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https://www.readbyqxmd.com/read/28302126/systematic-meta-review-of-supported-self-management-for-asthma-a-healthcare-perspective
#1
Hilary Pinnock, Hannah L Parke, Maria Panagioti, Luke Daines, Gemma Pearce, Eleni Epiphaniou, Peter Bower, Aziz Sheikh, Chris J Griffiths, Stephanie J C Taylor
BACKGROUND: Supported self-management has been recommended by asthma guidelines for three decades; improving current suboptimal implementation will require commitment from professionals, patients and healthcare organisations. The Practical Systematic Review of Self-Management Support (PRISMS) meta-review and Reducing Care Utilisation through Self-management Interventions (RECURSIVE) health economic review were commissioned to provide a systematic overview of supported self-management to inform implementation...
March 17, 2017: BMC Medicine
https://www.readbyqxmd.com/read/28300990/analysis-of-the-attributes-of-primary-health-care-using-the-electronic-medical-records-in-the-city-of-rio-de-janeiro
#2
Daniel Soranz, Luiz Felipe Pinto, Luiz Antonio Bastos Camacho
Epidemiology plays a strategic role at this stage of the policy cycle, contributing to goal setting, resource allocation and use of information systems. In 2009, the Municipal Health Secretariat of Rio de Janeiro initiated a reform of the health care model under the main influence the Primary Health Care concept. This study evaluates the trend of selected pay-for-performance indicators that measure the health care process in the city's PHC. This a study on repeated panels, from the administrative and clinical records of electronic medical records in the period from 2012 to 2016...
March 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28300988/-mental-health-in-general-family-medicine-obstacles-and-expectations-perceived-by-family-physicians
#3
Liliana Fernandes, Nuno Basílio, Sofia Figueira, José Mendes Nunes
This study seeks to understand the difficulties experienced by family physicians (FP) in the management of mental disorders (MD) and their proposals to improve the quality of care. It is qualitative study with semi-structured interviews with ten family physicians. These were recorded, transcribed and their content analyzed. Eight thematic categories were identified: perceived working conditions and available resources; perceived level of training in mental health; therapies used for treatment of MD; mental health instruments used in consultation; MD addressed in Primary Health Care (PHC) and referral to hospitals; patient's reaction to referral; articulation of PHC with hospitals; proposals to improve mental health care in PHC...
March 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28299159/autism-spectrum-disorder-in-a-community-based-sample-with-neurodevelopmental-problems-in-lagos-nigeria
#4
Yewande O Oshodi, Andrew T Olagunju, Motunrayo A Oyelohunnu, Elizabeth A Campbell, Charles S Umeh, Olatunji F Aina, Wellington Oyibo, Folusho E A Lesi, Joseph D Adeyemi
Autism Spectrum Disorder (ASD) is a globally prevalent neurodevelopmental disorder for which early diagnosis and intervention is the mainstay of management. In the African continent, limited data is available regarding the non-clinic based samples. Lack of information available to caregivers and inadequate skilled manpower often limit early detection and access to the few available though under resourced services in the community. Community based screening can be an important drive to create awareness and improve information dissemination regarding services available for those living with this disorder...
December 31, 2016: Journal of Public Health in Africa
https://www.readbyqxmd.com/read/28298129/a-rural-shelter-in-ontario-adapting-to-address-the-changing-needs-of-women-who-have-experienced-intimate-partner-violence-a-qualitative-case-study
#5
Tara Mantler, Barat Wolfe
INTRODUCTION: Intimate partner violence is a significant public health problem, with shelters offering the predominant community-based solution. Shelters in Canada are mandated to provide a safe place, protection planning, advocacy and counseling among other services. Recently it has been noted the role of the shelter was shifting from an inpatient to outpatient model with a focus on increased integration of health and social services. This changing role of the shelter is amplified within the rural context where resources and cultural norms may be limited or incompatible with help-seeking behaviors...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28295670/high-resource-utilization-in-liver-transplantation-how-strongly-differ-costs-between-the-care-sectors-and-what-are-the-main-cost-drivers
#6
Lena Harries, Harald Schrem, Jona T Stahmeyer, Christian Krauth, Volker Eric Amelung
To control treatment pathways of transplant patients across health care sectors a profound knowledge of the underlying cost structure is necessary. The aim of this study was to analyze the resource utilization of patients undergoing liver transplantation. Data on resource utilization for 182 liver transplanted patients was investigated retrospectively. The observational period started with the entry on the waiting list and ended up to 3 years after transplantation. Median treatment cost was 144,424€. During waiting time median costs amounted to 9,466€; 72% of costs were attributed to inpatient care, 3% to outpatient care and 26% to pharmaceuticals...
March 11, 2017: Transplant International: Official Journal of the European Society for Organ Transplantation
https://www.readbyqxmd.com/read/28292873/variation-in-inpatient-croup-management-and-outcomes
#7
Amy Tyler, Lisa McLeod, Brenda Beaty, Elizabeth Juarez-Colunga, Meghan Birkholz, Daniel Hyman, Allison Kempe, James Todd, Amanda F Dempsey
BACKGROUND AND OBJECTIVES: Croup is a clinical diagnosis, and the available evidence suggests that, except in rare cases, ancillary testing, such as radiologic imaging, is not helpful. Given the paucity of inpatient-specific evidence for croup care, we hypothesized that there would be marked variability in the use of not routinely indicated resources (NRIRs). Our primary study objective was to describe the variation and predictors of variation in the use of NRIRs. METHODS: This was a retrospective cohort study that used the Pediatric Health Information System database of generally healthy inpatients with croup aged 6 months to 15 years who were admitted between January 1, 2012 and September 30, 2014...
March 14, 2017: Pediatrics
https://www.readbyqxmd.com/read/28289046/observational-study-of-the-development-and-evaluation-of-a-fertility-preservation-patient-decision-aid-for-teenage-and-adult-women-diagnosed-with-cancer-the-cancer-fertility-and-me-research-protocol
#8
G L Jones, J Hughes, N Mahmoodi, D Greenfield, G Brauten-Smith, J Skull, J Gath, D Yeomanson, E Baskind, J A Snowden, R M Jacques, G Velikova, K Collins, D Stark, R Phillips, S Lane, H L Bekker
INTRODUCTION: Women diagnosed with cancer and facing potentially sterilising cancer treatment have to make time-pressured decisions regarding fertility preservation with specialist fertility services while undergoing treatment of their cancer with oncology services. Oncologists identify a need for resources enabling them to support women's fertility preservation decisions more effectively; women report wanting more specialist information to make these decisions. The overall aim of the 'Cancer, Fertility and Me' study is to develop and evaluate a new evidence-based patient decision aid (PtDA) for women with any cancer considering fertility preservation to address this unmet need...
March 13, 2017: BMJ Open
https://www.readbyqxmd.com/read/28286996/understanding-the-economic-burden-of-heart-failure-in-china-impact-on-disease-management-and-resource-utilization
#9
Jun Huang, Hongjun Yin, Milun Zhang, Qian Ni, Jianwei Xuan
INTRODUCTION AND OBJECTIVES: This study has two objectives: (1) to examine healthcare resource utilization in heart failure (HF) patients; and (2) to examine the treatment costs associated with HF in China. METHODS: The data used in this study was from the 2014 national insurance database sponsored by the China Health Insurance Research Association (CHIRA), that covers national urban employees and residents. ICD-10 codes and keywords indicating heart failure diagnoses were used to identify patients with heart failure...
March 12, 2017: Journal of Medical Economics
https://www.readbyqxmd.com/read/28284835/randomized-trial-of-a-peer-led-telephone-based-empowerment-intervention-for-persons-with-chronic-spinal-cord-injury-improves-health-self-management
#10
Bethlyn Vergo Houlihan, Miriam Brody, Sarah Everhart-Skeels, Diana Pernigotti, Sam Burnett, Judi Zazula, Christa Green, Stathis Hasiotis, Timothy Belliveau, Subramani Seetharama, David Rosenblum, Alan Jette
OBJECTIVE: To evaluate the impact of "My Care My Call" (MCMC), a peer-led, telephone-based health self-management intervention in adults with chronic spinal cord injury (SCI). DESIGN: Single-blinded randomized controlled trial SETTING: General community PARTICIPANTS: Convenience sample of 84 adults with SCI (X= 9.9 years post-SCI); X=46 years old; 73.8% male; 44% with paraplegia; and 58% White. INTERVENTIONS: Trained Peer Health Coaches (PHC) applied the person-centered health self-management intervention with 42 experimental subjects over 6 months on a tapered call schedule...
March 8, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28281217/-during-early-implementation-you-just-muddle-through-factors-that-impacted-a-statewide-arthritis-program-s-implementation
#11
Kathleen P Conte, S Marie Harvey, R Turner Goins
The need to scale-up effective arthritis self-management programs is pressing as the prevalence of arthritis increases. The CDC Arthritis Program funds state health departments to work with local delivery systems to embed arthritis programs into their day-to-day work. To encourage organizational ownership and sustainability of programs, funding is restricted to offset program start-up costs. The purpose of this study was to identify factors that impacted the success of implementing an evidence-based arthritis self-management program, funded by the CDC Arthritis Program, into the Oregon Extension Service...
March 9, 2017: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/28279992/association-of-comorbidity-and-health-service-usage-among-patients-with-dementia-in-the-uk-a-population-based-study
#12
Jorge Browne, Duncan A Edwards, Kirsty M Rhodes, D James Brimicombe, Rupert A Payne
BACKGROUND: The majority of people with dementia have other long-term diseases, the presence of which may affect the progression and management of dementia. This study aimed to identify subgroups with higher healthcare needs, by analysing how primary care consultations, number of prescriptions and hospital admissions by people with dementia varies with having additional long-term diseases (comorbidity). METHODS: A retrospective cohort study based on health data from the Clinical Practice Research Datalink (CPRD) was conducted...
March 9, 2017: BMJ Open
https://www.readbyqxmd.com/read/28278748/evaluation-of-a-pilot-intervention-to-redesign-the-decentralised-vaccine-supply-chain-system-in-nigeria
#13
Shola Molemodile, Maruchi Wotogbe, Seye Abimbola
Responsibility for immunisation in Nigeria is decentralised to sub-national governments. So far, they have failed to achieve optimal coverage for their populations. We evaluated a pilot intervention implemented between 2013 and 2014 to redesign a vaccine supply chain management system in Kano, Nigeria. The intervention included financing immunisation services from a designated pool of government and donor funds, a visibility tool to track vaccine stock, and a private vendor engaged to deliver vaccines directly to health facilities...
February 24, 2017: Global Public Health
https://www.readbyqxmd.com/read/28275446/evolution-of-the-health-sector-response-to-hiv-in-myanmar-progress-challenges-and-the-way-forward
#14
EDITORIAL
Htun Nyunt Oo, San Hone, Masami Fujita, Amaya Maw-Naing, Krittayawan Boonto, Marjolein Jacobs, Sabe Phyu, Phavady Bollen, Jacquie Cheung, Htin Aung, May Thu Aung Sang, Aye Myat Soe, Razia Pendse, Eamonn Murphy
Critical building blocks for the response to HIV were made until 2012 despite a series of political, social and financial challenges. A rapid increase of HIV service coverage was observed from 2012 to 2015 through collaborative efforts of government and non-governmental organisations (NGOs). Government facilities, in particular, demonstrated their capacity to expand services for antiretroviral therapy (ART), prevention of mother-to-child transmission (PMTCT) of HIV, tuberculosis and HIV co-infection and methadone-maintenance therapy (MMT)...
November 28, 2016: Journal of Virus Eradication
https://www.readbyqxmd.com/read/28274380/public-health-safety-and-environment-in-inadequate-hospital-and-healthcare-settings-a%C3%A2-review
#15
REVIEW
D Baguma
OBJECTIVES: Public health safety and environmental management are concerns that pose challenges worldwide. This paper briefly assesses a selected impact of the environment on public health. STUDY DESIGN: The study used an assessment of environmental mechanism to analyse the underlying different pathways in which the health sector is affected in inadequate hospital and health care settings. METHODS: We reviewed the limited available evidence of the association between the health sector and the environment, and the likely pathways through which the environment influences health...
March 2017: Public Health
https://www.readbyqxmd.com/read/28273775/new-insights-into-the-burden-and-costs-of-multiple-sclerosis-in-europe
#16
Gisela Kobelt, Alan Thompson, Jenny Berg, Mia Gannedahl, Jennifer Eriksson
BACKGROUND: The current focus in multiple sclerosis (MS) is on early diagnosis and drug intervention, with a view to modifying disease progression. Consequently, healthcare costs have shifted from inpatient care and rehabilitation to outpatient care. OBJECTIVES: This European burden of illness study provides data that can be combined with other evidence to assess whether management approaches provide value to society. METHODS: A cross-sectional study was conducted in 16 countries...
February 1, 2017: Multiple Sclerosis: Clinical and Laboratory Research
https://www.readbyqxmd.com/read/28271720/negotiating-health-and-chronic-illness-in-filipino-australians-a-qualitative-study-with-implications-for-health-promotion
#17
Della Maneze, Lucie Ramjan, Michelle DiGiacomo, Bronwyn Everett, Patricia Mary Davidson, Yenna Salamonson
OBJECTIVE: In spite of the healthy immigrant effect, the prevalence of lifestyle-related chronic diseases among migrants is reported to approximate that of the host country with longer duration of stay. For example, higher rates of chronic diseases such as Type 2 diabetes and hypertension have been observed among Filipino migrants and these have been linked to acculturation. The aim of this study was to explore the experiences of Filipino-Australian migrants in managing their chronic health conditions in a Western host country...
March 8, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/28270202/rheumatology-in-africa-challenges-and-opportunities
#18
EDITORIAL
Girish M Mody
Africa faces many health challenges despite sustained growth and development over the past decade. Contributory factors are the lack of financial resources, an inadequate health professional workforce, a high burden of communicable diseases, and an increasing burden of non-communicable diseases. Rheumatology services are limited or non-existent in many parts of sub-Saharan Africa. Over the past decade, partnerships with international academic institutions have resulted in some progress in the training of rheumatologists and health professionals and development of rheumatology services in countries such as Kenya, Nigeria, and Zambia...
March 7, 2017: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/28268060/irresponsible-and-responsible-resource-management-in-obstetrics
#19
REVIEW
Birgit Arabin
Low budgets constrain and high budgets stimulate choices. In high-income countries, this economic reality may lead to overuse of healthcare services and pose unnecessary risks for mothers and infants. Options for improvement can be created at different levels of healthcare systems. Pregnancy provides an effective opportunity to profile maternal risks and represents a vulnerable but potentially modifiable period from prenatal life to adulthood. In response to system-inherent false incentives, professional responsibility requires obstetricians to strive to improve the future health of families and their offspring despite disincentives for doing so...
January 25, 2017: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/28264792/enhancing-mhealth-technology-in-the-patient-centered-medical-home-environment-to-activate-patients-with-type-2-diabetes-a-multisite-feasibility-study-protocol
#20
Ronald Gimbel, Lu Shi, Joel E Williams, Cheryl J Dye, Liwei Chen, Paul Crawford, Eric A Shry, Sarah F Griffin, Karyn O Jones, Windsor W Sherrill, Khoa Truong, Jeanette R Little, Karen W Edwards, Marie Hing, Jennie B Moss
BACKGROUND: The potential of mHealth technologies in the care of patients with diabetes and other chronic conditions has captured the attention of clinicians and researchers. Efforts to date have incorporated a variety of tools and techniques, including Web-based portals, short message service (SMS) text messaging, remote collection of biometric data, electronic coaching, electronic-based health education, secure email communication between visits, and electronic collection of lifestyle and quality-of-life surveys...
March 6, 2017: JMIR Research Protocols
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