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https://www.readbyqxmd.com/read/29045273/oneflorida-clinical-research-consortium-linking-a-clinical-and-translational-science-institute-with-a-community-based-distributive-medical-education-model
#1
Elizabeth Shenkman, Myra Hurt, William Hogan, Olveen Carrasquillo, Steven Smith, Andrew Brickman, David Nelson
PROBLEM: Developing a national pragmatic clinical trial infrastructure is central to understanding the effectiveness of interventions applied under usual conditions and where people receive health care. To address this challenge, three Florida universities- the University of Florida Clinical and Translational Science Institute, Florida State University (with its community-based distributive medical education model), and the University of Miami-created (2010-2013) a statewide consortium, the OneFlorida Clinical Research Consortium, to support the conduct of pragmatic clinical trials and provide mentored research experiences for medical and graduate students in real-world practice settings...
October 17, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29042848/integrated-diabetes-care-delivered-by-patients-a-case-study-from-bulgaria
#2
Verena Struckmann, Francesco Barbabella, Antoniya Dimova, Ewout van Ginneken
INTRODUCTION: Increasing numbers of persons are living with multiple chronic diseases and unmet medical needs in Bulgaria. The Bulgarian 'Diabetic care' non-profit (DCNPO) programme aims to provide comprehensive integrated care focusing on people with diabetes and their co-morbidities. METHODS: The DCNPO programme was selected as one of eight 'high potential' programmes in the Innovating Care for People with Multiple Chronic Conditions (ICARE4EU) project, covering 31 European countries...
March 31, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29042760/a-scoping-review-of-crisis-teams-managing-dementia-in-older-people
#3
Amy Streater, Donna Maria Coleston-Shields, Jennifer Yates, Miriam Stanyon, Martin Orrell
BACKGROUND: Research on crisis teams for older adults with dementia is limited. This scoping review aimed to 1) conduct a systematic literature review reporting on the effectiveness of crisis interventions for older people with dementia and 2) conduct a scoping survey with dementia crisis teams mapping services across England to understand operational procedures and identify what is currently occurring in practice. METHODS: For the systematic literature review, included studies were graded using the Critical Appraisal Skills Programme checklist...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29036623/predictors-of-mortality-in-high-risk-patients-with-qt-prolongation-in-a-community-hospital
#4
Charlotte Gibbs, Jacob Thalamus, Kristian Heldal, Øystein Lunde Holla, Kristina H Haugaa, Jan Hysing
Aims: To determine predictors of mortality in patients with corrected QT interval (QTc) ≥ 500 ms in a community hospital. Methods and results: In this retrospective observational study, we searched the electrocardiogram (ECG) database at Telemark Hospital Trust, Norway, from January 2004 to December 2014. Medication, electrolyte abnormalities, and medical conditions known to prolong the QT interval were recorded. From the medical records, we assessed whether the prolonged QTc was noted by the health care providers...
October 3, 2017: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/29033866/neural-substrate-of-group-mental-health-insights-from-multi-brain-reference-frame-in-functional-neuroimaging
#5
Dipanjan Ray, Dipanjan Roy, Brahmdeep Sindhu, Pratap Sharan, Arpan Banerjee
Contemporary mental health practice primarily centers around the neurobiological and psychological processes at the individual level. However, a more careful consideration of interpersonal and other group-level attributes (e.g., interpersonal relationship, mutual trust/hostility, interdependence, and cooperation) and a better grasp of their pathology can add a crucial dimension to our understanding of mental health problems. A few recent studies have delved into the interpersonal behavioral processes in the context of different psychiatric abnormalities...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29033551/healthcare-provider-relational-quality-is-associated-with-better-self-management-and-less-treatment-burden-in-people-with-multiple-chronic-conditions
#6
David T Eton, Jennifer L Ridgeway, Mark Linzer, Deborah H Boehm, Elizabeth A Rogers, Kathleen J Yost, Lila J Finney Rutten, Jennifer L Sauver, Sara Poplau, Roger T Anderson
PURPOSE: Having multiple chronic conditions (MCCs) can lead to appreciable treatment and self-management burden. Healthcare provider relational quality (HPRQ) - the communicative and interpersonal skill of the provider - may mitigate treatment burden and promote self-management. The objectives of this study were to 1) identify the associations between HPRQ, treatment burden, and psychosocial outcomes in adults with MCCs, and 2) determine if certain indicators of HPRQ are more strongly associated than others with these outcomes...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/29026483/hospital-charges-and-continuity-of-care-for-outpatients-with-hypertension-in-south-korea-a-nationwide-population-based-cohort-study-from-2002-to-2013
#7
Jae-Hyun Kim, Eun-Cheol Park, Tae Hyun Kim, Yunhwan Lee
BACKGROUND: Continuity of care (COC) has received attention over the past decade. COC has also become increasingly important for hospital managers and policy makers because of competitive health care market conditions. The purpose of this study was to assess the association between hospital charges and patients' continuity of care-assessed by three indices of continuity of care-among outpatients with hypertension in South Korea. METHODS: This study used the National Health Insurance Service-Cohort Sample Database from 2002 to 2013...
September 2017: Korean Journal of Family Medicine
https://www.readbyqxmd.com/read/29025398/should-community-health-workers-offer-support-healthcare-services-to-survivors-of-sexual-violence-a-systematic-review
#8
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/28992156/what-works-in-implementation-of-integrated-care-programs-for-older-adults-with-complex-needs-a-realist-review
#9
Maritt Kirst, Jennifer Im, Tim Burns, G Ross Baker, Jodeme Goldhar, Patricia O'Campo, Anne Wojtak, Walter P Wodchis
Purpose: A realist review of the evaluative evidence was conducted on integrated care (IC) programs for older adults to identify key processes that lead to the success or failure of these programs in achieving outcomes such as reduced healthcare utilization, improved patient health, and improved patient and caregiver experience. Data sources: International academic literature was searched in 12 indexed, electronic databases and gray literature through internet searches, to identify evaluative studies...
October 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28988776/prevalence-of-influenza-vaccine-hesitancy-at-a-tertiary-care-hospital-in-riyadh-saudi-arabia
#10
Abdullah A Alabbad, Abdulaziz K Alsaad, Mohamed A Al Shaalan, Sulaiman Alola, Esam A Albanyan
BACKGROUND: Influenza vaccine hesitancy is a major problem worldwide, with significant public health consequences. We aimed to determine the prevalence of influenza vaccine hesitancy and the effect of vaccine awareness campaigns on vaccine acceptance among three groups (parents, adult patients, and healthcare workers [HCWs]) at King Abdulaziz Medical City, a tertiary care hospital in Riyadh, Saudi Arabia. METHODS: The study was conducted during the 2015-2016 winter season...
October 5, 2017: Journal of Infection and Public Health
https://www.readbyqxmd.com/read/28981334/adolescent-and-adult-hiv-providers-definitions-of-hiv-infected-youths-successful-transition-to-adult-care-in-the-united-states
#11
Morgan M Philbin, Amanda E Tanner, Alice Ma, Brittany D Chambers, Samuella Ware, Elizabeth N Kinnard, Sophia A Hussen, Sonia Lee, J Dennis Fortenberry
It is important for both individual- and population-level health that HIV-infected individuals progress through the Care Continuum. However, HIV-infected youth frequently disengage from care during transition from pediatric/adolescent to adult care; only 50% remain in adult care after 1 year. Understanding how providers define and approach a successful healthcare transition can improve the delivery of HIV-related services during critical years of HIV treatment. We conducted 58 staff interviews across 14 Adolescent Trials Network clinics (n = 30) and 20 adult clinics (n = 28)...
October 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/28978566/nrg-oncology-national-surgical-adjuvant-breast-and-bowel-project-decision-making-project-1-results-decision-making-in-breast-cancer-risk-reduction
#12
Christine Holmberg, Hanna Bandos, Angela Fagerlin, Therese B Bevers, Tracy A Battaglia, D Lawrence Wickerham, Worta J McCaskill-Stevens
Selective estrogen receptor modulators (SERMs) reduce breast cancer risk. Adoption of SERMs as prevention medication remains low. This is the first study to quantify social, cultural, and psychologic factors driving decision making regarding SERM use in women counseled on breast cancer prevention options. A survey study was conducted with women counseled by a health care provider (HCP) about SERMs. A statistical comparison of responses was performed between those who decided to use and those who decided not to use SERMs...
October 4, 2017: Cancer Prevention Research
https://www.readbyqxmd.com/read/28971885/people-s-experiences-of-hospital-care-on-the-weekend-secondary-analysis-of-data-from-two-national-patient-surveys
#13
Chris Graham
OBJECTIVE: To determine whether patients treated in hospital on the weekend report different experiences of care compared with those treated on weekdays. DESIGN: This is a secondary analysis of the 2014 National Health Service (NHS) adult inpatient survey and accident and emergency (A&E) department surveys. Differences were tested using independent samples t-tests and multiple regression, adjusting for patient age group, sex, ethnicity, proxy response, NHS trust, route of admission (for the inpatient survey) and destination on discharge (for the A&E survey)...
September 29, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28970744/analysing-a-chinese-regional-integrated-healthcare-organisation-reform-failure-using-a-complex-adaptive-system-approach
#14
Wenxi Tang, Lai Wei, Liang Zhang
INTRODUCTION: China's organised health system has remained outdated for decades. Current health systems in many less market-oriented countries still adhere to traditional administrative-based directives and linear planning. Furthermore, they neglect the responsiveness and feedback of institutions and professionals, which often results in reform failure in integrated care. Complex adaptive system theory (CAS) provides a new perspective and methodology for analysing the health system and policy implementation...
June 19, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/28963298/cross-sector-user-and-provider-perceptions-on-experiences-of-shared-care-clozapine-a-qualitative-study
#15
Camilla Sowerby, Denise Taylor
OBJECTIVES: (1) To explore individual perceptions on experiences of people receiving and/or delivering a shared-care clozapine serviceand (2) to gain an understanding of effectiveness and acceptability of shared-care clozapine. DESIGN: Interpretative phenomenological analysis guided the delivery and analysis of a semistructured interview and focus group study designed to explore participant experience of shared-care clozapine. Ethical approval 13/EM/0286 was gained in July 2013 from East Midlands-Nottingham 1 REC...
September 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/28960761/planetary-health-and-the-role-of-nursing-a-call-to-action
#16
Ann E Kurth
PURPOSE: To discuss the drivers of planetary health, responses, and the role of nursing in making health systems more resilient in an era of increasing stresses. As health providers, scientists, educators, and leaders, nurses have an obligation to prepare for climate change and other impacts of ecosystem strain on human health. DESIGN AND METHODS: Review of literature relevant to a planetary health framework. FINDINGS: Population displacement, new disease patterns and health needs, stresses on air quality, food production and water systems, and equity concerns, as well as the generation of sustainable energy, are all intimately related to health...
September 29, 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28960742/is-restraint-a-necessary-evil-in-mental-health-care-mental-health-inpatients-and-staff-members-experience-of-physical-restraint
#17
Ceri Wilson, Lorna Rouse, Sarah Rae, Manaan Kar Ray
Restraint in mental health care has negative consequences, and guidelines/policies calling for its reduction have emerged internationally. However, there is tension between reducing restraint and maintaining safety. In order to reduce restraint, it is important to gain an understanding of the experience for all involved. The aim of the present study was to improve understanding of the experience of restraint for patients and staff with direct experience and witnesses. Interviews were conducted with 13 patients and 22 staff members from one UK National Health Service trust...
October 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28960672/engaging-street-involved-youth-using-an-evidence-based-intervention-a-preliminary-report-of-findings
#18
Joanna Lynch, Elizabeth McCay, Andria Aiello, Faith Donald
PROBLEM: Street-involved youth experience many barriers to accessing health and social services. There is a literature gap in the literature regarding evidence-based interventions to facilitate engagement with street-involved youth. METHODS: A qualitative descriptive study of preliminary findings from a large mixed-methods study was undertaken to assess the impact of a resilience-based motivational intervention. This intervention was grounded in frameworks including strengths-based and resilience-based communication using the Seven C's Model of Resilience, positive youth development, and motivational interviewing that are particularly relevant to youth...
May 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28958987/tablet-based-patient-centered-decision-support-for-minor-head-injury-in-the-emergency-department-pilot-study
#19
Navdeep Singh, Erik Hess, George Guo, Adam Sharp, Brian Huang, Maggie Breslin, Edward Melnick
BACKGROUND: The Concussion or Brain Bleed app is a clinician- and patient-facing electronic tool to guide decisions about head computed tomography (CT) use in patients presenting to the emergency department (ED) with minor head injury. This app integrates a patient decision aid and clinical decision support (using the Canadian CT Head Rule, CCHR) at the bedside on a tablet computer to promote conversations around individualized risk and patients' specific concerns within the ED context...
September 28, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28958204/application-of-the-delphi-technique-in-healthcare-maintenance
#20
Stanley Njuangang, Champika Liyanage, Akintola Akintoye
Purpose The purpose of this paper is to examine the research design, issues and considerations in the application of the Delphi technique to identify, refine and rate the critical success factors and performance measures in maintenance-associated infections. Design/methodology/approach In-depth literature review through the application of open and axial coding were applied to formulate the interview and research questions. These were used to conduct an exploratory case study of two healthcare maintenance managers, randomly selected from two National Health Service Foundation Trusts in England...
October 9, 2017: International Journal of Health Care Quality Assurance
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