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https://www.readbyqxmd.com/read/28239296/cost-effectiveness-of-a-nurse-led-intervention-to-optimise-implementation-of-guideline-concordant-continence-care-study-protocol-of-the-cocon-study
#1
Aaltje P D Jansen, Maaike E Muntinga, Judith E Bosmans, Bary Berghmans, Janny Dekker, Jacqueline Hugtenburgh, Giel Nijpels, Paul van Houten, Miranda G H Laurant, Huub C H van der Vaart
BACKGROUND: Guidelines on urinary incontinence recommend that absorbent products are only used as a coping strategy pending definitive treatment, as an adjunct to ongoing therapy, or for long-term management after all treatment options have been explored. However, these criteria are rarely met and a significant share of long-term product users could still benefit from therapeutic interventions recommended in guidelines for urinary incontinence. Better implementation of these guidelines can potentially result in both health benefits for women and long-term cost savings for society...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28238421/promoting-patient-participation-in-healthcare-interactions-through-communication-skills-training-a-systematic-review
#2
REVIEW
Thomas A D'Agostino, Thomas M Atkinson, Lauren E Latella, Madeline Rogers, Dana Morrissey, Antonio P DeRosa, Patricia A Parker
OBJECTIVE: To present literature on training patients in the use of effective communication skills. METHODS: Systematic searches were conducted in six databases. References were screened for inclusion through several phases. Extracted data included intervention study design, sample characteristics, content and structure of training programs, outcomes assessed, and findings reported. RESULTS: A total of 32 unique intervention studies were included...
February 16, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28237961/healthcare-usage-and-economic-impact-of-non-treated-obesity-in-italy-findings-from-a-retrospective-administrative-and-clinical-database-analysis
#3
Annamaria Colao, Marcello Lucchese, Monica D'Adamo, Silvia Savastano, Enrico Facchiano, Chiara Veronesi, Valerio Blini, Luca Degli Esposti, Paolo Sbraccia
OBJECTIVES: Investigate the prevalence of obesity in Italy and examine its resource consumption and economic impact on the Italian national healthcare system (NHS). DESIGN: Retrospective, observational and real-life study. SETTING: Data from three health units from Northern (Bergamo, Lombardy), Central (Grosseto, Tuscany) and Southern (Naples, Campania) Italy. PARTICIPANTS: All patients aged ≥18 years with at least one recorded body mass index (BMI) measurement between 1 January 2009 and 31 December 2012 were included...
February 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28237955/advance-care-planning-uptake-among-patients-with-severe-lung-disease-a-randomised-patient-preference-trial-of-a-nurse-led-facilitated-advance-care-planning-intervention
#4
Craig Sinclair, Kirsten Anne Auret, Sharon Frances Evans, Fiona Williamson, Siobhan Dormer, Anne Wilkinson, Kim Greeve, Audrey Koay, Dot Price, Fraser Brims
OBJECTIVE: Advance care planning (ACP) clarifies goals for future care if a patient becomes unable to communicate their own preferences. However, ACP uptake is low, with discussions often occurring late. This study assessed whether a systematic nurse-led ACP intervention increases ACP in patients with advanced respiratory disease. DESIGN: A multicentre open-label randomised controlled trial with preference arm. SETTING: Metropolitan teaching hospital and a rural healthcare network...
February 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28237952/factors-associated-with-hospitalisations-in-chronic-conditions-deemed-avoidable-ecological-study-in-the-spanish-healthcare-system
#5
Ester Angulo-Pueyo, Manuel Ridao-López, Natalia Martínez-Lizaga, Sandra García-Armesto, Salvador Peiró, Enrique Bernal-Delgado
OBJECTIVES: Potentially avoidable hospitalisations have been used as a proxy for primary care quality. We aimed to analyse the ecological association between contextual and systemic factors featured in the Spanish healthcare system and the variation in potentially avoidable hospitalisations for a number of chronic conditions. METHODS: A cross-section ecological study based on the linkage of administrative data sources from virtually all healthcare areas (n=202) and autonomous communities (n=16) composing the Spanish National Health System was performed...
February 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28237423/what-influences-healthcare-professionals-treatment-preferences-for-older-women-with-operable-breast-cancer-an-application-of-the-discrete-choice-experiment
#6
J L Morgan, S J Walters, K Collins, T G Robinson, K-L Cheung, R Audisio, M W Reed, L Wyld
INTRODUCTION: Primary endocrine therapy (PET) is used variably in the UK as an alternative to surgery for older women with operable breast cancer. Guidelines state that only patients with "significant comorbidity" or "reduced life expectancy" should be treated this way and age should not be a factor. METHODS: A Discrete Choice Experiment (DCE) was used to determine the impact of key variables (patient age, comorbidity, cognition, functional status, cancer stage, cancer biology) on healthcare professionals' (HCP) treatment preferences for operable breast cancer among older women...
February 2, 2017: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/28236801/implementation-of-an-e-interconsultation-system-between-a-hospital-pharmacy-service-and-primary-care-pharmacy-units-in-a-health-area
#7
Marta García-Queiruga, Luis Margusino-Framiñán, Isabel Martín-Herranz, Miguel Gutiérrez-Estoa, Xosé Güeto-Rial, Judith Capitán-Guarnizo, Alfredo Silva-Tojo
PURPOSE: To present the requirements, development, structure and results of an electronic interconsultation platform (e-Interconsultation) for communication between primary and hospital care. METHOD: A working group was created and set out its purposes, working schedule, software requirements, the structure of the electronic platform, validation procedure, and its implementation. Once the software had been developed and validated and training sessions were conducted, the electronicplatform was launched in June 2015...
March 1, 2017: Farmacia Hospitalaria
https://www.readbyqxmd.com/read/28236697/budget-impact-of-perampanel-as-adjunctive-treatment-of-uncontrolled-partial-onset-and-primary-generalized-tonic-clonic-seizures-in-the-united-states
#8
Gabriel Tremblay, Victoria Barghout, Vardhaman Patel, Wan Tsong, Zhixiao Wang
PURPOSE: To evaluate the budget impact (BI) of adopting perampanel for adjunctive treatment of partial-onset seizures (POS), with or without secondarily generalized seizures, and the adjunctive treatment of primary generalized tonic-clonic seizures (PGTCS) in patients 12years or older in the United States. METHODS: A BI model was developed to estimate the potential BI of adopting adjunctive perampanel from a US payer (direct costs only) and societal (direct and indirect costs) perspective over a 5-year period...
February 17, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/28236568/evaluation-of-screening-for-myocardial-ischaemia-in-women-at-cardiovascular-risk
#9
Anne-Laure Madika, Patrick Devos, Pascal Delsart, Fanny Boudghène, Anne-Sophie Polge, Christophe Bauters, Claire Mounier-Vehier
BACKGROUND: Cardiovascular disease is the primary cause of death in women. Prevention, screening and diagnosis are generally implemented at later stages and less frequently than in men, and provision of treatment is not optimal in women. AIMS: To assess the relevance of targeted screening for myocardial ischaemia in women with multiple risk factors, and to identify which specific factors target women more effectively. METHODS: We undertook a prospective observational study with retrospective data collection based on a cohort of symptomatic or asymptomatic women with multiple cardiovascular risk factors...
February 21, 2017: Archives of Cardiovascular Diseases
https://www.readbyqxmd.com/read/28236292/the-role-of-genomics-in-common-variable-immunodeficiency-disorders
#10
REVIEW
Anne-Kathrin Kienzler, Chantal E Hargreaves, Smita Y Patel
The advent of next generation sequencing (NGS) and 'omic' technologies has revolutionised the field of genetics and its implementation in healthcare has the potential to realise precision medicine. Primary immunodeficiencies (PID) are a group of rare diseases which have benefitted from NGS, with a massive increase in causative genes identified in the past few years. Common Variable Immunodeficiency Disorders (CVID) are a heterogeneous form of PID and the most common form of antibody failure in children and adults...
February 25, 2017: Clinical and Experimental Immunology
https://www.readbyqxmd.com/read/28235464/preventing-hpv-related-cancers-we-are-all-in-this-together
#11
REVIEW
Sarah Dilley, Isabel Scarinci, David Kimberlin, J Michael Straughn
Human papillomavirus (HPV)-related cancers, which include cervical, vulvovaginal, anal and oropharyngeal cancers, are on the rise in the United States. Although the HPV vaccine has been on the market for ten years, HPV vaccination rates are well below national goals. Research has identified many barriers and facilitators to HPV vaccination, and provider recommendation remains the most important factor in parental and patient decisions to vaccinate. While much of the burden of HPV vaccine provision falls on pediatricians and primary care providers, they cannot do it alone...
February 21, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28230908/probiotics-for-people-with-hepatic-encephalopathy
#12
REVIEW
Rohan Dalal, Richard G McGee, Stephen M Riordan, Angela C Webster
BACKGROUND: Hepatic encephalopathy is a disorder of brain function as a result of liver failure or portosystemic shunt or both. Both hepatic encephalopathy (clinically overt) and minimal hepatic encephalopathy (not clinically overt) significantly impair patient's quality of life and daily functioning, and represent a significant burden on healthcare resources. Probiotics are live micro-organisms, which when administered in adequate amounts, may confer a health benefit on the host. OBJECTIVES: To determine the beneficial and harmful effects of probiotics in any dosage, compared with placebo or no intervention, or with any other treatment for people with any grade of acute or chronic hepatic encephalopathy...
February 23, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28229264/diabetes-outcome-and-process-measures-among-patients-who-require-language-interpreter-services-in-minnesota-primary-care-practices
#13
Jane W Njeru, Deborah H Boehm, Debra J Jacobson, Laura M Guzman-Corrales, Chun Fan, Scott Shimotsu, Mark L Wieland
Immigrants and refugees are less likely to meet diabetes management goals than the general US population. Those with limited English proficiency (LEP) and who need interpreter services (IS) for health care encounters, maybe at higher risk for encountering barriers to optimal diabetes management, and while most receive diabetes care in primary care settings, little is known about the association between IS need and diabetes outcomes. This study aims to determine adherence with diabetes process and outcomes measures among LEP patients in primary care settings, and is a retrospective cohort study of patients with type II diabetes at two large primary care networks in Minnesota from January 1, 2012 through December 31, 2013...
February 22, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28229248/promoting-social-nurturance-and-positive-social-environments-to-reduce-obesity-in-high-risk-youth
#14
REVIEW
Dawn K Wilson, Allison M Sweeney, Heather Kitzman-Ulrich, Haylee Gause, Sara M St George
Nurturing environments within the context of families, schools, and communities all play an important role in enhancing youth's behavioral choices and health outcomes. The increasing prevalence rates of obesity among youth, especially among low income and ethnic minorities, highlight the need to develop effective and innovative intervention approaches that promote positive supportive environments across different contexts for at-risk youth. We propose that the integration of Social Cognitive Theory, Family Systems Theory, and Self-Determination Theory offers a useful framework for understanding how individual, family, and social-environmental-level factors contribute to the development of nurturing environments...
February 22, 2017: Clinical Child and Family Psychology Review
https://www.readbyqxmd.com/read/28228182/cost-effectiveness-of-computerized-cognitive-behavioural-therapy-for-the-treatment-of-depression-in-primary-care-findings-from-the-randomised-evaluation-of-the-effectiveness-and-acceptability-of-computerised-therapy-reeact-trial
#15
A Duarte, S Walker, E Littlewood, S Brabyn, C Hewitt, S Gilbody, S Palmer
BACKGROUND: Computerized cognitive-behavioural therapy (cCBT) forms a core component of stepped psychological care for depression. Existing evidence for cCBT has been informed by developer-led trials. This is the first study based on a large independent pragmatic trial to assess the cost-effectiveness of cCBT as an adjunct to usual general practitioner (GP) care compared with usual GP care alone and to establish the differential cost-effectiveness of a free-to-use cCBT programme (MoodGYM) in comparison with a commercial programme (Beating the Blues) in primary care...
February 23, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/28228138/current-management-practices-for-patients-presenting-with-low-back-pain-to-a-large-emergency-department-in-canada
#16
Matthew L Nunn, Jill A Hayden, Kirk Magee
BACKGROUND: Low back pain (LBP) is one of the leading causes of disability. Presentations to the emergency department (ED) are common and consume significant healthcare resources. However, treatment of patients with LBP is variable and highly physician dependent. Our study objective was to describe the demographic and clinical characteristics of patients presenting to the ED with LBP, the diagnostic strategies employed by ED physicians, and the subsequent management. METHODS: We conducted a retrospective study using clinical and electronic health data at the Queen Elizabeth II Health Science Center's Charles V...
February 23, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28228134/the-impact-of-community-health-worker-led-home-delivery-of-antiretroviral-therapy-on-virological-suppression-a-non-inferiority-cluster-randomized-health-systems-trial-in-dar-es-salaam-tanzania
#17
Pascal Geldsetzer, Joel M Francis, Nzovu Ulenga, David Sando, Irene A Lema, Eric Mboggo, Maria Vaikath, Happiness Koda, Sharon Lwezaula, Janice Hu, Ramadhani A Noor, Ibironke Olofin, Elysia Larson, Wafaie Fawzi, Till Bärnighausen
BACKGROUND: Home delivery of antiretroviral therapy (ART) by community health workers (CHWs) may improve ART retention by reducing the time burden and out-of-pocket expenditures to regularly attend an ART clinic. In addition, ART home delivery may shorten waiting times and improve quality of care for those in facility-based care by decongesting ART clinics. This trial aims to determine whether ART home delivery for patients who are clinically stable on ART combined with facility-based care for those who are not stable on ART is non-inferior to the standard of care (facility-based care for all ART patients) in achieving and maintaining virological suppression...
February 22, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28226395/healthcare-professionals-accounts-of-challenges-in-managing-motor-neurone-disease-in-primary-healthcare-a-qualitative-study
#18
Sverre Vigeland Lerum, Kari Nyheim Solbraekke, Jan C Frich
Motor neurone disease (MND) is a progressive neurological disease causing muscle wasting, gradual paralysis and respiratory failure, with a life expectancy of 2-4 years. In order to better understand how MND is managed in the community, we conducted a qualitative study to explore the challenges healthcare professionals encounter when managing MND in primary healthcare. Based on data from 15 semi-structured interviews with primary healthcare professionals in Norway, we found that MND is viewed as a condition that requires exceptional effort and detailed planning...
February 22, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28226301/the-influence-of-welfare-systems-on-pay-for-performance-programs-for-general-practitioners-a-critical-review
#19
REVIEW
Mehdi Ammi, Grant Fortier
While pay-for-performance (P4P) programs are increasingly common tools used to foster quality and efficiency in primary care, the evidence concerning their effectiveness is at best mixed. In this article, we explore the influence of welfare systems on four P4P-related dimensions: the level of healthcare funders' commitment to P4Ps (by funding and length of program operation), program design (specifically target-based vs. participation-based program), physicians' acceptance of the program and program effects...
February 16, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28226071/reviewing-the-brazilian-national-primary-healthcare-policy-at-such-a-time
#20
Márcia Valéria Guimarães Cardoso Morosini, Angélica Ferreira Fonseca
No abstract text is available yet for this article.
February 13, 2017: Cadernos de Saúde Pública
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