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https://www.readbyqxmd.com/read/29135763/health-system-creation-and-integration-at-a-health-sciences-university-a-five-year-follow-up
#1
Catherine P Slade, Ricardo Azziz, Steven Levin, Gretchen B Caughman, David S Hefner, Kimberly V Halbur, Martha S Tingen, Susan James
Shifting healthcare market forces and regulation have exerted near-constant pressure on U.S. academic health centers (AHCs) attempting to successfully execute their traditional tripartite mission. A governance structure and organizational alignment that works well under one set of conditions is rarely optimal when conditions change. Thus, the degree and type of alignment of an AHC's clinical, educational, and faculty practice organizations have changed regularly within the sector, typically landing near one end or the other on a continuum from fully aligned with centralized governance to largely independent with separate governance...
November 2017: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/29117816/aaohn-member-opinions-on-demonstrating-value-a-closer-look-at-the-findings
#2
Karen Mastroianni
An assessment was conducted to update a tool kit published by the American Association of Occupational Health Nurses (AAOHN) in 1998. The original document, Success Tool for Measuring and Articulating Value, had been a respected resource. Although the AAOHN guide, Demonstrating Value, is a tool with steps and examples for demonstrating value, the intention of this article is to explore the rich data collected during the assessment process, which included interviews with occupational health nurse leaders and an AAOHN member survey...
November 1, 2017: Workplace Health & Safety
https://www.readbyqxmd.com/read/29115991/evaluation-of-the-deki-reader%C3%A2-an-automated-rdt-reader-and-data-management-device-in-a-household-survey-setting-in-low-malaria-endemic-southwestern-uganda
#3
Caesar Oyet, Michelle E Roh, Gertrude N Kiwanuka, Patrick Orikiriza, Martina Wade, Sunil Parikh, Juliet Mwanga-Amumpaire, Yap Boum
BACKGROUND: Early diagnosis of suspected malaria cases with a rapid diagnostic test (RDT) has been shown to be an effective malaria control tool used in many resource-constrained settings. However, poor quality control and quality assurance hinder the accurate reporting of malaria diagnoses. Recent use of a portable, battery operated RDT reader (Deki Reader™, Fio Corporation) has shown to have high agreement with visual inspection across diverse health centre settings, however evidence of its feasibility and usability during cross sectional surveys are limited...
November 7, 2017: Malaria Journal
https://www.readbyqxmd.com/read/29108078/-big-data-and-public-health-results-of-the-working-group-1-of-the-forum-future-public-health-berlin-2016
#4
Susanne Moebus, Joseph Kuhn, Wolfgang Hoffmann
Big Data is a diffuse term, which can be described as an approach to linking gigantic and often unstructured data sets. Big Data is used in many corporate areas. For Public Health (PH), however, Big Data is not a well-developed topic. In this article, Big Data is explained according to the intention of use, information efficiency, prediction and clustering. Using the example of application in science, patient care, equal opportunities and smart cities, typical challenges and open questions of Big Data for PH are outlined...
November 6, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29079588/pathways-of-undue-influence-in-health-policy-making-a-main-actor-s-perspective
#5
REVIEW
Ildefonso Hernández-Aguado, Elisa Chilet-Rosell
BACKGROUND: It is crucial to know the extent to which influences lead to policy capture-by which the policy-making process is shifted away from the public interest towards narrow private interests. Using the case study of Spain, our aim was to identify interactions between public administration, civil society and private companies that could influence health policies. METHODS: 54 semistructured interviews with key actors related to health policy. The interviews were used to gather information on main policy actors as well as on direct and subtle influences that could modify health policies...
October 27, 2017: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/29065799/fitting-tissue-chips-and-microphysiological-systems-into-the-grand-scheme-of-medicine-biology-pharmacology-and-toxicology
#6
David E Watson, Rosemarie Hunziker, John P Wikswo
Microphysiological systems (MPS), which include engineered organoids (EOs), single organ/tissue chips (TCs), and multiple organs interconnected to create miniature in vitro models of human physiological systems, are rapidly becoming effective tools for drug development and the mechanistic understanding of tissue physiology and pathophysiology. The second MPS thematic issue of Experimental Biology and Medicine comprises 15 articles by scientists and engineers from the National Institutes of Health, the IQ Consortium, the Food and Drug Administration, and Environmental Protection Agency, an MPS company, and academia...
October 2017: Experimental Biology and Medicine
https://www.readbyqxmd.com/read/29060899/unified-health-gamification-can-significantly-improve-well-being-in-corporate-environments
#7
Arash Shahrestani, Pieter Van Gorp, Pascale Le Blanc, Fabrizio Greidanus, Kristel de Groot, Jelle Leermakers
There is a multitude of mHealth applications that aim to solve societal health problems by stimulating specific types of physical activities via gamification. However, physical health activities cover just one of the three World Health Organization (WHO) dimensions of health. This paper introduces the novel notion of Unified Health Gamification (UHG), which covers besides physical health also social and cognitive health and well-being. Instead of rewarding activities in the three WHO dimensions using different mHealth competitions, UHG combines the scores for such activities on unified leaderboards and lets people interact in social circles beyond personal interests...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29057158/preventing-identifying-and-treating-prescription-drug-misuse-among-active-duty-service-members
#8
Rosalie Liccardo Pacula, Sarah B Hunter, Allison J Ober, Karen Chan Osilla, Raffaele Vardavas, Janice C Blanchard, David DeVries, Emmanuel F Drabo, Kristin J Leuschner, Warren Stewart, Jennifer Walters
Prescription drug misuse (PDM) is of critical concern for the military because of its potential impact on military readiness, the health and well-being of military personnel, and associated health care costs. The purpose of this study is to summarize insights gleaned from a series of activities that the RAND Corporation undertook for the Deputy Assistant Secretary of Defense for Readiness to address this important health and military readiness issue. The authors completed a review of U.S. Department of Defense policies and a comprehensive literature review of clinical guidelines and the empirical literature on the prevention and treatment of PDM and conducted individual face-to-face interviews with 66 health and behavioral health care providers at nine medical treatment facilities across three regions within the contiguous United States to identify best practices in the prevention, identification, and treatment of PDM and the extent to which those practices are known and followed...
January 2017: Rand Health Quarterly
https://www.readbyqxmd.com/read/29053152/heart-in-space-effect-of-the-extraterrestrial-environment-on-the-cardiovascular-system
#9
REVIEW
Richard L Hughson, Alexander Helm, Marco Durante
National space agencies and private corporations aim at an extended presence of humans in space in the medium to long term. Together with currently suboptimal technology, microgravity and cosmic rays raise health concerns about deep-space exploration missions. Both of these physical factors affect the cardiovascular system, whose gravity-dependence is pronounced. Heart and vascular function are, therefore, susceptible to substantial changes in weightlessness. The altered cardiovascular function in space causes physiological problems in the postflight period...
October 20, 2017: Nature Reviews. Cardiology
https://www.readbyqxmd.com/read/29031647/barriers-to-antenatal-psychosocial-assessment-and-depression-screening-in-private-hospital-settings
#10
Tanya Connell, Bryanne Barnett, Donna Waters
PROBLEM: The evidence of benefit for antenatal psychosocial assessment and depression screening has been sufficient to lead the implementation of screening in public hospitals in all states of Australia. Details of the implementation of perinatal screening in private obstetric settings is less well known. AIM: As any successful implementation relies on the identification of local barriers, we aimed to determine what perceived or actual barriers may exist for the implementation of evidence-based perinatal screening interventions in private obstetric care, and specifically within small private hospitals...
October 11, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28987039/reduction-in-pain-after-use-of-bioceramic-undershirt-for-patients-with-fibromyalgia
#11
María Aparecida Santos E Campos, Felipe García Pinillos, Pedro Ángel Latorre Román
Context • The treatment of pain in fibromyalgia (FM) has centered on pharmacotherapy and nonpharmacological treatment. The nondrug treatments for FM include the effects of far infrared radiation (FIR). Currently, FIR-emitting heat lamps and garments made of filaments (fibers) impregnated with FIR-emitting nanoparticles are being used to deliver thermal radiation effects. Objective • The study intended to determine the benefits of a fabric coated with bioceramics for reducing pain in women with FM. Design • The research team designed a randomized, controlled pilot study...
September 2017: Alternative Therapies in Health and Medicine
https://www.readbyqxmd.com/read/28978619/-nothing-can-be-done-until-everything-is-done-the-use-of-complexity-arguments-by-food-beverage-alcohol-and-gambling-industries
#12
Mark Petticrew, Srinivasa Vittal Katikireddi, Cécile Knai, Rebecca Cassidy, Nason Maani Hessari, James Thomas, Heide Weishaar
BACKGROUND: Corporations use a range of strategies to dispute their role in causing public health harms and to limit the scope of effective public health interventions. This is well documented in relation to the activities of the tobacco industry, but research on other industries is less well developed. We therefore analysed public statements and documents from four unhealthy commodity industries to investigate whether and how they used arguments about complexity in this way. METHODS: We analysed alcohol, food, soda and gambling industry documents and websites and minutes of reports of relevant health select committees, using standard document analysis methods...
October 4, 2017: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/28973012/the-relationship-between-drinking-alcohol-and-esophageal-gastric-or-colorectal-cancer-a-nationwide-population-based-cohort-study-of-south-korea
#13
Yoon Jin Choi, Dong Ho Lee, Kyung-Do Han, Hyun Soo Kim, Hyuk Yoon, Cheol Min Shin, Young Soo Park, Nayoung Kim
BACKGROUND: Epidemiologic findings of low-volume alcohol consumption in relation to gastrointestinal cancers including gastric cancer are inconsistent. METHODS: The association between alcohol intake and esophageal, gastric and colorectal cancer risk was examined in a population-based prospective cohort of 23,323,730 adults in Korea who had undergone a biennial evaluation provided by the National Health Insurance Corporation between the years 2009 and 2012. After median 5...
2017: PloS One
https://www.readbyqxmd.com/read/28958469/lenalidomide-maintenance-therapy-in-previously-treated-chronic-lymphocytic-leukaemia-continuum-a-randomised-double-blind-placebo-controlled-phase-3-trial
#14
Asher A Chanan-Khan, Andrey Zaritskey, Miklos Egyed, Samuel Vokurka, Sergey Semochkin, Anna Schuh, Jeannine Kassis, David Simpson, Jennie Zhang, Brendan Purse, Robin Foà
BACKGROUND: The efficacy and safety of lenalidomide as maintenance therapy after chemotherapy-based second-line therapy in patients with chronic lymphocytic leukaemia is unknown. Although kinase inhibitors can improve outcomes for some patients with relapsed and refractory disease, not all patients have access to these novel drugs. In this study, we aimed to assess the efficacy and safety of lenalidomide as maintenance therapy in patients with previously treated chronic lymphocytic leukaemia...
November 2017: Lancet Haematology
https://www.readbyqxmd.com/read/28929887/retail-food-reform-how-to-effectively-bridge-what-we-say-and-what-we-do-in-our-hospital-settings
#15
Laurie Dojeiji, Andra Taylor, Cholly Boland, Carolyn Brennan, Randy Penney
Hospital leaders in Eastern Ontario, Canada, have acknowledged the critical role of food to health and the need for progressive change that goes beyond personal responsibility paradigms. The Healthy Foods in Champlain Hospitals program aims to create supportive, healthy nutrition environments in hospital retail food settings. Twenty independent hospital corporations have collectively initiated a plan to transition cafeteria, vending, franchise, and volunteer operations towards healthier offerings. Hospitals are actively implementing a set of progressively phased, evidence-based nutrition criteria, which cover food and beverage categories, preparation methods, product placement, and provision of nutrition information...
March 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28929875/using-structured-incentives-to-increase-value-for-money-in-an-academic-health-sciences-centre
#16
Guy J Hébert, Connie Colasante, Renate G Ilse, Alan J Forster
As healthcare continues to consume more and more of provincial government spending, there is a continuing pressure to improve efficiency and cut overall costs. In this increasingly constrained healthcare system, value for money is a growing focus of discussions around accountability and system sustainability; healthcare leaders are required to find ways of measuring, enforcing, and reporting on that value. In 2014, our organization began implementing an innovative system of structured incentives, linking distribution of Ministry of Health and Long-Term Care academic physician funding to quality and performance goals...
July 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28918106/patients%C3%AC-experiences-of-patient-education-on-psychiatric-inpatient-wards-a-systematic-review
#17
REVIEW
S T Kristiansen, P Videbech, M Kragh, C N Thisted, M B Bjerrum
OBJECTIVE: To synthesize the evidence on how patients with serious mental disorders perceived patient education on psychiatric wards and to learn more about the patient perceived benefits and limitations related to patient education and how well patient education meets the perceived needs of inpatients. METHODS: Quantitative and qualitative data were categorized and synthesized. A systematic literature search was conducted. Articles were validated using validated critical appraisal tools...
September 12, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28883182/it-decision-making-in-german-hospitals-do-ceos-open-the-black-box
#18
Johannes Thye, Ursula Hübner, Jens Hüsers, Birgit Babitsch
Health IT and communication systems are indispensable in German hospitals for clinical as well as administrative process support. However, IT is often regarded as a "black box" for hospital CEOs. Thus, the question arises how can CEOs decide if they do not know what is in the box? In order to answer this question, half-structured interviews with 14 German hospital CEOs were conducted. They revealed three principle decision processes: the supported decision, the joint decision and the corporate level decision...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28864798/future-organization-of-oral-health-services-delivery-from-2012-to-2042
#19
L Jackson Brown
The United States is currently experiencing a vortex of change in both general health and oral health care delivery, the ultimate outcome of which is still not well understood. The specific focus of this article is to examine the future organization of the oral health services delivery system (OHSDS) in the U.S., with special attention given to the role of large group dental practices (LGDPs) in that future. The article describes the various types of LGDPs and their ability to change the economic characteristics of the OHSDS...
September 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28863030/persistent-super-utilization-of-acute-care-services-among-subgroups-of-veterans-experiencing-homelessness
#20
Dorota Szymkowiak, Ann Elizabeth Montgomery, Erin E Johnson, Todd Manning, Thomas P O'Toole
BACKGROUND: Acute health care utilization often occurs among persons experiencing homelessness. However, knowing which individuals will be persistent super-utilizers of acute care is less well understood. OBJECTIVE: The objective of the study was to identify those more likely to be persistent super-utilizers of acute care services. RESEARCH DESIGN: We conducted a latent class analysis of secondary data from the Veterans Health Administration Corporate Data Warehouse, and Homeless Operations Management and Evaluation System...
October 2017: Medical Care
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