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https://www.readbyqxmd.com/read/29051047/ostomy-telehealth-for-cancer-survivors-design-of-the-ostomy-self-management-training-osmt-randomized-trial
#1
Virginia Sun, Elizabeth Ercolano, Ruth McCorkle, Maria Grant, Christopher S Wendel, Nancy J Tallman, Frank Passero, Sabreen Raza, Zuleyha Cidav, Michael Holcomb, Ronald S Weinstein, Mark C Hornbrook, Robert S Krouse
PURPOSE: An ostomy adversely affects health-related quality of life (HRQOL) in a diverse population of cancer survivors and their caregivers. Hit-or-miss ostomy care, nurse counseling, and community referral have been the primary modes of self-management education and support in the peri-operative setting. Few evidence-based, systematic ostomy self-management programs are available to ensure optimal post-operative care. This paper describes the study design of a telehealth-based Ostomy Self-management Training (OSMT) program for cancer survivors and their caregivers...
October 16, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29041950/convenience-without-disclosure-a-formative-research-study-of-a-proposed-integrated-methadone-and-antiretroviral-therapy-service-delivery-model-in-dar-es-salaam-tanzania
#2
Alexis Cooke, Haneefa Saleem, Dorothy Mushi, Jessie Mbwambo, Saria Hassan, Barrot H Lambdin
BACKGROUND: Though timely initiation of antiretroviral therapy (ART) is a vital component of effective HIV prevention, care and treatment, people who inject drugs are less likely to receive ART than their non-drug using counterparts. In an effort to increase access to ART for people who inject drugs, we examined perceived benefits, challenges, and recommendations for implementing an integrated methadone and ART service delivery model at an opioid treatment program (OTP) clinic in Dar es Salaam, Tanzania...
October 18, 2017: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29038070/exploring-young-women-s-decisional-needs-for-contraceptive-method-choice-a-qualitative-study
#3
Cassondra Marshall, Nazineen Kandahari, Tina Raine-Bennett
OBJECTIVE: Assisting women with choosing contraceptive methods that meet their needs and preferences is essential to providing patient-centered care, but research to inform interventions supporting method choice is lacking. An assessment of patient decisional needs for contraceptive method choice may provide insight into patient-centered ways to support decision-making. STUDY DESIGN: Using the Ottawa Decision Support Framework as a guide, we conducted a qualitative study with semi-structured interviews to identify women's decisional needs for choosing a contraceptive method...
October 13, 2017: Contraception
https://www.readbyqxmd.com/read/29036530/what-does-quality-maternity-care-mean-in-a-context-of-medical-pluralism-perspectives-of-women-in-nigeria
#4
Chimaraoke O Izugbara, Frederick Wekesah
User priorities regarding quality care in contexts of medical pluralism are poorly documented. Drawing on group and individual interviews with women, we interrogate ideas of quality maternity care in the context of Nigeria's medical pluralism. We found complex utilization patterns for conventional, complementary and alternative maternity care services as well as ideas of quality maternity care that stress effective coordination and integration of different typologies of maternity health services; socially sensitive and truthful providers; and socioeconomic, physical and parochial forms of safety...
October 5, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29033050/temporal-trends-in-the-incidence-prevalence-and-survival-of-patients-with-atrial-fibrillation-from-2004-to-2016
#5
Brent A Williams, Ashley M Honushefsky, Peter B Berger
A growing epidemic of atrial fibrillation (AF) has been predicted, although no data on the AF burden has been reported for the United States since 2010. The objectives of this study were to (1) describe trends in AF incidence, prevalence, and postdiagnosis survival from 2004 to 2016 within a large health-care system and (2) extrapolate observed prevalence rates to the entire US population to estimate the national AF burden. This retrospective cohort study incorporates the patients and electronic medical record of the Geisinger Health System, an integrated health-care delivery system serving central and northeast Pennsylvania...
August 30, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/29032521/learning-from-ujambo-perspectives-on-gynecologic-care-in-african-immigrant-and-refugee-women-in-boston-massachusetts
#6
P K Mehta, K Saia, D Mody, S S Crosby, A Raj, S Maru, L Piwowarczyk
African-born immigrant women, and particularly refugees and asylum seekers, are at risk for reproductive health disparities but inadequately use relevant gynecologic services. We sought to elucidate perspectives on gynecologic care in a population of Congolese and Somali immigrants. We conducted a secondary qualitative analysis of focus group data using a grounded theory approach and the Integrated Behavioral Model as our theoretical framework. Thirty one women participated in six focus groups. Participant beliefs included the states of pregnancy and/or pain as triggers for care, preferences included having female providers and those with familiarity with female genital cutting...
October 14, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/29031933/relevant-models-and-elements-of-integrated-care-for-multi-morbidity-results-of-a-scoping-review
#7
Verena Struckmann, Fenna R M Leijten, Ewout van Ginneken, Markus Kraus, Miriam Reiss, Anne Spranger, Melinde R S Boland, Thomas Czypionka, Reinhard Busse, Maureen Rutten-van Mölken
BACKGROUND: In order to provide adequate care for the growing group of persons with multi-morbidity, innovative integrated care programmes are appearing. The aims of the current scoping review were to i) identify relevant models and elements of integrated care for multi-morbidity and ii) to subsequently identify which of these models and elements are applied in integrated care programmes for multi-morbidity. METHODS: A scoping review was conducted in the following scientific databases: Cochrane, Embase, PubMed, PsycInfo, Scopus, Sociological Abstracts, Social Services Abstracts, and Web of Science...
October 6, 2017: Health Policy
https://www.readbyqxmd.com/read/29029812/child-survival-in-england-strengthening-governance-for-health
#8
Ingrid Wolfe, Kate Mandeville, Katherine Harrison, Raghu Lingam
The United Kingdom, like all European countries, is struggling to strengthen health systems and improve conditions for child health and survival. Child mortality in the UK has failed to improve in line with other countries. Securing optimal conditions for child health requires a healthy society, strong health system, and effective health care. We examine inter-sectoral and intra-sectoral policy and governance for child health and survival in England. Literature reviews and universally applicable clinical scenarios were used to examine child health problems and English policy and governance responses for improving child health through integrating care and strengthening health systems, over the past 15 years...
September 18, 2017: Health Policy
https://www.readbyqxmd.com/read/29025635/how-ethiopia-achieved-millennium-development-goal-4-through-multisectoral-interventions-a-countdown-to-2015-case-study
#9
Jenny Ruducha, Carlyn Mann, Neha S Singh, Tsegaye D Gemebo, Negussie S Tessema, Angela Baschieri, Ingrid Friberg, Taddese A Zerfu, Mohammed Yassin, Giovanny A Franca, Peter Berman
BACKGROUND: 3 years before the 2015 deadline, Ethiopia achieved Millennium Development Goal 4. The under-5 mortality decreased 69%, from 205 deaths per 1000 livebirths in 1990 to 64 deaths per 1000 livebirths in 2013. To understand the underlying factors that contributed to the success in achieving MDG4, Ethiopia was selected as a Countdown to 2015 case study. METHODS: We used a set of complementary methods to analyse progress in child health in Ethiopia between 1990 and 2014...
November 2017: Lancet Global Health
https://www.readbyqxmd.com/read/29025398/should-community-health-workers-offer-support-healthcare-services-to-survivors-of-sexual-violence-a-systematic-review
#10
Anne Gatuguta, Barbra Katusiime, Janet Seeley, Manuela Colombini, Isaac Mwanzo, Karen Devries
BACKGROUND: Sexual violence is widespread, yet relatively few survivors receive healthcare or complete treatment. In low and middle-income countries, community health workers (CHWs) have the potential to provide support services to large numbers of survivors. The aim of this review was to document the role of CHWs in sexual violence services. We aimed to: 1) describe existing models of CHWs services including characteristics of CHWs, services delivered and populations served; 2) explore acceptability of CHWs' services to survivors and feasibility of delivering such services; and 3) document the benefits and challenges of CHW-provided sexual violence services...
October 12, 2017: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/29025051/integrating-behavioral-health-risk-assessment-into-centralized-intake-for-maternal-and-child-health-services
#11
Sarah Kye Price, D Crystal Coles, Tracey Wingold
Effectively promoting women's health during and around the time of pregnancy requires early, nonstigmatizing identification and assessment of behavioral health risks (such as depression, substance use, smoking, and interpersonal violence) combined with timely linkage to community support and specialized interventions. This article describes an integrated approach to behavioral health risk screening woven into a point of first contact with the health care delivery system: centralized intake for maternal and child health home visiting programs...
September 4, 2017: Health & Social Work
https://www.readbyqxmd.com/read/29021122/influencing-quality-of-outpatient-sud-care-implementation-of-alerts-and-incentives-in-washington-state
#12
Deborah W Garnick, Constance M Horgan, Andrea Acevedo, Margaret T Lee, Lee Panas, Grant A Ritter, Kevin Campbell, Jason Bean-Mortinson
Financial incentives for quality improvement and feedback on specific clients are two approaches to improving the quality of treatment for individuals with substance use disorders. We examined the impacts of these interventions in Washington State by randomizing outpatient substance use treatment agencies into intervention and control groups. From October 2013 through December 2015, agencies could earn financial incentives for meeting performance goals incorporating both achievement relative to a benchmark and improvement from agencies' own baselines...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29020976/the-added-value-of-a-mobile-application-of-community-case-management-on-referral-re-consultation-and-hospitalization-rates%C3%A2-of-children-aged-under-5-years-in-two-districts-in-northern-malawi-study-protocol-for-a-pragmatic-stepped-wedge-cluster-randomized-controlled
#13
Victoria Hardy, Yvonne O'Connor, Ciara Heavin, Nikolaos Mastellos, Tammy Tran, John O'Donoghue, Annette L Fitzpatrick, Nicole Ide, Tsung-Shu Joseph Wu, Griphin Baxter Chirambo, Adamson S Muula, Moffat Nyirenda, Sven Carlsson, Bo Andersson, Matthew Thompson
BACKGROUND: There is evidence to suggest that frontline community health workers in Malawi are under-referring children to higher-level facilities. Integrating a digitized version of paper-based methods of Community Case Management (CCM) could strengthen delivery, increasing urgent referral rates and preventing unnecessary re-consultations and hospital admissions. This trial aims to evaluate the added value of the Supporting LIFE electronic Community Case Management Application (SL eCCM App) compared to paper-based CCM on urgent referral, re-consultation and hospitalization rates, in two districts in Northern Malawi...
October 11, 2017: Trials
https://www.readbyqxmd.com/read/29017521/an-integrative-review-of-e-learning-in-the-delivery-of-self-management-support-training-for-health-professionals
#14
Sharon Lawn, Xiaojuan Zhi, Andrea Morello
BACKGROUND: E-learning involves delivery of education through Information and Communication Technology (ITC) using a wide variety of instructional designs, including synchronous and asynchronous formats. It can be as effective as face-to-face training for many aspects of health professional training. There are, however, particular practices and skills needed in providing patient self-management support, such as partnering with patients in goal-setting, which may challenge conventional practice norms...
October 10, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29016486/salpingectomy-for-sterilization-change-in-practice-in-a-large-integrated-health-care-system-2011-2016
#15
C Bethan Powell, Amy Alabaster, Sarah Simmons, Christine Garcia, Maria Martin, Sally McBride-Allen, Ramey D Littell
OBJECTIVE: To evaluate the utilization rate of salpingectomy for cesarean deliveries and postpartum and interval tubal sterilization procedures. METHODS: This is a retrospective cohort study using the electronic medical record to identify women older than 18 years of age undergoing surgical sterilization from June 2011 to May 2016 in an integrated health care system. The primary objective is to describe the change in utilization rate of salpingectomy for tubal sterilization procedures over time and after a systemwide practice recommendation was issued in 2013...
October 6, 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28990883/learning-to-address-multiple-syndemics-for-people-living-with-hiv-through-client-perspectives-on-cbt
#16
Nicholas S Perry, Jocelyn E Remmert, Christina Psaros, Megan Pinkston, Steven A Safren
OBJECTIVE: The mental health burden among people living with HIV/AIDS (PLWHA) is high and often involves multiple comorbid psychological and substance use-related psychosocial problems. These co-occurring problems, or syndemics, additively impair engagement in HIV disease management. Existing psychotherapies for mental health and HIV health have generally focused on a single psychosocial problem and little research exists to guide future psychotherapies that address multiple mental health issues...
October 9, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28984493/integration-of-tuberculosis-and-hiv-services-exploring-the-perspectives-of-co-infected-patients-in-ghana
#17
Prince Justin Anku, Joshua Amo-Adjei, David Teye Doku, Akwasi Kumi-Kyereme
Scaling up of integrated tuberculosis (TB)-human immunodeficiency virus (HIV) services remains sub-optimal in many resource-limited countries, including Ghana, where the two conditions take a heavy toll on the financial resources of health systems as well as infected persons. Previous studies have documented several implementation challenges towards TB-HIV service integration, but views of patients on integrated service delivery have not received commensurate research attention. This paper explored the experiences of 40 TB-HIV co-infected patients at different stages of treatment in Ghana...
October 6, 2017: Global Public Health
https://www.readbyqxmd.com/read/28982810/impact-of-the-community-based-newborn-care-package-in-nepal-a-quasi-experimental-evaluation
#18
Deepak Paudel, Ishwar B Shrestha, Matthias Siebeck, Eva Rehfuess
OBJECTIVE: To evaluate the impact of the community-based newborn care package (CBNCP) on six essential practices to improve neonatal health. METHODS: CBNCP pilot districts were matched to comparison districts using propensity scores. Impact on birth preparedness, antenatal care seeking, antenatal care quality, delivery by skilled birth attendant, immediate newborn care and postnatal care within 48 hours were assessed using Demographic and Health Survey (DHS) and Health Management Information System (HMIS) data through difference-in-differences and multivariate logistic regression analyses...
October 5, 2017: BMJ Open
https://www.readbyqxmd.com/read/28982492/seventy-years-of-management-engineering-and-consulting-integrating-health-care-delivery-for-an-enduring-mission
#19
Janine R Kamath, Olivia P Peavler, Fay L Steffens, Gene C Dankbar, Amerett L Donahoe-Anshus
No abstract text is available yet for this article.
October 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28982362/the-scope-and-impact-of-mobile-health-clinics-in-the-united-states-a-literature-review
#20
REVIEW
Stephanie W Y Yu, Caterina Hill, Mariesa L Ricks, Jennifer Bennet, Nancy E Oriol
As the U.S. healthcare system transforms its care delivery model to increase healthcare accessibility and improve health outcomes, it is undergoing changes in the context of ever-increasing chronic disease burdens and healthcare costs. Many illnesses disproportionately affect certain populations, due to disparities in healthcare access and social determinants of health. These disparities represent a key area to target in order to better our nation's overall health and decrease healthcare expenditures. It is thus imperative for policymakers and health professionals to develop innovative interventions that sustainably manage chronic diseases, promote preventative health, and improve outcomes among communities disenfranchised from traditional healthcare as well as among the general population...
October 5, 2017: International Journal for Equity in Health
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