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https://www.readbyqxmd.com/read/29723253/why-some-women-fail-to-give-birth-at-health-facilities-a-comparative-study-between-ethiopia-and-nigeria
#1
Sanni Yaya, Ghose Bishwajit, Olalekan A Uthman, Agbessi Amouzou
BACKGROUND: Obstetric complications and maternal deaths can be prevented through safe delivery process. Facility based delivery significantly reduces maternal mortality by increasing women's access to skilled personnel attendance. However, in sub-Saharan Africa, most deliveries take place without skilled attendants and outside health facilities. Utilization of facility-based delivery is affected by socio-cultural norms and several other factors including cost, long distance, accessibility and availability of quality services...
2018: PloS One
https://www.readbyqxmd.com/read/29686970/why-total-knees-fail-a-modern-perspective-review
#2
REVIEW
Zachary C Lum, Alvin K Shieh, Lawrence D Dorr
Historically, the most common mechanism of total knee arthroplasty (TKA) failures included aseptic loosening, instability and malalignment. As polyethylene production improved, modes of failure from polyethylene wear and subsequent osteolysis became less prevalent. Newer longitudinal studies report that infection has become the primary acute cause of failure with loosening and instability remaining as the overall greatest reasons for revision. Clinical database and worldwide national registries confirm these reports...
April 18, 2018: World Journal of Orthopedics
https://www.readbyqxmd.com/read/29463693/content-analysis-of-requests-for-religious-exemptions-from-a-mandatory-influenza-vaccination-program-for-healthcare-personnel
#3
Armand H Antommaria, Cynthia A Prows
OBJECTIVE: Having failed to achieve adequate influenza vaccination rates among employees through voluntary programmes, healthcare organisations have adopted mandatory ones. Some programmes permit religious exemptions, but little is known about who requests religious objections or why. METHODS: Content analysis of applications for religious exemptions from influenza vaccination at a free-standing children's hospital in Cincinnati, Ohio, USA during the 2014-2015 influenza season...
February 20, 2018: Journal of Medical Ethics
https://www.readbyqxmd.com/read/29450830/personalized-medicine-and-pay-for-performance-should-pharmaceutical-firms-be-fully-penalized-when-treatment-fails
#4
Fernando Antoñanzas, Roberto Rodríguez-Ibeas, Carmelo A Juárez-Castelló
In this article, we model the behavior of a pharmaceutical firm that has marketing authorization for a new therapy believed to be a candidate for personalized use in a subset of patients, but that lacks information as to why a response is seen only in some patients. We characterize the optimal outcome-based reimbursement policy a health authority should follow to encourage the pharmaceutical firm to undertake research and development activities to generate the information needed to effectively stratify patients...
February 15, 2018: PharmacoEconomics
https://www.readbyqxmd.com/read/29368658/health-laparoscopic-supracervical-hysterectomy-versus-second-generation-endometrial-ablation-for-the-treatment-of-heavy-menstrual-bleeding-study-protocol-for-a-randomised-controlled-trial
#5
Kevin Cooper, Kirsty McCormack, Suzanne Breeman, Jessica Wood, Neil W Scott, Justin Clark, Jed Hawe, Robert Hawthorn, Kevin Phillips, Angela Hyde, Alison McDonald, Mark Forrest, Samantha Wileman, Graham Scotland, John Norrie, Siladitya Bhattacharya
BACKGROUND: Heavy menstrual bleeding (HMB) is a common problem affecting approximately 1.5 million women in England and Wales with a major impact on their physical, emotional, social and material quality of life. It is the fourth most common reason why women attend gynaecology outpatient clinics and accounts for one-fifth of all gynaecology outpatient referrals. Initial treatment in primary care is medical - either by means of oral or injected medication or the levonorgestrel-intrauterine system (Mirena®)...
January 24, 2018: Trials
https://www.readbyqxmd.com/read/29168211/factors-associated-with-medication-administration-errors-and-why-nurses-fail-to-report-them
#6
Baraa M Hammoudi, Samantha Ismaile, Omar Abu Yahya
BACKGROUND: Patient safety is a significant challenge facing healthcare systems. The administration of medication is pivotal to patient safety, and errors in drug administration are associated with mortality and morbidity. In this study, we assessed the factors contributing to the occurrence and reporting of medication errors from the nurse's perspective. METHODS: In this descriptive cross-sectional study, we distributed a validated questionnaire to 367 nurses at a large public hospital and obtained a response rate of 73...
November 22, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/29141619/seasonal-influenza-vaccination-of-healthcare-workers-systematic-review-of-qualitative-evidence
#7
Theo Lorenc, David Marshall, Kath Wright, Katy Sutcliffe, Amanda Sowden
BACKGROUND: Most countries recommend that healthcare workers (HCWs) are vaccinated seasonally against influenza in order to protect themselves and patients. However, in many cases coverage remains low. A range of strategies have been implemented to increase uptake. Qualitative evidence can help in understanding the context of interventions, including why interventions may fail to achieve the desired effect. This study aimed to synthesise evidence on HCWs' perceptions and experiences of vaccination for seasonal influenza...
November 15, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29130479/implementing-models-of-geriatric-care-behind-the-scenes
#8
Joshua Chodosh, Michael Weiner
Innovative geriatric clinical programs have proliferated in the 21st century, and many have been highlighted in the Journal of the American Geriatrics Society (JAGS). The Affordable Care Act has supported the accelerated innovation of publicized and unpublicized program development, adaptation, and implementation. Many JAGS articles report work conducted in programs with significant improvements in quality; high satisfaction for patients and providers; and for some, reductions in costs. Despite considerable detail, enabling implementers to attempt to adopt reported programs or adapt them to local environments, much less is typically conveyed about the subtleties of the implementation process that led to a successful outcome...
February 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29026454/opportunities-and-obstacles-using-a-clinical-decision-support-system-for-maternal-care-in-burkina-faso
#9
S Alphonse Zakane, Lars L Gustafsson, Ali Sie, Göran Tomson, Svetla Loukanova, Pia Bastholm-Rahmner
OBJECTIVE: Maternal and neonatal mortality is high in sub-Saharan Africa. To support Healthcare Workers (HCWs), a computerized decision support system (CDSS) was piloted at six rural maternal care units in Burkina Faso. During the two years of the study period, it was apparent from reports that the CDSS was not used regularly in clinical practice. This study aimed to explore the reasons why HCWs failed to use the CDSS. METHODS: A workshop, organized as group discussions and a plenary session, was performed with 13 participants to understand their experience with the CDSS and suggest improvements if pertinent...
2017: Online Journal of Public Health Informatics
https://www.readbyqxmd.com/read/28836267/when-and-how-can-real-world-data-analyses-substitute-for-randomized-controlled-trials
#10
Jessica M Franklin, Sebastian Schneeweiss
Regulators consider randomized controlled trials (RCTs) as the gold standard for evaluating the safety and effectiveness of medications, but their costs, duration, and limited generalizability have caused some to look for alternatives. Real world evidence based on data collected outside of RCTs, such as registries and longitudinal healthcare databases, can sometimes substitute for RCTs, but concerns about validity have limited their impact. Greater reliance on such real world data (RWD) in regulatory decision making requires understanding why some studies fail while others succeed in producing results similar to RCTs...
December 2017: Clinical Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/28830572/the-influence-of-contextual-factors-on-healthcare-quality-improvement-initiatives-what-works-for-whom-and-in-what-setting-protocol-for-a-realist-review
#11
Emma Coles, Mary Wells, Margaret Maxwell, Fiona M Harris, Julie Anderson, Nicola M Gray, Gill Milner, Stephen MacGillivray
BACKGROUND: Context shapes the effectiveness of knowledge implementation and influences health improvement. Successful healthcare quality improvement (QI) initiatives frequently fail to transfer to different settings, with local contextual factors often cited as the cause. Understanding and overcoming contextual barriers is therefore crucial to implementing effective improvement; yet context is still poorly understood. There is a paucity of information on the mechanisms underlying how and why QI projects succeed or fail in given settings...
August 23, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28632512/why-current-drug-adherence-programs-fail-addressing-psychological-risk-factors-of-nonadherence
#12
Antje D Arlt, Yvonne Nestoriuc, Winfried Rief
PURPOSE OF REVIEW: To provide an overview of a selection of largely neglected psychological risk factors for nonadherence, and to offer new approaches to improve medication adherence. RECENT FINDINGS: Current adherence research and intervention programs focus on a few risk factors for nonadherence, such as complexity of the drug regimen. In addition, other important risk factors of nonadherence are neglected or insufficiently addressed. There is good evidence for the significant role of the quality of the patient-healthcare provider relationship...
September 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28367748/conceptions-of-agency-and-constraint-for-hiv-positive-patients-and-healthcare-workers-to-support-long-term-engagement-with-antiretroviral-therapy-care-in-khayelitsha-south-africa
#13
Erin Stern, Christopher Colvin, Nobom Gxabagxaba, Charlotte Schutz, Rosie Burton, Graeme Meintjes
In the context of the optimism around antiretroviral therapy (ART) as prevention of HIV/AIDS, addressing the barriers to long-term ART adherence is critical. This is particularly important given the tendency to individualise or use a blame discourse when exploring why HIV-infected patients "fail" to adequately adhere to ART, and not sufficiently exploring contextual reasons for poor adherence that may require varying solutions. This study took place at three clinics and one hospital in Khayelitsha, South Africa, to document the contextual factors that challenged ART adherence in this community...
March 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/28104997/poverty-related-diseases-prds-unravelling-complexities-in-disease-responses-in-cameroon
#14
Valerie Makoge, Harro Maat, Lenneke Vaandrager, Maria Koelen
BACKGROUND: In Cameroon, poverty-related diseases (PRDs) are a major public health concern. Research and policies addressing PRDs are based on a particular understanding of the interaction between poverty and disease, usually an association between poverty indicators and health indicators for a specific country or region. Such indicators are useful but fail to explain the nature of the linkages between poverty and disease or poverty and health. This paper presents results of a study among university students, unravelling how they perceive diseases, the linkages with poverty, their responses to diseases and the motivations behind reported responses...
2017: Tropical Medicine and Health
https://www.readbyqxmd.com/read/27896539/why-health-and-social-care-support-for-people-with-long-term-conditions-should-be-oriented-towards-enabling-them-to-live-well
#15
Vikki A Entwistle, Alan Cribb, John Owens
There are various reasons why efforts to promote "support for self-management" have rarely delivered the kinds of sustainable improvements in healthcare experiences, health and wellbeing that policy leaders internationally have hoped for. This paper explains how the basis of failure is in some respects built into the ideas that underpin many of these efforts. When (the promotion of) support for self-management is narrowly oriented towards educating and motivating patients to adopt the behaviours recommended for disease control, it implicitly reflects and perpetuates limited and somewhat instrumental views of patients...
March 2018: Health Care Analysis: HCA: Journal of Health Philosophy and Policy
https://www.readbyqxmd.com/read/27862007/disentangling-patient-and-public-involvement-in-healthcare-decisions-why-the-difference-matters
#16
Mio Fredriksson, Jonathan Q Tritter
Patient and public involvement has become an integral aspect of many developed health systems and is judged to be an essential driver for reform. However, little attention has been paid to the distinctions between patients and the public, and the views of patients are often seen to encompass those of the general public. Using an ideal-type approach, we analyse crucial distinctions between patient involvement and public involvement using examples from Sweden and England. We highlight that patients have sectional interests as health service users in contrast to citizens who engage as a public policy agent reflecting societal interests...
January 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/27855322/standardizing-psycho-medical-torture-during-the-war-on-terror-why-it-happened-how-it-happened-and-why-it-didn-t-work
#17
Myles Balfe
After 9/11/2001 the United States launched a global War on Terror. As part of this War, terrorism suspects were detained by the U.S. military and by the C.I.A. It is now widely recognized that the United States tortured a number of these detainees in the context of its 'enhanced interrogation' programme. This article examines how and why U.S. organizations developed standards that allowed healthcare professionals to become involved in torture; why the standards developed by U.S. security institutions failed to control the actions of enhanced interrogation personnel on the ground; and what the role of standards were in stopping the enhanced interrogation initiative...
December 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27795754/before-sustainable-development-goals-sdg-why-nigeria-failed-to-achieve-the-millennium-development-goals-mdgs
#18
Obinna Ositadimma Oleribe, Simon David Taylor-Robinson
World leaders adopted the UN Millennium Declaration in 2000, which committed the nations of the world to a new global partnership, aimed at reducing extreme poverty and other time-bound targets, with a stated deadline of 2015. Fifteen years later, although significant progress has been made worldwide, Nigeria is lagging behind for a variety of reasons, including bureaucracy, poor resource management in the healthcare system, sequential healthcare worker industrial action, Boko Haram insurgency in the north of Nigeria and kidnappings in the south of Nigeria...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27790862/a-critical-analysis-of-the-failure-of-nurses-to-raise-concerns-about-poor-patient-care
#19
Marc Roberts
The occurrence of poor patient care is emerging as one of the most significant, challenging, and critical issues confronting contemporary nursing and those responsible for the provision of health care more generally. Indeed, as a consequence of the increased recognition of the manner in which nurses can be implicated in the occurrence of poor patient care, there has been sustained critical debate that seeks to understand how such healthcare failings can occur and, in particular, why nurses seemingly fail to intervene, raise concerns, and effectively respond to prevent the occurrence and continuation of such poor patient care...
July 2017: Nursing Philosophy: An International Journal for Healthcare Professionals
https://www.readbyqxmd.com/read/27686003/why-do-entrepreneurial-mhealth-ventures-in-the-developing-world-fail-to-scale
#20
Phillip Sundin, Jonathan Callan, Khanjan Mehta
Telemedicine is an increasingly common approach to improve healthcare access in developing countries with fledgling healthcare systems. Despite the strong financial, logistical and clinical support from non-governmental organisations (NGOs), government ministries and private actors alike, the majority of telemedicine projects do not survive beyond the initial pilot phase and achieve their full potential. Based on a review of 35 entrepreneurial telemedicine and mHealth ventures, and 17 reports that analyse their operations and challenges, this article provides a narrative review of recurring failure modes, i...
October 2016: Journal of Medical Engineering & Technology
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