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https://www.readbyqxmd.com/read/28430700/prescriber-compliance-with-liver-monitoring-guidelines-for-pazopanib-in-the-postapproval-setting-results-from-a-distributed-research-network
#1
Sumitra Shantakumar, Beth L Nordstrom, Susan A Hall, Luc Djousse, Myrthe P P van Herk-Sukel, Kathy H Fraeman, David R Gagnon, Karen Chagin, Jeanenne J Nelson
OBJECTIVES: Pazopanib received US Food and Drug Administration approval in 2009 for advanced renal cell carcinoma. During clinical development, liver chemistry abnormalities and adverse hepatic events were observed, leading to a boxed warning for hepatotoxicity and detailed label prescriber guidelines for liver monitoring. As part of postapproval regulatory commitments, a cohort study was conducted to assess prescriber compliance with liver monitoring guidelines. METHODS: Over a 4-year period, a distributed network approach was used across 3 databases: US Veterans Affairs Healthcare System, a US outpatient oncology community practice database, and the Dutch PHARMO Database Network...
April 20, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28430029/legal-mapping-analysis-of-state-telehealth-reimbursement-policies
#2
Kate E Trout, Sankeerth Rampa, Fernando A Wilson, Jim P Stimpson
BACKGROUND: There exists rapid growth and inconsistency in the telehealth policy environment, which makes it difficult to quantitatively evaluate the impact of telehealth reimbursement and other policies without the availability of a legal mapping database. INTRODUCTION: We describe the creation of a legal mapping database of state-level policies related to telehealth reimbursement of healthcare services. Trends and characteristics of these policies are presented...
April 21, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28426795/properties-of-healthcare-teaming-networks-as-a-function-of-network-construction-algorithms
#3
Martin S Zand, Melissa Trayhan, Samir A Farooq, Christopher Fucile, Gourab Ghoshal, Robert J White, Caroline M Quill, Alexander Rosenberg, Hugo Serrano Barbosa, Kristen Bush, Hassan Chafi, Timothy Boudreau
Network models of healthcare systems can be used to examine how providers collaborate, communicate, refer patients to each other, and to map how patients traverse the network of providers. Most healthcare service network models have been constructed from patient claims data, using billing claims to link a patient with a specific provider in time. The data sets can be quite large (106-108 individual claims per year), making standard methods for network construction computationally challenging and thus requiring the use of alternate construction algorithms...
2017: PloS One
https://www.readbyqxmd.com/read/28416025/healthcare-innovation-and-patent-law-s-pharmaceutical-privilege-is-there-a-pharmaceutical-privilege-and-if-so-should-we-remove-it
#4
Graham Dutfield
This article reviews current trends in patent claims regarding personalised, stratified and precision medicine. These trends are not particularly well understood by policymakers, even less by the public, and are quite recent. Consequently, their implications for the public interest have hardly been thought out. Some see personalised and other secondary drug patent claims as promoting better targeted treatment. Others are inclined to see them as \manifestations of 'evergreening' whereby companies are, in some cases quite cynically, trying to extend market monopolies in old products or creating new monopolies based on supposedly improved versions of such earlier drugs...
April 18, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28395523/adverse-drug-reactions-reporting-in-calabria-southern-italy-in-the-four-year-period-2011-2014-impact-of-a-regional-pharmacovigilance-project-in-light-of-the-new-european-legislation
#5
Christian Leporini, Giuseppina Marrazzo, Laura Mumoli, Stefania Esposito, Luca Gallelli, Giovanna Mangano, Giacomino Brancati, Emanuela Adele De Francesco, Emilio Russo, Giovambattista De Sarro
BACKGROUND: The number of suspected adverse drug reactions (ADRs) yearly submitted to the Italian Network of Pharmacovigilance (RNF) has progressively increased after the new European Pharmacovigilance legislation (July 2012). These results have mostly reflected the agreements between Italian Medicines Agency (AIFA) and Italian Regions, enabling the implementation of active pharmacovigilance projects. A project was funded by the AIFA in Calabria region (Southern Italy) in 2010 to increase ADRs reporting and promote a safer medicines' use...
April 11, 2017: Expert Opinion on Drug Safety
https://www.readbyqxmd.com/read/28392595/the-principles-of-catholic-social-teaching-a-guide-for-decision-making-from-daily-clinical-encounters-to-national-policy-making
#6
Karen Shields Wright
Catholic social teaching (CST), a branch of moral theology, addresses contemporary issues within the political, economic, and cultural structures of society. The threefold cornerstone of CST contains the principles of human dignity, solidarity, and subsidiarity. It is the foundation on which to form our conscience in order to evaluate the framework of society and is the Catholic criteria for prudential judgment and direction in developing current policy-making. With knowledge of these social principles, in combination with our faith, we will be more armed and informed as to articulate the Catholic vision of reality, the truthful nature of the human person and society, to apply and integrate the social teachings in our everyday administrative and clinical encounters, and through the virtue of charity take action within the social, political, and economic spheres in which we have influence...
February 2017: Linacre Quarterly
https://www.readbyqxmd.com/read/28392589/restoring-christ-centered-medicine-through-public-policy-changes-centered-around-subsidiarity-and-the-doctor-patient-relationship
#7
Charles A Donovan, Grace-Marie Turner
Many Catholic leaders supported passage of legislation designed to achieve the humanitarian goal of universal or near-universal health coverage. These leaders could not imagine that the resulting law would lead to a severe assault on the practice of Christ-centered medicine. The legislative focus now is on conscience protection and making the Hyde Amendment permanent. But the real change that is needed is a culture that values life and puts doctors and patients, not secular bureaucracies, at the center of healthcare decisions...
November 2016: Linacre Quarterly
https://www.readbyqxmd.com/read/28390101/geographic-disparities-in-liver-availability-accidents-of-geography-or-consequences-of-poor-social-policy
#8
Keren Ladin, Gregory Zhang, Douglas W Hanto
Recently, a redistricting proposal intended to equalize MELDs recommended expanding liver sharing to mitigate geographic variation in liver transplantation. Yet, it is unclear whether variation in liver availability is arbitrary and a disparity requiring rectification, or whether it reflects differences in access to care. We evaluate the proposal's claim that organ supply is an "accident of geography" by examining the relationship between local organ supply and the uneven landscape of social determinants and policies that contribute to differential death rates across the United States...
April 8, 2017: American Journal of Transplantation
https://www.readbyqxmd.com/read/28388916/a-critique-of-the-regulation-of-data-science-in-healthcare-research-in-the-european-union
#9
John M M Rumbold, Barbara K Pierscionek
The EU offers a suitable milieu for the comparison and harmonisation of healthcare across different languages, cultures, and jurisdictions (albeit with a supranational legal framework), which could provide improvements in healthcare standards across the bloc. There are specific ethico-legal issues with the use of data in healthcare research that mandate a different approach from other forms of research. The use of healthcare data over a long period of time is similar to the use of tissue in biobanks. There is a low risk to subjects but it is impossible to gain specific informed consent given the future possibilities for research...
April 8, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28383100/the-reality-of-liquid-medical-waste-management-in-damascus-hospitals
#10
Hanan M Mukhaiber
Large quantities of hazardous medical waste are deposited into hospitals wastewaters and these substances could negatively impact public health if not handled properly. The authorities in the Syrian Arab Republic have realized the seriousness of the problem and have issued a number of laws, guidelines and standard specifications relating to this issue since 2004. This study offers a detailed review of these documents and compares them with related World Health Organization publications. A questionnaire was designed based on the national guide for safe management of healthcare waste in order to investigate the reality of liquid medical waste management in a sample of hospitals in Damascus...
March 30, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28379066/an-analysis-of-the-massachusetts-healthcare-law
#11
James H Stephens, Gerald R Ledlow, Michael V Sach, Julie K Reagan
Healthcare in the United States has been one topic of the debates and discussion in the country for many years. The challenge for affordable, accessible, and quality healthcare for most Americans has been on the agenda of federal and state legislatures. There is probably no other state that has drawn as much individual attention regarding this challenge as the state of Massachusetts. While researching the topic for this article, it was discovered that financial and political perspectives on the success or failure of the healthcare model in Massachusetts vary depending on the aspect of the system being discussed...
April 5, 2017: Hospital Topics
https://www.readbyqxmd.com/read/28375589/health-care-s-other-big-deal-direct-primary-care-regulation-in-contemporary-american-health-law
#12
Glenn E Chappell
Direct primary care is a promising, market-based alternative to the fee-for-service payment structure that shapes doctor–patient relationships in America. Instead of billing patients and insurers service by service, direct primary care doctors charge their patients a periodic, prenegotiated fee in exchange for providing a wide range of healthcare services and increased availability compared to traditional practices. This “subscription” model is intended to eliminate the administrative burdens associated with insurer interaction, which, in theory, allows doctors to spend more time with their patients and less time doing paperwork...
March 2017: Duke Law Journal
https://www.readbyqxmd.com/read/28366495/ethical-issues-in-infertility
#13
REVIEW
Gamal I Serour, Ahmed G Serour
Infertility is a global medico-socio-cultural problem with gender-based suffering particularly in developing countries. Conventional methods of treatment for infertility do not usually raise ethical concerns. However, assisted reproductive technology (ART) has initiated considerable ethical debate, disagreement, and controversy. There are three ethical principles that provide an ethical basis for ART: the principle of liberty, principle of utility, and principle of justice. Medical ethics are based on the moral, religious, and philosophical ideas and principles of the society and are influenced by economics, policies, and law...
March 1, 2017: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/28363120/awareness-and-understanding-of-hiv-non-disclosure-case-law-among-people-living-with-hiv-who-use-illicit-drugs-in-a-canadian-setting
#14
Sophie Patterson, Angela Kaida, Gina Ogilvie, Robert Hogg, Valerie Nicholson, Sabina Dobrer, Thomas Kerr, Jean Shoveller, Julio Montaner, M-J Milloy
BACKGROUND: In 2012, the Supreme Court of Canada (SCC) ruled that people living with HIV (PLWH) could face criminal charges if they did not disclose their serostatus before sex posing a "realistic possibility" of HIV transmission. Condom-protected vaginal sex with a low (i.e., <1500copies/mL) HIV viral load (VL) incurs no duty to disclose. Awareness and understanding of this ruling remain uncharacterized, particularly among marginalized PLWH. METHODS: We used data from ACCESS, a community-recruited cohort of PLWH who use illicit drugs in Vancouver...
March 28, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28361464/healthcare-resource-use-costs-and-disease-progression-associated-with-diabetic-nephropathy-in-adults-with-type%C3%A2-2-diabetes-a-retrospective-observational-study
#15
Zhou Zhou, Paresh Chaudhari, Hongbo Yang, Anna P Fang, Jing Zhao, Ernest H Law, Eric Q Wu, Ruixuan Jiang, Raafat Seifeldin
INTRODUCTION: Diabetic nephropathy (DN) is a progressive kidney disease resulting as a complication of diabetes mellitus. This study evaluated the disease progression and economic burden of DN among commercially insured patients with type 2 diabetes in the USA. METHODS: The research design was a retrospective observational study based on healthcare claims data. The Truven MarketScan Databases (2004-2014) were queried for adults with type 2 diabetes with at least one urine albumin test (index, randomly selected) after diagnosis and at least one test after the index...
March 30, 2017: Diabetes Therapy: Research, Treatment and Education of Diabetes and related Disorders
https://www.readbyqxmd.com/read/28355455/the-effects-of-trivialization-of-workplace-violence-on-its-victims-profession-and-sex-differences-in-a-cross-sectional-study-among-healthcare-and-law-enforcement-workers
#16
Steve Geoffrion, Jane Goncalves, Richard Boyer, André Marchand, Stéphane Guay
Background: Workers from the law enforcement and healthcare sectors tend to normalize or mute their victimization from workplace violence (WPV). Objectives: This study aims to assess the impact of the trivialization of WPV on psychological consequences for workers who have been affected by a WPV incident. The second aim is to assess the moderating effect of sex on the trivialization of WPV. The third and overarching aim is to assess the moderating effect of professional identity on the relations between individual and organizational factors and psychological consequences following a WPV incident...
February 21, 2017: Annals of Work Exposures and Health
https://www.readbyqxmd.com/read/28352463/pervasive-antibiotic-misuse-in-the-cambodian-community-antibiotic-seeking-behaviour-with-unrestricted-access
#17
Chhorvoin Om, Frances Daily, Erika Vlieghe, James C McLaughlin, Mary-Louise McLaws
BACKGROUND: Antibiotic misuse is widespread in resource-limited countries such as Cambodia where the burden of infectious diseases is high and access to antibiotics is unrestricted. We explored healthcare seeking behaviour related to obtaining antibiotics and drivers of antibiotic misuse in the Cambodian community. METHODS: In-depth interviews were held with family members of patients being admitted in hospitals and private pharmacies termed pharmacy attendants in the catchment areas of the hospitals...
2017: Antimicrobial Resistance and Infection Control
https://www.readbyqxmd.com/read/28351259/law-and-ethics-in-nursing-and-healthcare-an-introduction-second-edition-avery-graham-law-and-ethics-in-nursing-and-healthcare-an-introduction-second-edition-392pp-%C3%A2-26-99-sage-9781412961745-1412961742-formula-see-text
#18
(no author information available yet)
This book aims to deliver key concepts of law and ethics in an easy-to-read style. In an area of healthcare that is fraught with rapid changes, challenges and misunderstandings, the author achieves this.
March 29, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28334747/the-family-planning-conundrum-in-afghanistan
#19
Hemat Shafiqullah, Ayako Morita, Keiko Nakamura, Kaoruko Seino
In Afghanistan, despite the high awareness levels of contraceptive methods, the contraceptive prevalence is low and short birth spacing is common. The aim of this study was to understand the perception about family planning and contraceptive utilization among reproductive-aged married women, their husbands, their mothers-in-law, religious leaders and healthcare providers. Focus group discussions and semi-structured interviews were conducted among married women of reproductive age ( n =  482), their husbands ( n =  133), their mothers-in-law ( n =  194), their religious leaders ( n =  16), and healthcare providers ( n =  36) in rural and urban areas in five provinces...
October 20, 2016: Health Promotion International
https://www.readbyqxmd.com/read/28330856/-my-friend-who-bought-it-for-me-she-has-had-an-abortion-before-the-influence-of-ghanaian-women-s-social-networks-in-determining-the-pathway-to-induced-abortion
#20
Sarah D Rominski, Jody R Lori, Emmanuel Sk Morhe
BACKGROUND: Even given the liberal abortion law in Ghana, abortion complications are a large contributor to maternal morbidity and mortality. This study sought to understand why young women seeking an abortion in a legally enabling environment chose to do this outside the formal healthcare system. METHODS: Women being treated for complications arising from a self-induced abortion as well as for elective abortions at three hospitals in Ghana were interviewed. Community-based focus groups were held with women as well as men, separately...
March 22, 2017: Journal of Family Planning and Reproductive Health Care
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