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Health service implementation

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https://www.readbyqxmd.com/read/29235167/care-for-child-development-an-intervention-in-support-of-responsive-caregiving-and-early-child-development
#1
J E Lucas, L M Richter, B Daelmans
BACKGROUND: An estimated 43% of children younger than 5 years of age are at elevated risk of failing to achieve their human potential. In response, the World Health Organization and UNICEF developed Care for Child Development (CCD), based on the science of child development, to improve sensitive and responsive caregiving and promote the psychosocial development of young children. METHODS: In 2015, the World Health Organization and UNICEF identified sites where CCD has been implemented and sustained...
January 2018: Child: Care, Health and Development
https://www.readbyqxmd.com/read/29234509/assessing-the-second-hand-effects-of-a-new-no-smoking-policy-in-an-acute-mental-health-trust
#2
Benjamin Ian Perry, Katherine Meehan, Ashok Kumar Jainer
Aims and method To examine whether a new no-smoking policy in an in-patient mental health setting had any effects outside of smoking cessation. Our hypothesis stated that a forced smoking ban for in-patients may result in an increased susceptibility for clinical incidents, aggression and lower admission rates. All patients admitted to adult in-patient mental health services in Coventry and Warwickshire Partnership NHS Trust were included in the analysis. Data 6 months post-implementation of the smoking policy (1 July 2015 to 1 January 2016) were compared with the same period 1 year prior (1 July 2014 to 1 January 2015)...
December 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/29233804/end-user-and-implementer-experiences-of-mhealth-technologies-for-noncommunicable-chronic-disease-management-in-young-adults-systematic-review
#3
REVIEW
Helen Slater, Jared M Campbell, Jennifer N Stinson, Megan M Burley, Andrew M Briggs
BACKGROUND: Chronic noncommunicable diseases (NCDs) such as asthma, diabetes, cancer, and persistent musculoskeletal pain impose an escalating and unsustainable burden on young people, their families, and society. Exploring how mobile health (mHealth) technologies can support management for young people with NCDs is imperative. OBJECTIVE: The aim of this study was to identify, appraise, and synthesize available qualitative evidence on users' experiences of mHealth technologies for NCD management in young people...
December 12, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29233311/development-implementation-and-evaluation-of-a-service-learning-series-for-pharmacy-students-using-a-public-health-tool
#4
Katura C Bullock
BACKGROUND AND PURPOSE: The purpose of this article is to describe the utility of the Assessment, Development, Assurance: Pharmacist's Tool (ADAPT) during the design, delivery, and assessment of service-learning events by pharmacy students. EDUCATIONAL ACTIVITY AND SETTING: The ADAPT instrument was used to develop a series of five service-learning events that featured a health promotion program delivered by 19 pharmacy students and attended by over 200 senior citizens at local senior centers...
September 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29233280/implementation-of-a-longitudinal-early-immersion-student-pharmacist-health-system-internship-program
#5
Lindsey B Amerine, John M Valgus, Joseph D Moore, Justin R Arnall, Scott W Savage
PURPOSE: The initiation, implementation, and benefits of a longitudinal early immersion student pharmacist health system internship are described. EDUCATIONAL ACTIVITY: A two-year longitudinal internship experience was implemented to provide exposure into distributional operations, direct patient care activities, and health-system pharmacy administration. The intent of the program was to create an opportunity for student pharmacists to enhance the quality of their education with practical experience by immersing them early in their careers within the healthcare system...
May 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29233271/know-your-medicine-a-novel-student-led-community-service-learning-program
#6
Crystal K Howell, Kelly R Reveles, Leroy C Knodel, Nancy R Pattyn, Christopher R Frei
INTRODUCTION: The objective of this article is to describe the efforts of the student pharmacist organization called Know Your Medicine (KYM) as they conduct medication therapy management (MTM) for older adults and underserved communities. METHODS: Patients brought medications, immunization records, and health concerns to KYM events during academic years 2012-2013 and 2013-2014. Student pharmacists performed health screenings, created personalized medication records (PMR), made recommendations, created personal action plans (PAP), and conducted follow-up phone calls...
May 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29233172/the-effects-of-austerity-measures-on-quality-of-healthcare-services-a-national-survey-of-physicians-in-the-public-and-private-sectors-in-portugal
#7
Tiago Correia, Graça Carapinheiro, Helena Carvalho, José Manuel Silva, Gilles Dussault
BACKGROUND: The European Union member countries reacted differently to the 2008 economic and financial crisis. However, few countries have monitored the outcomes of their policy responses, and there is therefore little evidence as to whether or not savings undermined the performance of health systems. We discuss the situation in Portugal, where a financial adjustment program was implemented between 2011 and 2014, and explore the views of health workers on the effects of austerity measures on quality of care delivery...
December 12, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29233111/effectiveness-of-two-community-based-strategies-on-disease-knowledge-and-health-behaviour-regarding-malaria-diarrhoea-and-pneumonia-in-ghana
#8
Blanca Escribano-Ferrer, Margaret Gyapong, Jane Bruce, Solomon A Narh Bana, Clement T Narh, Naa-Korkor Allotey, Roland Glover, Charity Azantilow, Constance Bart-Plange, Isabella Sagoe-Moses, Jayne Webster
BACKGROUND: Ghana has developed two community-based strategies that aim to increase access to quality treatment for malaria, diarrhoea and suspected pneumonia, and to improve household and family practices: integrated Community Case Management (iCCM) and Community-based Health Planning and Services (CHPS). The objective of the study was to assess the effectiveness of iCCM and CHPS on disease knowledge and health behaviour regarding malaria, diarrhoea and pneumonia. METHODS: A household survey was conducted two and eight years after implementation of iCCM in the Volta and Northern Regions of Ghana respectively, and more than ten years of CHPS implementation in both regions...
December 12, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29231790/uptake-of-postabortion-care-services-and-acceptance-of-postabortion-contraception-in-puntland-somalia
#9
Kingsley Chukwumalu, Meghan C Gallagher, Sabine Baunach, Amy Cannon
Unsafe abortion is responsible for at least 9% of all maternal deaths worldwide; however, in humanitarian emergencies where health systems are weak and reproductive health services are often unavailable or disrupted, this figure is higher. In Puntland, Somalia, Save the Children International (SCI) implemented postabortion care (PAC) services to address the issue of high maternal morbidity and mortality due to unsafe abortion. Abortion is explicitly permitted by Somali law to save the life of a woman, but remains a sensitive topic due to religious and social conservatism that exists in the region...
December 12, 2017: Reproductive Health Matters
https://www.readbyqxmd.com/read/29231788/the-2018-inter-agency-field-manual-on-reproductive-health-in-humanitarian-settings-revising-the-global-standards
#10
Angel M Foster, Dabney P Evans, Melissa Garcia, Sarah Knaster, Sandra Krause, Therese McGinn, Sarah Rich, Meera Shah, Hannah Tappis, Erin Wheeler
Since the 1990s, the Inter-agency field manual on reproductive health in humanitarian settings (IAFM) has provided authoritative guidance on reproductive health service provision during different phases of complex humanitarian emergencies. In 2018, the Inter-Agency Working Group on Reproductive Health in Crises will release a new edition of this global resource. In this article, we describe the collaborative and inter-sectoral revision process and highlight major changes in the 2018 IAFM. Key revisions to the manual include repositioning unintended pregnancy prevention within and explicitly incorporating safe abortion care into the Minimum Initial Service Package (MISP) chapter, which outlines a set of priority activities to be implemented at the outset of a humanitarian crisis; stronger guidance on the transition from the MISP to comprehensive sexual and reproductive health services; and the addition of a logistics chapter...
December 12, 2017: Reproductive Health Matters
https://www.readbyqxmd.com/read/29231131/impact-of-accountable-care-organizations-on-utilization-care-and-outcomes-a-systematic-review
#11
Brystana G Kaufman, B Steven Spivack, Sally C Stearns, Paula H Song, Emily C O'Brien
Since 2010, more than 900 accountable care organizations (ACOs) have formed payment contracts with public and private insurers in the United States; however, there has not been a systematic evaluation of the evidence studying impacts of ACOs on care and outcomes across payer types. This review evaluates the quality of evidence regarding the association of public and private ACOs with health service use, processes, and outcomes of care. The 42 articles identified studied ACO contracts with Medicare ( N = 24 articles), Medicaid ( N = 5), commercial ( N = 11), and all payers ( N = 2)...
December 1, 2017: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/29230972/the-choice-pilot-project-challenges-of-implementing-a-combined-peer-work-and-shared-decision-making-programme-in-an-early-intervention-service
#12
Magenta B Simmons, Dominiek Coates, Samantha Batchelor, Tara Dimopoulos-Bick, Deborah Howe
AIM: Youth participation is central to early intervention policy and quality frameworks. There is good evidence for peer support (individuals with lived experience helping other consumers) and shared decision making (involving consumers in making decisions about their own care) in adult settings. However, youth programs are rarely tested or described in detail. This report aims to fill this gap by describing a consumer focused intervention in an early intervention service. METHODS: This paper describes the development process, intervention content and implementation challenges of the Choices about Healthcare Options Informed by Client Experiences and Expectations (CHOICE) Pilot Project...
December 12, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29230894/vouchers-for-primary-healthcare-services-in-an-ageing-world-the-perspectives-of-elderly-voucher-recipients-in-hong-kong
#13
Angel Hor-Yan Lai, Zoey Kuang, Carrie Ho-Kwan Yam, Shereen Ayub, Eng-Kiong Yeoh
Considering the ageing population in economically advanced regions across the world, measures are necessary to enhance the health of the older population as well as contain public healthcare spending. Hong Kong implements the Elderly Health Care Voucher Scheme (EHCVS), providing older people aged 65 or above an annual subsidy of visiting private healthcare service providers for chronic disease prevention and management. The services also aim at reallocating demand from the public to private sector as well as improve quality of services...
December 11, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29230800/negotiating-quality-standards-for-effective-delivery-of-labor-and-childbirth-care-in-nigeria-and-uganda
#14
Olufemi T Oladapo, Meghan A Bohren, Bukola Fawole, Kidza Mugerwa, Olubunmi A Ojelade, Musibau A Titiloye, Francis E Alu, Musana O Mambya, Lawal Oyeneyin, Salim Bataale, Adesina Akintan, Olubunmi Alabi, Amos Adebayo, Ola Okike, Hadiza A Idris, Sanni Wilfred, Halima Bello, David Kyaddondo, Akinpelu O Olutayo, Josaphat Byamugisha, Joao Paulo Souza, A Metin Gülmezoglu
OBJECTIVE: "Negotiated standards" describe a level of quality of care that is acceptable and achievable within a specific health system, based on consensus between key stakeholders. This paper presents the development of negotiated standards for effective labor and childbirth care in selected hospitals and communities in Nigeria and Uganda. METHODS: A four-step development process involving different methodologies. The process included: (1) review and synthesis of internationally recognized intrapartum clinical principles and practices; (2) primary qualitative research to assess values and preferences of women and healthcare providers, and practices that align with these preferences; (3) draft contextualization of effective and ineffective behaviors to reflect values and preferences; and (4) WHO-mediated negotiations between relevant stakeholders, including community members, providers, and administrators...
December 12, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29230516/-the-distribution-of-cardiovascular-risk-factors-in-employees-from-small-and-medium-sized-enterprises-in-germany
#15
Andrea Kaifie, Thomas Kraus
BACKGROUND: The German Prevention Act, the main parts of which came into force on 25 July 2015, encourages health promotion and prevention programs for people in their living environment. Through this act, preventive measures could reach employees at work that hardly seek medical services. This is of importance since employees with a low occupational position often show risk factors that increase morbidity and mortality. METHODS: In this study, clinical data from n = 2280 employees from small and medium sized enterprises (SME) were analyzed for economic sector, sex, socioeconomic position (SEP), economic sector cardiovascular risk factors, musculoskeletal and psychological diseases...
December 11, 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/29230502/-acceptance-of-post-mortem-organ-donation-in-germany-representative-cross-sectional-study
#16
E Tackmann, S Dettmer
BACKGROUND: The German post-mortem organ donation rate has dropped by one third since 2010. Furthermore, 958 patients died in 2015 in Germany while waiting for an organ. To decrease organ shortage, an amendment of the transplantation law was established in 2012. An information package including an organ donor card is sent to all German citizens via the postal service. A voluntary national transplantation register was introduced in 2016 to improve transparency in the organ donation process...
December 11, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/29230400/perspectives-of-post-acute-transition-of-care-for-cardiac-surgery-patients
#17
REVIEW
Nicoleta Stoicea, Tian You, Andrew Eiterman, Clifton Hartwell, Victor Davila, Stephen Marjoribanks, Cristina Florescu, Sergio Daniel Bergese, Barbara Rogers
Post-acute care (PAC) facilities improve patient recovery, as measured by activities of daily living, rehabilitation, hospital readmission, and survival rates. Seamless transitions between discharge and PAC settings continue to be challenges that hamper patient outcomes, specifically problems with effective communication and coordination between hospitals and PAC facilities at patient discharge, patient adherence and access to cardiac rehabilitation (CR) services, caregiver burden, and the financial impact of care...
2017: Frontiers in Cardiovascular Medicine
https://www.readbyqxmd.com/read/29230317/feasibility-and-acceptability-of-a-universal-screening-and-referral-protocol-for-gender-based-violence-with-women-seeking-care-in-health-clinics-in-dadaab-refugee-camps-in-kenya
#18
A Vu, A L Wirtz, S Bundgaard, A Nair, G Luttah, S Ngugi, N Glass
Background: Gender-based violence (GBV) is both a global public health problem and violation of human rights. Refugees and internally displaced persons experience an increased risk of GBV and health outcomes associated with GBV are often exacerbated in conflict settings. Methods: A mixed methods study to examine the feasibility and acceptability of universal screening for GBV in a refugee population in the Dadaab refugee camp of Kenya, using the ASIST-GBV from January to July 2015...
2017: Global Mental Health
https://www.readbyqxmd.com/read/29230312/internet-and-mobile-technologies-addressing-the-mental-health-of-trauma-survivors-in-less-resourced-communities
#19
REVIEW
J I Ruzek, C M Yeager
Internet and mobile technologies offer potentially critical ways of delivering mental health support in low-resource settings. Much evidence indicates an enormous negative impact of mental health problems in low- and middle-income countries (LMICs), and many of these problems are caused, or worsened, by exposure to wars, conflicts, natural and human-caused disasters, and other traumatic events. Though specific mental health treatments have been found to be efficacious and cost-effective for low-resource settings, most individuals living in these areas do not have access to them...
2017: Global Mental Health
https://www.readbyqxmd.com/read/29230310/applying-systems-thinking-to-task-shifting-for-mental-health-using-lay-providers-a-review-of-the-evidence
#20
REVIEW
D Javadi, I Feldhaus, A Mancuso, A Ghaffar
Objective: This paper seeks to review the available evidence to determine whether a systems approach is employed in the implementation and evaluation of task shifting for mental health using lay providers in low- and middle-income countries, and to highlight system-wide effects of task-shifting strategies in order to better inform efforts to strength community mental health systems. Methods: Pubmed, CINAHL, and Cochrane Library databases were searched. Articles were screened by two independent reviewers with a third reviewer resolving discrepancies...
2017: Global Mental Health
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