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https://www.readbyqxmd.com/read/29690941/could-local-integration-of-health-and-social-care-finally-overcome-the-pull-to-the-centre
#1
Anna Dixon
There are several advantages of Bevan's design, such as progressive funding through taxation and equity of access regardless of income, that we must not lose sight of as we celebrate the NHS's (National Health Service) 70th birthday. However, there remain historical fault-lines dividing health and social care. The challenge is how to preserve equity if a more radical reform were implemented to fully integrate both the funding and delivery of health and social care. Funding from national taxation with defined entitlements could preserve both equity in funding and geographical equity...
April 25, 2018: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/29686977/a-prototype-exercise-empowerment-mobile-video-game-for-children-with-cancer-and-its-usability-assessment-developing-digital-empowerment-interventions-for-pediatric-diseases
#2
Carol S Bruggers, Sabrina Baranowski, Mathew Beseris, Rachel Leonard, Derek Long, Elizabeth Schulte, Ashton Shorter, Rowan Stigner, Clinton C Mason, Alisa Bedrov, Ian Pascual, Grzegorz Bulaj
Background: Medical advances continue to improve morbidity and mortality of serious pediatric diseases, including cancer, driving research addressing diminished physical and psychological quality of life in children with these chronic conditions. Empowerment enhances resilience and positively influences health, disease, and therapy understanding. We describe the development and usability assessment of a prototype Empower Stars! mobile video game grounded in behavioral and exercise theories with the purpose of coupling physical exercise with empowerment over disease in children with cancer...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29685638/a-human-centered-approach-to-cv-care-infrastructure-development-in-uganda
#3
Christopher T Longenecker, Ankur Kalra, Emmy Okello, Peter Lwabi, John O Omagino, Cissy Kityo, Moses R Kamya, Allison R Webel, Daniel I Simon, Robert A Salata, Marco A Costa
In this case study, we describe an ongoing approach to develop sustainable acute and chronic cardiovascular care infrastructure in Uganda that involves patient and provider participation. Leveraging strong infrastructure for HIV/AIDS care delivery, University Hospitals Harrington Heart and Vascular Institute and Case Western Reserve University have partnered with U.S. and Ugandan collaborators to improve cardiovascular capabilities. The collaboration has solicited innovative solutions from patients and providers focusing on education and advanced training, penicillin supply, diagnostic strategy (e...
April 20, 2018: Global Heart
https://www.readbyqxmd.com/read/29684837/patient-safety-content-and-delivery-in-pre-registration-nursing-curricula-a-national-cross-sectional-survey-study
#4
Kim Usher, Cindy Woods, Jane Conway, Jackie Lea, Vicki Parker, Fiona Barrett, Eilish O'Shea, Debra Jackson
BACKGROUND: Patient safety is a core principle of health professional practice and as such requires significant attention within undergraduate curricula. However, patient safety practice is complex requiring a broad range of skills and behaviours including the application of sound clinical knowledge within a range of health care contexts and cultures. There is very little research that explores how this is taught within Australian nursing curricula. OBJECTIVES: To examine how Australian nursing curricula address patient safety; identify where and how patient safety learning occurs; and describe who is responsible for facilitating this learning...
April 17, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29683752/vessel-health-and-preservation-a-model-and-clinical-pathway-for-using-vascular-access-devices
#5
Nancy L Moureau, Peter J Carr
Use of intravenous devices for the delivery of medical treatment spans all healthcare facilities ranging from hospitals to clinics and home care. Clinical pathways are processes used by healthcare providers to integrate and illustrate the best evidence and approach to care for a specific area of practice. The Vessel Health and Preservation (VHP) model is a framework and pathway process, consisting of four quadrants, to guide initiation and management of treatment requiring intravenous access. The pathway is designed to promote preservation of the vasculature of patients from admission through discharge with a focus on acute care...
April 26, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29683041/the-management-of-chronic-back-pain-in-primary-care-settings-exploring-perceived-facilitators-and-barriers-to-the-development-of-patient-professional-partnerships
#6
Y Fu, E McNichol, K Marczewski, S José Closs
Supporting patients in forming partnerships with health professionals is the key of effective self-management. This study aimed to explore the nature of patient-professional partnerships and its related factors that create facilitators and barriers to patients' self-management ability. A constructivist grounded theory approach was undertaken. Three main themes emerged: interaction and communication, integrated care, and service and system. A theoretical model was generated that posits effective communication, individualized integrated care, and high-quality service as key influences on the successful development of patient-professional partnerships and patients' ability to self-manage...
April 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29681043/balancing-health-information-exchange-and-privacy-governance-from-a-patient-centred-connected-health-and-telehealth-perspective
#7
Craig E Kuziemsky, Shashi B Gogia, Mowafa Househ, Carolyn Petersen, Arindam Basu
OBJECTIVES:  Connected healthcare is an essential part of patient-centred care delivery. Technology such as telehealth is a critical part of connected healthcare. However, exchanging health information brings the risk of privacy issues. To better manage privacy risks we first need to understand the different patterns of patient-centred care in order to tailor solutions to address privacy risks. METHODS:  Drawing upon published literature, we develop a business model to enable patient-centred care via telehealth...
April 22, 2018: Yearbook of Medical Informatics
https://www.readbyqxmd.com/read/29677412/gunderkids-design-of-a-clinical-care-management-program-for-parents-with-substance-abuse-and-their-newborn-children-with-a-focus-on-preventing-child-abuse
#8
Ann E Budzak-Garza, Allison L Allmon Dixson, Renee A Holzer, Kaitlin E Lillard-Pierce, Carolynn J Devine
BACKGROUND: In response to an increased need to care for babies born to mothers with substance abuse issues, we developed GunderKids, a care management program that provides integrated medical care beyond standard-of-care, well-child appointments for these socially complex families. METHODS: The program incorporates frequent visits to the pediatrician and the care team, which includes pediatric nurses, a pediatric social worker, and a child psychologist. Enrollment is voluntary...
March 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29675995/bridging-the-hiv-treatment-gap-in-nigeria-examining-community-antiretroviral-treatment-models
#9
Edward A Oladele, Okikiolu A Badejo, Christopher Obanubi, Emeka F Okechukwu, Ezekiel James, Golden Owhonda, Onuche I Omeh, Moyosola Abass, Olubunmi R Negedu-Momoh, Norma Ojehomon, Dorothy Oqua, Satish Raj-Pandey, Hadiza Khamofu, Kwasi Torpey
INTRODUCTION: Significant gaps persist in providing HIV treatment to all who are in need. Restricting care delivery to healthcare facilities will continue to perpetuate this gap in limited resource settings. We assessed a large-scale community-based programme for effectiveness in identifying people living with HIV and linking them to antiretroviral treatment. METHODS: A retrospective secular trend study of 14 high burden local government areas of Nigeria was conducted in which two models of community antiretroviral treatment delivery were implemented: Model A (on-site initiation) and Model B (immediate referral) clusters...
April 2018: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29673268/integration-of-pediatric-behavioral-health-services-in-primary-care-improving-access-and-outcomes-with-collaborative-care
#10
John V Campo, Rose Geist, David J Kolko
OBJECTIVE: To examine collaborative care interventions to integrate pediatric mental health services into primary care as a means of addressing barriers to mental health service delivery, improving access to care, and improving health outcomes. METHOD: Selective review of published literature addressing structural and attitudinal barriers to behavioural health service delivery and the integration of behavioural health services for pediatric mental problems and disorders into primary care settings, with a special focus on Canadian and U...
January 1, 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29671239/ethnobotanical-knowledge-of-pastoral-community-for-treating-livestock-diseases-in-somali-regional-state-eastern-ethiopia
#11
Ewonetu Kebede, Melese Mengistu, Biresaw Serda
Modern livestock health care is still at its lowest stage in Ethiopia and most modern veterinary services like drugs and veterinary professionals are not accessible and affordable to the majority of pastoral farmers. As a result, they rely on their traditional knowledge and practices on locally available. However, this traditional knowledge has not yet been well documented. Therefore, this study identified medicinal plants used in treating animal diseases and examined factors that threatens ethno-veterinary in pastoral community of Shinle Districts...
April 18, 2018: Tropical Animal Health and Production
https://www.readbyqxmd.com/read/29671155/integration-of-peer-philosophy-into-a-standardized-self-management-mobile-health-intervention
#12
Karen L Fortuna, Marianne Storm, Kelly A Aschbrenner, Stephen J Bartels
Description of certified peer specialists integration of peer philosophy into the delivery of a self-management intervention enhanced with mobile health. Qualitative examination of peer case notes that were routinely entered on a peer care management electronic dashboard. This study included consumers with serious mental illness (N = 8) with a mean age of 68.8 years (SD = 4.9). Certified peer specialists (N = 3) were all female and aged 55 years or older. Peers entered 146 case notes on the peer care management notes dashboard...
April 19, 2018: Psychiatric Quarterly
https://www.readbyqxmd.com/read/29670414/integration-of-leadership-training-into-a-problem-case-based-learning-program-for-first-and-second-year-medical-students
#13
Samara B Ginzburg, Susan Deutsch, Jaclyn Bellissimo, David E Elkowitz, Joel Nh Stern, Robert Lucito
Purpose: The evolution of health care systems in response to societal and financial pressures has changed care delivery models, which presents new challenges for physicians. Leadership training is increasingly being recognized as an essential component of medical education training to prepare physicians to meet these needs. Unfortunately, most medical schools do not include leadership training. It has been suggested that a longitudinal and integrated approach to leadership training should be sought...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29669707/a-web-based-decision-tool-to-improve-contraceptive-counseling-for-women-with-chronic-medical-conditions-protocol-for-a-mixed-methods-implementation-study
#14
Justine P Wu, Laura J Damschroder, Michael D Fetters, Brian J Zikmund-Fisher, Benjamin F Crabtree, Shawna V Hudson, Mack T Ruffin Iv, Juliana Fucinari, Minji Kang, L Susan Taichman, John W Creswell
BACKGROUND: Women with chronic medical conditions, such as diabetes and hypertension, have a higher risk of pregnancy-related complications compared with women without medical conditions and should be offered contraception if desired. Although evidence based guidelines for contraceptive selection in the presence of medical conditions are available via the United States Medical Eligibility Criteria (US MEC), these guidelines are underutilized. Research also supports the use of decision tools to promote shared decision making between patients and providers during contraceptive counseling...
April 18, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29664187/exercise-interventions-and-patient-beliefs-for-people-with-hip-knee-or-hip-and-knee-osteoarthritis-a-mixed-methods-review
#15
REVIEW
Michael Hurley, Kelly Dickson, Rachel Hallett, Robert Grant, Hanan Hauari, Nicola Walsh, Claire Stansfield, Sandy Oliver
BACKGROUND: Chronic peripheral joint pain due to osteoarthritis (OA) is extremely prevalent and a major cause of physical dysfunction and psychosocial distress. Exercise is recommended to reduce joint pain and improve physical function, but the effect of exercise on psychosocial function (health beliefs, depression, anxiety and quality of life) in this population is unknown. OBJECTIVES: To improve our understanding of the complex inter-relationship between pain, psychosocial effects, physical function and exercise...
April 17, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29658287/perspectives-on-providing-and-receiving-preventive-health-care-from-primary-care-providers-and-their-patients-with-mental-illnesses
#16
Scott P Stumbo, Bobbi Jo H Yarborough, Micah T Yarborough, Carla A Green
PURPOSE: Individuals with mental illnesses have higher morbidity rates and reduced life expectancy compared to the general population. Understanding how patients and providers perceive the need for prevention, as well as the barriers and beliefs that may contribute to insufficient care, are important for improving service delivery tailored to this population. DESIGN: Cross-sectional; mixed methods. SETTING: An integrated health system and a network of federally qualified health centers and safety net clinics...
January 1, 2018: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/29656488/importance-of-coverage-and-quality-for-impact-of-nutrition-interventions-delivered-through-an-existing-health-programme-in-bangladesh
#17
Phuong Hong Nguyen, Edward A Frongillo, Tina Sanghvi, Sunny S Kim, Silvia Alayon, Lan Mai Tran, Zeba Mahmud, Bachera Aktar, Purnima Menon
Understanding implementation of interventions is critical to illuminate if, how, and why the interventions achieve impact. Alive & Thrive integrated a nutrition intervention into an existing maternal, neonatal, and child health (MNCH) programme in Bangladesh, documenting improvements in women's micronutrient supplement intake and dietary diversity. Here, we examined how well the nutrition intervention was implemented and which elements of implementation explained intervention impact. Survey data were collected in 2015 and 2016 from frontline health workers (FLW) and households in areas randomized to nutrition-focused MNCH (intensified interpersonal counselling, community mobilization, distribution of free micronutrient supplements, and weight-gain monitoring) or standard MNCH (antenatal care with standard nutrition counselling)...
April 14, 2018: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29651302/common-mental-disorders-and-psychological-adjustment-among-individuals-seeking-hiv-testing-a-study-protocol-to-explore-implications-for-mental-health-care-systems
#18
Jason Bantjes, Ashraf Kagee
Background: In an effort to promote greater access to voluntary counseling and testing for HIV, it has become practice in many countries, including South Africa, to establish non-medical testing sites and to de-couple HIV testing from other medical and mental health care services. While it is well established that HIV infection is associated with a range of psychopathology, much of the literature has assumed that it is receipt of an HIV positive diagnosis that causes people to become depressed, traumatized, or develop other psychiatric symptoms...
2018: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29650619/nursing-role-in-well-child-care-systematic-review-of-the-literature
#19
Jolanda Turley, Jaclyn Vanek, Sharon Johnston, Doug Archibald
OBJECTIVE: To describe and compare well-child care (WCC) in Australia, the Netherlands, and the United Kingdom (UK), focusing on the role of nurses and their interactions with other primary care providers in order to derive relevant lessons for Canada's interprofessional primary care teams. DATA SOURCES: Ovid MEDLINE, EMBASE, and CINAHL were searched broadly using the search terms well child care, nursing role, and delivery of care and other synonymous terms. In addition, Google Scholar was used to search for gray literature, and reference mining revealed a few other relevant articles...
April 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29627925/spirituality-in-african-american-breast-cancer-patients-implications-for-clinical-and-psychosocial-care
#20
Vanessa B Sheppard, Robin Walker, Winifred Phillips, Victoria Hudson, Hanfei Xu, Mark L Cabling, Jun He, Arnethea L Sutton, Jill Hamilton
Spirituality has been shown to be important to many individuals dealing with a cancer diagnosis. While African-American breast cancer survivors have been reported to have higher levels of spirituality compared to White women, little is known about how levels of spirituality may vary among African-American breast cancer survivors. The aims of this study were to examine factors associated with spirituality among African-American survivors and test whether spirituality levels were associated with women's attitudes about treatment or health care...
April 7, 2018: Journal of Religion and Health
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