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https://www.readbyqxmd.com/read/29678966/an-evaluation-of-prescribing-trends-and-patterns-of-claims-within-the-preferred-drugs-initiative-in-ireland-2011-2016-an-interrupted-time-series-study
#1
Ronald McDowell, Kathleen Bennett, Frank Moriarty, Sarah Clarke, Michael Barry, Tom Fahey
OBJECTIVE: To examine the impact of the Preferred Drugs Initiative (PDI), an Irish health policy aimed at enhancing evidence-based cost-effective prescribing, on prescribing trends and the cost of prescription medicines across seven medication classes. DESIGN: Retrospective repeated cross-sectional study spanning the years 2011 - 2016. SETTING: Health Service Executive Primary Care Reimbursement Service pharmacy claims data for General Medical Services (GMS) patients, approximately 40% of the Irish population...
April 20, 2018: BMJ Open
https://www.readbyqxmd.com/read/29678802/lessons-from-the-dot-contraceptive-efficacy-study-analysis-of-the-use-of-agile-development-to-improve-recruitment-and-enrollment-for-mhealth-research
#2
Dominick Shattuck, Liya T Haile, Rebecca G Simmons
BACKGROUND: Smartphone apps that provide women with information about their daily fertility status during their menstrual cycles can contribute to the contraceptive method mix. However, if these apps claim to help a user prevent pregnancy, they must undergo similar rigorous research required for other contraceptive methods. Georgetown University's Institute for Reproductive Health is conducting a prospective longitudinal efficacy trial on Dot (Dynamic Optimal Timing), an algorithm-based fertility app designed to help women prevent pregnancy...
April 20, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29678506/association-between-bmi-and-risk-of-severe-hypoglycaemia-in-type-2-diabetes
#3
J-S Yun, Y-M Park, K Han, S-A Cha, Y-B Ahn, S-H Ko
AIM: This study aimed to assess the association between body mass index (BMI) and the development of severe hypoglycaemia in patients with type 2 diabetes (T2D), using nationwide data for the entire South Korean population. METHODS: The association between BMI and severe hypoglycaemia was retrospectively examined from claims and National Health examination data registered between 2002 and 2015. A total of 1,366,692 subjects assigned clinical codes for T2D and prescribed antihypoglycaemic agents were included...
April 6, 2018: Diabetes & Metabolism
https://www.readbyqxmd.com/read/29678177/healthcare-resource-use-and-economic-burden-attributable-to-respiratory-syncytial-virus-in-the-united-states-a-claims-database-analysis
#4
Caroline Amand, Sabine Tong, Alexia Kieffer, Moe H Kyaw
BACKGROUND: Despite several studies that have estimated the economic impact of Respiratory Syncytial Virus (RSV) in infants, limited data are available on healthcare resource use and costs attributable to RSV across age groups. The aim of this study was to quantify age-specific RSV-related healthcare resource use and costs on the US healthcare system. METHODS: This retrospective case-control study identified patients aged ≥1 year with an RSV event in the Truven Health Marketscan® Commercial Claims and Encounters and Medicare Supplemental and Coordination of Benefits databases between August 31, 2012 and August 1, 2013...
April 20, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29678043/an-automated-technique-to-construct-a-knowledge-base-of-traditional-chinese-herbal-medicine-for-cancers-an-exploratory-study-for-breast-cancer
#5
Phung Anh Nguyen, Hsuan-Chia Yang, Rong Xu, Yu-Chuan Jack Li
Traditional Chinese Medicine utilization has rapidly increased worldwide. However, there is limited database provides the information of TCM herbs and diseases. The study aims to identify and evaluate the meaningful associations between TCM herbs and breast cancer by using the association rule mining (ARM) techniques. We employed the ARM techniques for 19.9 million TCM prescriptions by using Taiwan National Health Insurance claim database from 1999 to 2013. 364 TCM herbs-breast cancer associations were derived from those prescriptions and were then filtered by their support of 20...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677977/the-evaluation-of-decision-support-tools-requires-a-measure-of-decision-quality-that-has-content-and-construct-validity-in-person-centred-care
#6
Mette Kjer Kaltoft, Jesper Bo Nielsen, Jack Dowie
The evaluation of decision aids and support interventions requires a multi-attribute index which can be calculated for both aid and comparator/s. The Decision Conflict Scale (DCS) is such an index and has been widely used in this context, the recent Cochrane review Decision aids for people facing health treatment or screening decisions reporting its use in 63 of the 105 studies included. However, while the DCS may be a valid measure for the eponymous construct - decision conflict - it lacks both content and construct validity for the evaluation of decision aids...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677962/the-re-relaunching-of-the-dmp-the-french-shared-medical-record-new-features-to-improve-uptake-and-use
#7
Brigitte Séroussi, Jacques Bouaud
Health care delivery for patients with chronic conditions is complex and confusing. Care is often fragmented, less effective, and sometimes harmful. Given the potential for EHRs and other health IT systems to facilitate information flow between providers, patients, and settings, health IT-based measures are of particular interest for care coordination. Health information exchange (HIE) has the potential to improve the quality of healthcare by enabling providers with better access to patient information from multiple sources at the point of care...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677911/detecting-and-resolving-data-conflicts-when-using-international-claims-data-for-research
#8
Christian Haux, Olivier Kalmus, Anna-Lena Trescher, Frank Gabel, Stefan Listl, Petra Knaup
Using claims data for research is well established. However, most claims data analyses are focused on single countries. Multi-national approaches are scarce. The application of different anonymization techniques before data are shared for research as well as differences in the reimbursement systems hamper the use of claims data from multiple countries. This paper analyses data conflicts that occur when international claims data sets are used for research and develops a generic process to detect and resolve these conflicts...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677461/ebola-s-would-be-refugees-performing-fear-and-navigating-asylum-during-a-public-health-emergency
#9
Benjamin N Lawrance
Chronic and acute illnesses sit uncomfortably with asylum claiming and refugee mobilities. The story of a Sierra Leonean, an athlete who feared Ebola and sought refuge in the UK, provides an opening to examine protection discourses that invoke fear, trauma, and crisis metaphors, to understand how asylum claims are performed, and how related petitions are adjudicated during public health emergencies of international concern. Ebola is revealed as a novel claim strategy, and thus a useful subject matter to investigate the shifting modalities of migrant agency, the unstable fabric of medical humanitarianism, and knowledge production in moments of exceptionality...
April 20, 2018: Medical Anthropology
https://www.readbyqxmd.com/read/29677013/low-carbohydrate-diets-for-the-treatment-of-obesity-and-type-2-diabetes
#10
Kevin D Hall, Stephanie T Chung
PURPOSE OF REVIEW: Summarize the physiological effects of low-carbohydrate diets as they relate to weight loss, glycemic control, and metabolic health. RECENT FINDINGS: Low-carbohydrate diets are at least as effective for weight loss as other diets, but claims about increased energy expenditure and preferential loss of body fat are unsubstantiated. Glycemic control and hyperinsulinemia are improved by low-carbohydrate diets, but insulin sensitivity and glucose-stimulated insulin secretion may be impaired, especially in the absence of weight loss...
April 18, 2018: Current Opinion in Clinical Nutrition and Metabolic Care
https://www.readbyqxmd.com/read/29676710/-incidence-of-incontinence-after-radical-prostatectomy-using-claims-based-data
#11
M H J Schepens, C M P Ziedses des Plantes, D M Somford, J A van Erkelens, R G Cremers, S de Vries, K K H Aben, R Hoekstra, J J C Stienen, B P Wijsman, M B Busstra, J van Limbeek
OBJECTIVE: To determine the effect of radical prostatectomy (RP) hospital volume on the probability of post-RP incontinence. DESIGN: Retrospective research based on claims-based data of health insurers. METHOD: For every patient with RP the probability of incontinence was determined, based on the definition of claims of one or more incontinence pads per day. Casemix corrections were made based on indicators available in claims-data: age, lymph node dissection, and radiotherapy...
2018: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/29676539/past-and-current-status-of-adult-type-2-diabetes-mellitus-management-in-korea-a-national-health-insurance-service-database-analysis
#12
REVIEW
Seung Hyun Ko, Kyungdo Han, Yong Ho Lee, Junghyun Noh, Cheol Young Park, Dae Jung Kim, Chang Hee Jung, Ki Up Lee, Kyung Soo Ko
Korea's National Healthcare Program, the National Health Insurance Service (NHIS), a government-affiliated agency under the Korean Ministry of Health and Welfare, covers the entire Korean population. The NHIS supervises all medical services in Korea and establishes a systematic National Health Information database (DB). A health information DB system including all of the claims, medications, death information, and health check-ups, both in the general population and in patients with various diseases, is not common worldwide...
April 2018: Diabetes & Metabolism Journal
https://www.readbyqxmd.com/read/29676507/dimensions-of-religion-associated-with-suicide-attempt-and-suicide-ideation-in-depressed-religiously-affiliated-patients
#13
Matthias Jongkind, Bart van den Brink, Hanneke Schaap-Jonker, Nathan van der Velde, Arjan W Braam
There is substantial evidence to support the claim that religion can protect against suicide ideation, suicide attempts, and completed suicide. There is also evidence that religion does not always protect against suicidality. More insight is needed into the relationship between suicidal parameters and dimensions of religion. A total of 155 in- and outpatients with major depression from a Christian Mental Health Care institution were included. The following religious factors were assessed: religious service attendance, frequency of prayer, religious salience, type of God representation, and moral objections to suicide (MOS)...
April 20, 2018: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/29676503/toward-a-global-geroethics-gerontology-and-the-theory-of-the-good-human-life
#14
Hans-Joerg Ehni, Selma Kadi, Maartje Schermer, Sridhar Venkatapuram
Gerontologists have proposed different concepts for ageing well such as 'successful ageing', 'active ageing', and 'healthy ageing'. These conceptions are primarily focused on maintaining health and preventing disease. But they also raise the questions: what is a good life in old age and how can it be achieved? While medical in origin, these concepts and strategies for ageing well also contain ethical advice for individuals and societies on how to act regarding ageing and old age. This connection between gerontology and ethics is overlooked by both schools of thought...
May 2018: Bioethics
https://www.readbyqxmd.com/read/29674600/incidence-and-comorbidity-of-reactive-attachment-disorder-based-on-national-health-insurance-claims-data-2010-2012-in-korea
#15
Minha Hong, Duk Soo Moon, Hyejung Chang, Seung Yup Lee, Seong Woo Cho, Kyung-Sook Lee, Jin-Ah Park, Sang Min Lee, Geon Ho Bahn
Objective: We aimed to investigate the current diagnostic incidence and medical and psychiatric comorbidities of reactive attachment disorder (RAD) using the National Health Insurance Review and Assessment (HIRA) claims data. Methods: To examine the diagnostic incidence, we selected patients who were under 10-year-old and had at least one medical claim containing a 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) code for RAD (F94...
April 20, 2018: Psychiatry Investigation
https://www.readbyqxmd.com/read/29673270/men-s-mental-health-social-determinants-and-implications-for-services
#16
William Affleck, Victoria Carmichael, Rob Whitley
Numerous scholars have stated that there is a silent crisis in men's mental health. In this article, we aim to provide an overview of core issues in the field of men's mental health, including a discussion of key social determinants as well as implications for mental health services. Firstly, we review the basic epidemiology of mental disorders with a high incidence and prevalence in men, including suicide and substance use disorder. Secondly, we examine controversies around the low reported rates of depression in men, discussing possible measurement and reporting biases...
January 1, 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29672671/adverse-events-associated-with-antibiotics-and-intravenous-therapies-for-post-lyme-disease-syndrome-in-a-commercially-insured-sample
#17
Kellie J Goodlet, Kathleen A Fairman
Background: Non-guideline endorsed post-treatment courses of antibiotics for post-Lyme disease syndrome (PLDS) have been linked to adverse patient outcomes, but these findings have yet to be validated in large systematic evaluations. Methods: A retrospective cohort analysis of medical and pharmacy claims derived from the Truven Health Market Scan® Commercial Claims and Encounters Database assessed 90-day incidence rates of adverse events (AEs) associated with PLDS treatments (PLDS-TX)...
April 17, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29672141/health-care-utilization-and-expenditures-of-homeless-family-members-before-and-after-emergency-housing
#18
Robin E Clark, Linda Weinreb, Julie M Flahive, Robert W Seifert
OBJECTIVES: To describe longitudinal health service utilization and expenditures for homeless family members before and after entering an emergency shelter. METHODS: We linked Massachusetts emergency housing assistance data with Medicaid claims between July 2008 and June 2015, constructing episodes of health care 12 months before and 12 months after families entered a shelter. We modeled emergency department visits, hospital admissions, and expenditures over the 24-month period separately for children and adults...
April 19, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29671284/comparative-cardiovascular-risks-of-dipeptidyl-peptidase-4-inhibitors-analyses-of-real-world-data-in-korea
#19
Kyoung Hwa Ha, Bongseong Kim, Hae Sol Shin, Jinhee Lee, Hansol Choi, Hyeon Chang Kim, Dae Jung Kim
BACKGROUND AND OBJECTIVES: To compare cardiovascular disease (CVD) risk associated with 5 different dipeptidyl peptidase-4 inhibitors (DPP-4is) in people with type 2 diabetes. METHODS: We identified 534,327 people who were newly prescribed sitagliptin (n=167,157), vildagliptin (n=67,412), saxagliptin (n=29,479), linagliptin (n=220,672), or gemigliptin (n=49,607) between January 2013 and June 2015 using the claims database of the Korean National Health Insurance System...
February 27, 2018: Korean Circulation Journal
https://www.readbyqxmd.com/read/29670990/lights-and-shadows-about-health-claims-analysis-of-food-labels-in-a-field-survey-in-florence
#20
G Bonaccorsi, M Chellini, M Bertini, D Salvi, C Lorini
BACKGROUND: Health claims (HC) are those statements on food labels that state, suggest, or imply that a relationship exists between a food category, a food product, or one of its constituents, and health of consumer. The European legislation on the use of HC aims to encourage responsible consumption by people. The aim of this study is to assess the adherence of HC to EU norms in foodstuffs sold in the large-scale retail distribution in Florence. METHODS: Two independent researchers have separately selected and assessed the foodstuffs with HC sold in at least two of four supermarkets identified randomly in Florence...
May 2018: Annali di Igiene: Medicina Preventiva e di Comunità
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