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https://www.readbyqxmd.com/read/29908763/acceptability-and-feasibility-of-naloxone-prescribing-in-primary-care-settings-a-systematic-review
#1
REVIEW
Emily Behar, Rita Bagnulo, Phillip O Coffin
Naloxone access through established healthcare settings is critical to responding to the opioid crisis. We conducted a systematic review to assess the acceptability and feasibility of prescribing naloxone to patients in primary care. We queried PubMed, EmBase and CINAHL for US-based, peer-reviewed, full-length, original articles relating to acceptability or feasibility of prescribing naloxone in primary care. Searches yielded 270 unduplicated articles; one analyst reviewed all titles and abstracts. Two analysts independently reviewed eligible articles for study design, study outcome, and acceptability and/or feasibility...
June 14, 2018: Preventive Medicine
https://www.readbyqxmd.com/read/29907884/availability-and-affordability-of-essential-medicines-implications-for-global-diabetes-treatment
#2
REVIEW
David Beran, Margaret Ewen, Kasia Lipska, Irl B Hirsch, John S Yudkin
PURPOSE OF REVIEW: The purpose of this review is to highlight the key issues with regard to the value, affordability, and availability of diabetes treatments. RECENT FINDINGS: Many of the medicines needed to manage diabetes are available as generics and, if purchased appropriately, can be made affordable to many individuals and systems. With new treatments for diabetes, additional costs to individuals and systems need to be assessed in terms of added clinical benefit and financial impact...
June 16, 2018: Current Diabetes Reports
https://www.readbyqxmd.com/read/29907229/effects-of-medicaid-expansion-on-disparities-in-trauma-care-and-outcomes-in-young-adults
#3
Manzilat Akande, Peter C Minneci, Katherine J Deans, Henry Xiang, Deena J Chisolm, Jennifer N Cooper
BACKGROUND: Racial/ethnic and socioeconomic disparities in trauma care and outcomes among young adults are well documented. As the Patient Protection and Affordable Care Act Medicaid expansion has increased insurance coverage among young adults, we aimed to investigate its impact on disparities in insurance coverage and outcomes among hospitalized young adult trauma patients. MATERIALS AND METHODS: We used the healthcare cost and utilization project state inpatient databases to examine changes in insurance coverage and risk-adjusted outcomes from before (2012-2013) to after (2014) Medicaid expansion among young adults (age 19-44) hospitalized for injury across 11 Medicaid expansion states...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29907157/why-do-some-physicians-choose-to-tackle-inequities-in-healthcare
#4
Victoria Nkunu, Kevin J McLaughlin
BACKGROUND: Despite the reputation of Canada's healthcare system as being accessible to all Canadians, certain populations continue to face inequities within our healthcare system. In addition to promoting fairness, addressing healthcare inequities has the potential to reduce healthcare costs, which is increasingly important as healthcare costs continue to rise. Intentionally or otherwise, physicians are often leaders in healthcare teams, but there is a paucity of literature on physicians' perceptions of the problem of healthcare inequities and their potential role in addressing inequities...
June 15, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29907099/loss-of-job-related-right-to-healthcare-associated-with-employment-turnover-challenges-for-the-mexican-health-system
#5
Germán Guerra, Emilio Gutiérrez-Calderón, Nelly Salgado de Snyder, Víctor Hugo Borja-Aburto, Adolfo Martínez-Valle, Miguel Ángel González-Block
BACKGROUND: The Mexican health system segments access and right to healthcare according to worker position in the labour market. In this contribution we analyse how access and continuity of healthcare gets interrupted by employment turnover in the labour market, including its formal and informal sectors, as experienced by affiliates to the Mexican Institute of Social Security (IMSS) at national level, and of workers with type 2 diabetes (T2DM) in Mexico City. METHODS: Using data from the National Employment and Occupation Survey, 2014, and from IMSS electronic medical records for workers in Mexico City, we estimated annual employment turnover rates to measure the loss of healthcare access due to labour market dynamics...
June 15, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29905919/sexual-behaviors-experiences-of-sexual-violence-and-substance-use-among-women-who-inject-drugs-accessing-health-and-prevention-services-in-puerto-rico
#6
Erika M Collazo-Vargas, Brian Dodge, Debby Herbenick, Lucia Guerra-Reyes, Rasul Mowatt, Ilia M Otero-Cruz, Carlos Rodríguez-Díaz
OBJECTIVE: People who inject drugs (PWID) face numerous gender-specific health risks, which increase their susceptibility to adverse outcomes, including violence. There is a need for research on female PWID to capture their unique experiences and understand behavioral and gender-based differences. This study aimed to understand which drug use and sexual behaviors are the most prevalent among female PWID accessing health services in Puerto Rico and to gather preliminary information on those individuals' experiences of sexual violence...
June 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29905913/development-of-low-cost-locally-sourced-two-component-compression-bandages-in-western-kenya
#7
Aileen Y Chang, Edith C Tonui, Douglas Momanyi, Alex R Mills, Paul Wasike, Rakhi Karwa, Toby A Maurer, Sonak D Pastakia
INTRODUCTION: Compression therapy is well-established standard of care for chronic leg ulcers from venous disease and lymphedema. Chronic leg ulcers and lymphedema have a significant impact on quality of life, driven by pain, foul odor, and restricted mobility. Provision of layered compression therapy in resource-limited settings, as in Western Kenya and other regions of sub-Saharan Africa, is a major challenge due to several barriers: availability, affordability, and access to healthcare facilities...
June 15, 2018: Dermatology and Therapy
https://www.readbyqxmd.com/read/29905785/healthcare-services-for-syrian-refugees-in-jordan-a-systematic-review
#8
R El Arab, M Sagbakken
Background: This review aims to explore the healthcare needs and access to healthcare services among Syrian refugees in Jordan. Furthermore, it identifies possible ways of responding to such needs within the framework of the structural challenges faced in this particular context. Methods: Through qualitative techniques, this study systematically reviewed nine articles identified in academic and international organizations' databases. Six articles are from scholarly sources, while three are published reports or commentary articles; thus, there are variations in methodological rigour...
June 13, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/29905763/idp-denovo-de-novo-transcriptome-assembly-and-isoform-annotation-by-hybrid-sequencing
#9
Shuhua Fu, Yingke Ma, Hui Yao, Zhichao Xu, Shilin Chen, Jingyuan Song, Kin Fai Au
Motivation: In the past years, the long read (LR) sequencing technologies, such as Pacific Biosciences and Oxford Nanopore Technologies, have been demonstrated to substantially improve the quality of genome assembly and transcriptome characterization. Compared to the high cost of genome assembly by LR sequencing, it is more affordable to generate LRs for transcriptome characterization. That is, when informative transcriptome LR data are available without a high-quality genome, a method for de novo transcriptome assembly and annotation is of high demand...
February 23, 2018: Bioinformatics
https://www.readbyqxmd.com/read/29903853/consenting-to-invasive-contraceptives-an-ethical-analysis-of-adolescent-decision-making-authority-for-long-acting-reversible-contraception
#10
Rosemary Talbot Behmer Hansen, Kavita Shah Arora
Since USA constitutional precedent established in 1976, adolescents have increasingly been afforded the right to access contraception without first obtaining parental consent or authorisation. There is general agreement this ethically permissible. However, long-acting reversible contraception (LARC) methods have only recently been prescribed to the adolescent population. They are currently the most effective forms of contraception available and have high compliance and satisfaction rates. Yet unlike other contraceptives, LARCs are associated with special procedural risks because they must be inserted and removed by trained healthcare providers...
June 14, 2018: Journal of Medical Ethics
https://www.readbyqxmd.com/read/29903709/ashp-national-survey-of-pharmacy-practice-in-hospital-settings-dispensing-and-administration-2017
#11
Philip J Schneider, Craig A Pedersen, Douglas J Scheckelhoff
PURPOSE: The results of the 2017 ASHP national survey of pharmacy practice in hospital settings are described. METHODS: Pharmacy directors at 4,828 general and children's medical- surgical hospitals in the United States were surveyed using a mixed-mode method of contact by mail and e-mail. Survey completion was online, using Qualtrics (Qualtrics, Provo, UT). IMS Health supplied data on hospital characteristics; the survey sample was drawn from the IMS hospital database (IMS Health, Yardley, PA)...
June 14, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29903036/migrants-access-to-healthcare-services-within-the-european-union-a-content-analysis-of-policy-documents-in-ireland-portugal-and-spain
#12
REVIEW
Céline Ledoux, Eva Pilot, Esperanza Diaz, Thomas Krafft
BACKGROUND: The current migration flow into Europe is leading to a growing ethnically diverse population in many European countries. Now more than ever, those populations have different healthcare needs, languages, traditions, and previous level of care. This higher level of diversity is likely to increase health inequalities that might challenge healthcare systems if not addressed. In this context, this study aims at reviewing the policy framework for migrants' access to healthcare in Spain, Portugal and Ireland, countries with a long history of immigration, to identify lessons to be learned for policies on migrants' health...
June 15, 2018: Globalization and Health
https://www.readbyqxmd.com/read/29902996/three-years-in-changing-plan-features-in-the-u-s-health-insurance-marketplace
#13
Caitlin N McKillop, Teresa M Waters, Cameron M Kaplan, Erin K Kaplan, Michael P Thompson, Ilana Graetz
BACKGROUND: A central objective of recent U.S. healthcare policy reform, most notably the Affordable Care Act's (ACA) Health Insurance Marketplace, has been to increase access to stable, affordable health insurance. However, changing market dynamics (rising premiums, changes in issuer participation and plan availability) raise significant concerns about the marketplaces' ability to provide a stable source of healthcare for Americans that rely on them. By looking at the effect of instability on changes in the consumer choice set, we can analyze potential incentives to switch plans among price-sensitive enrollees, which can then be used to inform policy going forward...
June 15, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29902995/how-is-a-specialist-depression-service-effective-for-persistent-moderate-to-severe-depressive-disorder-a-qualitative-study-of-service-user-experience
#14
Louise Thomson, Marcus Barker, Catherine Kaylor-Hughes, Anne Garland, Rajini Ramana, Richard Morriss, Emily Hammond, Gail Hopkins, Sandra Simpson
BACKGROUND: A specialist depression service (SDS) offering collaborative pharmacological and cognitive behaviour therapy treatment for persistent depressive disorder showed effectiveness against depression symptoms versus usual community based multidisciplinary care in a randomised controlled trial (RCT) in specialist mental health services in England. However, there is uncertainty concerning how specialist depression services effect such change. The current study aimed to evaluate the factors which may explain the greater effectiveness of SDS compared to Treatment as Usual (TAU) by exploring the experience of the RCT participants...
June 15, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29901780/developing-a-computer-application-to-prepare-social-workers-for-integrated-health-care-integrated-healthcare-version-1-0
#15
Denise R Black, Mary L Held, Tami H Wyatt
Integrated health care (IHC) is a proposed change to the U.S. health care system to address health care disparities for individuals with mental and physical health conditions. Computer applications may provide an effective strategy to prepare social workers for the transition to IHC. An Internet-based tool, Integrated Healthcare (Version 1.0) was developed and tested through rapid prototyping to access knowledge required for behavioral health providers to practice in IHC settings. Two focus groups (N = 5, N = 7) and individual interviews (N = 5) were conducted with social work professors and students...
June 13, 2018: Health & Social Work
https://www.readbyqxmd.com/read/29900849/-health-data
#16
Dominique Polton
Healthcare is considered as one of the most promising areas where big data can be applied to foster innovation for the benefit of patients and of the whole system. Healthcare analytics have the potential to accelerate R&D, increase knowledge on diseases and risk factors, improve treatments, develop personalised medicine, help physicians with decision support systems… The access to data is also a driving force for patients' empowerment and for the democratic debate. However, there are also concerns about the societal, economic and ethic impacts of this wave of digitization and of the growing use of data, algorithms and artificial intelligence...
May 2018: Médecine Sciences: M/S
https://www.readbyqxmd.com/read/29899763/prospective-single-center-implementation-and-response-evaluation-of-pressurized-intraperitoneal-aerosol-chemotherapy-pipac-for-peritoneal-metastasis
#17
Martin Graversen, Sönke Detlefsen, Jon Kroll Bjerregaard, Claus Wilki Fristrup, Per Pfeiffer, Michael Bau Mortensen
Background: Pressurized intraperitoneal aerosol chemotherapy (PIPAC) is a laparoscopy-guided administration of aerosolized chemotherapy. PIPAC seems to improve objective tumor response, survival and quality of life in patients with peritoneal metastasis. We assessed feasibility and efficacy of PIPAC in patients with peritoneal metastasis (PM). Methods: Patients were included in a prospective PIPAC protocol. Patients with colorectal PM were treated with oxaliplatin, patients with other primary tumors were treated with cisplatin and doxorubicin...
2018: Therapeutic Advances in Medical Oncology
https://www.readbyqxmd.com/read/29899502/development-of-a-consent-resource-for-genomic-data-sharing-in-the-clinical-setting
#18
Erin Rooney Riggs, Danielle R Azzariti, Annie Niehaus, Scott R Goehringer, Erin M Ramos, Laura Lyman Rodriguez, Bartha Knoppers, Heidi L Rehm, Christa Lese Martin
PURPOSE: Data sharing between clinicians, laboratories, and patients is essential for improvements in genomic medicine, but obtaining consent for individual-level data sharing is often hindered by a lack of time and resources. To address this issue, the Clinical Genome Resource (ClinGen) developed tools to facilitate consent, including a one-page consent form and online supplemental video with information on key topics, such as risks and benefits of data sharing. METHODS: To determine whether the consent form and video accurately conveyed key data sharing concepts, we surveyed 5,162 members of the general public...
June 13, 2018: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://www.readbyqxmd.com/read/29898682/patient-care-activities-by-community-pharmacists-in-a-capitation-funding-model-mental-health-and-addictions-program
#19
Andrea L Murphy, David M Gardner, Lisa M Jacobs
BACKGROUND: Community pharmacists are autonomous, regulated health care professionals located in urban and rural communities in Canada. The accessibility, knowledge, and skills of community pharmacists can be leveraged to increase mental illness and addictions care in communities. METHODS: The Bloom Program was designed, developed, and implemented based on the Behaviour Change Wheel and a program of research in community pharmacy mental healthcare capacity building...
June 14, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29898604/the-district-health-information-system-dhis2-a-literature-review-and-meta-synthesis-of-its-strengths-and-operational-challenges-based-on-the-experiences-of-11-countries
#20
Reza Dehnavieh, AliAkbar Haghdoost, Ardeshir Khosravi, Fahime Hoseinabadi, Hamed Rahimi, Atousa Poursheikhali, Nahid Khajehpour, Zahra Khajeh, Nadia Mirshekari, Marziyeh Hasani, Samera Radmerikhi, Hajar Haghighi, Mohammad Hossain Mehrolhassani, Elaheh Kazemi, Saeide Aghamohamadi
BACKGROUND: Health information systems offer many potential benefits for healthcare, including financial benefits and for improving the quality of patient care. The purpose of District Health Information Systems (DHIS) is to document data that are routinely collected in all public health facilities in a country using the system. OBJECTIVE: The aim of this study was to examine the strengths and operational challenges of DHIS2, with a goal to enable decision makers in different counties to more accurately evaluate the outcomes of introducing DHIS2 into their particular country...
January 1, 2018: Health Information Management: Journal of the Health Information Management Association of Australia
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