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https://www.readbyqxmd.com/read/29678616/costs-of-community-based-interventions-from-the-community-transformation-grants
#1
Olga A Khavjou, Amanda A Honeycutt, Benjamin Yarnoff, Christina Bradley, Robin Soler, Diane Orenstein
Limited data are available on the costs of evidence-based community-wide prevention programs. The objective of this study was to estimate the per-person costs of strategies that support policy, systems, and environmental changes implemented under the Community Transformation Grants (CTG) program. We collected cost data from 29 CTG awardees and estimated program costs as spending on labor; consultants; materials, travel, and services; overhead activities; partners; and the value of in-kind contributions. We estimated costs per person reached for 20 strategies...
April 17, 2018: Preventive Medicine
https://www.readbyqxmd.com/read/29678189/accepting-telemedicine-in-a-circulatory-medicine-ward-in-major-hospitals-in-south-korea-patients-and-health-professionals-perception-of-real-time-electrocardiogram-monitoring
#2
Seo-Joon Lee, Tae-Young Jung, Tae-Ro Lee, Jae-Hoon Han
BACKGROUND: South Korean government is currently in progress of expanding the coverage of telemedicine projects as part of an attempt to vitalize service industry, but is facing fierce opposition from KMA. Practice of telemedicine requires sufficient discussions among related parties. Although the participation of medical specialists is important, agreement from the public is essential. METHODS: Three main tertiary care centers in Seoul were selected for data collection...
April 20, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29678156/development-and-validation-of-pozqol-a-scale-to-assess-quality-of-life-of-plhiv
#3
Graham Brown, Gosia Mikołajczak, Anthony Lyons, Jennifer Power, Fraser Drummond, Aaron Cogle, Brent Allan, Craig Cooper, Simon O'Connor
BACKGROUND: Advances in medical treatment for HIV are driving major changes in HIV policy and practice, including the encouragement of intake and adherence to HIV antiretroviral treatment (ART) by people living with HIV (PLHIV) for both personal and public health benefits. However, there is increasing recognition that achieving these goals will require a concurrent focus on the broader psychological and social wellbeing of PLHIV. Increasingly calls are being been made to incorporate a stronger focus on quality of life (QoL) of PLHIV into HIV prevention policy...
April 20, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29678099/mapping-of-health-care-providers-for-people-with-rare-diseases-from-vision-to-implementation
#4
Johanna Schaefer, Niels Tegtbauer, Wulf Pfeiffer, Thomas O F Wagner, Holger Storf
se-atlas - the health service information platform for rare diseases - is part of the German National Action Plan for People with Rare Diseases. The website www.se-atlas.de provides an overview of health care providers and support groups focusing on rare diseases in Germany. Since the start of se-atlas in 2013, several strategies are being developed and evaluated. This paper gives an overview about the expectations and visions for se-atlas at the beginning of the project, the challenges and lessons learned within the project period and how se-atlas is implemented today...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29678061/personalised-care-plan-management-utilizing-guideline-driven-clinical-decision-support-systems
#5
Gokce Banu Laleci Erturkmen, Mustafa Yuksel, Bunyamin Sarigul, Mikael Lilja, Rong Chen, Theodoros N Arvanitis
Older age is associated with an increased accumulation of multiple chronic conditions. The clinical management of patients suffering from multiple chronic conditions is very complex, disconnected and time-consuming with the traditional care settings. Integrated care is a means to address the growing demand for improved patient experience and health outcomes of multimorbid and long-term care patients. Care planning is a prevalent approach of integrated care, where the aim is to deliver more personalized and targeted care creating shared care plans by clearly articulating the role of each provider and patient in the care process...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29678051/interoperability-assets-for-patient-summary-components-a-gap-analysis
#6
Kai U Heitmann, Giorgio Cangioli, Marcello Melgara, Catherine Chronaki
The International Patient Summary (IPS) standards aim to define the specifications for a minimal and non-exhaustive Patient Summary, which is specialty-agnostic and condition-independent, but still clinically relevant. Meanwhile, health systems are developing and implementing their own variation of a patient summary while, the eHealth Digital Services Infrastructure (eHDSI) initiative is deploying patient summary services across countries in the Europe. In the spirit of co-creation, flexible governance, and continuous alignment advocated by eStandards, the Trillum-II initiative promotes adoption of the patient summary by engaging standards organizations, and interoperability practitioners in a community of practice for digital health to share best practices, tools, data, specifications, and experiences...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29678028/electronic-health-services-in-the-patients-daily-activities-willingness-to-use-health-village-services
#7
Kaija Saranto, Eija Kivekäs, Pasi Kuosmanen, Ulla-Mari Kinnunen
Patients and citizens are experienced in Internet use. Earlier studies have suggest that citizens' interest in electronic healthcare services has increased, and there is a need of healthcare professionals to inform patients and their families about this new format and provide them with guidance. The purpose of this study was to find out how patients accept electronic healthcare services and determine their intention to use them based on their opinions of perceived usefulness and perceived ease of use. A survey (N=150) was carried out at a university hospital before electronic services (e-service) were implemented...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677524/effectiveness-of-community-based-depression-intervention-programme-comdip-to-manage-women-with-depression-in-primary-care-randomised-control-trial
#8
Pillaveetil Sathyadas Indu, Thekkethayyil Viswanathan Anilkumar, Krishnapillai Vijayakumar, K A Kumar, P Sankara Sarma, Saradamma Remadevi, Chittaranjan Andrade
BACKGROUND: In low and middle income countries where mental health resources are limited, community based depression intervention models, which can be implemented through the existing health system, are extremely relevant. OBJECTIVE: To test the effectiveness of Community based Depression Intervention Programme (ComDIP), newly developed by us, to reduce severity of depression in women, compared to the treatment as usual (TAU). METHODS: An RCT (Trial registration Number: CTRI/2011/08/001978, Clinical Trials Registry -India) was conducted in a primary care setting in Trivandrum, Kerala, South India...
April 3, 2018: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/29677100/from-community-to-meta-community-mental-health-care
#9
REVIEW
Nick Bouras, George Ikkos, Thomas Craig
Since the 1960s, we have witnessed the development and growth of community mental health care that continues to dominate mental health policy and practice. Several high-income countries have implemented community mental health care programmes but for many others, including mostly low- and middle-income countries, it remains an aspiration. Although community mental health care has been positive for many service users, it has also had severe shortcomings. Expectations that it would lead to fuller social integration have not been fulfilled and many service users remain secluded in sheltered or custodial environments with limited social contacts and no prospect of work...
April 20, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29676584/current-practice-of-ototoxicity-management-across-the-united-kingdom-uk
#10
Devina Maru, Ghada-Al Malky
OBJECTIVE: Effective management of patients diagnosed with ototoxicity is needed to reduce hearing and balance damage which affects communication and life quality. Despite widespread recommendations to monitor and manage ototoxicity in an early and effective manner, there is limited evidence to support the actual implementation of these recommendations for affected patient groups in healthcare services across the UK with limited publications available. In this study, an online questionnaire analysed the current practice of ototoxicity management and patient pathways across the UK once the diagnosis of ototoxicity was confirmed, targeting Audiologists, ENTs/AVPs and GPs...
April 20, 2018: International Journal of Audiology
https://www.readbyqxmd.com/read/29675995/bridging-the-hiv-treatment-gap-in-nigeria-examining-community-antiretroviral-treatment-models
#11
Edward A Oladele, Okikiolu A Badejo, Christopher Obanubi, Emeka F Okechukwu, Ezekiel James, Golden Owhonda, Onuche I Omeh, Moyosola Abass, Olubunmi R Negedu-Momoh, Norma Ojehomon, Dorothy Oqua, Satish Raj-Pandey, Hadiza Khamofu, Kwasi Torpey
INTRODUCTION: Significant gaps persist in providing HIV treatment to all who are in need. Restricting care delivery to healthcare facilities will continue to perpetuate this gap in limited resource settings. We assessed a large-scale community-based programme for effectiveness in identifying people living with HIV and linking them to antiretroviral treatment. METHODS: A retrospective secular trend study of 14 high burden local government areas of Nigeria was conducted in which two models of community antiretroviral treatment delivery were implemented: Model A (on-site initiation) and Model B (immediate referral) clusters...
April 2018: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29675851/fall-prevention-in-central-coast-community-pharmacies
#12
G M Stuart, H L Kale
ISSUE ADDRESSED: Fall injuries among people aged 65 years and over (older people) cause substantial health decline and cost to the health system. In 2009 in New South Wales 25.6% of older people fell in the previous year, and 10.7% (32,000) were hospitalised. Pharmacists are trusted professionals, who interact extensively with older people and have potential to augment fall prevention in pharmacies. This brief report describes how professional development improved pharmacist's knowledge and confidence in fall prevention, encouraged implementation of fall prevention plans, and facilitated provision of brief fall prevention interventions for older clients, after identification of fall risk...
April 19, 2018: Health Promotion Journal of Australia
https://www.readbyqxmd.com/read/29674362/implementation-of-an-evidence-based-model-of-care-for-low-back-pain-in-emergency-departments-protocol-for-the-sydney-health-partners-emergency-department-shaped-trial
#13
Gustavo C Machado, Bethan Richards, Chris Needs, Rachelle Buchbinder, Ian A Harris, Kirsten Howard, Kirsten McCaffery, Laurent Billot, James Edwards, Eileen Rogan, Rochelle Facer, David Lord Cowell, Chris G Maher
INTRODUCTION: Patients with low back pain often seek care in emergency departments, but the problem is that many patients receive unnecessary or ineffective interventions and at the same time miss out on the basics of care, such as advice on self-management. This pattern of care has important consequences for the healthcare system (expensive and inefficient) and for patients (poor health outcomes). We hypothesised that the implementation of an evidence-based model of care for low back pain will improve emergency care by reducing inappropriate overuse of tests and treatments and improving patient outcomes...
April 19, 2018: BMJ Open
https://www.readbyqxmd.com/read/29673885/optimizing-the-impact-of-alcohol-and-drug-screening-and-early-intervention-in-a-high-risk-population-receiving-services-in-new-york-city-sexual-health-clinics-a-process-and-outcome-evaluation-of-project-renew
#14
B R Harris, J Yu, M Wolff, M Rogers, S Blank
Unhealthy substance use is associated with increased rates of STDs, including HIV. Within three high-risk New York City (NYC) sexual health clinics between 2008 and 2012 (n = 146,657), 17% of patients screened positive for a current SUD but only 5.3% ever received prior treatment. The goal of Project Renew was to expand the reach of substance use early intervention services within and across sexual health clinics citywide and decrease substance use, poor mental health, and risky sexual behavior. To accomplish this goal, Screening, Brief Intervention, and Referral to Treatment (SBIRT), an evidence-based substance use early intervention model, was implemented in all eight NYC sexual health clinics February 2012-January 2015...
April 16, 2018: Preventive Medicine
https://www.readbyqxmd.com/read/29673875/intervention-strategies-to-improve-nutrition-and-health-behaviours-before-conception
#15
REVIEW
Mary Barker, Stephan U Dombrowski, Tim Colbourn, Caroline H D Fall, Natasha M Kriznik, Wendy T Lawrence, Shane A Norris, Gloria Ngaiza, Dilisha Patel, Jolene Skordis-Worrall, Falko F Sniehotta, Régine Steegers-Theunissen, Christina Vogel, Kathryn Woods-Townsend, Judith Stephenson
The nutritional status of both women and men before conception has profound implications for the growth, development, and long-term health of their offspring. Evidence of the effectiveness of preconception interventions for improving outcomes for mothers and babies is scarce. However, given the large potential health return, and relatively low costs and risk of harm, research into potential interventions is warranted. We identified three promising strategies for intervention that are likely to be scalable and have positive effects on a range of health outcomes: supplementation and fortification; cash transfers and incentives; and behaviour change interventions...
April 16, 2018: Lancet
https://www.readbyqxmd.com/read/29673381/mobile-link-a-theory-based-messaging-intervention-for-improving-sexual-and-reproductive-health-of-female-entertainment-workers-in-cambodia-study-protocol-of-a-randomized-controlled-trial
#16
Carinne Brody, Sovannary Tuot, Pheak Chhoun, Dallas Swendenman, Kathryn C Kaplan, Siyan Yi
BACKGROUND: In Cambodia, HIV prevalence is concentrated in key populations including among female entertainment workers (FEWs) who may engage in direct or indirect sex work. Reaching FEWs with sexual and reproductive health (SRH) services has been difficult because of their hidden and stigmatized nature. Mobile-phone-based interventions may be an effective way to reach this population and connect them with the existing services. This article describes study design and implementation of a randomized controlled trial (RCT) of a mobile health intervention (the Mobile Link) aiming to improve SRH and related outcomes among FEWs in Cambodia...
April 19, 2018: Trials
https://www.readbyqxmd.com/read/29673362/problems-maintaining-collaborative-approaches-with-excluded-populations-in-a-randomised-control-trial-lessons-learned-implementing-housing-first-in-france
#17
Pauline Rhenter, Aurélie Tinland, Julien Grard, Christian Laval, Jean Mantovani, Delphine Moreau, Benjamin Vidaud, Tim Greacen, Pascal Auquier, Vincent Girard
BACKGROUND: In 2006, a local collective combating homelessness set up an 'experimental squat' in an abandoned building in Marseille, France's second largest city. They envisioned the squat as an alternative to conventional health and social services for individuals experiencing long-term homelessness and severe psychiatric disorders. Building on what they learned from the squat, some then joined a larger coalition that succeeded in convincing national government decision-makers to develop a scientific, intervention-based programme based on the Housing First model...
April 19, 2018: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29673346/elements-for-harnessing-participatory-action-research-to-strengthen-health-managers-capacity-a-critical-interpretative-synthesis
#18
REVIEW
Moses Tetui, Joseph Mumba Zulu, Anna-Karin Hurtig, Elizabeth Ekirapa-Kiracho, Suzanne N Kiwanuka, Anna-Britt Coe
BACKGROUND: Health managers play a key role in ensuring that health services are responsive to the needs of the population. Participatory action research (PAR) is one of the approaches that have been used to strengthen managers' capacity. However, collated knowledge on elements for harnessing PAR to strengthen managers' capacity is missing. This paper bridges this gap by reviewing existing literature on the subject matter. METHODS: A critical interpretive synthesis method was used to interrogate eight selected articles...
April 19, 2018: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29673192/management-control-systems-and-clinical-experience-of-managers-in-public-hospitals
#19
Rogério Joao Lunkes, David Naranjo-Gil, Ernesto Lopez-Valeiras
Healthcare authorities are encouraging managers in hospitals to acquire clinical experience and knowledge in order to better carry out and coordinate healthcare service delivery. The main objective of this paper is to analyse how the clinical experience of hospital managers is related to public health institutions’ performance. It is proposed that the effect of the clinical experience on operative and financial organizational performance is indirect through the mediating variables of perceived utility of management information and horizontal management control system...
April 17, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29672524/point-of-care-tests-for-syphilis-and-yaws-in-a-low-income-setting-a-qualitative-study-of-healthcare-worker-and-patient-experiences
#20
Michael Marks, Tommy Esau, Rowena Asugeni, Relmah Harrington, Jason Diau, Hilary Toloka, James Asugeni, Eimhin Ansbro, Anthony W Solomon, David Maclaren, Michelle Redman-Maclaren, David C W Mabey
INTRODUCTION: The human treponematoses comprise venereal syphilis and the three non-venereal or endemic treponematoses yaws, bejel, and pinta. Serological assays remain the most common diagnostic method for all treponemal infections. Point-of-care tests (POCTs) for syphilis and yaws allow testing without further development of infrastructure in populations where routine laboratory facilities are not available. Alongside the test's performance characteristics assessed through diagnostic evaluation, it is important to consider broader issues when rolling out a POCT...
April 2018: PLoS Neglected Tropical Diseases
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