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https://www.readbyqxmd.com/read/28726042/reproductive-desires-and-considerations-of-hiv-positive-men-in-heterosexual-relationships-in-new-york-city
#1
Karolynn Siegel, Étienne Meunier, Jack Ume Tocco, Helen-Maria Lekas
The reproductive desires of HIV-positive men have been investigated far less than those of HIV-positive women, especially in the US. This qualitative study of a sample of 94 HIV-positive men in New York City who were in a relationship with a woman of reproductive age examined their reasons for wanting a child as well as the conditions under which they would feel ready to attempt conception. Participants felt a child would make them feel normal, give meaning to their lives, or make others in their life happy...
July 19, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28723301/maternal-occupation-and-the-risk-of-neural-tube-defects-in-offspring
#2
Jihye Kim, Peter H Langlois, Laura E Mitchell, A J Agopian
We evaluated the association between maternal occupation and the risk of neural tube defects (NTDs) in offspring. Data for 491 nonsyndromic cases were obtained from the Texas Birth Defects Registry for deliveries between 1999 and 2009. We randomly selected 2,291 controls among all live births in Texas during this time. Maternal occupations were classified using automated software and manual assignment. Multivariable logistic regression analyses were used to examine the relationship between maternal occupation and risk for any NTD, adjusting for maternal race/ethnicity, any diabetes, and maternal body mass index...
July 19, 2017: Archives of Environmental & Occupational Health
https://www.readbyqxmd.com/read/28721954/out-of-pocket-health-expenditure-and-sources-of-financing-for-delivery-postpartum-and-neonatal-health-in-urban-slums-of-bhubaneswar-odisha-india
#3
Kirti Sundar Sahu, Bhavna Bharati
BACKGROUND: Out-of-pocket expenditure (OOPE) is an obstacle in the path of getting universal health coverage in India. OBJECTIVE: This study aimed to explore the OOPE, sources of funding, and experience of catastrophic expenditure (CE) for healthcare related to delivery, postpartum, and neonatal morbidity. METHODS: A community-based, cross-sectional survey was conducted among a sample of 240 recently delivered women from the slums of Bhubaneswar, Odisha...
April 2017: Indian Journal of Public Health
https://www.readbyqxmd.com/read/28721677/the-pervasive-nature-of-uncertainty-a-qualitative-study-of-patients-with-advanced-cancer-and-their-informal-caregivers
#4
Valerie Shilling, Rachel Starkings, Valerie Jenkins, Lesley Fallowfield
PURPOSE: The aim of this study was to explore the impact of extended cancer survival on broader aspects of life and wellbeing such as occupational, financial and family life for patients with advanced cancer and their nominated informal caregivers. METHODS: In-depth qualitative interviews were transcribed verbatim. A thematic framework was developed from an initial process of open coding and tested iteratively as new data were collected. RESULTS: Twenty-four patient-caregiver dyads with advanced ovarian (9), melanoma (9) or lung cancer (6)...
July 18, 2017: Journal of Cancer Survivorship: Research and Practice
https://www.readbyqxmd.com/read/28700022/permanent-education-in-healthcare-services-educational-activities-developed-in-the-state-of-minas-gerais-brazil
#5
Roseni Rosângela de Sena, Maria José Cabral Grillo, Lizziane d'Ávila Pereira, Stephanie Marques Moura Franco Belga, Bruna Dias França, Camila Poliana de Freitas
Objective: To analyse educational activities carried out in the state of Minas Gerais, Brazil, considered permanent education in healthcare. Method: This is a mixed methods study with a qualitative approach and the participation of 492 municipal health departments. Data were collected in March and October 2014 through interviews available online. The data were tabulated using Excel software. The data were subjected to thematic content analysis and statistic descriptive analysis...
July 6, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28687252/treatment-of-early-onset-scoliosis-with-a-hybrid-of-a-concave-magnetic-driver-mcgr-and-a-contralateral-passive-sliding-rod-construct-with-apical-control-preliminary-report-on-17-cases
#6
Simon T Skov, Sebastiaan P J Wijdicks, Cody Bünger, René M Castelein, Haisheng Li, Moyo C Kruyt
BACKGROUND CONTEXT: Magnetic controlled growth rods (MCGRs) are increasingly popular for surgical treatment of severe early-onset scoliosis (EOS), because they allow non-invasive extensions with good growth maintenance. We combined a MCGR with a contralateral passive sliding rod construct with apical control on the convex side to improve efficiency in terms of costs and 3D correction. PURPOSE: To investigate the feasibility, 3D correction, spinal growth and complications of the apical control MCGR/sliding rod hybrid...
July 4, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28686128/healthcare-managers-perception-of-economies-of-scale
#7
Anna Svarts
Purpose The purpose of this paper is to explore how healthcare managers perceive economies of scale and the underlying mechanisms for how scale/size affects performance. Design/methodology/approach Data were collected in 20 in-depth interviews with healthcare professionals from 13 healthcare delivery organizations and from a public authority that finances and contracts healthcare services. Data were coded and analysed using content analysis. Findings The study concludes that the impact of scale on performance is perceived by healthcare professionals to be different for different types of healthcare services: For surgery, significant scale effects related to spreading of fixed cost, the experience curve, and potential for process improvement...
May 15, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28684078/falls-prevention-activities-among-community-dwelling-elderly-in-the-netherlands-a-delphi-study
#8
Branko F Olij, Vicki Erasmus, Judith I Kuiper, Frans van Zoest, Ed F van Beeck, Suzanne Polinder
INTRODUCTION: This study aimed to provide an overview of the current falls prevention activities in community-dwelling elderly with an increased risk of falling in the Netherlands. Therefore, we determined: a) how health professionals detect community-dwelling elderly with an increased risk of falling; b) which falls prevention activities are used by health professionals and why; c) how elderly can be stimulated to participate in falls prevention programs; and d) how to finance falls prevention...
June 24, 2017: Injury
https://www.readbyqxmd.com/read/28673344/the-association-of-health-insurance-with-institutional-delivery-and-access-to-skilled-birth-attendants-evidence-from-the-kenya-demographic-and-health-survey-2008-09
#9
Lawrence P O Were, Edwin Were, Richard Wamai, Joseph Hogan, Omar Galarraga
BACKGROUND: Healthcare financing through health insurance is gaining traction as developing countries strive to achieve universal health coverage and address the limited access to critical health services for specific populations including pregnant women and their children. However, these reforms are taking place despite limited evaluation of impact of health insurance on maternal health in developing countries including Kenya. In this study we evaluate the association of health insurance with access and utilization of obstetric delivery health services for pregnant women in Kenya...
July 3, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28641588/health-technology-performance-assessment-real-world-evidence-for-public-healthcare-sustainability
#10
Augusto Afonso Guerra-Júnior, Lívia Lovato Pires de Lemos, Brian Godman, Marion Bennie, Cláudia Garcia Serpa Osorio-de-Castro, Juliana Alvares, Aine Heaney, Carlos Alberto Vassallo, Björn Wettermark, Gaizka Benguria-Arrate, Iñaki Gutierrez-Ibarluzea, Vania Cristina Canuto Santos, Clarice Alegre Petramale, Fransciso de Assis Acurcio
OBJECTIVES: Health technology financing is often based on randomized controlled trials (RCTs), which are often the same ones used for licensing. Because they are designed to show the best possible results, typically Phase III studies are conducted under ideal and highly controlled conditions. Consequently, it is not surprising that technologies do not always perform in real life in the same way as controlled conditions. Because financing (and price paid) decisions can be made with overestimated results, health authorities need to ask whether health systems achieve the results they expect when they choose to pay for a technology...
June 23, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28639158/development-of-a-survivorship-needs-assessment-planning-tool-for-head-and-neck-cancer-survivors-and-their-caregivers-a-preliminary-study
#11
K R Sterba, J Zapka, N LaPelle, T K Garris, A Buchanan, M Scallion, T Day
PURPOSE: The purpose of this study was to characterize primary end-of-treatment challenges in head and neck cancer (HNC) to drive the development of a survivorship needs assessment planning (SNAP) tool and evaluate its acceptability and feasibility. METHODS: Using qualitative methods (focus groups, interviews), we identified physical, emotional, and social post-treatment challenges from the perspectives of survivors (N = 17), caregivers (N = 14), and healthcare providers (N = 14) and pretested the SNAP tool...
June 21, 2017: Journal of Cancer Survivorship: Research and Practice
https://www.readbyqxmd.com/read/28617216/the-effect-of-performance-based-financing-on-maternal-healthcare-use-in-burundi-a-two-wave-pooled-cross-sectional-analysis
#12
Martin Rudasingwa, Robert Soeters, Olivier Basenya
BACKGROUND: Several developing countries, especially in Africa, have implemented performance-based financing (PBF) schemes with the aim of improving healthcare provision. PBF was first implemented in Burundi in 2006 as a pilot programme in three provinces and was rolled out nationwide in 2010. OBJECTIVE: To enrich existing studies on Burundi in three ways. Firstly, by evaluating the effect of PBF on maternal care at primary and hospital levels; secondly, on the possession of maternity logbooks for maternal care records; and thirdly, how the amount of subsidies influences healthcare outputs...
2017: Global Health Action
https://www.readbyqxmd.com/read/28607831/primary-care-integration-of-psychiatric-and-behavioral-health-services-a-primer-for-providers-and-case-report-of-local-implementation
#13
Anthony Ps Guerrero, Cori L Takesue, Jared Hn Medeiros, Aileen A Duran, Joseph W Humphry, Ryan M Lunsford, Diana V Shaw, Michael H Fukuda, Earl S Hishinuma
Mental health conditions are common, disabling, potentially life-threatening, and costly; however, they are mostly treatable with early detection and intervention. Unfortunately, mental healthcare is in significantly short supply both nationally and locally, and particularly in small, rural, and relatively isolated communities. This article provides physicians and other health practitioners with a primer on the basic rationale and principles of integrating behavioral healthcare - particularly psychiatric specialty care - in primary care settings, including effective use of teleconferencing...
June 2017: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/28589017/financing-for-universal-health-coverage-in-small-island-states-evidence-from-the-fiji-islands
#14
Augustine D Asante, Wayne Irava, Supon Limwattananon, Andrew Hayen, Joao Martins, Lorna Guinness, John E Ataguba, Jennifer Price, Stephen Jan, Anne Mills, Virginia Wiseman
BACKGROUND: Universal health coverage (UHC) is critical to global poverty alleviation and equity of health systems. Many low-income and middle-income countries, including small island states in the Pacific, have committed to UHC and reforming their health financing systems to better align with UHC goals. This study provides the first comprehensive evidence on equity of the health financing system in Fiji, a small Pacific island state. The health systems of such states are poorly covered in the international literature...
March 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28589010/effects-of-economic-downturns-on-child-mortality-a-global-economic-analysis-1981-2010
#15
Mahiben Maruthappu, Robert A Watson, Johnathan Watkins, Thomas Zeltner, Rosalind Raine, Rifat Atun
OBJECTIVES: To analyse how economic downturns affect child mortality both globally and among subgroups of countries of variable income levels. DESIGN: Retrospective observational study using economic data from the World Bank's Development Indicators and Global Development Finance (2013 edition). Child mortality data were sourced from the Institute for Health Metrics and Evaluation. SETTING: Global. PARTICIPANTS: 204 countries between 1981 and 2010...
March 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28589000/system-wide-analysis-of-health-financing-equity-in-cambodia-a-study-protocol
#16
Virginia Wiseman, Augustine Asante, Por Ir, Supon Limwattananon, Bart Jacobs, Marco Liverani, Andrew Hayen, Stephen Jan
BACKGROUND: To assess progress towards universal health coverage, countries like Cambodia require evidence on equity in the financing and distribution of healthcare benefits. This evidence must be based on a system-wide perspective that recognises the complex roles played by the public and private sectors in many contemporary healthcare systems. OBJECTIVE: To undertake a system-wide assessment of who pays and who benefits from healthcare in Cambodia and to understand the factors influencing this...
January 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28588998/significance-of-informal-on-the-job-learning-and-leadership-development-in-health-systems-lessons-from-a-district-finance-team-in-south-africa
#17
S Choonara, J Goudge, N Nxumalo, J Eyles
BACKGROUND: The district health system (DHS) has a critical role to play in the delivery of primary healthcare (PHC). Effective district management, particularly leadership is considered to be crucial element of the DHS. Internationally, the debate around developing leadership competencies such as motivation or empowerment of staff, managing relationships, being solution driven as well as fostering teamwork are argued to be possible through approaches such as formal and informal training...
January 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28588989/accelerating-progress-towards-universal-health-coverage-in-asia-and-pacific-improving-the-future-for-women-and-children
#18
Allison Beattie, Robert Yates, Douglas J Noble
Universal health coverage generates significant health and economic benefits and enables governments to reduce inequity. Where universal health coverage has been implemented well, it can contribute to nation-building. This analysis reviews evidence from Asia and Pacific drawing out determinants of successful systems and barriers to progress with a focus on women and children. Access to healthcare is important for women and children and contributes to early childhood development. Universal health coverage is a political process from the start, and public financing is critical and directly related to more equitable health systems...
November 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28571667/the-role-of-the-european-structural-and-investment-funds-in-financing-health-system-in-lithuania-experience-from-2007-to-2013-funding-period-and-implications-for-the-future
#19
Liubove Murauskiene, Marina Karanikolos
European Structural and Investment Funds (ESIF) are a major source of investments in the newer EU member states. In Lithuania's health sector, the amount for the 2007-2013 funding period reached more than €400 million. In this paper we aim to (i) identify the key areas in the health sector which were supported by ESIF, (ii) determine the extent to which ESIF assisted the implementation of the ongoing health system reform; and (iii) assess whether the use of funds has led to expected improvements in healthcare...
May 10, 2017: Health Policy
https://www.readbyqxmd.com/read/28560612/characterization-of-stress-in-low-income-inner-city-mothers-of-children-with-poorly-controlled-asthma
#20
Melissa H Bellin, Kathryn S Collins, Philip Osteen, Joan Kub, Mary Elizabeth Bollinger, Angelica Newsome, Cassie Lewis-Land, Arlene M Butz
The goal of this longitudinal analysis was to characterize factors associated with the experience of life stress in low-income, inner-city mothers of minority children with high-risk asthma.Participants (n = 276) reported on family demographics, child asthma control and healthcare utilization, social support, contemporary life difficulties (housing, finances, violence exposure) measured by the validated Crisis in Family Systems scale, and daily stress. Latent growth curve modeling examined predictors of life stress across 12 months as a function of home and community difficulties, asthma-specific factors, and social support...
May 30, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
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