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https://www.readbyqxmd.com/read/29933210/social-capital-outpatient-care-utilization-and-choice-between-different-levels-of-health-facilities-in-rural-and-urban-areas-of-bhutan
#1
Chantal Herberholz, Sonam Phuntsho
This study examines the factors that explain outpatient care utilization and the choice between different levels of health facilities in Bhutan, focusing on individual social capital, given Bhutan's geography of remote and sparsely populated areas. The more isolated the living, the more important individual social capital may become. Standard factors proposed by the Andersen model of healthcare utilization serve as control variables. Data for 2526 households from the 2012 Bhutan Living Standards Survey, which contains a social capital module covering structural, cognitive and output dimensions of social capital, are used...
June 18, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29929947/patient-acceptance-of-remote-scribing-powered-by-google-glass-in-outpatient-dermatology-cross-sectional-study
#2
Sandra Odenheimer, Deepika Goyal, Veena Goel Jones, Ruth Rosenblum, Lam Ho, Albert S Chan
BACKGROUND: The ubiquitous use of electronic health records (EHRs) during medical office visits using a computer monitor and keyboard can be distracting and can disrupt patient-health care provider (HCP) nonverbal eye contact cues, which are integral to effective communication. Provider use of a remote medical scribe with face-mounted technology (FMT), such as Google Glass, may preserve patient-HCP communication dynamics in health care settings by allowing providers to maintain direct eye contact with their patients while still having access to the patient's relevant EHR information...
June 21, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29929805/turkish-nurses-perceptions-of-professional-values
#3
Gulhan Erkus, Leyla Dinc
This study aimed to examine the professional values of nurses in Turkey. This descriptive cross-sectional study was conducted with 310 nurses employed at public, university, and private hospitals between May-June 2015. Data were collected using a data collection form and the Nurses' Professional Values Scale-Revised, and they were analysed using descriptive statistics. Associations between socio-demographic variables and mean scores were analysed using the Kruskal-Wallis test. Nurses had higher scores on perception of professional values, and education level and years of professional experience were associated with higher scores...
May 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/29927934/the-amazon-hope-a-qualitative-and-quantitative-assessment-of-a-mobile-clinic-ship-in-the-peruvian-amazon
#4
Neha P Limaye, Magaly M Blas, Isaac E Alva, Cesar P Carcamo, Patricia J García
The Loreto region of the Peruvian Amazon faces many obstacles to health care delivery. The majority of the population is river-bound and lives below the poverty line, with some of the worst health indicators in Peru. To overcome these barriers and fill a gap in health services, an NGO-based provider known as the Vine Trust has been providing care since 2001 via a mobile ship clinic called the Amazon Hope. This study presents an assessment of the Amazon Hope, first reporting health indicators of the program´s catchment area, services provided, and program utilization...
2018: PloS One
https://www.readbyqxmd.com/read/29921230/implementing-new-care-models-learning-from-the-greater-manchester-demonstrator-pilot-experience
#5
Rebecca Elvey, Simon Bailey, Kath Checkland, Anne McBride, Stephen Parkin, Katy Rothwell, Damian Hodgson
BACKGROUND: Current health policy focuses on improving accessibility, increasing integration and shifting resources from hospitals to community and primary care. Initiatives aimed at achieving these policy aims have supported the implementation of various 'new models of care', including general practice offering 'additional availability' appointments during evenings and at weekends. In Greater Manchester, six 'demonstrator sites' were funded: four sites delivered additional availability appointments, other services included case management and rapid response...
June 19, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29914185/the-role-of-communities-in-mental-health-care-in-low-and-middle-income-countries-a-meta-review-of-components-and-competencies
#6
REVIEW
Brandon A Kohrt, Laura Asher, Anvita Bhardwaj, Mina Fazel, Mark J D Jordans, Byamah B Mutamba, Abhijit Nadkarni, Gloria A Pedersen, Daisy R Singla, Vikram Patel
Community-based mental health services are emphasized in the World Health Organization’s Mental Health Action Plan , the World Bank’s Disease Control Priorities , and the Action Plan of the World Psychiatric Association. There is increasing evidence for effectiveness of mental health interventions delivered by non-specialists in community platforms in low- and middle-income countries (LMIC). However, the role of community components has yet to be summarized. Our objective was to map community interventions in LMIC, identify competencies for community-based providers, and highlight research gaps...
June 16, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29912659/adolescents-perspectives-on-everyday-life-with-obesity-a-qualitative-study
#7
Gudbjørg Øen, Bente Kvilhaugsvik, Kari Eldal, Anne-Grethe Halding
PURPOSE: This study aimed to gain an in-depth understanding of the perspectives and life experiences of adolescents living with obesity. METHODS: Five adolescents living with obesity were involved in repeated interviews, and qualitative content analysis was performed. RESULTS: Three themes emerged: obesity as a multi-faceted and difficult to solve condition; obesity as a shameful and vulnerable subject; and bullying and fragile social relationships...
December 2018: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/29911607/practitioners-perspective-on-pain-disabilities-in-ghanaian-women-a-qualitative-study
#8
D Ayim-Aboagye, T Gordh
Aims Women show higher frequency of most painful disorders. This is usually explained that endogenous pain modulation pathways, which affect incoming nociceptive signals, act differently in women and men, but psycho-social factors are likelytoinfluence as well. Ghanaian women suffer different disabilities that may lead to severe pain. The hard climatic conditions and the hard physical toil in work exert untold injuries. How do women in Ghana cope with painful disorders, and do they show certain behavioural pattern during diagnosis and treatments? Methods The study used in-depth interviews with health care providers to accomplish its aim...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29903792/realist-evaluation-of-the-use-of-patient-experience-data-to-improve-the-quality-of-inpatient-mental-health-care-euripides-in-england-study-protocol
#9
Scott Weich, Sarah-Jane Hannah Fenton, Kamaldeep Bhui, Sophie Staniszewska, Jason Madan, Michael Larkin, Elizabeth Newton, David Crepaz-Keay, Alastair Canaway, Charlotte Croft, Frances Griffiths
INTRODUCTION: Inpatient mental healthcare continues to be an area of high risk and where patients report negative experiences. To ensure the patient voice is heard, National Health Service (NHS) Trusts are required to collect feedback from patients routinely. We do not know what kinds of feedback are most important or what management processes are needed to translate this into effective action plans. Further, we do not know if this makes any difference to the patients themselves. This study seeks to explore which of the many different approaches to collecting and using patient experience data are the most useful for supporting improvements in inpatient mental healthcare...
June 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29902036/a-service-user-co-facilitated-intervention-to-reduce-mental-illness-stigma-among-primary-healthcare-workers-utilizing-perspectives-of-family-members-and-caregivers
#10
Sauharda Rai, Dristy Gurung, Bonnie N Kaiser, Kathleen J Sikkema, Manoj Dhakal, Anvita Bhardwaj, Cori Tergesen, Brandon A Kohrt
INTRODUCTION: Service users' involvement as cofacilitators of mental health trainings is a nascent endeavor in low- and middle-income countries, and the role of families on service user participation in trainings has received limited attention. This study examined how caregivers perceive and facilitate service user's involvement in an antistigma program that was added to mental health Gap Action Program (mhGAP) trainings for primary care workers in Nepal. METHOD: Service users were trained as cofacilitators for antistigma and mhGAP trainings delivered to primary care workers through the REducing Stigma among HealthcAre ProvidErs (RESHAPE) program...
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29898219/association-of-patient-perceptions-of-cardiovascular-risk-and-beliefs-on-statin-drugs-with-racial-differences-in-statin-use-insights-from-the-patient-and-provider-assessment-of-lipid-management-registry
#11
Michael G Nanna, Ann Marie Navar, Pearl Zakroysky, Qun Xiang, Anne C Goldberg, Jennifer Robinson, Veronique L Roger, Salim S Virani, Peter W F Wilson, Joseph Elassal, L Veronica Lee, Tracy Y Wang, Eric D Peterson
Importance: African American individuals face higher atherosclerotic cardiovascular disease risk than white individuals; reasons for these differences, including potential differences in patient beliefs regarding preventive care, remain unknown. Objective: To evaluate differences in statin use between white and African American patients and identify the potential causes for any observed differences. Design, Setting, and Participants: Using the 2015 Patient and Provider Assessment of Lipid Management (PALM) Registry data, we compared statin use and dosing between African American and white outpatient adults who were potentially eligible for primary or secondary prevention statins...
June 13, 2018: JAMA Cardiology
https://www.readbyqxmd.com/read/29896763/renal-in-patient-ward-nurse-experience-and-job-satisfaction-a-qualitative-study
#12
Aisha Tamika McKenzie, Gulen Addis
AIMS AND OBJECTIVES: The aim of this study was to examine the experience of registered nurses working in renal inpatients wards at an acute National Health Service (NHS) hospital Trust. Nurse perceptions of their experience particularly in relation to job satisfaction was analysed. BACKGROUND: Increased understanding of workplace organisation and culture can contribute to improved nurse work experience and better patient care. Worldwide many studies conducted on nurse experience and job satisfaction show that job satisfaction level varies across work settings so analysis of job satisfaction at a local level such as in a ward is important for producing useful analysis and recommendations...
June 13, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29894233/value-based-surgical-care-a-view-from-the-surgeon-s-knife
#13
Alice Ca Murray
NHS trusts across the country are facing unprecedented financial pressures, along with rising levels of demand and widespread variation in surgical quality and cost. There is a moral and financial imperative to provide the most efficient use of resources in order to ensure sustainability of a system that is free at the point of use, and provide consistently high-value care for patients across the country. Delivering 'value' does not mean any reduction in the quality of care - it means achieving the same or higher quality at the same or lower cost...
June 2, 2018: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/29887486/adolescents-spending-time-alone-with-pediatricians-during-routine-visits-perspectives-of-parents-in-a-primary-care-clinic
#14
Victoria A Miller, Elizabeth Friedrich, J Felipe García-España, Jessica H Mirman, Carol A Ford
PURPOSE: To increase understanding of parental perspectives on time alone and of factors that influence adolescent communication with physicians in a pediatric clinic. METHODS: The sample consisted of 91 parents of adolescents aged 14-17 years who attended a well child visit at one primary care pediatric practice and completed a 2-week follow-up phone call as part of a larger study on adolescent health and communication. Parents reported whether their child met alone with the pediatrician, rated the importance of him or her having time alone with the physician, and responded to open-ended questions regarding barriers and facilitators of adolescent-physician communication...
June 7, 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29886491/challenges-of-the-transition-from-pediatric-care-to-care-of-adults-say-goodbye-say-hello
#15
Philippe Touraine, Michel Polak
Transition has been defined as "the purposeful, planned movement of adolescents and young adults with chronic physical and medical conditions from child-centered to adult-oriented health care systems." We will here describe the challenges of such a process: challenges coming from the pediatrician, from the adolescent, linked to the disease itself, and those from the parents. We will outline how to overcome those fears and challenges to provide a successful transition process. A key factor to underline that process is that a relationship based on confidence should be established between the pediatrician and the physician for adults, in order for that relationship, based on trust, to be the basis for the transfer of the adolescent from the pediatric system of care to the adult one...
2018: Endocrine Development
https://www.readbyqxmd.com/read/29883299/hiv-related-conspiracy-beliefs-lived-experiences-of-racism-and-socio-economic-exclusion-among-people-living-with-hiv-in-new-york-city
#16
Jessica Jaiswal, Stuart N Singer, Karolynn Siegel, Helen-Maria Lekas
HIV-related 'conspiracy beliefs' include ideas about the genocidal origin of HIV and the nature and purpose of HIV-related medications. These ideas have been widely documented as affecting myriad health behaviours and outcomes, including birth control use and HIV testing. Most HIV-related research has quantitatively explored this phenomenon, and further qualitative research is necessary to better understand the complexity of these beliefs as articulated by those who endorse them. Moreover, public health in general has over-emphasised the role of the Tuskegee Syphilis Study in explaining mistrust, rather than focus on ongoing social inequalities...
June 8, 2018: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/29879946/-when-helpers-hurt-women-s-and-midwives-stories-of-obstetric-violence-in-state-health-institutions-colombo-district-sri-lanka
#17
Dinusha Perera, Ragnhild Lund, Katarina Swahnberg, Berit Schei, Jennifer J Infanti
BACKGROUND: The paper explores how age, social position or class, and linguistic and cultural background intersect and place women in varying positions of control and vulnerability to obstetric violence in state health institutions in Colombo district, Sri Lanka. Obstetric violence occurs during pregnancy, childbirth and the immediate postpartum period; hence, it is violence that directly affects women. The authors aim to break the traditional culture of silence around obstetric violence and bring attention to the resulting implications for quality of care and patient trust in obstetric care facilities or providers...
June 7, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29873794/a-framework-for-learning-about-improvement-embedded-implementation-and-evaluation-design-to-optimize-learning
#18
Danika Barry, Leighann E Kimble, Bejoy Nambiar, Gareth Parry, Ashish Jha, Vijay Kumar Chattu, M Rashad Massoud, Don Goldmann
Improving health care involves many actors, often working in complex adaptive systems. Interventions tend to be multi-factorial, implementation activities diverse, and contexts dynamic and complicated. This makes improvement initiatives challenging to describe and evaluate as matching evaluation and program designs can be difficult, requiring collaboration, trust and transparency. Collaboration is required to address important epidemiological principles of bias and confounding. If this does not take place, results may lack credibility because the association between interventions implemented and outcomes achieved is obscure and attribution uncertain...
April 20, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29871596/pregnant-women-s-experiences-with-an-integrated-diagnostic-and-decision-support-device-for-antenatal-care-in-ghana
#19
Ibukun-Oluwa Omolade Abejirinde, Renate Douwes, Azucena Bardají, Rudolf Abugnaba-Abanga, Marjolein Zweekhorst, Jos van Roosmalen, Vincent De Brouwere
BACKGROUND: Quality antenatal care (ANC) is recognised as an opportunity for screening and early identification of pregnancy-related complications. In rural Ghana, challenges with access to diagnostic services demotivate women from ANC attendance and referral compliance, leading to absent or late identification and management of high-risk women. In 2016, an integrated diagnostic and clinical decision support system tagged 'Bliss4Midwives' (B4M), was piloted in Northern Ghana. The device facilitated non-invasive screening of pre-eclampsia, gestational diabetes and anaemia at the point-of-care...
June 5, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29866953/a-model-for-calculated-privacy-and-trust-in-phealth-ecosystems
#20
Pekka Ruotsalainen, Bernd Blobel
A pHealth ecosystem is a community of service users and providers. It is also a dynamic socio-technical system. One of its main goals is to help users to maintain their personal health status. Another goal is to give economic benefit to stakeholders which use personal health information existing in the ecosystem. In pHealth ecosystems, a huge amount of health related data is collected and used by service providers such as data extracted from the regulated health record and information related to personal characteristics, genetics, lifestyle and environment...
2018: Studies in Health Technology and Informatics
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