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https://www.readbyqxmd.com/read/28641166/care-coordination-at-a-pediatric-accountable-care-organization-aco-a-qualitative-analysis
#1
Baria Hafeez, Sophia Miller, Anup D Patel, Zachary M Grinspan
OBJECTIVE: Care coordinators may help manage care for children with chronic illness. Their role in pediatric epilepsy care is understudied. We aimed to qualitatively describe the content of a care coordination intervention for children with epilepsy. METHODS: We conducted nine semi-structured interviews and one focus group with care coordinators at a pediatric accountable care organization (ACO) in Ohio. The care coordinators used a modified version of a published care coordination checklist for children with epilepsy (Patel AD, 2014)...
June 19, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/28640686/prevalence-of-financial-fraud-and-scams-among-older-adults-in-the-united-states-a-systematic-review-and-meta-analysis
#2
David Burnes, Charles R Henderson, Christine Sheppard, Rebecca Zhao, Karl Pillemer, Mark S Lachs
BACKGROUND: The financial exploitation of older adults was recently recognized by the Centers for Disease Control and Prevention as a serious public health problem. Knowledge of the prevalence of elder financial exploitation is mostly limited to the category of financial abuse, which occurs in relationships involving an expectation of trust. Little is known about the other major category of elder financial exploitation-elder financial fraud and scams, which is perpetrated by strangers...
June 22, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28628260/society-for-academic-emergency-medicine-statement-on-plagiarism
#3
Shellie L Asher, Kenneth V Iserson, Lisa H Merck
The integrity of the research enterprise is of the utmost importance for the advancement of safe and effective medical practice for patients and for maintaining the public trust in health care. Academic societies and editors of journals are key participants in guarding scientific integrity. Avoiding and preventing plagiarism helps to preserve the scientific integrity of professional presentations and publications. The Society for Academic Emergency Medicine (SAEM) Ethics Committee discusses current issues in scientific publishing integrity and provides a guideline to avoid plagiarism in SAEM presentations and publications...
June 19, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28625117/factors-associated-to-health-care-service-use-among-latino-day-laborers
#4
Javier Francisco Boyas, Nalini Junko Negi, Pamela Valera
Latino day laborers (LDLs) are at elevated risks for disease and injury because of the environments in which they work. Despite this recognition, a comprehensive examination of factors related to LDLs' health service use remains unexamined. Using the Andersen model, the current exploratory study examined predisposing (age, education level, location of educational training, legal status, and marital status), enabling (income, trust in medical personnel, whether the respondent has someone they consider their personal doctor, and whether their doctor speaks the same language, perceived barriers to care), and need (self-rated health, number of chronic conditions) variables to predict use of health services among a purposive sample of LDLs ( N = 150)...
July 2017: American Journal of Men's Health
https://www.readbyqxmd.com/read/28620765/autonomy-and-performance-in-the-public-sector-the-experience-of-english-nhs-hospitals
#5
Rossella Verzulli, Rowena Jacobs, Maria Goddard
Since 2004, English NHS hospitals have been given the opportunity to acquire a more autonomous status known as a Foundation Trust (FT), whereby regulations and restrictions over financial, management, and organizational matters were reduced in order to create incentives to deliver higher-quality services in the most efficient way. Using difference-in-difference models, we test whether achieving greater autonomy (FT status) improved hospital performance, as proxied by measures of financial management, quality of care, and staff satisfaction...
June 15, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/28618913/a-multidisciplinary-approach-to-prevention
#6
Catriona Jennings, Felicity Astin
Cardiovascular disease accounts for 17,500 deaths globally, representing nearly half of all non-communicable disease deaths. The World Health Organization has set nine lifestyle, risk factor and medicines targets to achieve by 2025 with the aim of reducing premature mortality from non-communicable diseases by 25%. In order to succeed in this, we need to equip our global health professional workforce with the skills to support patients and their families with making lifestyle changes and being in concordance with cardioprotective medication regimes at every opportunity...
June 2017: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/28614637/renal-telemedicine-through-video-as-a-service-delivered-to-patients-on-home-dialysis-a-qualitative-study-on-the-renal-care-team-members-experience
#7
Jae-Llane Ditchburn, Alison Marshall
BACKGROUND: The Lancashire Teaching Hospitals NHS Trust in the UK has been providing renal care through video-as-a-service (VAAS) to patients since 2013, with support from the North West NHS Shared Infrastructure Service, a collaborative team that supports information and communication technology use in the UK National Health Service. INTRODUCTION: Renal telemedicine offered remotely to patients on home dialysis supports renal care through the provision of a live high-quality video link directly to unsupported patients undergoing haemodialysis at home...
June 14, 2017: Journal of Renal Care
https://www.readbyqxmd.com/read/28606391/tensions-in-relation-how-peer-support-is-experienced-and-received-in-a-hepatitis-c-treatment-intervention
#8
Oliver Bonnington, Magdalena Harris
BACKGROUND: Peer support and involvement is recognised as a vital component of hepatitis C (HCV) treatment provision for marginalised populations, such as people who inject drugs (PWID). Developments in HCV treatments enable increased provision in community settings - expanding the possibilities for meaningful peer involvement in HCV treatment plans. To date, HCV peer support has generally been viewed as a positive intervention, with little critical reflection on the ways social structures, policies, health and drug services and social identity impact on how peer support is experienced and received...
June 9, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28605243/intimate-partner-violence-and-its-resolution-among-mexican-americans
#9
Deborah Finfgeld-Connett
Intimate partner violence (IPV) affects the mental and physical health of Mexican women in the United States, and culture is thought to play a role in its prevention and resolution. Qualitative investigations are ideal for explicating context-specific aspects of these phenomena. Thus, a systematic review of 19 primary qualitative research reports was conducted to clearly articulate the process of IPV and its resolution among Mexican American women. Based on the findings, IPV is fueled by aspects of Mexican culture, and barriers exist that make its resolution challenging...
June 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28602803/patient-preference-in-primary-care-provider-type
#10
Brandi Leach, Margaret Gradison, Perri Morgan, Christine Everett, Michael J Dill, Justine Strand de Oliveira
BACKGROUND: Given the growing roles of nurse practitioners (NPs) and physician assistants (PAs), patients are increasingly able to choose their primary care provider type. Studies examining patient preferences among provider types are limited and ours is the first to examine reasons for patients' provider type preferences. METHODS: Using data from the 2014 Association of American Medical Colleges' (AAMC) Consumer Survey of Health Care Access, we used qualitative analysis to identify themes in open text responses of reasons for respondents' provider type preference (N = 4220)...
June 8, 2017: Healthcare
https://www.readbyqxmd.com/read/28601825/defining-and-measuring-suspicion-of-sepsis-an-analysis-of-routine-data
#11
Matthew Inada-Kim, Bethan Page, Imran Maqsood, Charles Vincent
OBJECTIVES: To define the target population of patients who have suspicion of sepsis (SOS) and to provide a basis for assessing the burden of SOS, and the evaluation of sepsis guidelines and improvement programmes. DESIGN: Retrospective analysis of routinely collected hospital administrative data. SETTING: Secondary care, eight National Health Service (NHS) Acute Trusts. PARTICIPANTS: Hospital Episode Statistics data for 2013-2014 was used to identify all admissions with a primary diagnosis listed in the 'suspicion of sepsis' (SOS) coding set...
June 9, 2017: BMJ Open
https://www.readbyqxmd.com/read/28597725/physicians-voices-what-skills-and-supports-are-needed-for-effective-practice-in-an-integrated-delivery-system-a-case-study-of-kaiser-permanente
#12
Benjamin Chesluk, Laura Tollen, Joy Lewis, Samantha DuPont, Marc H Klau
Payers are demanding that US health care become more accountable and integrated, posing new demands for physicians and the organizations that partner with them. We conducted focus groups with 30 physicians in a large integrated delivery system who had previous experience practicing in less integrated settings and asked about skills they need to succeed in this environment. Physicians identified 3 primary skills: orienting to teams and systems, engaging patients as individuals and as a panel, and integrating cost awareness into practice...
January 1, 2017: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/28589309/influential-factors-on-treatment-decision-making-among-patients-with-colorectal-cancer-a-scoping-review
#13
REVIEW
Nicole M Cranley, Barbara Curbow, Thomas J George, Juliette Christie
PURPOSE: In recent years, a greater emphasis has been placed on shared decision-making (SDM) techniques between providers and patients with the goal of helping patients make informed decisions about their care and subsequently to improve patient health outcomes. Previous research has shown variability in treatment decision-making among patients with colorectal cancer (CRC), and there is little comprehensive information available to help explain this variability. Thus, the purpose of this study was to evaluate the current state of the literature on factors that are influential in treatment decision-making among patients with CRC...
June 6, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28588992/introducing-rapid-tests-for-malaria-into-the-retail-sector-what-are-the-unintended-consequences
#14
Eleanor Hutchinson, Coll Hutchison, Sham Lal, Kristian Hansen, Miriam Kayendeke, Christine Nabirye, Pascal Magnussen, Siân E Clarke, Anthony Mbonye, Clare I R Chandler
The observation that many people in Africa seek care for febrile illness in the retail sector has led to a number of public health initiatives to try to improve the quality of care provided in these settings. The potential to support the introduction of rapid diagnostic tests for malaria (mRDTs) into drug shops is coming under increased scrutiny. Those in favour argue that it enables the harmonisation of policy around testing and treatment for malaria and maintains a focus on market-based solutions to healthcare...
January 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28588985/how-did-rapid-scale-up-of-hiv-services-impact-on-workplace-and-interpersonal-trust-in-zambian-primary-health-centres-a-case-based-health-systems-analysis
#15
Stephanie M Topp, Julien M Chipukuma
BACKGROUND: In sub-Saharan Africa, large amounts of funding continue to be directed towards HIV-specific care and treatment, often with claims of 'health system strengthening' effect. Such claims rarely account for the impact on human relationships and decisions that are core to functional health systems. This research examined how establishment of externally funded HIV services influenced trusting relationships in Zambian health centres. METHODS: An in-depth, multicase study included four health centres selected for urban, peri-urban and rural characteristics...
November 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28582988/trust-of-community-health-workers-influences-the-acceptance-of-community-based-maternal-and-child-health-services
#16
Merridy Grant, Aurene Wilford, Lyn Haskins, Sifiso Phakathi, Ntokozo Mntambo, Christiane M Horwood
BACKGROUND: Community health workers (CHWs) are a component of the health system in many countries, providing effective community-based services to mothers and infants. However, implementation of CHW programmes at scale has been challenging in many settings. AIM: To explore the acceptability of CHWs conducting household visits to mothers and infants during pregnancy and after delivery, from the perspective of community members, professional nurses and CHWs themselves...
May 29, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28580351/transition-in-patients-with-congenital-heart-disease-in-germany-results-of-a-nationwide-patient-survey
#17
Paul C Helm, Harald Kaemmerer, Günter Breithardt, Elisabeth J Sticker, Roland Keuchen, Rhoia Neidenbach, Gerhard-Paul Diller, Oktay Tutarel, Ulrike M M Bauer
BACKGROUND: A growing number of adults with congenital heart disease (ACHD) pose a particular challenge for health care systems across the world. Upon turning into 18 years, under the German national health care system, ACHD patients are required to switch from a pediatric to an adult cardiologist or an ACHD-certified provider. To date, reliable data investigating the treatment situation of ACHD patients in Germany are not available. MATERIALS AND METHODS: An online survey was conducted in collaboration with patient organizations to address the life situation and the conditions of health care provision for ACHD patients in Germany...
2017: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/28574235/how-arizona-medicaid-accelerated-the-integration-of-physical-and-behavioral-health-services
#18
Deborah Bachrach, Patricia M Boozang, Hailey E Davis
ISSUE: In most states, one agency has responsibility for Medicaid enrollees' physical health services and at least one other agency has responsibility for their behavioral health services. Apportioning responsibility for the physical and behavioral health of Medicaid beneficiaries into different agencies inevitably leads to different--and sometimes misaligned--policy goals, program priorities, and purchasing strategies, thereby impeding the delivery of integrated care. GOAL: To describe the rationale, process, and impact of Arizona's 2015 consolidation of its physical and behavioral health services agencies into its Medicaid agency...
May 2017: Issue Brief of the Commonwealth Fund
https://www.readbyqxmd.com/read/28572868/prostate-cancer-patient-perspectives-on-the-use-of-information-in-treatment-decision-making-a-systematic-review-and-qualitative-meta-synthesis
#19
Sujane Kandasamy, Ahmad Firas Khalid, Umair Majid, Meredith Vanstone
BACKGROUND: Men with low- to intermediate-risk prostate cancer are typically asked to choose from a variety of treatment options, including active surveillance, radical prostatectomy, or brachytherapy. The Prolaris cell cycle progression test is intended to provide additional information on personal risk status to assist men with prostate cancer in their choice of treatment. To assist with assessing that new technology, this report synthesizes qualitative research on how men with prostate cancer use information to make decisions about treatment options...
2017: Ontario Health Technology Assessment Series
https://www.readbyqxmd.com/read/28562091/cyberbullying-in-children-and-youth-implications-for-health-and-clinical-practice
#20
Tracy Vaillancourt, Robert Faris, Faye Mishna
We review the recent literature on cyberbullying and its effects on victimised youth, identifying key points. We conclude that cyberbullying, while following many of the underlying dynamics of more traditional forms of bullying, features some unique qualities that can both magnify the damage caused and make it more difficult to detect. These features include the pervasive, never-ending nature of cyberbullying and the ability to quickly reach large audiences. The potential for anonymity and the related distance afforded by screens and devices compared to in-person interaction allow the cruelty of cyberbullying to go unchecked...
June 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
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