, Christopher P Forest, Anne Walsh, Kevin Lohenry
BACKGROUND: There is a need for validated and easy-to-apply behavior-based tools for assessing interprofessional team competencies in clinical settings. The seven-item observer-based Modified McMaster-Ottawa scale was developed for the Team Objective Structured Clinical Encounter (TOSCE) to assess individual and team performance in interprofessional patient encounters. OBJECTIVE: We aimed to improve scale usability for clinical settings by reducing item numbers while maintaining generalizability; and to explore the minimum number of observed cases required to achieve modest generalizability for giving feedback...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28471923/lifestyle-counseling-intervention-effects-on-counseling-quality-in-patients-with-stroke-and-transient-ischemic-attack
#5
Anne Oikarinen, Janne Engblom, Helvi Kyngäs, Maria Kääriäinen
BACKGROUND: Studies have shown that counseling about risk factor-related lifestyle habits can produce significantly beneficial changes in the lifestyle habits of patients with stroke. However, it is not sufficient only to provide a patient with appropriate information, but the quality of lifestyle counseling is also essential. The aim of the study was to investigate the effects of a lifestyle counseling intervention on lifestyle counseling quality in patients with stroke and transient ischemic attack...
June 2017: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/28455279/engaging-patients-and-caregivers-managing-rare-diseases-to-improve-the-methods-of-clinical-guideline-development-a-research-protocol
#6
Dmitry Khodyakov, Kathi Kinnett, Sean Grant, Ann Lucas, Ann Martin, Brian Denger, Holly Peay, Ian Coulter, Arlene Fink
BACKGROUND: Clinical guidelines provide systematically developed recommendations for deciding on appropriate health care options for specific conditions and clinical circumstances. Up until recently, patients and caregivers have rarely been included in the process of developing care guidelines. OBJECTIVE: This project will develop and test a new online method for including patients and their caregivers in this process using Duchenne muscular dystrophy (DMD) care guidelines as an example...
April 28, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28446422/web-based-medical-appointment-systems-a-systematic-review
#7
Peng Zhao, Illhoi Yoo, Jaie Lavoie, Beau James Lavoie, Eduardo Simoes
BACKGROUND: Health care is changing with a new emphasis on patient-centeredness. Fundamental to this transformation is the increasing recognition of patients' role in health care delivery and design. Medical appointment scheduling, as the starting point of most non-urgent health care services, is undergoing major developments to support active involvement of patients. By using the Internet as a medium, patients are given more freedom in decision making about their preferences for the appointments and have improved access...
April 26, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28435422/development-and-validation-of-an-instrument-for-assessing-patient-experience-of-chronic-illness-care
#8
José Joaquín Mira, Roberto Nuño-Solinís, Mercedes Guilabert-Mora, Olga Solas-Gaspar, Paloma Fernández-Cano, Maria Asunción González-Mestre, Joan Carlos Contel, Marío Del Río-Cámara
INTRODUCTION: The experience of chronic patients with the care they receive, fuelled by the focus on patient-centeredness and the increasing evidence on its positive relation with other dimensions of quality, is being acknowledged as a key element in improving the quality of care. There are a dearth of accepted tools and metrics to assess patient experience from the patient's perspective that have been adapted to the new chronic care context: continued, systemic, with multidisciplinary teams and new technologies...
August 31, 2016: International Journal of Integrated Care
https://www.readbyqxmd.com/read/28435229/medication-adherence-and-persistence-in-type-2-diabetes-mellitus-perspectives-of-patients-physicians-and-pharmacists-on-the-spanish-health-care-system
#9
Elena Labrador Barba, Marta Rodríguez de Miguel, Antonio Hernández-Mijares, Francisco Javier Alonso-Moreno, Maria Luisa Orera Peña, Susana Aceituno, María José Faus Dader
OBJECTIVE: A good relationship between diabetes patients and their health care team is crucial to ensure patients' medication adherence and self-management. To this end, we aimed to identify and compare the views of type 2 diabetes mellitus (T2DM) patients, physicians and pharmacists concerning the factors and strategies that may be associated with, or could improve, medication adherence and persistence. METHODS: An observational, cross-sectional study was conducted using an electronic self-administered questionnaire comprising 11 questions (5-point Likert scale) concerning factors and strategies related to medication adherence...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28420357/in-search-of-quality-indicators-for-down-syndrome-healthcare-a-scoping-review
#10
Francine A van den Driessen Mareeuw, Mirjam I Hollegien, Antonia M W Coppus, Diana M J Delnoij, Esther de Vries
BACKGROUND: The medical care chain around Down syndrome (DS) is complex, with many multidisciplinary challenges. The current quality of care is unknown. Outcome-oriented quality indicators have the potential to improve medical practice and evaluate whether innovations are successful. This is particularly interesting for the evolving care for people with DS and intellectual disabilities (ID). The aim of this study was to identify existing indicators for medical DS care, by reviewing the literature...
April 18, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28414406/residency-training-in-family-medicine-a-history-of-innovation-and-program-support
#11
Peter J Carek, Tanya Anim, Colleen Conry, Sam Cullison, Stan Kozakowski, Dan Ostergaard, Stacy Potts, Perry A Pugno
Residency programs have been integral to the development, expansion and progression of family medicine as a discipline. Three reports formed the foundation for graduate medical education in family medicine: Meeting the Challenge of Family Practice, The Graduate Education of Physicians, and Health is a Community Affair. In addition, the original core concepts of comprehensiveness, coordination, continuity, and patient centeredness continue to serve as the foundation for residency training in family medicine...
April 2017: Family Medicine
https://www.readbyqxmd.com/read/28394671/the-u-k-nice-2014-guidelines-for-osteoarthritis-of-the-knee-lessons-learned-in-a-narrative-review-addressing-inadvertent-limitations-and-bias
#12
Stephen Birch, Myeong Soo Lee, Nicola Robinson, Terje Alraek
Several systematic reviews suggest that acupuncture is effective for knee osteoarthritis (OA), and furthermore a safe and cost-effective treatment for this condition. A recent clinical practice guideline (CPG) from the National Institute for Health and Care Excellence (NICE), in the United Kingdom, recommended against the use of acupuncture on the grounds that the effect size (ES) in comparison with sham acupuncture is too small. Safety data were not considered in the review, in addition the levels of evidence for acupuncture against other recommended therapies were not compared...
April 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28384314/patient-satisfaction-after-implementation-of-person-centred-handover-in-oncological-inpatient-care-a-cross-sectional-study
#13
Anna Kullberg, Lena Sharp, Hemming Johansson, Yvonne Brandberg, Mia Bergenmar
Effective nurse shift-to-shift handover is a prerequisite for high-quality inpatient care. Combining person-centeredness with the need for improved handover rituals, we introduced and evaluated person-centered handover (PCH) in an oncological inpatient setting. PCH is the shift-to-shift nursing report performed together with the patient according to a set structure focused on patient participation, relevant clinical information, and patient safety. Non-verbal handover, standard at the department, is conducted via the electronic health record, in absence of the patient, and without a set structure...
2017: PloS One
https://www.readbyqxmd.com/read/28379717/accounting-for-patient-preferences-regarding-life-sustaining-treatment-in-evaluations-of-medical-effectiveness-and-quality
#14
Allan J Walkey, Amber E Barnato, Renda Soylemez Wiener, Brahmajee K Nallamothu
The importance of understanding patient preferences for life-sustaining treatment is well-described for individual clinical decisions; however, its role in evaluations of healthcare outcomes and quality has received little attention. Decisions to limit life-sustaining therapies are strongly associated with high risks of death in ways that are unaccounted for by routine measures of illness severity. Yet, this essential information is generally unavailable to researchers, with the potential for spurious inferences...
April 5, 2017: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/28356752/value-as-the-key-concept-in-the-health-care-system-how-it-has-influenced-medical-practice-and-clinical-decision-making-processes
#15
Chiara Marzorati, Gabriella Pravettoni
In the last 10 years, value has played a key role in the health care system. In this concept, innovations in medical practice and the increasing importance of patient centeredness have contributed to draw the attention of the medical community. Nonetheless, a large consensus on the meaning of "value" is still lacking: patients, physicians, policy makers, and other health care professionals have different ideas on which component of value may play a prominent role. Yet, shared clinical decision-making and patient empowerment have been recognized as fundamental features of the concept of value...
2017: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/28353506/a-foundation-for-vital-academic-and-social-support-in-clerkships-learning-through-peer-continuity
#16
Calvin L Chou, Arianne Teherani
Most medical students on clerkships currently experience lack of continuity of patient care, disjointed learning, and frequent changes in supervisors. Clerkship programs with continuity of care, curriculum, and supervisors appear to benefit student learning and patient-centeredness. A fourth form of continuity is proposed: continuity of peers, in which a stable cohort of students frequently meets to process their experiences on clerkships. This structure builds on benefits previously seen in peer-assisted learning, including enhanced knowledge, technical skills, and collegial peer relationships...
March 28, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28337570/economics-of-chronic-rhinosinusitis
#17
REVIEW
Luke Rudmik
PURPOSE OF REVIEW: The objective of this article is to provide an updated review of the economic burden of chronic rhinosinusitis (CRS) and discuss how both medical and surgical interventions impact direct and indirect costs related to CRS. By understanding the economics of CRS, clinicians may improve the patient-centeredness of their care and help distinguish between low and high value interventions. RECENT FINDINGS: Direct costs related to CRS are primarily driven by outpatient physician visits, prescription medical therapy, and endoscopic sinus surgery (ESS)...
April 2017: Current Allergy and Asthma Reports
https://www.readbyqxmd.com/read/28326658/nurse-middle-managers-contributions-to-patient-centred-care-a-managerial-work-analysis
#18
Pcb Lalleman, Gac Smid, J Dikken, M D Lagerwey, M J Schuurmans
Nurse middle managers are in an ideal position to facilitate patient-centred care. However, their contribution is underexposed in literature due to difficulties to articulate this in practice. This paper explores how nurse middle managers contribute to patient-centred care in hospitals. A combination of time-use analysis and ethnographic work was used to disclose their contribution to patient-centred care at a micro level. Sixteen nurse managers were shadowed for over 560 hours in four hospitals. Some nurse middle managers seldom contribute to patient-centred care...
March 21, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28320415/the-development-of-integrated-diabetes-care-in-the-netherlands-a-multiplayer-self-assessment-analysis
#19
Nick Zonneveld, Lidewij E Vat, Hans Vlek, Mirella M N Minkman
BACKGROUND: Since recent years Dutch diabetes care has increasingly focused on improving the quality of care by introducing the concept of care groups (in Dutch: 'zorggroepen'), care pathways and improving cooperation with involved care professionals and patients. This study examined how participating actors in care groups assess the development of their diabetes services and the differences and similarities between different stakeholder groups. METHODS: A self-evaluation study was performed within 36 diabetes care groups in the Netherlands...
March 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28315047/putting-dementia-awareness-into-general-practice-the-cadif-approach
#20
Michael Pentzek, Horst Christian Vollmar, Stefan Wilm, Verena Leve
BACKGROUND: International studies show that dementia is often recognized at later stages in general practice. Pure knowledge-sharing interventions could not change this in a sustainable manner. Concepts for changing attitudes of general practitioners (GPs) are required. OBJECTIVES: What barriers affect GPs' recognition of and diagnostic approach to dementia? What recommendations for a GP-specific diagnostic procedure can be derived from this? METHODS: Metasynthesis of qualitative studies with GPs on barriers to dementia recognition, explication of the "frailty" concept and the diagnostic approach described therein and the development of an approach in cases of suspected cognitive decline in a multiprofessional team...
March 17, 2017: Zeitschrift Für Gerontologie und Geriatrie
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