keyword
https://read.qxmd.com/read/38727483/chiropractors-in-multidisciplinary-teams-enablers-of-colocation-integration-in-gp-led-primary-healthcare
#1
JOURNAL ARTICLE
Shauna Dawn Fjaagesund, Wayne Graham, Evan Jones, Andrew Ladhams, Mark Sayers, Gary Campbell, Xiang-Yu Hou, Marius-Ionut Ungureanu, Florin Oprescu
The aim of this study was to explore and document the enablers and barriers of chiropractic care colocation in general practice at a large-scale private primary care centre in Australia. This study focused on the perceptions of healthcare professionals regarding this integration. The research setting was a large integrated primary care centre located in an outer metro, low-socioeconomic area in the City of Moreton Bay, Queensland, Australia. Participant inclusion criteria included general medical practitioners, practice nurses, and medical managers who self-reported interactions with the physically collocated and integrated chiropractic practice...
April 30, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38403391/technological-innovations-to-improve-patient-engagement-in-nephrology
#2
REVIEW
Haresh Selvaskandan, Patrick O Gee, Harish Seethapathy
Technological innovation has accelerated exponentially over the last 2 decades. From the rise of smartphones and social media in the early 2000s to the mainstream accessibility of artificial intelligence (AI) in 2023, digital advancements have transformed the way we live and work. These innovations have permeated health care, covering a spectrum of applications from virtual reality training platforms to AI-powered clinical decision support tools. In this review, we explore fascinating recent innovations that have and can facilitate patient engagement in nephrology...
January 2024: Adv Kidney Dis Health
https://read.qxmd.com/read/38402882/the-use-of-interpreter-services-and-its-barriers-faced-by-hospital-staff-when-accessing-interpreters-for-patients-with-low-english-proficiency-during-the-covid-19-pandemic
#3
JOURNAL ARTICLE
Davina Tang, Danielle Jawad, Vesna Dragoje, Li Ming Wen, Sarah Taki
ISSUE ADDRESSED: Patients with low English proficiency (LEP) often require interpreter services in health care, however, their usage remains low. This study aimed to explore the barriers to accessing interpreter services and suggests ways services can be improved in hospitals. METHODS: We conducted focus groups with clinicians and a retrospective audit of patient records. The clinicians were recruited from the inpatient wards and Emergency Department in a Sydney hospital, August 2022...
February 25, 2024: Health Promotion Journal of Australia
https://read.qxmd.com/read/38322594/process-evaluation-of-services-for-hiv-infected-post-partum-women-and-hiv-exposed-infants-in-primary-health-care-blantyre-malawi
#4
JOURNAL ARTICLE
Leticia Chimwemwe Suwedi-Kapesa, Alinane Linda Nyondo-Mipando, Augustine Choko, Angela Obasi, Peter MacPherson, Nicola Desmond
HIV testing among HIV-exposed infants (HEI) in Malawi is below global targets and, affected by low utilisation of health services after birth. We conducted a mixed methods evaluation of the implementation of services for early infant diagnosis (EID) of HIV against national guidelines in Blantyre, Malawi, to inform the development of strategies to improve EID services uptake. We estimated coverage of HEI enrolment in HIV care and HIV testing at 6 weeks through a retrospective data review. We qualitatively explored implementation gaps in EID services through process mapping of 8 mother-infant pairs (MIP); and investigated healthcare workers' (HCW) perspectives on the implementation gaps through group interviews with 16 HCWs...
2024: Health Services Insights
https://read.qxmd.com/read/38169919/-we-re-potentially-worsening-health-inequalities-evaluating-how-delivery-of-the-2022-london-polio-booster-campaign-was-tailored-to-orthodox-jewish-families-to-reduce-transmission-vulnerability
#5
JOURNAL ARTICLE
Ben Kasstan, Sandra Mounier-Jack, Ana Zuriaga-Alvaro, Leonora G Weil, Tracey Chantler
A polio booster campaign targeting all children aged 1-9 was implemented across London between August-December 2022 as part of a national enhanced poliovirus incident response. Orthodox Jewish (OJ) children were particularly vulnerable to transmission due to disparities in childhood vaccination coverage and the transnational spread of poliovirus affecting linked populations in New York and Israel. This study aimed to evaluate how the polio booster campaign was tailored to increase uptake and enable access for OJ families in northeast and north central London boroughs, and the impact of the campaign on local-level vaccine inequities...
December 2023: SSM Qual Res Health
https://read.qxmd.com/read/38105617/tackling-efficiency-in-a-high-demand-orthopaedic-clinic
#6
JOURNAL ARTICLE
Mitchell Atkinson, Katie Wang, Nikola Kovac, James Plant, William Blakeney
BACKGROUND: Surgical outpatient clinics continuously face challenges in delivering efficient and effective care. An expanding population and chronic staff shortages makes sustainability critical. The primary objective of this study was to identify modifiable factors contributing to longer wait times in an orthopaedic outpatient clinic. METHODS: A single-centre prospective observational cohort study was conducted at Western Australia's state trauma centre. Over a four-week period, clinicians completed forms identifying delays in clinic, and clinic numbers were captured through an electronic booking system...
December 17, 2023: ANZ Journal of Surgery
https://read.qxmd.com/read/38034663/clean-energy-led-tourism-development-in-malaysia-do-environmental-degradation-fdi-education-and-ict-matter
#7
JOURNAL ARTICLE
Md Qamruzzaman
Concerning tourism, two lines of evidence are available in the literature, i.e., tourism's impact on macro fundamentals and determinants of tourism development. Regarding determinants, researchers have documented positive and negative associations between selected macro fundamentals and tourism development. The study's objective is to examine the impact of clean energy, foreign direct investment (FDI), education, and information and communication technology (ICT) on tourism development in Malaysia from 1990 to 2021...
November 2023: Heliyon
https://read.qxmd.com/read/37743236/role-of-communication-in-successful-outpatient-attendance-in-a-new-zealand-hospital-a-qualitative-study
#8
JOURNAL ARTICLE
Kara Hamilton, Sophie Short, Kathryn Cudby, Max Werner, Olivia O'Connor-Robertson, William Larkins, Devon Prangley, Ali Ibrahim, Brian Leung, Pauline Norris, John D Dockerty
BACKGROUND: There are significant implications for both patients and providers when patients do not attend outpatient specialist appointments. Nonattendance has an impact on the efficiency of health care, provider resources and patient health outcomes. AIMS: In this qualitative study we aimed to gather insights on how Dunedin Hospital notifies patients about their appointments, the implications for the hospital and for patients and how the system could be improved...
September 2023: Internal Medicine Journal
https://read.qxmd.com/read/37632929/rapid-expansion-of-a-teledermatology-web-application-for-digital-dermatology-assessment-necessitated-by-the-covid-19-pandemic-retrospective-evaluation
#9
JOURNAL ARTICLE
Shareen Muthiah, Fiona E Craig, Siobhan Sinclair, Grant Wylie, Donna Torley, Terence H Wong, Colin A Morton
BACKGROUND: The COVID-19 pandemic necessitated a change in the provision of outpatient care in dermatology. OBJECTIVE: A novel, asynchronous, digital consultation platform was codeveloped with 2 National Health Service dermatology teams to improve access and enhance choice in outpatient care. METHODS: The rollout of the platform was accelerated during the initial COVID-19 lockdown, and its wider use across 2 Scottish health boards was retrospectively evaluated...
July 26, 2023: JMIR dermatology
https://read.qxmd.com/read/37469322/-improving-the-pap-smear-screening-rate-for-cervical-cancer-in-a-health-management-center-a-quality-improvement-program
#10
JOURNAL ARTICLE
Pei-Chun Chou, Hsiu-Chi Chen, Chien-Ling Yeh, Li-Chen Hsu, Yu-Hua Lo
BACKGROUND & PROBLEMS: Early detection tests are highly effective in helping adult women prevent the onset of cervical cancer. However, the cervical Pap smear screening rate in a health management center was only 54.3% in 2020. PURPOSE: This project was developed to improve the Pap smear screening rate for cervical cancer in a health management center. RESOLUTION: The strategies developed included revising the health examination lists, developing an online appointment booking system, designing a patient decision aid, creating a standardized simulation moulage for education, and rechecking patient's National Health Insurance cards...
August 2023: Hu Li za Zhi the Journal of Nursing
https://read.qxmd.com/read/37303156/a-conversation-analytic-study-of-calls-to-medical-reception-for-doctor-s-appointments
#11
JOURNAL ARTICLE
Ann Weatherall, Fiona Grattan
A call to medical reception is regularly an entry point into primary health care services. Telephone-mediated interactions between patients and receptionists have been found to temper demand for doctor's appointments and influence patient satisfaction ratings; yet little is known about what exactly happens to produce those effects. The present study asks how medical receptionists respond to telephone-mediated appointment requests. Audio recordings of 18 calls between receptionists and patients at a New Zealand University health care practice were collected, transcribed and examined in detail using conversation analysis...
June 12, 2023: Health Communication
https://read.qxmd.com/read/36907137/evaluation-of-a-national-e-booking-system-for-medical-consultation-in-primary-care-in-a-universal-health-system
#12
JOURNAL ARTICLE
Aude Motulsky, Delphine Bosson-Rieutort, Susan Usher, Geneviève David, Marie-Pierre Moreault, Marie-Pierre Gagnon, Tibor Schuster, Claude Sicotte
PURPOSE: The Rendez-vous Santé Québec is a national online booking (e-booking) system of medical appointments in primary care rolled out in 2018 in Québec (Canada). The objectives of this study were to describe the adoption by targeted users, and analyze the facilitating and limiting factors at the technological, individual and organizational levels to inform policy makers. METHODS: A mixed methods evaluation was conducted involving interviews with key stakeholders (n = 40), audit logs of the system in 2019, and a population-based survey (n = 2 003)...
March 3, 2023: Health Policy
https://read.qxmd.com/read/36814746/evaluation-of-patient-satisfaction-with-the-new-web-based-medical-appointment-systems-mawid-at-primary-health-care-level-in-southwest-saudi-arabia-a-cross-sectional-study
#13
JOURNAL ARTICLE
Mohammed Salih Mahfouz, Majed A Ryani, Abdulrahem A Shubair, Saud Y Somili, Ali A Majrashi, Hussam Abdu Zalah, Adel Ali Khubrani, Mohammed I Dabsh, Abdullatif M Maashi
Background Patient satisfaction has become an influential corner in the health services process. Web-based appointment scheduling has been expanded for its benefits and has become a popular research topic. This study's objectives were to assess patients' satisfaction and perception with the new Web-Based Medical Appointment System "Mawid" program and determine the associated factors at the Primary Health Care Centers level in Jazan Southwest Saudi Arabia. Methods An observational cross-sectional survey was implemented among 424 adults aged 18 years and above, attending a randomly selected 12 primary health care centers in the Jizan region, Southwest Saudi Arabia...
January 2023: Curēus
https://read.qxmd.com/read/36597086/how-health-care-professionals-handle-limited-resources-in-primary-care-an-interview-study
#14
JOURNAL ARTICLE
Suzana Holmér, Ann- Charlotte Nedlund, Kristin Thomas, Barbro Krevers
INTRODUCTION: Health care systems around the world are struggling with limited resources, in relation to the prevailing health care need. An accessible primary care is an important part of the solution for how to provide affordable care for the population and reduce pressure on the overall health care system such as unnecessary hospital stays and associated costs. As primary care constitutes an important first line of healthcare, the task of prioritising and deciding what to do and for whom lies in practice, primarily with the primary care professionals...
January 3, 2023: BMC Health Services Research
https://read.qxmd.com/read/36466536/an-integrated-online-to-offline-model-for-hiv-post-exposure-prophylaxis-o2o-pep-scale-up-among-men-who-have-sex-with-men-msm-protocol-for-developing-a-pilot-randomized-controlled-trial
#15
JOURNAL ARTICLE
Qianqian Luo, Yongchuan Luo, Tianying Li, Tianyu Cui
BACKGROUND: HIV post-exposure prophylaxis (PEP) is an evidence-based biomedical HIV prevention strategy consisting of a 28-day course of highly active antiretroviral therapy after recent potential exposure to HIV. However, awareness and uptake of PEP among men who have sex with men (MSM) are very low. Innovative and effective methods are needed to support PEP implementation among MSM. This work reports a protocol to design and evaluate an online-to-offline-based delivery model for HIV PEP uptake (O2O-PEP) in Chinese MSM...
2022: Frontiers in Public Health
https://read.qxmd.com/read/36396859/valuing-protected-area-tourism-ecosystem-services-using-big-data
#16
JOURNAL ARTICLE
Adam Loch, Glen Scholz, Christopher Auricht, Stuart Sexton, Patrick O'Connor, Sarah Imgraben
Economic value from protected areas informs decisions for biodiversity conservation and visitor benefits. Calculating these benefits assists governments to allocate limited budget resources. This study estimated tourism ecosystem service expenditure values for a regional protected area network in South Australia (57 parks) using direct transactional data, travel costs and economic multipliers. The big dataset came from a comprehensive booking system, which helped overcome common limitations associated with survey data (e...
November 18, 2022: Environmental Management
https://read.qxmd.com/read/36211689/covid-19-vaccination-roll-outs-in-eleven-small-countries-within-the-who-european-region-lessons-learned
#17
JOURNAL ARTICLE
Katie Palmer, Leda Nemer, Siddhartha Sankar Datta, Bettina Maria Menne
The development and administration of COVID-19 vaccines has been an essential element in controlling the COVID-19 pandemic. However, countries worldwide have faced challenges in planning and implementing vaccination strategies. The aim of the current paper is to describe the situation faced by small countries in the WHO European Region in implementing their national vaccination strategies during the first stages of the planned roll-out (up to May 2021). This paper uses information from the WHO Small Countries Initiative (SCI), which includes a network of 11 countries with populations of ≤ 2 million (Andorra, Cyprus, Estonia, Iceland, Latvia, Luxembourg, Malta, Monaco, Montenegro, San Marino, and Slovenia)...
2022: Frontiers in Public Health
https://read.qxmd.com/read/36178842/understanding-barriers-to-diabetes-eye-screening-in-a-large-rural-general-practice-an-audit-of-patients-not-reached-by-screening-services
#18
JOURNAL ARTICLE
Angel Harbers, Scott Davidson, Kyle Eggleton
Introduction Diabetes is a leading cause of blindness in New Zealanders, yet a significant proportion of patients with diabetes are not reached by diabetes eye screening. Aim Our study audited patients with diabetes in a large New Zealand rural general practice, to identify addressable barriers preventing patients from attending diabetes eye screening. Methods All patients who had missed a diabetes eye screening appointment at the Dargaville Hospital Eye Screening Clinic between 2018 and 2021 were identified...
September 2022: Journal of Primary Health Care
https://read.qxmd.com/read/36123636/health-literacy-and-related-behaviour-among-pregnant-women-with-obesity-a-qualitative-interpretive-description-study
#19
JOURNAL ARTICLE
Maiken Meldgaard, Annesofie Lunde Jensen, Amalie Damgaard Johansen, Rikke Damkjær Maimburg, Helle Terkildsen Maindal
BACKGROUND: Obesity in pregnant women is increasing worldwide, affecting the health of both mother and baby. Obesity may be associated with inadequate health literacy, a central competence when navigating antenatal health information and services. This study explores women's health literacy by examining their knowledge, motivation and skills to access, understand and evaluate health information and the related behaviour among a sample of pregnant women with a prepregnant body mass index (BMI) > 25 kg/m2 ...
September 19, 2022: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/35985844/implications-for-patient-follow-up-of-changes-in-inferior-vena-cava-filter-removal-plan-practices
#20
JOURNAL ARTICLE
T H Siah, Z Habib, R G McWilliams, T Y Chan
AIM: To assess the improvements during patient follow-up after implementing a proactive plan for retrieval of inferior vena cava (IVC) filters. MATERIALS AND METHODS: A retrospective study was undertaken including all patients who had a temporary IVC filter inserted over a 10-year period. Patient demographics, insertion dates, retrieval dates, retrieval rates, and complications were recorded. Patients were categorised into three groups as follows: group A, no intervention where retrieval was not suggested; group B, passive intervention where retrieval was suggested but no appointment made; and group C, proactive intervention where a retrieval date was booked by the radiologist...
August 16, 2022: Clinical Radiology
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