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Rebecca Shirley, Janka Fazekas, Martin McNally, Alex Ramsden
Aim : This study aimed to define the costs of surgical management of chronic osteomyelitis where free tissue transfer was required in addition to debridement of bone, particularly the increased costs incurred by a return to theatre. We hypothesised that there would be a significantly greater cost when patients required re-exploration for vascular compromise. Method : We retrospectively analysed the costs of a consecutive series of sixty patient episodes treated at the Bone Infection Unit in Oxford from 2012 to 2015...
2018: Journal of Bone and Joint Infection
Ashvini K Reddy, Gregory W Bounds, Sophie J Bakri, Lynn K Gordon, Justine R Smith, Julia A Haller, Audina M Berrocal, Jennifer E Thorne
Importance: The number of women in ophthalmology is rising. Little is known about their clinical activity and collections. Objective: To examine whether charges, as reflected in reimbursements from the Centers for Medicare & Medicaid Services (CMS) to ophthalmologists, differ by sex and how disparity relates to differences in clinical activity. Design, Setting, and Participants: Retrospective review of the CMS database for payments to ophthalmologists from January 1, 2012, through December 31, 2013...
March 1, 2017: JAMA Ophthalmology
Jean Spinks, John Jackson, Carl M Kirkpatrick, Amanda J Wheeler
Pharmacy workforce planning has been relatively static for many decades. However, like all industries, health care is exposed to potentially disruptive technological changes. Automated dispensing systems have been available to pharmacy for over a decade and have been applied to a range of repetitive technical processes which are at risk of error, including record keeping, item selection, labeling and dose packing. To date, most applications of this technology have been at the local level, such as hospital pharmacies or single-site community pharmacies...
May 14, 2016: Research in Social & Administrative Pharmacy: RSAP
A Kurniati, E Rosskam, M M Afzal, T B Suryowinoto, A G Mukti
OBJECTIVES: Indonesia faces critical challenges pertaining to human resources for health (HRH). These relate to HRH policy, planning, mismatch between production and demand, quality, renumeration, and mal-distribution. This paper provides a state of the art review of the existing conditions in Indonesia, innovations to tackle the problems, results of the innovations to date, and a picture of the on-going challenges that have yet to be met. STUDY DESIGN/METHODS: Reversing this crisis level shortage of HRH requires an inclusive approach to address the underlying challenges...
September 2015: Public Health
Rebecca Lorch, Jane Hocking, Rebecca Guy, Alaina Vaisey, Anna Wood, Basil Donovan, Christopher Fairley, Jane Gunn, John Kaldor, Meredith Temple-Smith
BACKGROUND: Chlamydia notifications continue to rise in young people in many countries and regular chlamydia testing is an important prevention strategy. Although there have been initiatives to increase testing in primary care, none have specifically investigated the role of practice nurses (PNs) in maximising testing rates. PNs have previously expressed a willingness to be involved, but noted lack of support from general practitioners (GPs) as a barrier. We sought GPs' attitudes and opinions on PNs taking an expanded role in chlamydia testing and partner notification...
2015: BMC Infectious Diseases
John Leung, Pilar Rioseco, Philip Munro
INTRODUCTION: The aim of this study was to determine the self-reported prevalence of stress, job satisfaction and burnout among radiation oncologists in Australia and New Zealand. A secondary aim was to determine the association between stress and satisfaction parameters with burnout. METHODS: An anonymous online survey was distributed to all radiation oncologists listed on Royal Australian and New Zealand College of Radiologists membership database. There were 37 Likert scale questions on stress, 17 Likert scale questions on job satisfaction and burnout assessed by the Maslach Burnout Inventory - Human Services Survey (MBI-HSS)...
February 2015: Journal of Medical Imaging and Radiation Oncology
Ernieda Hatah, Rhiannon Braund, Stephen Duffull, June Tordoff
BACKGROUND: In recent years, the pharmacy profession has moved towards more patient-oriented services. Some examples are medication review, screening and monitoring for disease, and prescribing. The new services are intended to be in close collaboration with general practitioners (GPs) yet little is known of how GPs in New Zealand perceive these new services. Objective To examine GPs' perceptions of pharmacists' new services. SETTING: Study was undertaken at GPs' practices in two localities in New Zealand...
April 2012: International Journal of Clinical Pharmacy
Hubert Kaszyński, Andrzej Cechnicki
AIM: The purpose of the study was to learn about the opinions of employers from small and medium sized enterprises regarding hiring mentally ill people and to identify barriers hindering such employment. METHOD: The study was carried out by the Public Opinion Research Center in 2007 on an all-Poland representative sample of 503 employers. A questionnaire entitled "Employers' opinions on hiring mentally ill people" was used to gather data. RESULTS: Few employers (6...
January 2011: Psychiatria Polska
M B Kagu, S G Ahmed, M A Bashir, M B Malah, A Usoro, I Gimba, Y Babakura, J Elisha
Appropriate donor selection in an important step in ensuring safe supply of blood and blood products. In this study deferral patterns of voluntary non-renumerated blood donors were determined at the North-Eastern Zonal Centre of the National Blood Transfusion service. The study was conducted between April 2007 and April 2009, and it involved the administration of a structured questionnaire. A total of 4032 voluntary blood donors were recruited, seven hundred and thirteen (17.7%) were temporarily deferred. The commonest reasons for deferral were low haemoglobin, self-deferral, high blood pressure, low weight and high risk behaviour...
June 2010: African Journal of Medicine and Medical Sciences
P Horák
Since 2002, we found relatively stable number of diabetes mellitus cases among clients of General Health Insurance Company of the Czech Republic. This means, after calculating incidence rate with respect to decline in total numbers of insured during the same period, a 6% increase in real incidence rate. On the doctors side, outpatient, mostly private diabetologists have about the same capacity of their offices, 2.9 physicians (WTE)/100 000 citizens over the last years. Analysis of costs and volume of services provided, clearly demonstrate, that diabetology is medical specialization of a great importance not only from the point of view of number of patients and services provided but also of its influence on the overall health care costs...
April 2009: Vnitr̆ní Lékar̆ství
Roman Machens
No abstract text is available yet for this article.
May 31, 2007: MMW Fortschritte der Medizin
Bassey E Antia, Fankep D A Bertin
Nigeria has a healthcare system that has been described as defective even by its managers. A year 2000 study by the World Health Organization (WHO) of health systems in 191 member countries ranked Nigeria 187th. These several evaluations consistently point to inadequate managerial skills. Regrettably, very little is known of the import of language and communication as management issues in healthcare delivery in this country of 400 languages. This article therefore proposes a language-driven audit of health management in Borno State (northeast Nigeria) as a means of sensitizing policy makers and implementers...
2004: Communication & Medicine
Aqleem A Sheikh, Azeem S Sheikh, Nadeem S Sheikh, Rafi U Shan, M Tariq Malik, Farhan Afridi
BACKGROUND: This study was carried out to determine the frequency of false-positive results during serological screening for the presence of antibodies against HIV-I/2 in blood banks. METHODS: A cross-sectional study was conducted from January-December 1999 as screening of voluntary non-renumerated blood donor pool for HIV in the public sector blood banks, in all the six divisions of Balochistan. 5000 subjects were screened for the presence of antibodies against HIV-I/ 2...
January 2006: JPMA. the Journal of the Pakistan Medical Association
Bharat Singh, Monika Verma, Mrinalini Kotru, Karttikaye Verma, Madhu Batra
Blood transfusion has been the transmission mechanism in 15 per cent of total patients infected with human immunodeficiency virus (HIV). A few reports are available regarding the trend of HIV seropositivity in northern India. Prevalence of VDRL (venereal disease research laboratory) reactivity varies from 0.8-15 per cent in blood donors. We present data on the prevalence and trends of infection with HIV 1 and 2 and VDRL reactivity in blood donors in Delhi. Between 2000-2002, a total of 76089 (voluntary and replacement) donors were screened...
September 2005: Indian Journal of Medical Research
Eduardo Illanes, Luis Bustos, Ximena Lagos, Nancy Navarro, Sergio Muñoz
BACKGROUND: Depression is an important mental health problem. The Chilean Ministry of Health has considered depression in women as one of the health priorities for the country. AIM: To assess the prevalence of depressive and somatic symptoms and their risk factors in climacteric women. MATERIAL AND METHODS: A special questionnaire was applied to 171 women (45 to 55 years of age), coming from a community organization (PRODEMU) and a private health institution (ISAPRE Banmedica)...
August 2002: Revista Médica de Chile
Eduardo Ortigosa Corona, Patricia Yolanda Padilla Jasso, Rocío López Ortíz
This presents the results of a descriptive, transverse study of 95 mothers of pregnant adolescents users of the Instituto Nacional de Perinatología who were applied an interview to know formally their educational necessities in that situation, since, in spite of its good faith or intention, their advice, actions or the necessary information can be insufficient or inadequate. Programs to guide the parents during the pregnancy of their daughters are practically nonexistent. The purpose of the study is to have information to design an educational strategy that contributes to strengthen the psychosocial net of support for the pregnant adolescents...
January 2002: Ginecología y Obstetricia de México
N R Anthonisen, N Dik, J Manfreda, L L Roos
BACKGROUND: Spirometry, the measurement of forced expiratory volume in 1 s and forced vital capacity, is recommended in the diagnosis and management of the obstructive lung diseases asthma and chronic obstructive pulmonary disease (COPD). The present report describes spirometry use in Manitoba and tests the hypothesis that regional spirometry use correlates with the prevalence of physician-diagnosed obstructive lung diseases. METHODS: Spirometry is renumerated on a fee-for-service basis by Manitoba Health...
November 2001: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
A Figueiras, F Tato, J Fontaiñas, B Takkouche, J J Gestal-Otero
At the time a new drug is placed on the market, information on its therapeutic effect and toxicity is limited. Because of its simplicity and widespread use, the voluntary reporting by clinical physicians is the main method for detecting rare or unexpected adverse drug events (ADEs). However, the usefulness of this method may be compromised if the reporting rate is low. We present the results of a questionnaire-based case-control study carried out among 692 physicians from Galicia (north-west region of Spain), in which we assessed their attitudes and opinions towards ADEs...
November 2001: Journal of Evaluation in Clinical Practice
K K Leitch, P M Walker
HYPOTHESIS: Financial incentives are the only form of compensation that will motivate surgeons at an academic health sciences center to perform the tasks outlined in the hospital's mission statement. DESIGN: A questionnaire divided into 5 sections: demographics, compensation, time allocation, benefits and incentives, and motivational factors. SETTING: The Department of Surgery, The Toronto Hospital, Toronto, Ontario. PARTICIPANTS: All academic surgeons (N=64) practicing at The Toronto Hospital in July 1997...
June 2000: Archives of Surgery
J P Sturmberg
No abstract text is available yet for this article.
July 1999: Australian Family Physician
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