keyword
https://read.qxmd.com/read/36194402/the-challenges-homeless-people-face-when-accessing-end-of-life-care-what-district-nurses-need-to-know
#21
JOURNAL ARTICLE
Helen Barnes
People experiencing homelessness have poorer physical and mental health compared with the rest of the population. Mortality rates are significantly higher, yet there is a dearth in suitable places for the delivery of palliative and end-of-life (EOL) care. Homeless people are being failed by the current healthcare system. The stigma associated with being homeless negatively impacts these marginalised people, affecting care given from healthcare professionals (HCP). Services are often inflexible and have little tolerance for substance misuse...
October 2, 2022: British Journal of Community Nursing
https://read.qxmd.com/read/36186655/delays-in-diagnosis-and-treatment-initiation-for-congenital-cytomegalovirus-infection-why-we-need-universal-screening
#22
JOURNAL ARTICLE
Styliani Alifieraki, Helen Payne, Chantal Hathaway, Rachel Wei Ying Tan, Hermione Lyall
Introduction: Congenital cytomegalovirus (cCMV) is the leading cause of neurodevelopmental and hearing impairment from in-utero infection. Late diagnosis results in limited treatment options and may compromise long-term outcome. Methods: A retrospective audit of infants with cCMV referred to a Tertiary Pediatric Infectious Diseases center from 2012-2021. Data collected included timing of diagnostics, treatment initiation and reasons for delays. Results: 90 infants with confirmed cCMV were included, 46/90 (51%) were symptomatic at birth...
2022: Frontiers in Pediatrics
https://read.qxmd.com/read/35885823/implementing-patient-falls-education-in-hospitals-a-mixed-methods-trial
#23
JOURNAL ARTICLE
Hazel Heng, Debra Kiegaldie, Louise Shaw, Dana Jazayeri, Anne-Marie Hill, Meg E Morris
Patient education is key to preventing hospital falls yet is inconsistently implemented by health professionals. A mixed methods study was conducted involving a ward-based evaluation of patients receiving education from health professionals using a scripted conversation guide with a falls prevention brochure, followed by semi-structured qualitative interviews with a purposive sample of health professionals involved in delivering the intervention. Over five weeks, 37 patients consented to surveys (intervention n = 27; control n = 10)...
July 13, 2022: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/35850683/an-integrative-perspective-on-interorganizational-multilevel-healthcare-networks-a-systematic-literature-review
#24
JOURNAL ARTICLE
Galina van der Weert, Katarzyna Burzynska, Joris Knoben
BACKGROUND: Interorganizational networks in healthcare do not always attain their goals. Existing models outline the factors that could explain poor network performance: governance; structure; and the alignment of professional, organizational and network levels. However, these models are very generic and assume a functional approach. We investigate available empirical knowledge on how network structure and governance relate to each other and to network performance in a multilevel context, to get deeper insight, supported with empirics, of why networks (fail to) achieve their goals...
July 18, 2022: BMC Health Services Research
https://read.qxmd.com/read/35726391/male-urethral-stricture-disease-why-management-guidelines-are-challenging-in-low-income-countries
#25
REVIEW
Stephen R Payne, Paul Anderson, Nenad Spasojević, Tilaneh L Demilow, Getaneh Teferi, David Dickerson
Urethral stricture disease (USD) is one of the commonest urological pathologies in adult men in low- or low-middle-income countries, providing a significant work burden for the small number of specialist surgeons who are able to provide appropriate treatment. The underlying causes of anterior urethral stricture relate to urethral fibrosis from sexually transmitted infection, with posterior urethral disruption secondary to pelvic trauma being an equally common cause of USD in many countries in sub-Saharan Africa...
August 2022: BJU International
https://read.qxmd.com/read/35659829/the-role-of-extracorporeal-membrane-oxygenation-in-covid-19
#26
REVIEW
Adam A Dalia, David Convissar, Jerome Crowley, Yuval Raz, Masaki Funamoto, Jeanine Wiener-Kronish, Kenneth Shelton
An extracorporeal membrane oxygenation (ECMO) program is an important component in the management of patients with COVID-19, but it is imperative to implement a system that is well-supported by the institution and staffed with well-trained clinicians to both optimize patient outcomes and to keep providers safe. There are many unknowns related to COVID-19, and one of the most challenging aspects for clinicians is the lack of predictive knowledge as to why some patients fail medical therapy and require advanced support such as ECMO...
September 2022: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/35636048/why-did-performance-based-financing-in-burkina-faso-fail-to-achieve-the-intended-equity-effects-a-process-tracing-study
#27
JOURNAL ARTICLE
Julia Lohmann, Jean-Louis Koulidiati, Paul Jacob Robyn, Paul-André Somé, Manuela De Allegri
In recent years, performance-based financing (PBF) has attracted attention as a means of reforming provider payment mechanisms in low- and middle-income countries. Particularly in combination with demand-side interventions, PBF has been assumed to benefit also the most vulnerable and disadvantaged groups. However, impact evaluations have often found this not to be the case. In Burkina Faso, PBF was coupled with specific equity measures to enhance healthcare utilization among the ultra-poor, but failed to produce the expected effects...
July 2022: Social Science & Medicine
https://read.qxmd.com/read/35622691/2-5-million-annual-deaths-are-neonates-in-low-and-middle-income-countries-too-small-to-be-seen-a-bottom-up-overview-on-neonatal-morbi-mortality
#28
REVIEW
Flavia Rosa-Mangeret, Anne-Caroline Benski, Anne Golaz, Persis Z Zala, Michiko Kyokan, Noémie Wagner, Lulu M Muhe, Riccardo E Pfister
(1) Background: Every year, 2.5 million neonates die, mostly in low- and middle-income countries (LMIC), in total disregard of their fundamental human rights. Many of these deaths are preventable. For decades, the leading causes of neonatal mortality (prematurity, perinatal hypoxia, and infection) have been known, so why does neonatal mortality fail to diminish effectively? A bottom-up understanding of neonatal morbi-mortality and neonatal rights is essential to achieve adequate progress, and so is increased visibility...
April 21, 2022: Tropical Medicine and Infectious Disease
https://read.qxmd.com/read/35387606/adherence-to-appointments-for-gestational-diabetes-testing-and-experiences-with-two-hour-postprandial-glucose-test-a-mixed-methods-study-in-ghana
#29
JOURNAL ARTICLE
Faith Agbozo, Christina Schuler, Albrecht Jahn
BACKGROUND: Failure to attend scheduled appointments is a common problem in healthcare. In obstetrics, diagnostic and treatment protocols for gestational diabetes mellitus (GDM) require client booking, test preparations, management and follow-up reviews. We identified the socio-demographic, obstetric and medical drivers influencing adherence to appointments for GDM testing and experiences of pregnant women's regarding performing oral glucose tolerance test (OGTT). METHODS: A convergent parallel mixed-methods study comprising a cross-sectional survey and an explorative qualitative descriptive design were used...
April 6, 2022: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/35057832/using-theories-and-frameworks-to-understand-how-to-reduce-low-value-healthcare-a-scoping-review
#30
REVIEW
Gillian Parker, Nida Shahid, Tim Rappon, Monika Kastner, Karen Born, Whitney Berta
BACKGROUND: There is recognition that the overuse of procedures, testing, and medications constitutes low-value care which strains the healthcare system and, in some circumstances, can cause unnecessary stress and harm for patients. Initiatives across dozens of countries have raised awareness about the harms of low-value care but have had mixed success and the levels of reductions realized have been modest. Similar to the complex drivers of implementation processes, there is a limited understanding of the individual and social behavioral aspects of de-implementation...
January 20, 2022: Implementation Science: IS
https://read.qxmd.com/read/35055636/why-the-world-should-not-follow-the-failed-united-states-model-of-fighting-domestic-hunger
#31
JOURNAL ARTICLE
Joel Berg, Angelica Gibson
Many industrialized nations have followed the lead of the United States (US) in reducing workers' wages and cutting government safety nets, while giving their populaces the false impression that non-governmental organizations can meet the food and basic survival needs of their low-income residents. The history of the last 50 years and the global COVID-19 pandemic demonstrate why that is a mistake, leading to vastly increased household food insecurity, poverty, and hunger. This paper takes a close look at US data to help to better understand the significant impact US federal government policy measures had on limiting hunger throughout the pandemic and how we can learn from these outcomes to finally end hunger in America and other developed nations...
January 12, 2022: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/34750743/justice-transparency-and-the-guiding-principles-of-the-uk-s-national-institute-for-health-and-care-excellence
#32
JOURNAL ARTICLE
Victoria Charlton
The National Institute for Health and Care Excellence (NICE) is the UK's primary healthcare priority-setting body, responsible for advising the National Health Service in England on which technologies to fund and which to reject. Until recently, the normative approach underlying this advice was described in a 2008 document entitled 'Social value judgements: Principles for the development of NICE guidance' (SVJ). In January 2020, however, NICE replaced SVJ with a new articulation of its guiding principles. Given the significant evolution of NICE's methods between 2008 and 2020, this study examines whether this new document ('Principles') offers a transparent account of NICE's current normative approach...
November 8, 2021: Health Care Analysis: HCA: Journal of Health Philosophy and Policy
https://read.qxmd.com/read/34667434/the-role-of-complementary-and-alternative-methods-in-the-treatment-of-pain-in-patients-with-cancer-current-evidence-and-clinical-practice-a-narrative-review
#33
REVIEW
Magdalena Kocot-Kępska, Renata Zajączkowska, Jing Zhao, Jerzy Wordliczek, Przemysław J Tomasik, Anna Przeklasa-Muszyńska
INTRODUCTION: Pain related to cancer, despite the numerous treatment options available, is still a challenge in contemporary pain medicine. The unsatisfactory treatment of cancer pain is one of the main reasons why patients seek complementary and alternative methods (CAM) and a more integrative/holistic approach to pain management. The popularity of CAM forces healthcare professionals to provide patients with current and evidence-based information on the effectiveness and safety of CAM...
2021: Contemporary Oncology Współczesna Onkologia
https://read.qxmd.com/read/34635106/what-do-end-users-want-to-know-about-managing-the-performance-of-healthcare-delivery-systems-co-designing-a-context-specific-and-practice-relevant-research-agenda
#34
REVIEW
Jenna M Evans, Julie E Gilbert, Jasmine Bacola, Victoria Hagens, Vicky Simanovski, Philip Holm, Rebecca Harvey, Peter G Blake, Garth Matheson
BACKGROUND: Despite increasing interest in joint research priority-setting, few studies engage end-user groups in setting research priorities at the intersection of the healthcare and management disciplines. With health systems increasingly establishing performance management programmes to account for and incentivize performance, it is important to conduct research that is actionable by the end-users involved with or impacted by these programmes. The aim of this study was to co-design a research agenda on healthcare performance management with and for end-users in a specific jurisdictional and policy context...
October 11, 2021: Health Research Policy and Systems
https://read.qxmd.com/read/34491226/factors-associated-with-unsuccessful-outcomes-of-tuberculosis-treatment-in-125-municipalities-in-colombia-2014-to-2016
#35
JOURNAL ARTICLE
Lizeth Andrea Paniagua-Saldarriaga, Daniele Maria Pelissari, Zulma Vanessa Rueda
Our aim was to identify the risk factors associated with unsuccessful outcomes of tuberculosis (TB) treatment in patients diagnosed between 2014 and 2016 in the 125 municipalities of Antioquia, Colombia. We studied a retrospective cohort of patients with TB diagnosed between 2014 and 2016, from national routine surveillance systems, in 125 municipalities of Antioquia. Factors associated with unsuccessful tuberculosis treatment outcomes (treatment failed, lost to follow up, or death) were identified utilizing a Poisson regression with robust variance...
September 7, 2021: American Journal of Tropical Medicine and Hygiene
https://read.qxmd.com/read/34266429/a-qualitative-study-of-national-health-service-nhs-complaint-responses
#36
JOURNAL ARTICLE
May McCreaddie, Bethan Benwell, Alice Gritti
BACKGROUND: Healthcare complaints are grievances that may be indicative of some system failures, individual failings, or a combination of both. Moreover, the experience of making a complaint, including its outcome, often falls short of patient expectations, particularly in relation to the interpersonal conduct of National Health Service (NHS) staff. Over half of unresolved (local) complaints are subsequently upheld by the ombudsman with others potentially resulting in costly litigation...
July 15, 2021: BMC Health Services Research
https://read.qxmd.com/read/34082719/examining-the-effect-of-explanation-on-satisfaction-and-trust-in-ai-diagnostic-systems
#37
JOURNAL ARTICLE
Lamia Alam, Shane Mueller
BACKGROUND: Artificial Intelligence has the potential to revolutionize healthcare, and it is increasingly being deployed to support and assist medical diagnosis. One potential application of AI is as the first point of contact for patients, replacing initial diagnoses prior to sending a patient to a specialist, allowing health care professionals to focus on more challenging and critical aspects of treatment. But for AI systems to succeed in this role, it will not be enough for them to merely provide accurate diagnoses and predictions...
June 3, 2021: BMC Medical Informatics and Decision Making
https://read.qxmd.com/read/33993289/finding-opportunity-in-the-covid-19-crisis-prioritizing-gender-in-the-design-of-social-protection-policies
#38
JOURNAL ARTICLE
Melissa Perri, Nick Metheny, Flora I Matheson, Kelly Potvin, Patricia O'Campo
The COVID-19 pandemic is highlighting the harm perpetuated by gender-blind programs for marginalized citizens, including sexual and gender minorities (SGMs) and cisgender women. Gender-blind programs are known to augment harms associated with violence and structural stigmatization by reinforcing rather than challenging unequal systems of power. The intersecting marginalization of these populations with systems of class, race, and settler-colonialism is exacerbating the impact that policies such as physical distancing, school closures, and a realignment of healthcare priorities are having on the wellbeing of these populations...
February 17, 2022: Health Promotion International
https://read.qxmd.com/read/33981188/barriers-to-integration-of-primary-care-into-emergency-care-experiences-in-germany
#39
Andrew Dickinson, Stefanie Joos
INTRODUCTION: In response to emergency department over-crowding primary care practitioners (PCPs) have been incorporated into care pathways to provide integrated care. We consider why a pilot project of PCP-led streaming in a German emergency department failed, the challenges encountered transplanting models between differing systems and cultures, and if the concept constitutes integrated care. THEORY AND METHODS: The original design was a mixed methods data gather around PCP-streaming of non-urgent self-referrers in an emergency department...
April 26, 2021: International Journal of Integrated Care
https://read.qxmd.com/read/33978880/premature-consent-and-patient-duties
#40
JOURNAL ARTICLE
Andrew P Rebera, Dimitris Dimitriou
This paper addresses the problem of 'premature consent'. The term 'premature consent' (introduced in a 2018 paper by J.K. Davis) denotes patient decisions that are: (i) formulated prior to discussion with the appropriate healthcare professional (HCP); (ii) based on information from unreliable sources (e.g. parts of the internet); and (iii) resolutely maintained despite the HCP having provided alternative reliable information. HCPs are not obliged to respect premature consent patients' demands for unindicated treatments...
December 2021: Medicine, Health Care, and Philosophy
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