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https://www.readbyqxmd.com/read/27914487/factors-affecting-job-satisfaction-of-aboriginal-mental-health-workers-working-in-community-mental-health-in-rural-and-remote-new-south-wales
#1
Catherine Cosgrave, Myfanwy Maple, Rafat Hussain
Objective The aim of the present study was to identify factors affecting the job satisfaction and subsequent retention of Aboriginal mental health workers (AMHWs).Methods Five AMHWs working in New South Wales (NSW) for NSW Health in rural and remote community mental health (CMH) services participated in in-depth, semi-structured interviews to understand how employment and rural living factors affected workers' decisions to stay or leave their CMH positions.Results Using a constructivist grounded theory analysis, three aspects negatively impacting the job satisfaction of AMHWs were identified: (1) difficulties being accepted into the team and organisation; (2) culturally specific work challenges; and (3) professional differences and inequality...
December 5, 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/27906041/implementation-of-the-better-2-program-a-qualitative-study-exploring-barriers-and-facilitators-of-a-novel-way-to-improve-chronic-disease-prevention-and-screening-in-primary-care
#2
Nicolette Sopcak, Carolina Aguilar, Mary Ann O'Brien, Candace Nykiforuk, Kris Aubrey-Bassler, Richard Cullen, Eva Grunfeld, Donna Patricia Manca
BACKGROUND: BETTER (Building on Existing Tools to Improve Chronic Disease Prevention and Screening in Primary Care) is a patient-based intervention to improve chronic disease prevention and screening (CDPS) for cardiovascular disease, diabetes, cancer, and associated lifestyle factors in patients aged 40 to 65. The key component of BETTER is a prevention practitioner (PP), a health care professional with specialized skills in CDPS who meets with patients to develop a personalized prevention prescription, using the BETTER toolkit and Brief Action Planning...
December 1, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27900394/-establishing-ward-independent-intensive-treatment-concept-in-a%C3%A2-psychiatric-hospital-a%C3%A2-model-project-within-the-new-german-remuneration-system
#3
M Noeker, G Juckel
Model projects according to § 64b of the Social Code V in the context of the new remuneration system in psychiatry and psychosomatics, offer great possibilities to improve the treatment of people with mental illnesses. This article presents the model project of the University Hospital Bochum, which is essentially characterized by improved transition through the internal hospital sections so that patients can be quickly transferred from inpatient and daycare sections to high frequency outpatient sections with ward-independent therapies (SUL), including outreach home treatment...
November 29, 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27893954/does-primary-care-model-effect-healthcare-at-the-end-of-life-a-population-based-retrospective-cohort-study
#4
Michelle Howard, Mathieu Chalifoux, Peter Tanuseputro
BACKGROUND: Comprehensive primary care may enhance patient experience at end of life. OBJECTIVE: To examine whether belonging to different models of primary care is associated with end-of-life healthcare use and outcomes. DESIGN: Retrospective population cohort study, using health administrative databases to describe health services and costs in the last six months of life across three primary care models: enrolled to a physician remunerated mainly by capitation, with incentives for comprehensive care and access in some to allied health practitioners (Capitation); remunerated mainly from fee-for-service (FFS) with smaller incentives for comprehensive care (Enhanced FFS); and not enrolled, seeing physicians remunerated solely through FFS (Traditional FFS)...
November 28, 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27891628/power-empowerment-and-person-centred-care-using-ethnography-to-examine-the-everyday-practice-of-unregistered-dementia-care-staff
#5
Kezia Scales, Simon Bailey, Joanne Middleton, Justine Schneider
The social positioning and treatment of persons with dementia reflects dominant biomedical discourses of progressive and inevitable loss of insight, capacity, and personality. Proponents of person-centred care, by contrast, suggest that such loss can be mitigated within environments that preserve rather than undermine personhood. In formal organisational settings, person-centred approaches place particular responsibility on 'empowered' direct-care staff to translate these principles into practice. These staff provide the majority of hands-on care, but with limited training, recognition, or remuneration...
November 28, 2016: Sociology of Health & Illness
https://www.readbyqxmd.com/read/27882629/average-cost-pricing-and-dynamic-selection-incentives-in-the-hospital-sector
#6
Mathias Kifmann, Luigi Siciliani
This study investigates dynamic incentives to select patients for hospitals that are remunerated according to a prospective payment system of the diagnosis-related group (DRG) type. Using a model with patients differing in severity within a DRG, we show that price dynamics depend on the extent of hospital altruism and the relation between patients' severity and benefit. Upwards and downwards price movements over time are both possible. In a steady state, DRG prices are unlikely to give optimal incentives to treat patients...
November 24, 2016: Health Economics
https://www.readbyqxmd.com/read/27881250/opportunistic-risk-screening-for-type-2-diabetes-exploring-of-application-of-diabetes-risk-assessment-tool-in-community-pharmacy-in-australia-and-thailand
#7
Thitaporn Thoopputra, Tipaporn Pongmesa, David Andrew Newby, Jennifer Schneider, Shu Chuen Li
OBJECTIVE: To evaluate the feasibility of providing diabetes risk assessment at community pharmacy level in Australia and Thailand from organizational aspects. METHODS: The intervention study was conducted in eight community pharmacies in New South Wales, Australia, and six community pharmacies in Central Thailand. Diabetes risk assessment tools were applied to determine the risk of developing type 2 diabetes. An open-ended question was asked to solicit the willingness-to-pay value for the service...
May 2016: Value in Health Regional Issues
https://www.readbyqxmd.com/read/27881054/transition-of-care-for-patients-with-diabetes
#8
Patricia Garnica
BACKGROUND: Diabetes is a common chronic condition among adults that can complicate the transition from the hospital to the community. Hospital readmission is an important contributor to total medical expenditures and is an emerging indicator of quality of care. Failure to acknowledge diabetes transition of care is associated with increased emergency department visits and 30-day readmissions. METHODS: Literature review of transition of care models, sample tools and processes are presented...
November 22, 2016: Current Diabetes Reviews
https://www.readbyqxmd.com/read/27870675/comanagement-and-gainsharing-opportunities-for-independent-physicians
#9
Chris McBride, Peter L Althausen
Gainsharing and comanagament programs are both successful means of achieving physician buy-in for all cost containment programs in Orthopaedic Trauma. Under comanagement agreements, physicians are reimbursed for their time and intellectual efforts in program and algorithm creation. The cost is minimal for the hospital in return for the millions of dollars in savings they achieve. Gainsharing models can incentivize physicians to quickly adopt cost-effective implant choices, care plans, and program development...
December 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27869882/-assessment-of-geriatric-patients-care-needs-based-on-sosia-classification-the-reality-of-the-lombardy-region-in-nursing-home
#10
Mariangela Vanalli
The increased demand to care that originates from demographic changes called in Italy a rapid development in Nursing Home with particular emergency the problem of programme the welfare response. It is essential the development of a classification system able to describe the stratification of the case mix on the basis of the care requirements, allowing a remuneration in function of the complexity care. Since 2003, the Lombardy region has introduced a case-mix reimbursement system for nursing homes based on the SOSIA form which classifies residents into eight classes of frailty...
November 2016: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/27829858/pay-for-performance-remuneration-for-pharmacist-prescribers-management-of-hypertension-a-substudy-of-the-rxaction-trial
#11
Sherilyn K D Houle, Theresa L Charrois, Finlay A McAlister, Michael R Kolber, Meagen M Rosenthal, Richard Lewanczuk, Norman R C Campbell, Ross T Tsuyuki
BACKGROUND: To be sustainable, pharmacists providing direct patient care must receive appropriate payment for these services. This prespecified substudy of the RxACTION trial (a randomized trial of pharmacist prescribing vs usual care in patients with above-target blood pressure [BP]) aimed to determine if BP reduction achieved differed between patients whose pharmacist was paid by pay-for-performance (P4P) vs fee-for-service (FFS). METHODS: Within RxACTION, patients with elevated BP assigned to the pharmacist prescribing group were further randomized to P4P or FFS payment for the pharmacist...
November 2016: Canadian Pharmacists Journal: CPJ, Revue des Pharmaciens du Canada: RPC
https://www.readbyqxmd.com/read/27826627/-complications-and-costs-in-primary-knee-replacement-surgery-in-an-endoprosthetics-centre-influence-of-state-of-training
#12
C Windisch, S Brodt, E Röhner, G Matziolis
BACKGROUND: This work examines the hypothesis that in endoprosthesis implantation there are differences between experienced primary and senior caregivers (S-Op) and less experienced follow-up assistants (T-Op) with respect to process-relevant parameters. The main hypothesis is that compared to S‑Op, T‑Op cause significantly longer surgery times and thus additional operating theatre costs. As sub-hypotheses, differences in various perioperative (p-o) parameters between T‑Op and S‑Op were examined...
November 8, 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27811899/are-diet-diaries-of-value-in-recording-dietary-intake-of-sugars-a-retrospective-analysis-of-completion-rates-and-information-quality
#13
A Arheiam, S Albadri, S Brown, G Burnside, S Higham, R Harris
Objectives Current guidance recommends that dental practitioners should routinely give dietary advice to patients, with diet diaries as a tool to help diet assessment. We explored patients' compliance with diet-diaries usage in a paediatric clinic within a teaching hospital setting, where remuneration is not an issue. Objectives were to investigate associated factors affecting diet diaries return rate and the information obtained from returned diaries.Methods A retrospective study of 200 randomly selected clinical records of children aged 5-11 years who had received diet analysis and advice as part of a preventive dental care programme at a dental teaching hospital between 2010 and 2013...
November 4, 2016: British Dental Journal
https://www.readbyqxmd.com/read/27807881/payment-systems-and-incentives-in-dentistry
#14
Jostein Grytten
In this commentary, we discuss the advantages and disadvantages of the following incentive-based remuneration systems in dentistry: fee-for-service remuneration, per capita remuneration, a mixed payment system (a combination of fee-for-service remuneration and per capita remuneration) and pay-for-performance. The two latter schemes are fairly new in dentistry. Fee-for-service payments secure high quality, but lead to increased costs, probably due to supplier-induced demand. Per capita payments secure effectiveness, but may lead to under-treatment and patient selection...
November 3, 2016: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/27806455/outcomes-of-intrauterine-device-insertion-training-for-doctors-working-in-primary-care
#15
Mary Stewart, Erol Digiusto, Deborah Bateson, Rebecca South, Kirsten I Black
BACKGROUND: Intrauterine devices (IUDs) are underused in Australia despite being one of the most effective, reversible methods of contraception. OBJECTIVE: The objective of this article is to report on the outcomes of a competency-based IUD training program by Family Planning NSW for general practitioners (GPs). METHODS: Pre-training and post-training questionnaires were used for a 12-month cohort study of GPs who undertook IUD insertion training...
November 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27799406/alcohol-consumption-in-the-australian-coal-mining-industry
#16
Ross J Tynan, Robyn Considine, John Wiggers, Terry J Lewin, Carole James, Kerry Inder, Frances Kay-Lambkin, Amanda L Baker, Jaelea Skehan, David Perkins, Brian J Kelly
OBJECTIVES: To investigate patterns of alcohol use within the coal mining industry, and associations with the personal, social, workplace and employment characteristics. DESIGN: 8 mine sites across 3 eastern Australian states were surveyed, selected to encompass key geographic characteristics (accessibility and remoteness) and mine type (open cut and underground). Problematic alcohol use was measured using the Alcohol Use Disorders Identification Test (AUDIT) to determine: (1) overall risky or hazardous drinking behaviour; and (2) frequency of single-occasion drinking (6 or more drinks on 1 occasion)...
October 31, 2016: Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/27783313/the-status-of-the-performance-of-medication-reviews-in-german-community-pharmacies-and-assessment-of-the-practical-performance
#17
Claudia Greißing, Katharina Kössler, Johanna Freyer, Lucie Hüter, Peter Buchal, Susanne Schiek, Thilo Bertsche
Background Pharmacist-led medication reviews have shown to prevent drug-related problems (DRPs). So far, data is rare about the implementation in routine care, the conditions for intensifying this service and the practical skills of community pharmacists to perform medication reviews. Objective To assess the current status of medication review implementation in German community pharmacies and the performance of identifying DRPs in a ficticious patient example. Setting German community pharmacies. Method An online survey was conducted from July to September 2015 including questions about medication reviews currently performed in routine care of community pharmacies and hidden DRPs in a ficticious patient example...
October 25, 2016: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/27779281/policy-options-for-increasing-the-supply-of-transplantable-kidneys-in-singapore
#18
Jia Loon Chong
Kidney transplantation is the preferred treatment for eligible end-stage renal disease patients. However, the supply of donated kidneys has been consistently insufficient to meet the transplantation requirements of the population. In this paper, I discuss the feasibility of several policy options that engage potential donors or key individuals in a Singapore context, including financial and non-financial incentives for deceased/living organ donors and their families, improving actualisation rates of both donation after brain death, donation after cardiac death through quality improvement programmes and remuneration schemes, and a media platform for directed organ donation...
October 2016: Singapore Medical Journal
https://www.readbyqxmd.com/read/27752725/-the-new-treatment-procedure-of-the-german-statutory-accident-insurance-from-the-perspective-of-a-community-hospital
#19
F Bonnaire, M Goepel, P Bula
The requirements of the German statutory accident insurance (DGUV) for the new treatment procedure were presented on 1 January 2013 in a new catalogue. The implementation of the certification of hospitals for the very severe injury procedure (SAV) by the DGUV should have been completed by 2014. These requirements placed high demands on trauma-oriented hospitals because of the high structural and personnel prerequisites. The background to the new organization was the wish of the DGUV for quality improvement in patient treatment in hospitals for patients with very severe occupational and occupation-related trauma by placement in qualified centers with high case numbers...
October 17, 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27734788/transforming-regions-into-high-performing-health-systems-toward-the-triple-aim-of-better-health-better-care-and-better-value-for-canadians
#20
Yves Bergevin, Bettina Habib, Keesa Elicksen-Jensen, Stephen Samis, Jean Rochon, Jean-Louis Denis, Denis Roy
A study on the impact of regionalization on the Triple Aim of Better Health, Better Care and Better Value across Canada in 2015 identified major findings including: (a) with regard to the Triple Aim, the Canadian situation is better than before but variable and partial, and Canada continues to underperform compared with other industrialized countries, especially in primary healthcare where it matters most; (b) provinces are converging toward a two-level health system (provincial/regional); (c) optimal size of regions is probably around 350,000-500,000 population; d) citizen and physician engagement remains weak...
2016: HealthcarePapers
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