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https://www.readbyqxmd.com/read/27921257/impact-of-community-health-workers-on-use-of-healthcare-services-in-the-united-states-a-systematic-review
#1
Helen E Jack, Sophia D Arabadjis, Lucy Sun, Erin E Sullivan, Russell S Phillips
BACKGROUND: As the US transitions to value-based healthcare, physicians and payers are incentivized to change healthcare delivery to improve quality of care while controlling costs. By assisting with the management of common chronic conditions, community health workers (CHWs) may improve healthcare quality, but physicians and payers who are making choices about care delivery also need to understand their effects on healthcare spending. METHODS: We searched PubMed, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, PsycINFO, Embase, and Web of Science from the inception of each database to 22 June 2015...
December 5, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27811332/telemedicine-quality-and-outcomes-in-stroke-a-scientific-statement-for-healthcare-professionals-from-the-american-heart-association-american-stroke-association
#2
Lawrence R Wechsler, Bart M Demaerschalk, Lee H Schwamm, Opeolu M Adeoye, Heinrich J Audebert, Christopher V Fanale, David C Hess, Jennifer J Majersik, Karin V Nystrom, Mathew J Reeves, Wayne D Rosamond, Jeffrey A Switzer
PURPOSE: Telestroke is one of the most frequently used and rapidly expanding applications of telemedicine, delivering much-needed stroke expertise to hospitals and patients. This document reviews the current status of telestroke and suggests measures for ongoing quality and outcome monitoring to improve performance and to enhance delivery of care. METHODS: A literature search was undertaken to examine the current status of telestroke and relevant quality indicators...
November 3, 2016: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/27808064/use-of-speech-to-text-technology-for-documentation-by-healthcare-providers
#3
REVIEW
Sima Ajami
Medical records are a critical component of a patient's treatment. However, documentation of patient-related information is considered a secondary activity in the provision of healthcare services, often leading to incomplete medical records and patient data of low quality. Advances in information technology (IT) in the health system and registration of information in electronic health records (EHR) using speechto- text conversion software have facilitated service delivery. This narrative review is a literature search with the help of libraries, books, conference proceedings, databases of Science Direct, PubMed, Proquest, Springer, SID (Scientific Information Database), and search engines such as Yahoo, and Google...
May 2016: National Medical Journal of India
https://www.readbyqxmd.com/read/27807080/dementia-and-imagination-a-mixed-methods-protocol-for-arts-and-science-research
#4
Gill Windle, Andrew Newman, Vanessa Burholt, Bob Woods, Dave O'Brien, Michael Baber, Barry Hounsome, Clive Parkinson, Victoria Tischler
INTRODUCTION: Dementia and Imagination is a multidisciplinary research collaboration bringing together arts and science to address current evidence limitations around the benefits of visual art activities in dementia care. The research questions ask: Can art improve quality of life and well-being? If it does make a difference, how does it do this-and why? Does it have wider social and community benefits? METHODS AND ANALYSIS: This mixed-methods study recruits participants from residential care homes, National Health Service (NHS) wards and communities in England and Wales...
November 2, 2016: BMJ Open
https://www.readbyqxmd.com/read/27805797/data-that-drive-closing-the-loop-in-the-learning-hospital-system
#5
Vincent X Liu, John W Morehouse, Jennifer M Baker, John D Greene, Patricia Kipnis, Gabriel J Escobar
The learning healthcare system describes a vision of US healthcare that capitalizes on science, information technology, incentives, and care culture to drive improvements in the quality of health care. The inpatient setting, one of the most costly and impactful domains of healthcare, is an ideal setting in which to use data and information technology to foster continuous learning and quality improvement. The rapid digitization of inpatient medicine offers incredible new opportunities to use data from routine care to generate new discovery and thus close the virtuous cycle of learning...
November 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/27802517/cataract-surgical-rate-and-socioeconomics-a-global-study
#6
Wei Wang, William Yan, Kathy Fotis, Noela M Prasad, Van Charles Lansingh, Hugh R Taylor, Robert P Finger, Damian Facciolo, Mingguang He
Purpose: Cataract is the leading cause of blindness and cataract surgical rate (CSR) is used as a proxy indicator of access to cataract services in a country. The aim of this study was to explore the associations between the CSR and the economic development of countries in terms of gross domestic product per capital (GDP/P) and gross national income per capita (GNI/P). Methods: We systematically searched OVID (Medline and Embase), Pubmed, Embase.com, ISI Web of Science, and Cochrane Library databases, and retrieved additional data from unpublished reports...
November 1, 2016: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/27797977/realist-synthesis-of-educational-interventions-to-improve-nutrition-care-competencies-and-delivery-by-doctors-and-other-healthcare-professionals
#7
Victor Mogre, Albert J J A Scherpbier, Fred Stevens, Paul Aryee, Mary Gemma Cherry, Tim Dornan
OBJECTIVE: To determine what, how, for whom, why, and in what circumstances educational interventions improve the delivery of nutrition care by doctors and other healthcare professionals work. DESIGN: Realist synthesis following a published protocol and reported following Realist and Meta-narrative Evidence Synthesis: Evolving Standards (RAMESES) guidelines. A multidisciplinary team searched MEDLINE, CINAHL, ERIC, EMBASE, PsyINFO, Sociological Abstracts, Web of Science, Google Scholar and Science Direct for published and unpublished (grey) literature...
October 21, 2016: BMJ Open
https://www.readbyqxmd.com/read/27752193/knowledge-and-use-of-information-and-communication-technology-by-health-sciences-students-of-the-university-of-ghana
#8
Samuel Dery, Frances da-Costa Vroom, Anthony Godi, Seth Afagbedzi, Duah Dwomoh
BACKGROUND: Studies have shown that ICT adoption contributes to productivity and economic growth. It is therefore important that health workers have knowledge in ICT to ensure adoption and uptake of ICT tools to enable efficient health delivery. OBJECTIVE: To determine the knowledge and use of ICT among students of the College of Health Sciences at the University of Ghana. METHODS: This was a cross-sectional study conducted among students in all the five Schools of the College of Health Sciences at the University of Ghana...
September 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/27742819/on-the-planning-and-design-of-hospital-circulation-zones-a-review-of-the-evidence-based-literature
#9
Shan Jiang, Stephen Verderber
OBJECTIVE: This present literature review explores current issues and research inconsistencies regarding the design of hospital circulation zones and the associated health-related outcomes. BACKGROUND: Large general hospitals are immense, highly sophisticated institutions. Empirical studies have indicated excessively institutional environments in large medical centers are a cause of negative effects to occupants, including stress, anxiety, wayfinding difficulties and spatial disorientation, lack of cognitional control, and stress associated with inadequate access to nature...
October 14, 2016: HERD
https://www.readbyqxmd.com/read/27741260/how-efficacious-are-patient-education-interventions-to-improve-bowel-preparation-for-colonoscopy-a-systematic-review
#10
Jacob E Kurlander, Arjun R Sondhi, Akbar K Waljee, Stacy B Menees, Cathleen M Connell, Philip S Schoenfeld, Sameer D Saini
BACKGROUND: Bowel preparation is inadequate in a large proportion of colonoscopies, leading to multiple clinical and economic harms. While most patients receive some form of education before colonoscopy, there is no consensus on the best approach. AIMS: This systematic review aimed to evaluate the efficacy of patient education interventions to improve bowel preparation. METHODS: We searched the Cochrane Database, CINAHL, EMBASE, Ovid, and Web of Science...
2016: PloS One
https://www.readbyqxmd.com/read/27724957/implementing-international-sexual-counselling-guidelines-in-hospital-cardiac-rehabilitation-development-of-the-charms-intervention-using-the-behaviour-change-wheel
#11
J Mc Sharry, P J Murphy, M Byrne
BACKGROUND: Decreased sexual activity and sexual problems are common among people with cardiovascular disease, negatively impacting relationship satisfaction and quality of life. International guidelines recommend routine delivery of sexual counselling to cardiac patients. The Cardiac Health and Relationship Management and Sexuality (CHARMS) baseline study in Ireland found, similar to international findings, limited implementation of sexual counselling guidelines in practice. The aim of the current study was to develop the CHARMS multi-level intervention to increase delivery of sexual counselling by healthcare professionals...
October 10, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27683663/using-electronic-health-record-data-to-identify-prostate-cancer-patients-that-may-qualify-for-active-surveillance
#12
Andrew J Knighton, Tom Belnap, Kim Brunisholz, Kelly Huynh, Jay T Bishoff
INTRODUCTION: The introduction of the protein-specific antigen (PSA) test in care means that prostate cancer (PCa) is being detected earlier and more frequently. The result of increased screening using PSA, digital rectal examination and awareness of prostate was an increase in the number of men with low risk cancers. Active surveillance has become a viable alternative to immediate treatment with surgery, radiation and other forms of localized treatment. Evidence suggests that there is no significant difference in mortality rates between AS and surgery...
2016: EGEMS
https://www.readbyqxmd.com/read/27662397/opportunities-to-improve-the-value-of-outpatient-surgical-care
#13
Feryal Erhun, Elizabeth Malcolm, Maziyar Kalani, Kimberly Brayton, Christine Nguyen, Steven M Asch, Terry Platchek, Arnold Milstein
OBJECTIVES: Nearly 57 million outpatient surgeries-invasive procedures performed on an outpatient basis in hospital outpatient departments (HOPDs) or ambulatory surgery centers (ASCs)-produced annually in the United States account for roughly 7% of healthcare expenditures. Although moving inpatient surgeries to outpatient settings has lowered the cost of care, substantial opportunities to improve the value of outpatient surgery remain. To exploit these remaining opportunities, we composed an evidence-based care delivery composite for national discussion and pilot testing...
2016: American Journal of Managed Care
https://www.readbyqxmd.com/read/27589553/neonatal-care-what-do-mothers-in-a-rural-nigerian-community-know-and-practice
#14
C C Nnebue, C B Duru, K A Uwakwe, C O Ifeadike, B C Anyanwu, K M Adinnu, P O Nwaneri, I J Ufoh
BACKGROUND: Nigeria ranks among developing countries with poor neonatal health indices. This underscores the need for households and healthcare providers to understand the concept of newborn care and react appropriately and timely too. OBJECTIVE: To determine the knowledge and practices of mothers in the Elele community regarding neonatal care. MATERIALS AND METHODS: This was a community-based descriptive cross sectional study of 380 mothers who had a neonate...
September 16, 2016: Journal of Neonatal-perinatal Medicine
https://www.readbyqxmd.com/read/27574861/engaging-survivors-of-critical-illness-in-health-care-assessment-and-policy-development-ethical-and-practical-complexities
#15
Alison S Clay, Cheryl Misak
Health systems, granting agencies, and professional societies are increasingly involving patients and their family members in the delivery of healthcare and the improvement of health sciences. This is a laudable advance toward fully patient-centered medicine. However, patient engagement is not a simple matter, either practically or ethically. The complexities include: i) the physical limitations that patients and their family members may have, from travelling to meetings to special dietary needs; ii) the emotional sensitivities patients and their families might experience-from distress at discussions of disease prognosis, outcomes, and therapies to being inexperienced at public speaking; iii) the fact that advocacy efforts by patients and family members, which may be encouraged at the national level, may threaten individual professionals providing care to individual patients and may result in risk to patients...
August 30, 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27552845/improving-health-related-quality-of-life-among-rural-hypertensive-patients-through-the-integrative-strategy-of-health-services-delivery-a-quasi-experimental-trial-from-chongqing-china
#16
Yudong Miao, Liang Zhang, Vibeke Sparring, Sandeep Sandeep, Wenxi Tang, Xiaowei Sun, Da Feng, Ting Ye
BACKGROUND: Integrative strategy of health services delivery has been proven to be effective in economically developed countries, where the healthcare systems have enough qualified primary care providers. However rural China lacks such providers to act as gatekeeper, besides, Chinese rural hypertensive patients are usually of old age, more likely to be exposed to health risk factors and they experience a greater socio-economic burden. All these Chinese rural setting specific features make the effectiveness of integrative strategy of health services in improving health related quality of life among Chinese rural hypertensive patients uncertain...
2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27545670/prescribing-indicators-at-primary-health-care-centers-within-the-who-african-region-a-systematic-analysis-1995-2015
#17
Richard Ofori-Asenso, Petra Brhlikova, Allyson M Pollock
BACKGROUND: Rational medicine use is essential to optimize quality of healthcare delivery and resource utilization. We aim to conduct a systematic review of changes in prescribing patterns in the WHO African region and comparison with WHO indicators in two time periods 1995-2005 and 2006-2015. METHODS: Systematic searches were conducted in PubMed, Scopus, Web of science, Africa-Wide Nipad, Africa Journals Online (AJOL), Google scholar and International Network for Rational Use of Drugs (INRUD) Bibliography databases to identify primary studies reporting prescribing indicators at primary healthcare centres (PHCs) in Africa...
2016: BMC Public Health
https://www.readbyqxmd.com/read/27545324/factors-involved-in-access-and-utilization-of-adult-hearing-healthcare-a-systematic-review
#18
Margaret Barnett, Brian Hixon, Neville Okwiri, Catherine Irungu, John Ayugi, Robin Thompson, Jennifer B Shinn, Matthew L Bush
OBJECTIVE/HYPOTHESIS: Hearing loss is a public health concern, yet hearing healthcare disparities exist and influence utilization of rehabilitation services. The objective of this review was to systematically analyze the published literature on motivators, barriers, and compliance factors affecting adult patient access and utilization of hearing rehabilitation healthcare. DATA SOURCES: Pubmed, PsychINFO, CINAHL, and Web of Science were searched for relevant articles...
August 22, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27542289/patterns-of-caesarean-section-delivery-in-addis-ababa-ethiopia
#19
Yibeltal T Bayou, Yohana J S Mashalla, Gloria Thupayagale-Tshweneagae
SETTING: The study was conducted in Addis Ababa, the capital city of Ethiopia. Specifically, it was conducted in all healthcare facilities offering maternity and obstetric services. OBJECTIVE: The objective of the study was to explore the patterns of caesarean-section (CS) delivery in Addis Ababa. METHODS: A cross-sectional survey was carried out between December 2013 and January 2014. The population for the study were women aged between 15 and 19 years of age who had given birth in the last 1-3 years before the date of data collection...
2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/27537242/interventions-to-improve-hearing-aid-use-in-adult-auditory-rehabilitation
#20
REVIEW
Fiona Barker, Emma Mackenzie, Lynette Elliott, Simon Jones, Simon de Lusignan
BACKGROUND: Acquired adult-onset hearing loss is a common long-term condition for which the most common intervention is hearing aid fitting. However, up to 40% of people fitted with a hearing aid either fail to use it or may not gain optimal benefit from it. This is an update of a review first published in The Cochrane Library in 2014. OBJECTIVES: To assess the long-term effectiveness of interventions to promote the use of hearing aids in adults with acquired hearing loss fitted with at least one hearing aid...
2016: Cochrane Database of Systematic Reviews
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