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https://www.readbyqxmd.com/read/29656624/health-care-burden-of-spinal-diseases-in-the-republic-of-korea-analysis-of-a-nationwide-database-from-2012-through-2016
#1
Chang-Hyun Lee, Chun Kee Chung, Chi Heon Kim, Ji-Woong Kwon
OBJECTIVE: This study aimed to determine the incidence and analyze trends related to spinal diseases based on a national database in the Republic of Korea (ROK) and to elucidate the healthcare burden that will serve as a useful resource for researchers, clinicians, and patients. METHODS: This study was a retrospective analysis of data obtained from Healthcare Bigdata Hub, the Korean Statistical Information Service, and Open Data Portal from 2012 through 2016. The main disease codes for spinal diseases (M40-M54) were used for identification of these conditions...
March 2018: Neurospine
https://www.readbyqxmd.com/read/29656565/rural-urban-differences-in-costs-of-end-of-life-care-for-the-last-6-months-of-life-among-patients-with-breast-lung-or-colorectal-cancer
#2
Elizabeth Crouch, Jan M Eberth, Janice C Probst, Kevin Bennett, Swann A Adams
PURPOSE: The purpose of this study was to examine rural-urban differences in utilization and expenditures in the last 6 months of life for patients with breast, lung, or colorectal cancer. METHODS: The study used a 5% sample of the 2013 Medicare Research Identifiable Files to study utilization and expenditures for beneficiaries with breast, lung, or colorectal cancer during the last 6 months before death (n = 6,214). End of life expenditures were calculated as the sum of total Medicare expenditures for inpatient, outpatient, physician, home health, hospice, and skilled nursing facility costs during the last 6 months of life...
April 15, 2018: Journal of Rural Health
https://www.readbyqxmd.com/read/29656526/access-to-knowledge-and-the-global-abortion-policies-database
#3
Joanna N Erdman, Brooke Ronald Johnson
Research shows that women, healthcare providers, and even policy makers worldwide have limited or inaccurate knowledge of the abortion law and policies in their country. These knowledge gaps sometimes stem from the vague and broad terms of the law, which breed uncertainty and even conflict when unaccompanied by accessible regulation or guidelines. Inconsistency across national law and policy further impedes safe and evidence-based practice. This lack of transparency creates a crisis of accountability. Those seeking care cannot know their legal entitlements, service providers cannot practice with legal protection, and governments can escape legal responsibility for the adverse effects of their laws...
April 14, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29656463/rural-health-networks-how-network-analysis-can-inform-patient-care-and-organizational-collaboration-in-a-rural-breast-cancer-screening-network
#4
Beth Prusaczyk, Julia Maki, Douglas A Luke, Rebecca Lobb
PURPOSE: Rural health networks have the potential to improve health care quality and access. Despite this, the use of network analysis to study rural health networks is limited. The purpose of this study was to use network analysis to understand how a network of rural breast cancer care providers deliver services and to demonstrate the value of this methodology in this research area. METHODS: Leaders at 47 Federally Qualified Health Centers and Rural Health Clinics across 10 adjacent rural counties were asked where they refer patients for mammograms or breast biopsies...
April 15, 2018: Journal of Rural Health
https://www.readbyqxmd.com/read/29656273/the-feasibility-and-concurrent-validity-of-performing-the-movement-assessment-battery-for-children-2nd-edition-via-telerehabilitation-technology
#5
Kristy Nicola, Jemimah Waugh, Emily Charles, Trevor Russell
BACKGROUND: In rural and remote communities children with motor difficulties have less access to rehabilitation services. Telerehabilitation technology is a potential method to overcome barriers restricting access to healthcare in these areas. Assessment is necessary to guide clinical reasoning; however it is unclear which paediatric assessments can be administered remotely. The Movement Assessment Battery for Children - 2nd Edition is commonly used by various health professionals to assess motor performance of children...
April 12, 2018: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/29655830/medicare-expenditures-by-race-ethnicity-after-hospitalization-for-heart-failure-with-preserved-ejection-fraction
#6
Boback Ziaeian, Paul A Heidenreich, Haolin Xu, Adam D DeVore, Roland A Matsouaka, Adrian F Hernandez, Deepak L Bhatt, Clyde W Yancy, Gregg C Fonarow
OBJECTIVES: The purpose of this study was to analyze cumulative Medicare expenditures at index admission and after discharge by race or ethnicity. BACKGROUND: Heart failure with preserved ejection fraction (HFpEF) is a growing proportion of heart failure (HF) admissions. Research on health care expenditures for patients with HFpEF is limited. METHODS: Records of patients discharged from the Get With The Guidelines-Heart Failure registry between 2006 and 2014 were linked to Medicare data...
April 5, 2018: JACC. Heart Failure
https://www.readbyqxmd.com/read/29655400/seventy-years-of-the-british-national-health-service-problem-politics-and-policy-streams
#7
Martin Powell
The British National Health Service (NHS) celebrates its 70th birthday on 5 July 2018. This paper examines this anniversary through the lens of previous anniversaries, exploring two strands of political debates and NHS documents. It draws on the basic 'multiple streams model' of Kingdon that argues that an issue reaches the agenda when the policy window opens to allow the coupling of three independent streams - policy, problem and politics. It is found that there appears to be some discontinuity in the problem stream; some periods of relative consensus and sharp political differences in the politics stream; and sharp variations over time in the policy stream...
April 15, 2018: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/29655397/team-composition-and-chronic-disease-management-within-primary-healthcare-practices-in-eastern-ontario-an-application-of-the-measuring-organizational-attributes-of-primary-health-care-survey
#8
Julia Lukewich, Dana S Edge, Elizabeth VanDenKerkhof, Tyler Williamson, Joan Tranmer
BACKGROUND: Various organizational-level attributes are being implemented in primary healthcare to improve healthcare delivery. There is a need to describe the distribution and nature of these attributes and explore differences across practices.AimThe aim of this study was to better understand organizational attributes of primary care teams, focusing specifically on team composition, nursing roles, and strategies that support chronic disease management. METHODS: We employed a cross-sectional survey design...
April 15, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29653461/-users-experiences-with-psychosocial-counselling-services-in-a-community-mental-health-centre
#9
Julian Schwarz, Anne Berghöfer, Burkhart Brückner, Thomas Birker, Barbara Stöckigt
OBJECTIVE: Analysis of users experiences with a low-threshold psychosocial counselling and case management service across separate sectors (e. g., outpatient, inpatient) and legal provisions (e. g., V and XII Books of Social Code). METHODS: Nine semi-structured interviews were conducted and analysed using content analysis. RESULTS: Several aspects of the users' experiences with counselling services have contributed towards their satisfaction with the service...
April 13, 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/29653320/is-the-flipped-pedagogical-model-the-answer-to-the-challenges-of-rural-nursing-education-a-discussion-paper
#10
Helena Anolak, Andrew Coleman, Paul Sugden
Rural Australian health services face significant challenges such as aging populations, access and retention of services and health practitioners as well as difficulties with staff training due to geographic isolation. Educational pedagogy, through a 'flipped' or 'flipped' classroom method has become popular in nursing literature whereby discussion surrounding its effectiveness, ability to increase performance, address learning outcomes and resolve the education-clinical practice divide is currently being explored...
April 7, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29653109/can-older-adults-accurately-report-their-use-of-physical-rehabilitation-services
#11
Vicki A Freedman, Judith D Kasper, Alan Jette
OBJECTIVES: To explore accuracy of rehabilitation service use reports by older adults and variation in accuracy by demographic characteristics, time since use, duration, and setting (inpatient, outpatient, home). DESIGN: We calculate the sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of survey-based measures from an observational panel study, the National Health and Aging Trends Study (NHATS), relative to measures developed from linked Medicare claims...
April 10, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29653067/who-is-willing-to-come-back-college-students-willingness-to-seek-help-after-using-campus-mental-health-services
#12
Sara B Oswalt, Alyssa M Lederer, Kimberly Chestnut-Steich
OBJECTIVE: To examine characteristics of college students who have previously received mental health (MH) services on campus and are willing to seek help again in the future. PARTICIPANTS: Spring 2015 ACHA-NCHA II (N = 12,501) undergraduate respondents who had previously used MH services on their current campus. METHODS: Binary logistic regression with willingness to seek MH services in the future as the dependent variable Results: Among students who had already utilized campus MH services, significant predictors for future help-seeking were: female, white, gay/lesbian, those not working for pay, having the college/university health insurance plan, and not currently/previously serving in the military (p<...
April 13, 2018: Journal of American College Health: J of ACH
https://www.readbyqxmd.com/read/29652978/-importance-of-cleaning-and-disinfection-of-critical-surfaces-in-dental-health-services-impact-of-an-intervention-program
#13
Elena Véliz, Teresa Vergara, Mercedes Pearcy, Jeannette Dabanch
Introduction Dental care has become a challenge for healthcare associated infection prevention programs, since the environment, within other factors, plays an important role in the transmission chain. Materials and Methods An intervention program was designed for the Dental Unit of Hospital Militar de Santiago, between years 2014 and 2015. The program contemplated 3 stages: diagnostic, intervention and evaluation stage. Objective To improve the safety of critical surfaces involved in dental healthcare. Results During the diagnostic stage, the cleaning and disinfection process was found to be deficient...
2018: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
https://www.readbyqxmd.com/read/29652938/cost-of-malaria-treatment-and-health-seeking-behaviour-of-children-under-five-years-in-the-upper-west-region-of-ghana
#14
Maxwell Ayindenaba Dalaba, Paul Welaga, Abraham Oduro, Laata Latif Danchaka, Chieko Matsubara
BACKGROUND: There is limited knowledge on cost of treating malaria in children under-five years in northern Ghana which poses a challenge in determining whether interventions such as the National Health Insurance Scheme (NHIS) and Community-based Health Planning and Services (CHPS) have reduced the economic burden of malaria to households or not. This study examined the malaria care seeking and cost of treatment in children under-five years in the Upper West Region of Ghana. METHODS: The study used a cross-sectional, quantitative design and data were collected between July and August 2016 in three districts in the Upper West Region of Ghana...
2018: PloS One
https://www.readbyqxmd.com/read/29652896/a-cohort-study-of-the-effects-of-older-adult-care-dependence-upon-household-economic-functioning-in-peru-mexico-and-china
#15
Maëlenn M Guerchet, Mariella Guerra, Yueqin Huang, Peter Lloyd-Sherlock, Ana Luisa Sosa, Richard Uwakwe, Isaac Acosta, Peter Ezeah, Sara Gallardo, Zhaorui Liu, Rosie Mayston, Veronica Montes de Oca, Hong Wang, Martin J Prince
BACKGROUND: While links between disability and poverty are well established, there have been few longitudinal studies to clarify direction of causality, particularly among older adults in low and middle income countries. We aimed to study the effect of care dependence among older adult residents on the economic functioning of their households, in catchment area survey sites in Peru, Mexico and China. METHODS: Households were classified from the evolution of the needs for care of older residents, over two previous community surveys, as 'incident care', 'chronic care' or 'no care', and followed up three years later to ascertain economic outcomes (household income, consumption, economic strain, satisfaction with economic circumstances, healthcare expenditure and residents giving up work or education to care)...
2018: PloS One
https://www.readbyqxmd.com/read/29652882/association-between-supplementary-private-health-insurance-and-visits-to-physician-offices-versus-hospital-outpatient-departments-among-adults-with-diabetes-in-the-universal-public-insurance-system
#16
Chang Hoon You, Ji Heon Choi, Sungwook Kang, Eun-Hwan Oh, Young Dae Kwon
BACKGROUND: Diabetes mellitus is a chronic disease with a high prevalence across the world as well as in South Korea. Most cases of diabetes can be adequately managed at physician offices, but many diabetes patients receive outpatient care at hospitals. This study examines the relationship between supplementary private health insurance (SPHI) ownership and the use of hospitals among diabetes outpatients within the universal public health insurance scheme. METHODS: Data from the 2011 Korea Health Panel, a nationally representative sample of Korean individuals, was used...
2018: PloS One
https://www.readbyqxmd.com/read/29652872/medical-management-of-transgender-children-and-adolescents
#17
María Fernanda Castilla-Peón
Transgender or gender nonconforming (GN) persons identify themselves with a gender which is different from that correspondent to their birth sex. The demand for health services by families with transgender children or adolescents tends to increase. The prevalence of GN in children is unknown; however, it has been estimated to be > 1% in adolescents. Transgender persons are at increased risk of depression, suicide, illicit drug abuse, human immunodeficiency virus infection, and non-accidental injury. The most accepted model for the care of transgender persons assumes that these adverse outcomes are the consequence of social margination rather than the GI condition itself...
2018: Boletín Médico del Hospital Infantil de México
https://www.readbyqxmd.com/read/29652822/taking-a-gamble-for-high-rewards-management-perspectives-on-the-value-of-mental-health-peer-workers
#18
Louise Byrne, Helena Roennfeldt, Peri O'Shea, Fiona Macdonald
Mental health peer work is attracting growing interest and provides a potentially impactful method of service user involvement in mental health design and delivery, contributing to mental health reform. The need to effectively support this emerging workforce is consequently increasing. This study aimed to better understand the views of management in relation to peer work and specifically explores the value of peer work from the perspective of management. This qualitative research employed grounded theory methods...
April 13, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29652821/who-are-the-subjects-with-gambling-related-problems-requiring-treatment-a-study-in-northern-italy
#19
Raimondo Maria Pavarin, Angelo Fioritti, Silvia Marani, Daniele Gambini, Elsa Turino, Antonella Piazza
BACKGROUND: This study analyzes data related to Hospital (HOS), Public Treatment Service Dedicated to Drug Addicts (SERD), or Community Mental Health Center (CMHC) clients with a first diagnosis of Pathological Gambling (PG) in the period 2000/2016 in Northern Italy. The aims were to describe trends and characteristics of pathological gamblers (PGs) and to estimate the prevalence of other diagnoses before or after the diagnosis of PG. METHODS: Participants aged over 17 years with an ICD-9 or ICD-10 PG diagnosis were selected...
April 13, 2018: Journal of Clinical Medicine
https://www.readbyqxmd.com/read/29652816/the-emergency-medical-system-in-greece-opening-aeolus-bag-of-winds
#20
Ourania S Kotsiou, David S Srivastava, Panagiotis Kotsios, Aristomenis K Exadaktylos, Konstantinos I Gourgoulianis
An Emergency Medical Service (EMS) system must encompass a spectrum of care, with dedicated pre-hospital and in-hospital medical facilities. It has to be organised in such a way as to include all necessary services&mdash;such as triage accurate initial assessment, prompt resuscitation, efficient management of emergency cases, and transport to definitive care. The global economic downturn has had a direct effect on the health sector and poses additional threats to the healthcare system. Greece is one of the hardest-hit countries...
April 13, 2018: International Journal of Environmental Research and Public Health
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