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https://www.readbyqxmd.com/read/28936133/migrants-decision-process-shaping-work-destination-choice-the-case-of-long-term-care-work-in-the-united-kingdom-and-norway
#1
Karen Christensen, Shereen Hussein, Mohamed Ismail
Escalating demands for formal long-term care (LTC) result in the reliance on migrant workers in many developed countries. Within Europe, this is currently framed by progressive European immigration policies favouring inter-European mobility. Using the UK and Norway as case studies, this article has two main aims: (1) to document changes in the contribution of European Union (EU) migrants to the LTC sectors in Western Europe, and (2) to gain further understanding of migrants' decision-processes relating to destination and work choices...
September 2017: European Journal of Ageing
https://www.readbyqxmd.com/read/28933936/value-of-public-health-funding-in-preventing-hospital-bloodstream-infections-in-the-united-states
#2
Melanie D Whittington, Cathy J Bradley, Adam J Atherly, Jonathan D Campbell, Richard C Lindrooth
OBJECTIVES: To estimate the association of 1 activity of the Prevention and Public Health Fund with hospital bloodstream infections and calculate the return on investment (ROI). METHODS: The activity was funded for 1 year (2013). A difference-in-differences specification evaluated hospital standardized infection ratios (SIRs) before funding allocation (years 2011 and 2012) and after funding allocation (years 2013 and 2014) in the 15 US states that received the funding compared with hospital SIRs in states that did not receive the funding...
September 21, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28931167/the-cost-effectiveness-and-return-on-investment-of-a-combined-social-and-physical-environmental-intervention-in-office-employees
#3
J M van Dongen, J K Coffeng, M F van Wier, C R L Boot, I J M Hendriksen, W van Mechelen, P M Bongers, A J van der Beek, J E Bosmans, M W van Tulder
This study explored the cost-effectiveness and return-on-investment of a combined social and physical environmental worksite health promotion program compared with usual practice, and of both intervention conditions separately. Participants were randomized to the combined intervention (n = 92), social environmental intervention (n = 118), physical environmental intervention (n = 96), or control group (n = 106). The social environmental intervention consisted of group motivational interviewing and the physical environmental intervention of workplace modifications...
October 1, 2017: Health Education Research
https://www.readbyqxmd.com/read/28929886/water-recycling-at-the-nova-scotia-hospital-central-laundry
#4
David Bligh, Dylan Dingwell
A water recycling system was installed at the Nova Scotia Hospital Central Laundry in Dartmouth, Nova Scotia in the spring of 2014. The consequent reductions in the consumption of water and steam at this facility have been measured over a 20-month period and are presented here in nominal units and as a financial analysis. Cumulative savings over this period have been calculated to be $351,567, representing a 53% annual return on investment after accounting for annual operating and maintenance costs.
March 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28923810/an-innovative-community-based-model-for-improving-preventive-care-in-rural-counties
#5
Zsolt J Nagykaldi, Dewey Scheid, Daniel Zhao, Bhawani Mishra, Tracy Greever-Rice
OBJECTIVE: This quasi-experimental pilot study aimed to implement and evaluate a sustainable, rural community-based patient outreach model for preventive care provided through primary care practices (PCPs) located in a rural county in Oklahoma. A Wellness Coordinator (WC) working with PCPs, the county health department, the county hospital, and a health information exchange (HIE) organization helped county residents receive evidence-based preventive services. METHODS: The WC used a community wellness registry connected to electronic medical records via HIE and called patients at the county level based on PCP-prioritized and tailored protocols...
September 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28905438/research-to-support-optimization-of-prescription-drug-monitoring-programs
#6
Sheri Doyle, Gillian Leichtling, Christi Hildebran, Cynthia Reilly
PURPOSE: Research is needed to evaluate the impact of prescription drug monitoring programs (PDMPs). This paper describes research priorities for PDMPs that were initially discussed at a 2015 meeting of PDMP administrators, researchers, public health officials, and other stakeholders. METHODS: Meeting participants defined the current landscape of PDMP research and identified research gaps. Research priorities were grouped by theme. RESULTS: Prescription drug monitoring program research priorities were identified for 3 key areas: individual patient health outcomes, prescriber use and decision making, and population-level outcomes...
September 14, 2017: Pharmacoepidemiology and Drug Safety
https://www.readbyqxmd.com/read/28898961/the-economic-impact-of-workplace-wellness-programmes-in-canada
#7
J C Jacobs, E Yaquian, S M Burke, M Rouse, G Zaric
Background: The economic benefits of workplace wellness programmes (WWPs) are commonly cited as a reason for employers to implement such programmes; however, there is limited evidence outside of the US context exploring their economic impact. US evidence is less relevant in countries such as Canada with universal publicly funded health systems because of the lower potential employer savings from WWPs. Aims: To conduct a systematic review of the Canadian literature investigating the economic impact of WWPs from an employer perspective...
August 1, 2017: Occupational Medicine
https://www.readbyqxmd.com/read/28892528/determinants-of-market-exclusivity-for-prescription-drugs-in-the-united-states
#8
Aaron S Kesselheim, Michael S Sinha, Jerry Avorn
The high prices of brand-name prescription drugs are a growing source of controversy in the United States. Manufacturers of brand-name drugs can command high prices because they are protected from generic competition by two types of government-granted monopoly rights. The first are patents on the drugs that generally define the basic period of brand-name-only sales. The second is awarded at the time of US Food and Drug Administration (FDA) approval and usually defines the minimum time until a generic can be sold...
September 11, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28885963/three-year-analysis-of-value-and-utilization-after-development-of-an-ultrasound-based-orthopedic-injection-clinic
#9
Chase Dukes, Thomas Melton, Eric Turner, Andrew Jackson, Jason Grassbaugh, John Slevin, Edward D Arrington, Josef K Eichinger
INTRODUCTION: Sonography is an effective method of diagnosing and treating musculoskeletal conditions, and the use of ultrasound has been shown to improve the accuracy, safety, and efficacy of both therapeutic and diagnostic injections. In 2012, we established an injection clinic at our institution to address our growing need for diagnostic and therapeutic injections. METHODS: We performed an analysis of value and utilization following the development of an orthopedic injection clinic...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28885446/implementing-a-health-system-wide-patient-blood-management-program-with-a-clinical-community-approach
#10
Steven M Frank, Rajiv N Thakkar, Stanley J Podlasek, K H Ken Lee, Tyler L Wintermeyer, Will W Yang, Jing Liu, Leo C Rotello, Thomas A Fleury, Pat A Wachter, Lisa E Ishii, Renee Demski, Peter J Pronovost, Paul M Ness
BACKGROUND: Patient blood management programs are gaining popularity as quality improvement and patient safety initiatives, but methods for implementing such programs across multihospital health systems are not well understood. Having recently incorporated a patient blood management program across our health system using a clinical community approach, we describe our methods and results. METHODS: We formed the Johns Hopkins Health System blood management clinical community to reduce transfusion overuse across five hospitals...
September 7, 2017: Anesthesiology
https://www.readbyqxmd.com/read/28879069/biking-practices-and-preferences-in-a-lower-income-primarily-minority-neighborhood-learning-what-residents-want
#11
Anne C Lusk, Albert Anastasio, Nicholas Shaffer, Juan Wu, Yanping Li
This paper examines if, in a lower-income minority neighborhood, bicycling practices and bicycle-environment preferences of Blacks and Hispanics were different from Whites. During the summer of 2014, surveys were mailed to 1537 households near a proposed cycle track on Malcolm X Boulevard in Roxbury, MA. On the Boulevard, intercept surveys were distributed to cyclists and observations noted about passing cyclist's characteristics. Data were analyzed from 252 returned-mailed surveys, 120 intercept surveys, and 709 bicyclists...
September 2017: Preventive Medicine Reports
https://www.readbyqxmd.com/read/28877933/upgrading-supply-chain-management-systems-to-improve-availability-of-medicines-in-tanzania-evaluation-of-performance-and-cost-effects
#12
Marasi Mwencha, James E Rosen, Cary Spisak, Noel Watson, Noela Kisoka, Happiness Mberesero
BACKGROUND: To address challenges in public health supply chain performance, Tanzania invested in a national logistics management unit (LMU) and a national electronic logistics management information system (eLMIS). This evaluation examined the impact of those 2 key management upgrades approximately 1 year after they were introduced. METHODS: We used a nonexperimental pre-post study design to compare the previous system with the upgraded management system. We collected baseline data from August to November 2013...
September 5, 2017: Global Health, Science and Practice
https://www.readbyqxmd.com/read/28876472/economic-evaluation-of-dental-sealants-a-systematic-literature-review
#13
Marvellous Akinlotan, Bradley Chen, Tiana M Fontanilla, Annie Chen, Victoria Y Fan
OBJECTIVES: To systematically review the literature on economic evaluations of dental sealants and examine the costs and effectiveness of caries prevention using sealants. METHODS: Of 21 full-text articles examined, a total of 13 were included in this study. These studies are grouped by the type of intervention as follows: (i) sealants compared with no sealants; (ii) sealants compared with other forms of caries prevention; (iii) resin-based sealants compared with glass-ionomer sealants; (iv) different sealing strategies in primary teeth; (v) different sealing strategies in permanent teeth; and (vi) sealants based on school- or clinic-based setting of delivery...
September 6, 2017: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/28872536/improved-safety-and-cost-savings-from-reductions-in-cast-saw-burns-after-simulation-based-education-for-orthopaedic-surgery-residents
#14
Donald S Bae, Hayley Lynch, Katherine Jamieson, C Winnie Yu-Moe, Christopher Roussin
BACKGROUND: The purpose of this investigation was to characterize the clinical efficacy and cost-effectiveness of simulation training aimed at reducing cast-saw injuries. METHODS: Third-year orthopaedic residents underwent simulation-based instruction on distal radial fracture reduction, casting, and cast removal using an oscillating saw. The analysis compared incidences of cast-saw injuries and associated costs before and after the implementation of the simulation curriculum...
September 6, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28872333/examining-wellness-programs-over-time-predicting-participation-and-workplace-outcomes
#15
Catherine J Ott-Holland, William J Shepherd, Ann Marie Ryan
The return on investment of employer wellness programs has been heavily debated in recent years, yet existing research has failed to adequately assess the psychological factors that motivate program participation and how participation relates to organizationally relevant employee attitudes and behaviors. Using data over a 3-year period, we found beliefs about the value of employee wellness programs and perceived organizational support (POS) for wellness to be linked to wellness program participation through the mediation of intention to participate in the wellness program...
September 4, 2017: Journal of Occupational Health Psychology
https://www.readbyqxmd.com/read/28865648/financing-mechanisms-for-reducing-adversity-and-enhancing-resilience-through-implementation-of-primary-prevention
#16
Sarah M Steverman, David L Shern
The experience of adversity and toxic stress in childhood is associated with the development of chronic health and behavioral health problems. These problems contribute substantially to health care expenditures and the overall burden of disease. Although a strong scientific literature documents the effectiveness of primary prevention in reducing childhood adversity, promoting well-being and lessening the incidence of negative outcomes, funding for these interventions is highly fragmented across multiple government agencies as well as private and philanthropic sectors...
September 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28854787/viral-vaccine-stabilizers-status-and-trends
#17
F M C Cardoso, D Petrovajová, T Horňáková
Vaccine stability is a key factor to preserve vaccine potency and efficiency, as its potency decays over time and during temperature changes. The choice of stabilizers for viral vaccine formulation depends mainly on the vaccine type. More specifically, the choice is determined by the properties and structure of the active pharmaceutical ingredient or viral antigen(s) in the vaccine. In this review, we analyze key formulation components in different vaccine types. We discuss some of the major driving forces in the improvement of vaccine thermostability: increasing demand for cost-effective production of thermostable vaccine with lower dependency on cold chain, stricter regulatory policies for animal-origin materials, and the return of the research investment from the industry point of view...
2017: Acta Virologica
https://www.readbyqxmd.com/read/28853646/opportunities-for-change-the-united-nations-working-for-health-and-growth-report
#18
David Benton, Stephanie Ferguson
The United Nations High-Level Commission on Health Employment and Economic Growth recently published a report that makes ten recommendations and four calls for immediate action. Analysis of the report, Working for Health and Growth: Investing in the Health Workforce, highlights several opportunities for nursing to contribute to a wide-based agenda while positioning the profession to gain wider influence. The report, when analysed through the lens of regulation, professional practice and socio-economic welfare, offers opportunities for nurses in different sectors to work collaboratively to further the recommendations...
August 30, 2017: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/28852540/redefining-responsible-research-and-innovation-for-the-advancement-of-biobanking-and-biomedical-research
#19
Helen Yu
One of the core objectives of responsible research and innovation (RRI) is to maximize the value of publicly funded research so that it may be returned to benefit society. However, while RRI encourages innovation through societal engagement, it can give rise to complex and previously untested issues that challenge the existing legal frameworks on intellectual property (IP) and public entitlement to benefits of research. In the case of biobanking, the personal nature of human biological materials and often altruistic intention of participants to donate samples intensifies the need to adhere to RRI principles with respect to the research, development, and commercialization of innovations derived from biobanks...
December 2016: Journal of Law and the Biosciences
https://www.readbyqxmd.com/read/28837212/barriers-to-achieving-economies-of-scale-in-analysis-of-ehr-data-a-cautionary-tale
#20
Mark P Sendak, Suresh Balu, Kevin A Schulman
Signed in 2009, the Health Information Technology for Economic and Clinical Health Act infused $28 billion of federal funds to accelerate adoption of electronic health records (EHRs). Yet, EHRs have produced mixed results and have even raised concern that the current technology ecosystem stifles innovation. We describe the development process and report initial outcomes of a chronic kidney disease analytics application that identifies high-risk patients for nephrology referral. The cost to validate and integrate the analytics application into clinical workflow was $217,138...
August 9, 2017: Applied Clinical Informatics
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