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https://www.readbyqxmd.com/read/29678038/socio-technical-considerations-for-the-use-of-blockchain-technology-in-healthcare
#1
Ming Chao Wong, Kwang Chien Yee, Christian Nøhr
Blockchain technology is often considered as the fourth industrial revolution that will change the world. The enthusiasm of the transformative nature of blockchain technology has infiltrated healthcare. Blockchain is often seen as the much needed and perfect technology for healthcare, addressing the difficult and complex issues of security and inter-operability. More importantly, the "value" and trust-based system can deliver automated action and response via its smart contract mechanism. Healthcare, however, is a complex system...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29650502/prevalence-of-multiple-chronic-conditions-among-older-adults-in-florida-and-the-united-states-comparative-analysis-of-the-oneflorida-data-trust-and-national-inpatient-sample
#2
Zhe He, Jiang Bian, Henry J Carretta, Jiwon Lee, William R Hogan, Elizabeth Shenkman, Neil Charness
BACKGROUND: Older patients with multiple chronic conditions are often faced with increased health care needs and subsequent higher medical costs, posing significant financial burden to patients, their caregivers, and the health care system. The increasing adoption of electronic health record systems and the proliferation of clinical data offer new opportunities for prevalence studies and for population health assessment. The last few years have witnessed an increasing number of clinical research networks focused on building large collections of clinical data from electronic health records and claims to make it easier and less costly to conduct clinical research...
April 12, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29643052/the-effectiveness-of-health-care-information-technologies-evaluation-of-trust-security-beliefs-and-privacy-as-determinants-of-health-care-outcomes
#3
Victoria Kisekka, Justin Scott Giboney
BACKGROUND: The diffusion of health information technologies (HITs) within the health care sector continues to grow. However, there is no theory explaining how success of HITs influences patient care outcomes. With the increase in data breaches, HITs' success now hinges on the effectiveness of data protection solutions. Still, empirical research has only addressed privacy concerns, with little regard for other factors of information assurance. OBJECTIVE: The objective of this study was to study the effectiveness of HITs using the DeLone and McLean Information Systems Success Model (DMISSM)...
April 11, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29622025/health-workers-experiences-of-coping-with-the-ebola-epidemic-in-sierra-leone-s-health-system-a-qualitative-study
#4
Joanna Raven, Haja Wurie, Sophie Witter
BACKGROUND: The 2014 Ebola Virus Disease epidemic evolved in alarming ways in Sierra Leone spreading to all districts. The country struggled to control it against a backdrop of a health system that was already over-burdened. Health workers play an important role during epidemics but there is limited research on how they cope during health epidemics in fragile states. This paper explores the challenges faced by health workers and their coping strategies during the Ebola outbreak in four districts - Bonthe, Kenema, Koinadugu and Western Area - of Sierra Leone...
April 5, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29621443/the-role-of-the-health-care-provider-in-building-trust-between-patients-and-precision-medicine-research-programs
#5
Anitra Persaud, Vence L Bonham
No abstract text is available yet for this article.
April 2018: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/29606690/strategies-for-recruiting-women-living-with-human-immunodeficiency-virus-in-community-based-research-lessons-from-canada
#6
Kath Webster, Allison Carter, Karène Proulx-Boucher, Danièle Dubuc, Valerie Nicholson, Kerrigan Beaver, Claudine Gasingirwa, Brigitte Ménard, Nadia O'Brien, Kayla Mitchell, Micaela Pereira Bajard, Erin Ding, Alexandra de Pokomandy, Mona Loutfy, Angela Kaida
OBJECTIVES: This study sought to describe the recruitment of women living with HIV (WLWH) into the community-based Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS), because women are under-represented in HIV research. METHODS: There were 1,424 WLWH were enrolled from British Columbia, Ontario, and Québec, who completed detailed questionnaires administered by peer research associates (PRAs; WLWH with research training). During screening, participants were asked: "How did you hear about the study?" We describe recruitment strategies by subpopulation and offer reflections on challenges and successes...
2018: Progress in Community Health Partnerships: Research, Education, and Action
https://www.readbyqxmd.com/read/29606143/evaluation-of-mindfulness-based-cognitive-therapy-for-life-and-a-cognitive-behavioural-therapy-stress-management-workshop-to-improve-healthcare-staff-stress-study-protocol-for-two-randomised-controlled-trials
#7
Clara Strauss, Jenny Gu, Nikki Pitman, Cavita Chapman, Willem Kuyken, Adrian Whittington
BACKGROUND: Healthcare workers experience higher levels of work-related stress and higher rates of sickness absence than workers in other sectors. Psychological approaches have potential in providing healthcare workers with the knowledge and skills to recognise stress and to manage stress effectively. The strongest evidence for effectiveness in reducing stress in the workplace is for stress-management courses based on cognitive behavioural therapy (CBT) principles and mindfulness-based interventions (MBIs)...
April 2, 2018: Trials
https://www.readbyqxmd.com/read/29605187/antipsychotic-drugs-versus-cognitive-behavioural-therapy-versus-a-combination-of-both-in-people-with-psychosis-a-randomised-controlled-pilot-and-feasibility-study
#8
Anthony P Morrison, Heather Law, Lucy Carter, Rachel Sellers, Richard Emsley, Melissa Pyle, Paul French, David Shiers, Alison R Yung, Elizabeth K Murphy, Natasha Holden, Ann Steele, Samantha E Bowe, Jasper Palmier-Claus, Victoria Brooks, Rory Byrne, Linda Davies, Peter M Haddad
BACKGROUND: Little evidence is available for head-to-head comparisons of psychosocial interventions and pharmacological interventions in psychosis. We aimed to establish whether a randomised controlled trial of cognitive behavioural therapy (CBT) versus antipsychotic drugs versus a combination of both would be feasible in people with psychosis. METHODS: We did a single-site, single-blind pilot randomised controlled trial in people with psychosis who used services in National Health Service trusts across Greater Manchester, UK...
March 28, 2018: Lancet Psychiatry
https://www.readbyqxmd.com/read/29603812/patients-experiences-and-care-needs-during-the-diagnostic-phase-of-an-integrated-brain-cancer-pathway-a-case-study
#9
Tina Wang Vedelø, Jens Christian Hedemann Sørensen, Charlotte Delmar
AIM AND OBJECTIVE: To identify and describe patients' experiences and care needs throughout the diagnostic phase of an Integrated Brain Cancer Pathway. BACKGROUND: A malignant brain tumour is a devastating diagnosis, which may cause psychical symptoms and cognitive deficits. Studies have shown that the shock of the diagnosis, combined with the multiple symptoms, affect patients' ability to understand information and express needs of care and support. Unmet needs have been reported within this group of patients, however, the experiences and care needs of patients going through the diagnostic phase of a standardised Integrated Brain Cancer Pathway have not previously been explored...
March 31, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29600243/reflections-of-homeless-women-and-women-with-mental-health-challenges-on-breast-and-cervical-cancer-screening-decisions-power-trust-and-communication-with-care-providers
#10
Catherine Claire Moravac
This study conducted in Toronto, Canada, explored the perceptions of women living in homeless shelters and women with severe mental health challenges about the factors influencing their decision-making processes regarding breast and cervical cancer screening. Twenty-six in-depth qualitative interviews were conducted. The objectives of this research were (i) to provide new insights about women's decision-making processes, (ii) to describe the barriers to and facilitators for breast and cervical cancer screening, and (iii) to offer recommendations for future outreach, education, and screening initiatives developed specifically for under/never-screened marginalized women living in urban centers...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29582095/physician-patient-communication-in-rheumatology-a-systematic-review
#11
REVIEW
Sofia Georgopoulou, Louise Prothero, David P D'Cruz
The nature of physician-patient interaction can have a significant impact on patient outcomes through information-sharing and disease-specific education that can enhance patients' active involvement in their care. The aim of this systematic review was to examine all the empirical evidence pertaining to aspects of physician-patient communication and its impact on patient outcomes. A systematic search of five electronic databases (MEDLINE, PsycINFO, EMBASE, CINAHL, and Web of Science) was undertaken from earliest record to December 2016...
March 26, 2018: Rheumatology International
https://www.readbyqxmd.com/read/29578596/social-cultural-traditional-beliefs-and-health-system-barriers-of-hepatitis-b-screening-among-hmong-americans-a-case-study
#12
Dao M Fang, Susan L Stewart
BACKGROUND: The incidence of liver cancer in Hmong Americans is 5 times higher than that of non-Hispanic whites, and there is a low hepatitis B screening rate (24%) among Hmong adults compared with other Asian American populations. The purpose of this study was to examine the Hmong's perceptions on social-cultural determinants, traditional health beliefs, and health care system barriers that influenced community-based hepatitis B screening interventions. METHODS: A qualitative method was used, integrating a collective case study research design...
April 1, 2018: Cancer
https://www.readbyqxmd.com/read/29575974/minority-healthcare-providers-experience-challenges-trust-and-interdependency-in-a-multicultural-team
#13
Veslemøy Egede-Nissen, Gerd Sylvi Sellevold, Rita Jakobsen, Venke Sørlie
BACKGROUND: The nursing community in the Nordic countries has become multicultural because of migration from European, Asian and African countries. In Norway, minority health care providers are recruited in to nursing homes which have become multicultural workplaces. They overcome challenges such as language and strangeness but as a group they are vulnerable and exposed to many challenges. PURPOSE: The aim is to explore minority healthcare providers, trained nurses and nurses' assistants, and their experiences of challenges when working in a multicultural team in a Norwegian context...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29573117/taking-parents-seriously-the-experiences-of-parents-with-a-son-or-daughter-in-adult-medium-secure-forensic-mental-health-care
#14
Gemma Finlay-Carruthers, Jason Davies, John Ferguson, Kevin Browne
Adult forensic mental health services provide care and treatment to individuals with complex offending and mental health histories. However, little attention has been paid to the parents of those receiving care within them. This research explored the experiences of parents with an adult son or daughter with mental illness in a medium secure mental health unit. Transcripts from semi-structured interviews were analysed using interpretative phenomenological analysis. This led to the identification of three superordinate themes: 'Something's not right'-onset of mental distress; 'It's a terrible battle'-relating with professionals; and 'A very sad fact of life'-caring with no end in sight were identified which together contained nine subordinate themes...
March 24, 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29572395/opportunities-for-better-value-wound-care-a-multiservice-cross-sectional-survey-of-complex-wounds-and-their-care-in-a-uk-community-population
#15
Trish A Gray, Sarah Rhodes, Ross A Atkinson, Katy Rothwell, Paul Wilson, Jo C Dumville, Nicky A Cullum
BACKGROUND: Complex wounds impose a substantial health economic burden worldwide. As wound care is managed across multiple settings by a range of healthcare professionals with varying levels of expertise, the actual care delivered can vary considerably and result in the underuse of evidence-based interventions, the overuse of interventions supported by limited evidence and low value healthcare. OBJECTIVES: To quantify the number, type and management of complex wounds being treated over a two-week period and to explore variations in care by comparing current practices in wound assessment, prevention and treatment...
March 22, 2018: BMJ Open
https://www.readbyqxmd.com/read/29566381/the-research-cycle-improving-care-and-outcomes-for-newborn-infants
#16
William McGuire, Henry L Halliday
Ensuring that policies and practice in perinatal care are informed by evidence from high-quality research is fundamental to improving outcomes for newborn infants and their families. Effective interventions in the perinatal period can have a life-long impact disproportionate to their costs. Many of the major advances in care that have transformed outcomes for preterm and sick newborn infants have been informed by empirical and applied health research. Conversely, there are examples of life-long adverse consequences for infants and families that are a legacy of practices based on poor-quality evidence...
March 22, 2018: Neonatology
https://www.readbyqxmd.com/read/29566259/is-there-a-common-experience-somali-new-mothers-childbirth-experiences-in-norway-and-the-united-states
#17
Connie Lynn Clark, Kari Glavin, Bernita Eileen Missal, Berit Saeteren
BACKGROUND: Due to civil war, Somalis immigrants have settled in Norway and the United States. Large families are valued among Somalis and Somali women continue to give birth in their new countries. Research studies have been conducted with Somali immigrant new mothers in Norway and Minnesota, United States to understand perceptions of their childbirth experience. PURPOSE: The purpose of this qualitative study was to compare the childbirth experiences of Somali immigrant mothers in the United States and Norway to make recommendations to improve health care practice...
March 22, 2018: Public Health Nursing
https://www.readbyqxmd.com/read/29563778/support-needs-for-medication-use-and-the-suitability-of-ehealth-technologies-to-address-these-needs-a-focus-group-study-of-older-patients-with-rheumatoid-arthritis
#18
Elke Ge Mathijssen, Johanna E Vriezekolk, Agnes Mm Eijsbouts, Frank Hj van den Hoogen, Bart Jf van den Bemt
Objective: The objectives of this study were to explore the needs of patients with rheumatoid arthritis (RA) regarding support for medication use and to gain insight into their perspective on the suitability of eHealth technologies to address these needs. Methods: Three focus groups were conducted with 28 patients with RA. Audio recordings made during the focus groups were transcribed verbatim. Two researchers independently performed an inductive, thematic analysis on the data (ie, the transcripts and field notes)...
2018: Patient Preference and Adherence
https://www.readbyqxmd.com/read/29563075/participatory-design-of-an-online-self-management-tool-for-users-with-spinal-cord-injury-qualitative-study
#19
Sonya Allin, John Shepherd, Jennifer Tomasone, Sarah Munce, Gary Linassi, Saima Noreen Hossain, Susan Jaglal
BACKGROUND: Rehospitalization rates resulting from secondary conditions in persons with spinal cord injuries (SCI) are high. Self-management programs for many chronic conditions have been associated with decreases in hospital readmissions. However, in the SCI community, evidence suggests that satisfaction with traditional self-management programs is low. Users with SCI have indicated preference for programs that are online (rather than in-person), that target SCI-specific concerns, and are led by peers with SCI...
March 21, 2018: JMIR Rehabilitation and Assistive Technologies
https://www.readbyqxmd.com/read/29553447/support-groups-for-mothers-of-children-with-a-handicap-a-quantitative-and-qualitative-study
#20
Suzan Mitwalli, Yoke Rabaia, Hanna Kienzler
BACKGROUND: Since 2013, the community-based rehabilitation programme in the north of the West Bank has established nineteen support groups for mothers following a Multi-Family Approach (MFA), with technical support from the Institute of Community and Public Health (Birzeit University) and the War Trauma Foundation (Netherlands). The main aims of the programme are to improve the wellbeing of mothers who have children with a handicap, to build support networks between vulnerable families, and to counter problems associated with social isolation and stigma...
February 21, 2018: Lancet
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