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https://www.readbyqxmd.com/read/28290645/preventive-health-care-for-women-who-have-sex-with-women
#1
Daniel A Knight, Diane Jarrett
Despite recent shifts in societal attitudes toward same-sex relationships, women who have sex with women face a variety of barriers to optimal health, including a history of negatively perceived interactions in clinical settings that lead them to delay or avoid health care. Women who have sex with women may be at disproportionate risk of obesity, tobacco use, substance use, mental health issues, intimate partner violence, sexually transmitted infections, and some cancers. Disparities can exist throughout the lifetime...
March 1, 2017: American Family Physician
https://www.readbyqxmd.com/read/28152808/ambulatory-redesign-strategies-for-quality-improvement-in-patient-care
#2
Catherine A Lyons, Nancy Smith, Maureen McGlennon, Terri L Parker, Carolyn Truini, Maureen Major-Campos, Jill Lacy, Karen Michaels, Vanna Dest, Richard Lisitano, Kerin B Adelson, Rogerio Lilenbaum
85 Background: Growing outpatient volume poses patient flow challenges, making it difficult to accommodate the complexities of academic medical practice. Volume increases create operational inefficiencies like delays in lab turnaround time (TAT) and limited rooming capacity resulting in delays in patient access and reduced provider productivity. These bottlenecks negatively impact patient satisfaction. METHODS: Four multidisciplinary teams assessed barriers to patient flow in the lab, rooming and scheduling process...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28125369/payer-perspectives-on-patient-reported-outcomes-in-health-care-decision-making-oncology-examples
#3
Andrew P Brogan, Carla DeMuro, Amy M Barrett, Denise D'Alessio, Vasudha Bal, Susan L Hogue
BACKGROUND: Health authorities and payers increasingly recognize the importance of patient perspectives and patient-reported outcomes (PROs) in health care decision making. However, given the broad variety of PRO endpoints included in clinical programs and variations in the timing of PRO data collection and country-specific needs, the role of PRO data in reimbursement decisions requires characterization. OBJECTIVES: To (a) determine the effect of PRO data on market access and reimbursement decisions for oncology products in multiple markets and (b) assess the effect of PRO data collected after clinical progression on payer decision making...
February 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28122848/developing-a-patient-and-family-research-advisory-panel-to-include-people-with-significant-disease-multimorbidity-and-advanced-age
#4
Laura B Portalupi, Carmen L Lewis, Carl D Miller, Kerry L Whiteman-Jones, Kay A Sather, Donald E Nease, Daniel D Matlock
BACKGROUND: People who have experienced illness due to significant disease, multimorbidity and/or advanced age are high utilizers of the health care system. Yet this population has had little formal opportunity to participate in guiding the health care research agenda, and few mechanisms exist for researchers to engage this population in an efficient way. OBJECTIVE: We describe the process of developing a standing patient and family advisory panel to incorporate this population's voice into research in the USA...
January 24, 2017: Family Practice
https://www.readbyqxmd.com/read/28031936/diabesity-management-worldwide
#5
Chinnadorai Rajeswaran
Francesca Lake, Managing Editor, speaks to Chinnadorai Rajeswaran. Dr Rajeswaran is a consultant physician (Diabetes & Endocrinology) at Mid Yorkshire NHS Trust. He gained specialist training in Leeds, in diabetes and endocrinology. He has a special interest in obesity and is involved in research in obesity and diabetes. He also has a number of publications, book chapters and presentations to his credit. He along with other co-authors has published a book on weight loss surgery, titled: "The Ultimate Guide to Weight Loss Surgery...
March 2016: Future Science OA
https://www.readbyqxmd.com/read/28001436/teaching-resident-self-assessment-through-triangulation-of-faculty-and-patient-feedback
#6
Drew M Keister, Susan E Hansen, Julie Dostal
PROBLEM: To accurately determine one's ability in any clinical competency, an individual must be able to self-assess performance and identify personal limitations. Existing research demonstrates that physicians of all levels are unreliable self-assessors. This poses a concern in medical practice, which requires continuous updates to clinical competencies and awareness of personal limitations. Few published studies examine graduate medical education curricula designed to develop self-assessment skills...
December 21, 2016: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/27965354/complementary-and-alternative-medicine-do-physicians-believe-they-can-meet-the-requirements-of-the-coll%C3%A3-ge-des-m%C3%A3-decins-du-qu%C3%A3-bec
#7
Isabelle Gaboury, Noémie Johnson, Christine Robin, Mireille Luc, Daniel O'Connor, Johane Patenaude, Luce Pélissier-Simard, Marianne Xhignesse
OBJECTIVE: To determine whether medical training prepares FPs to meet the requirements of the Collège des médecins du Québec for their role in advising patients on the use of complementary and alternative medicine (CAM). DESIGN: Secondary analysis of survey results. SETTING: Quebec. PARTICIPANTS: Family physicians and GPs in active practice. MAIN OUTCOME MEASURES: Perceptions of the role of the physician as an advisor on CAM; level of comfort responding to questions and advising patients on CAM; frequency with which patients ask their physicians about CAM; personal position on CAM; and desire for training on CAM...
December 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/27797347/medical-student-journals-teaching-the-peer-review-process-and-promoting-academic-mentorship
#8
Nadine M Kaskas, David H Ballard, Jeffery A Weisman, John A Vanchiere
Early exposure to research and longitudinal academic mentorship encourages medical student interest in academic careers and postgraduate research productivity. There are various ways for students to gain exposure to research in medical school; however, there are very few opportunities for medical students to participate in the peer-review process as a reviewer or editor for an academic journal. One potential method to supply such educational experiences is the creation of scientific journals specifically for medical students...
September 2016: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/27697807/how-to-succeed-as-a-junior-doctor
#9
Michael Azad
The Royal College of Physicians (RCP) organised an inaugural 1-day conference, the aim of which was to look into some of the key issues that junior doctors need to address when beginning their careers. The target audience was medical students but a few foundation doctors were also in attendance. The conference also helped to increase RCP engagement with medical students and foundation doctors. The day was co-chaired by Professor Kate Thomas (vice dean, University of Birmingham) and Dr Andrew Macleod and Dr Kanwaljit Sandhu (RCP regional advisors for the West Midlands)...
October 2016: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/27650687/royal-australian-and-new-zealand-college-of-psychiatrists-clinical-practice-guideline-for-the-management-of-deliberate-self-harm
#10
Gregory Carter, Andrew Page, Matthew Large, Sarah Hetrick, Allison Joy Milner, Nick Bendit, Carla Walton, Brian Draper, Philip Hazell, Sarah Fortune, Jane Burns, George Patton, Mark Lawrence, Lawrence Dadd, Jo Robinson, Helen Christensen
OBJECTIVE: To provide guidance for the organisation and delivery of clinical services and the clinical management of patients who deliberately self-harm, based on scientific evidence supplemented by expert clinical consensus and expressed as recommendations. METHOD: Articles and information were sourced from search engines including PubMed, EMBASE, MEDLINE and PsycINFO for several systematic reviews, which were supplemented by literature known to the deliberate self-harm working group, and from published systematic reviews and guidelines for deliberate self-harm...
October 2016: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/27626185/registered-nurses-work-with-sick-leave-questions-by-telephone-in-primary-health-care
#11
Linda Lännerström, Anna-Sophia von Celsing, Inger K Holmström, Thorne Wallman
AIMS AND OBJECTIVES: To describe registered nurses' work with sick leave questions by telephone. BACKGROUND: In Sweden, when a sick person needs to request a sickness certification, it is common to contact the primary healthcare centre. The main access to primary health care is by telephone, with a registered nurse answering the care seeker's questions, triaging and helping care seekers to the right level of care. Registered nurses' work with sick leave questions has not been studied, except for two qualitative interview studies...
March 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27352378/promoting-patient-and-family-partnerships-in-ambulatory-care-improvement-a-narrative-review-and-focus-group-findings
#12
Karin E Johnson, Tracy M Mroz, Marie Abraham, Marlaine Figueroa Gray, Mary Minniti, Wendy Nickel, Robert Reid, Jennifer Sweeney, Dominick L Frosch, Debra L Ness, Clarissa Hsu
INTRODUCTION: Ambulatory practices that actively partner with patients and families in quality improvement (QI) report benefits such as better patient/family interactions with physicians and staff, and patient empowerment. However, creating effective patient/family partnerships for ambulatory care improvement is not yet routine. The objective of this paper is to provide practices with concrete evidence about meaningfully involving patients and families in QI activities. METHODS: Review of literature published from 2000-2015 and a focus group conducted in 2014 with practice advisors...
August 2016: Advances in Therapy
https://www.readbyqxmd.com/read/27325783/effect-of-physician-disclosure-of-specialty-bias-on-patient-trust-and-treatment-choice
#13
Sunita Sah, Angela Fagerlin, Peter Ubel
This paper explores the impact of disclosures of bias on advisees. Disclosure-informing advisees of a potential bias-is a popular solution for managing conflicts of interest. Prior research has focused almost exclusively on disclosures of financial conflicts of interest but little is known about how disclosures of other types of biases could impact advisees. In medicine, for example, physicians often recommend the treatment they specialize in; e.g., surgeons are more likely to recommend surgery than nonsurgeons...
July 5, 2016: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/27323508/when-questions-arise-physician-advisors-are-there-with-the-answers
#14
(no author information available yet)
DCH Health System's seven part-time physician advisors perform a variety of tasks to help ensure that the hospitals are appropriately reimbursed and that patients move smoothly through the continuum of care. They work with care managers on patient status and also assist with documentation, writing medical necessity appeals, resource utilization, and patient throughput. They attend daily transition rounds with the nurses, care managers, and social workers, and participate in weekly long-stay rounds and capacity rounds in the ICU and acute cardiac care...
June 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27323507/who-makes-a-good-physician-advisor-and-what-can-they-do-for-you
#15
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27323506/make-your-physician-advisor-your-closest-ally
#16
(no author information available yet)
As the pressure increases for case managers to help ensure that hospitals comply with payer requirements and get paid appropriately, physician advisors can be a valuable ally. Physician advisors have clinical expertise as well as credibility with the physician staff, which gives them an advantage when it comes to educating physicians about patient status, documentation needs, patient throughput, and transitions in care. Case managers and their physician advisors should work together to ensure that everything in the patient record is correct up front so the hospital will avoid costly appeals when the claim is denied...
June 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27231793/cost-effectiveness-of-ivermectin-1-cream-in-adults-with-papulopustular-rosacea-in-the-united-states
#17
Alain Taieb, Linda Stein Gold, Steven R Feldman, Viktor Dansk, Evelina Bertranou
BACKGROUND: Papulopustular rosacea is a chronic skin disease involving central facial erythema in combination with papules and pustules. Papulopustular rosacea is treated with topical, systemic, or a combination of topical and systemic therapies. Currently approved topical therapies include azelaic acid gel/cream/foam twice daily (BID) and metronidazole cream/gel/lotion BID. Ivermectin 1% cream once daily (QD) is a new topical agent for the treatment of papulopustular rosacea that has been approved for the management of inflammatory lesions of rosacea and offers an alternative to current treatments...
June 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27159094/balancing-the-roles-of-a-family-medicine-residency-faculty-a-grounded-theory-study
#18
Randall Reitz, Laura Sudano, Anne Siler, Kristopher Trimble
BACKGROUND AND OBJECTIVES: Great variety exists in the roles that family medicine residency faculty fill in the lives of their residents. A family medicine-specific model has never been created to describe and promote effective training relationships. This research aims to create a consensus model for faculty development, ethics education, and policy creation. METHODS: Using a modified grounded theory methods, researchers conducted phone interviews with 22 key informants from US family medicine residencies...
2016: Family Medicine
https://www.readbyqxmd.com/read/27032173/utilization-review-process-calls-for-assessing-patients-at-every-point-of-entry
#19
(no author information available yet)
Dartmouth-Hitchcock Medical Center in Lebanon, NH, reviews patients at every point of access to get their status right up front. Case managers cover the emergency department, utilization review nurse review surgical patients, and physician advisors are on call to the transfer center. Observation patients are placed in a clinical decision unit next to the emergency department; surgical patients who need a longer-than-normal recovery period are monitored in a short-stay unit. The electronic medical record allows clinicians to see what the other disciplines are doing in real time...
April 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27028031/a-multidisciplinary-housestaff-led-initiative-to-safely-reduce-daily-laboratory-testing
#20
Wade Iams, Josh Heck, Meghan Kapp, David Leverenz, Michael Vella, Eszter Szentirmai, Irene Valerio-Navarrete, Cecelia Theobald, Kathryn Goggins, Kevin Flemmons, Kelly Sponsler, Cody Penrod, Patricia Kleinholz, Donald Brady, Sunil Kripalani
PURPOSE: Provision of high-value care is a milestone in physician training. The authors evaluated the effect of a housestaff-led initiative on laboratory testing rates. METHOD: Vanderbilt University Medical Center's Choosing Wisely steering committee, led by housestaff with faculty advisors, sought to reduce unnecessary daily basic metabolic panel (BMP) and complete blood count (CBC) testing on inpatient general medicine and surgical services. Intervention services received a didactic session followed by regular data feedback with goal rates and peer comparison...
June 2016: Academic Medicine: Journal of the Association of American Medical Colleges
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