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https://www.readbyqxmd.com/read/28809173/context-sensitive-health-informatics-delivering-21st-century-healthcare-building-a-quality-and-efficiency-driven-system
#1
Zoie Shui-Yee Wong, Christian Nøhr, Craig E Kuziemsky, Eman Leung, Frank Chen
Health informatics applications will be a cornerstone in the next generation quality-and-efficiency health care system. Health care is delivered from many different specialties, to many different patients with complex diseases and comorbidity. A one size fits all approach is not adequate to reach the Triple Aim of improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care. Health informatics applications must be built to be adaptable and sensitive to the complex contexts they will be used in...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28794620/spreading-improvements-for-advanced-copd-care-through-a-canadian-collaborative
#2
Graeme M Rocker, Claudia Amar, Wendy L Laframboise, Jane Burns, Jennifer Y Verma
BACKGROUND: A year-long pan-Canadian quality improvement collaborative (QIC) led by the Canadian Foundation for Healthcare Improvement (CFHI) supported the spread of the successful Halifax, Nova Scotia-based INSPIRED COPD Outreach Program™ to 19 teams in the 10 Canadian provinces. We describe QIC results, addressing two main questions: 1) Can the results of the Nova Scotia INSPIRED model be replicated elsewhere in Canada? 2) How did the teams implement and evaluate their versions of the INSPIRED program? METHODS: Collaborative faculty selected measures that were evidence-based, relatively simple to collect, and relevant to local context...
2017: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/28789758/-method-description-user-led-healthcare-in-patient-pathways
#3
Helle Max Martin, Line Hjøllund Pedersen, Anne Mette Uhre Johansen
User-led healthcare is a method aimed at involving patients systematically in the planning and execution of their treatment and care. The method ensures that the extent of the patients' responsibilities is aligned with their individual preferences. It is a way to ensure patient-centeredness in a healthcare system which is under pressure, and in which patients become a critical resource.
July 17, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28779910/informed-and-patient-centered-decision-making-in-the-primary-care-visits-of-african-americans-with-depression
#4
Anika L Hines, Debra Roter, Bri K Ghods Dinoso, Kathryn A Carson, Gail L Daumit, Lisa A Cooper
OBJECTIVE: We examined the prevalence and extent of informed decision-making (IDM) and patient-centered decision-making (PCDM) in primary care visits of African Americans with depression. METHODS: We performed a cross-sectional analysis of audiotaped clinical encounters and post-visit surveys of 76 patients and their clinicians. We used RIAS to characterize patient-centeredness of visit dialogue. IDM entailed discussion of 3 components: the nature of the decision, alternatives, and pros/cons...
July 25, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28763456/is-directly-observed-tuberculosis-treatment-strategy-patient-centered-a-mixed-method-study-in-addis-ababa-ethiopia
#5
Belete Getahun, Zethu Zerish Nkosi
INTRODUCTION: The directly observed treatment, short course (DOTS) strategy has been considered as an efficacious approach for better tuberculosis (TB) treatment adherence and outcome. However, its level of patient centerdness has not been studied and documented well. Hence, the study aimed to determine the level of patient centeredness' of the DOTS. METHOD: The study used explanatory sequential mixed method design in Addis Ababa, Ethiopia. The study employed an interviewer-administered questionnaire with 601 patients with TB, focus group discussions with 23 TB experts, and telephonic-interview with 25 persons lost to follow-up from TB treatment...
2017: PloS One
https://www.readbyqxmd.com/read/28722646/noncongruence-between-audiologist-and-patient-preferences-for-patient-centeredness
#6
Vinaya Manchaiah, Ashley L Dockens, Monica Bellon-Harn, Erin S Burns
BACKGROUND: Trends in preferences of both healthcare providers and patients to patient-centeredness have been emphasized in research. However, an understanding of the nature of preferences to patient-centeredness within the context of the audiologist-patient relationship is needed. PURPOSE: The purpose of this study is to explore the congruence between audiologist and patient preferences for patient-centeredness. RESEARCH DESIGN: A cross-sectional survey design was used to gather data from audiologists and patients with hearing loss...
July 2017: Journal of the American Academy of Audiology
https://www.readbyqxmd.com/read/28720919/delivering-tobacco-cessation-content-in-the-middle-east-through-interprofessional-learning
#7
Alla El-Awaisi, Ahmed Awaisu, Maguy Saffouh El Hajj, Bayan Alemrayat, Ghadir Al-Jayyousi, Norman Wong, Mohamud A Verjee
Objective. To explore the attitudes of pharmacy, pharmacy technician, medical, and public health students before and after an IPE activity that focused on smoking cessation in the Middle East. Methods. A pre-post intervention research design using the Readiness for Interprofessional Learning Scale (RIPLS) was used for this study. The tool contained 20 items, categorized under the following subscales: teamwork and collaboration, professional identity, and patient-centeredness. Results. A total of 47 out of 50 students from four different health disciplines in Qatar (medicine, pharmacy, pharmacy technician, and public health) who participated in the activity completed a pre- and post-intervention pre-validated questionnaire (94% response rate)...
June 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28705023/helping-hospitals-improve-patient-centeredness-assessing-the-impact-of-feedback-following-a-best-practices-workshop
#8
Christoph Kowalski, William H Yeaton, Kathrin Kuhr, Holger Pfaff
Regularly reported patient surveys are an important dimension of hospital quality management. This study investigates whether providing hospital staff with interim feedback on patient survey results following a best practices workshop can help hospitals improve patient centeredness. Standardized surveys with consecutive patient samples were administered in accredited breast cancer center (BCC) hospitals in one German state (18 million inhabitants), over a 6-month period, in 2012. Two studies were conducted by applying a combination of regression point displacement (RPD) and interrupted time series (ITS) designs...
June 2017: Evaluation & the Health Professions
https://www.readbyqxmd.com/read/28704377/a-cluster-randomized-controlled-study-to-evaluate-a-team-coaching-concept-for-improving-teamwork-and-patient-centeredness-in-rehabilitation-teams
#9
Mirjam Körner, Leonie Luzay, Anne Plewnia, Sonja Becker, Manfred Rundel, Linda Zimmermann, Christian Müller
PURPOSE: Although the relevance of interprofessional teamwork in the delivery of patient-centered care is well known, there is a lack of interventions for improving team interaction in the context of rehabilitation in Germany. The aim of the present study is to evaluate whether a specially developed team coaching concept (TCC) could improve both teamwork and patient-centeredness. METHOD: A multicenter, cluster-randomized controlled intervention study was conducted with both staff and patient questionnaires...
2017: PloS One
https://www.readbyqxmd.com/read/28693569/validation-of-an-instrument-to-assess-the-delivery-of-patient-centred-care-to-people-with-intellectual-disabilities-as-perceived-by-professionals
#10
Jane Murray Cramm, Anna Petra Nieboer
BACKGROUND: Patient/Person Centred Care (PCC) has achieved widespread attention which resulted in the identification of eight dimensions of PCC: Respect for the patients' values, preferences and expressed needs; information and education; access to care; emotional support to relieve fear and anxiety; involvement of family and friends; continuity and secure transition between healthcare settings; physical comfort; coordination of care. An instrument to assess patient centeredness of care delivery according to these eight dimensions among professionals is however lacking...
July 11, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28679817/a-positive-association-between-hospice-profit-margin-and-the-rate-at-which-patients-are-discharged-before-death
#11
Rachel Dolin, G Mark Holmes, Sally C Stearns, Denise A Kirk, Laura C Hanson, Donald H Taylor, Pam Silberman
Hospice care is designed to support patients and families through the final phase of illness and death. Yet for more than a decade, hospices have steadily increased the rate at which they discharge patients before death-a practice known as "live discharge." Although certain live discharges are consistent with high-quality care, regulators have expressed concern that some hospices' desire to maximize profits drives them to inappropriately discharge patients. We used Medicare claims data for 2012-13 and cost reports for 2011-13 to explore relationships between hospice-level financial margins and live discharge rates among freestanding hospices...
July 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28666438/what-is-appropriate-care-an-integrative-review-of-emerging-themes-in-the-literature
#12
Joelle Robertson-Preidler, Nikola Biller-Andorno, Tricia J Johnson
BACKGROUND: Health care improvement efforts should be aligned in order to make a meaningful impact on health systems. Appropriate care delivery could be a unifying goal to help coordinate efforts to improve health outcomes and ensure system sustainability. A more complete understanding of how appropriate care is currently conceived in research and clinical practice could help inform a more integrated and holistic concept of appropriate care that could guide health care policy and delivery practices...
June 30, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28665549/quality-measurement-for-rhinosinusitis-a-review-from-the-quality-improvement-committee-of-the-american-rhinologic-society
#13
Luke Rudmik, Jose Mattos, John Schneider, Peter R Manes, Janalee K Stokken, Jivianne Lee, Thomas S Higgins, Rodney J Schlosser, Douglas D Reh, Michael Setzen, Zachary M Soler
BACKGROUND: Measuring quality outcomes is an important prerequisite to improve quality of care. Rhinosinusitis represents a high value target to improve quality of care because it has a high prevalence of disease, large economic burden, and large practice variation. In this study we review the current state of quality measurement for management of both acute (ARS) and chronic rhinosinusitis (CRS). METHODS: The major national quality metric repositories and clearinghouses were queried...
June 30, 2017: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/28662420/speech-language-pathologists-preferences-for-patient-centeredness
#14
Monica L Bellon-Harn, Jamie Hartwell Azios, Ashley L Dockens, Vinaya Manchaiah
PURPOSE: Preferences for patient-centeredness is an important indicator in healthcare service delivery. However, it remains largely unexplored in the field of communication science and disorders. This study investigated speech-language pathologists' (SLPs) preferences for patient-centeredness METHOD: The study involved a cross-sectional survey design. SLPs (n = 102) fully completed the modified Patient-Practitioner Orientation Scale (PPOS; Krupat et al, 2000) and also provided demographic details...
June 17, 2017: Journal of Communication Disorders
https://www.readbyqxmd.com/read/28645145/systematic-procedures-to-promote-u-s-hiv-medication-adherence-via-photovoice
#15
Michelle Teti, Victoria Shaffer, Wilson Majee, Rose Farnan, Mary Gerkovich
Medication adherence is essential to promote the health of people living with HIV (PL-HIV) and prevent HIV transmission in the U.S. Novel medication health promotion interventions are needed that address patient-centeredness, understandability, and communication with providers. The aims of this article are to define the systematic stages we used to develop an effective health promotion intervention via the products (e.g. images and stories) of Photovoice. We designed an intervention to improve HIV adherence knowledge, attitudes, and communication with providers through Photovoice...
June 21, 2017: Health Promotion International
https://www.readbyqxmd.com/read/28633173/exploring-residents-skills-in-diagnosing-dementia-the-unexpected-dissonance-between-ability-and-confidence
#16
Brian S Lerner, Virginia Kalish, Christy J W Ledford
BACKGROUND AND OBJECTIVES: The diagnosis of dementia is a challenge for physicians due to numerous interrelated barriers. Research shows that this difficulty may be rooted in an incomplete knowledge about dementia. To address this gap, we developed an assessment scale of resident confidence in the diagnosis of dementia and used it to compare resident confidence to their practical ability to diagnose dementia. METHODS: The study used a piloted confidence assessment tool for diagnosing dementia correlated with family medicine residents (n=45) performance during an objective structured clinical examination (OSCE)...
June 2017: Family Medicine
https://www.readbyqxmd.com/read/28632933/patient-characteristics-associated-with-a-successful-response-to-nurse-led-care-programs-targeting-the-oldest-old-a-comparison-of-two-rcts
#17
Nienke Bleijenberg, Lorenz Imhof, Romy Mahrer-Imhof, Margaret I Wallhagen, Niek J de Wit, Marieke J Schuurmans
BACKGROUND: To improve the effectiveness of community-based care programs, especially those targeting the oldest-old population (80+), data are needed that elucidate those factors associated with a successful response to the intervention. Two comparable nurse-led care programs have been evaluated in two large randomized controlled trials (RCTs), one in Switzerland and one in the Netherlands. AIMS: To identify common patient characteristics that are related to a successful response to proactive nurse-led care, we explored if and to what extent, identical factors were present in both study populations...
June 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28628522/patient-experiences-of-partnering-with-healthcare-professionals-for-hand-hygiene-compliance-a-systematic-review
#18
Samantha Butenko, Craig Lockwood, Alexa McArthur
BACKGROUND: Healthcare-associated infections pose a significant risk to patients in acute healthcare settings such as hospitals. Increasingly, patients are encouraged to be active participants and partner with healthcare professionals to positively influence their own safety and overall experience throughout their healthcare journey. Patient-focused safety initiatives include the empowerment of patients to be active partners with healthcare professionals in order to influence the hand hygiene behaviors and compliance of the healthcare professionals providing care to them...
June 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28622200/service-line-structure-and-decision-maker-attention-in-three-health-systems-implications-for-patient-centered-care
#19
Christopher J Louis, Jonathan R Clark, Barbara Gray, Diane Brannon, Victoria Parker
BACKGROUND: Scholars have noted a disconnect between the level at which structure is typically examined (the organization) and the level at which the relevant coordination takes place (service delivery). Accordingly, our understanding of the role structure plays in care coordination is limited. PURPOSE: In this article, we explore service line structure, with an aim of advancing our understanding of the role service line structure plays in producing coordinated, patient-centered care...
June 15, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28619273/the-many-disguises-of-patient-centered-communication-problems-of-conceptualization-and-measurement
#20
Richard L Street
OBJECTIVE: To critically examine different approaches to the measurement of patient-centered communication. METHODS: Provides a critique of 7 different measures of patient-centered communication with respect to differences in their assumptions about what constitutes patient-centeredness and in their approaches to measurement. RESULTS: The measures differed significantly with regard to whether the measure captured behavior (what the interactants did) or judgment (how well the behavior was performed), focused on the individual clinician or on the interaction as a whole, and on who makes the assessment (participant or observer)...
May 5, 2017: Patient Education and Counseling
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