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https://www.readbyqxmd.com/read/28916160/-sociodemographic-and-health-related-determinants-of-health-care-utilisation-and-access-to-primary-and-specialist-care-results-of-a-nationwide-population-survey-in-germany-2006-2016
#1
Florian Tille, Bernhard Gibis, Klaus Balke, Adelheid Kuhlmey, Susanne Schnitzer
BACKGROUND: The aim of this paper is to identify systematic differences due to sociodemographic and health-related determinants in outpatient healthcare utilisation and access in Germany for the period from 2006 to 2016. The study focuses on frequent users and those reporting particularly long wait times for their physician appointments and contributes to assessing the level of health equity in Germany. METHODS: The investigation draws on nine population surveys conducted by the German National Association of Statutory Health Insurance Physicians (NASHIP), which interviewed 42,925 respondents aged 18 and above...
September 12, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28911361/detecting-mycobacterium-tuberculosis-using-the-loop-mediated-isothermal-amplification-test-in-south-africa
#2
S Reddy, S Ntoyanto, Y Sakadavan, T Reddy, S Mahomed, M Dlamini, B Spooner, G Ramjee, A Coutsoudis, N Ngomane, K Naidoo, K Mlisana, P Kiepiela
SETTING: In South Africa, KwaZulu-Natal is the epicentre of the human immunodeficiency virus (HIV) epidemic, where approximately 70% of people with tuberculosis (TB) are co-infected with HIV. Undiagnosed TB contributes to high mortality in HIV-infected patients. Delays in diagnosing TB and treatment initiation result in prolonged transmission and increased infectiousness. OBJECTIVE: To evaluate the LoopampTM MTBC Detection kit (TB-LAMP; based on the loop-mediated isothermal amplification assay), smear microscopy and Xpert test with the gold standard of mycobacterial culture...
October 1, 2017: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/28899769/incidence-and-predictors-of-complications-due-to-urethral-stricture-in-patients-awaiting-urethroplasty
#3
Nathan Y Hoy, David W Chapman, Nicholas Dean, Keith F Rourke
PURPOSE: The purpose of this study is to examine the incidence and predictors of complications due to urethral stricture in patients awaiting urethroplasty. METHODS AND METHODS: A retrospective chart review of patients undergoing urethroplasty from 2009-2013 was performed. The primary outcome was complications, defined as any unplanned interaction with the health care system due to the urethral stricture during the period between decision for surgery and urethroplasty...
September 9, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28896001/-barriers-impeding-access-to-epilepsy-surgery-a-review-of-the-literature
#4
REVIEW
L D Ladino, V Benjumea-Cuartas, J Vargas-Osorio, L V Villamil-Osorio, L Hernandez-Vanegas, I E Martinez-Juarez, J F Tellez-Zenteno
Drug-resistant epilepsy, a chronic condition with long-term consequences can be treated with surgery. The efficacy and safety of surgery for temporal lobe epilepsy have been established through a large number of retrospective and prospective cohort studies and two randomized controlled clinical trials. Despite the excellent outcomes reported after surgery, the literature suggests that this procedure is an underutilized treatment. While evidence is lacking as to why epilepsy surgery is underused, cited reasons include: failure of primary care physicians and neurologists to provide information and identify patients who could be referred for surgery; different levels of technology at various centers, resulting in different candidate selection strategies; the belief that epilepsy surgery is a risky procedure and that it should be only viewed as the last option; patient preference to avoid surgery; parents wanting to wait until their child is old enough to participate in the decision-making process regarding surgery; unwillingness of insurers to cover the expenses associated with presurgical evaluations or lack of insurance; racial and social disparities, among others...
September 16, 2017: Revista de Neurologia
https://www.readbyqxmd.com/read/28893073/challenges-faced-by-caregivers-of-children-on-antiretroviral-therapy-at-mutale-municipality-selected-healthcare-facilities-vhembe-district-limpopo-province
#5
Rhudzani V Mafune, Rachel T Lebese, Livhuwani H Nemathaga
BACKGROUND: Children depend solely on caregivers who can be either parents or guardians for drug administration to enhance adherence to antiretroviral treatment (ART), which might pose any number of challenges. PURPOSE: The purpose of this study was to explore and describe the challenges faced by caregivers of children on ART at Mutale Municipality, Vhembe District, Limpopo Province. RESEARCH DESIGN AND METHOD: The research design was qualitative, explorative, descriptive and contextual in nature...
August 28, 2017: Curationis
https://www.readbyqxmd.com/read/28888151/evaluation-of-the-ac-ok-mental-health-and-substance-abuse-screening-measure-in-an-international-sample-of-latino-immigrants
#6
Ligia M Chavez, Patrick E Shrout, Ye Wang, Francisco Collazos, Rodrigo Carmona, Margarita Alegría
BACKGROUND: Early detection and intervention in primary care is integral to behavioral health. Valid, practical screening assessments are scarce, particularly for non-English speaking populations. We address this need by evaluating the psychometric properties of the Spanish version of the AC-OK Screen for Co-occurring Disorders for first and second generation immigrant Latinos in Massachusetts, USA, and Madrid and Barcelona, Spain. METHODS: 567 Latino participants were recruited in waiting areas of clinics or by referral from Primary Care, Mental Health, Substance Use, and HIV Treatment Clinics, as well as Community Agencies...
August 24, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28882524/activities-performed-and-treatments-conducted-prior-to-consultation-with-a-spine-surgeon-are-patients-and-clinicians-following-evidence-based-clinical-practice-guidelines
#7
Elliot I Layne, Darren M Roffey, Matthew J Coyle, Philippe Phan, Stephen P Kingwell, Eugene K Wai
BACKGROUND CONTEXT: Clinical practice guidelines (CPGs) are designed to ensure that evidence-based treatment is easily put into action. Whether patients and clinicians follow these guidelines is equivocal. PURPOSE: To examine how many patients complaining of low back pain (LBP) underwent evidence-based non-operative treatment in line with CPG recommendations prior to consultation with a spine surgeon, and to evaluate any associations between adherence to CPG recommendations and baseline factors...
September 4, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28862216/a-study-to-evaluate-resource-draining-no-shows
#8
Alok Anil Chand, Krishna M Kamble, Ashok K Diwan, Vijay K Mahobia, Dipti Anil Chand
INTRODUCTION: Waiting lists are problems that plague all government radiation therapy centers across the country, leading to disease progression, and reduced treatment efficacy. No shows for appointments create artificial access issues, reduce revenues, waste staff time, and negatively affect patient care. METHODOLOGY: A Retrospective analysis of 180 patients, who were given an appointment and were to be started for radiation therapy at the Department of Radiation Therapy and Oncology, at our institute from May 1, 2013 to July 31, 2013, was done...
July 2017: Journal of Cancer Research and Therapeutics
https://www.readbyqxmd.com/read/28857595/effectiveness-of-cognitive-behavioral-therapy-on-quality-of-life-anxiety-and-depressive-symptoms-among-patients-with-inflammatory-bowel-disease-a-multicenter-randomized-controlled-trial
#9
Floor Bennebroek Evertsz', Mirjam A G Sprangers, Kate Sitnikova, Pieter C F Stokkers, Cyriel Y Ponsioen, Joep F W M Bartelsman, Ad A van Bodegraven, Steven Fischer, Annekatrien C T M Depla, Rosalie C Mallant, Robbert Sanderman, Huibert Burger, Claudi L H Bockting
OBJECTIVE: Inflammatory bowel disease (IBD) is characterized by a low level of quality of life (QoL) and a high prevalence of anxiety and depression, especially in patients with poor QoL. We examined the effect of IBD-specific cognitive-behavioral therapy (CBT) on QoL, anxiety, and depression in IBD patients with poor mental QoL. METHOD: This study is a parallel-group multicenter randomized controlled trial. One hundred eighteen IBD patients with a low level of QoL (score ≤23 on the mental health subscale of the Medical Outcomes Study Short Form 36 Health Survey [SF-36]) were included from 2 academic medical centers (Academic Medical Center Amsterdam, VU University Medical Centre Amsterdam) and 2 peripheral medical centers (Flevo Hospital, Slotervaart Hospital) in the Netherlands...
September 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/28857254/acceptance-and-commitment-therapy-act-for-clinically%C3%A2-distressed-health-care-workers-waitlist-controlled-evaluation-of-an-act-workshop-in-a-routine-practice-setting
#10
Cerith S Waters, Neil Frude, Paul E Flaxman, Jane Boyd
OBJECTIVES: To examine the effects of a 1-day acceptance and commitment therapy (ACT) workshop on the mental health of clinically distressed health care employees, and to explore ACT's processes of change in a routine practice setting. DESIGN: A quasi-controlled design, with participants block allocated to an ACT intervention or waiting list control group based on self-referral date. METHODS: Participants were 35 health care workers who had self-referred for the ACT workshop via a clinical support service for staff...
August 30, 2017: British Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28851406/effectiveness-of-an-online-social-support-intervention-for-caregivers-of-people-with-dementia-the-study-protocol-of-a-randomised-controlled-trial
#11
Alieske E H Dam, Marjolein E de Vugt, Martin P J van Boxtel, Frans R J Verhey
BACKGROUND: Caregivers of people with dementia (PwD) face burden, feelings of loneliness, and social isolation. Previous studies have shown promising effects of online e-health interventions. Using social media may facilitate support for dementia caregiver networks. In an iterative step-wise approach, a social support tool entitled "Inlife" was developed. This paper describes the design of a study evaluating the effects of Inlife and its process characteristics. METHODS: A mixed-method, randomised controlled trial with 122 caregivers of PwD will be conducted...
August 29, 2017: Trials
https://www.readbyqxmd.com/read/28844733/a-pilot-replication-of-quit-a-randomized-controlled-trial-of-a-brief-intervention-for-reducing-risky-drug-use-among-latino-primary-care-patients
#12
Lillian Gelberg, Ronald M Andersen, Melvin W Rico, Mani Vahidi, Guillermina Natera Rey, Steve Shoptaw, Barbara D Leake, Martin Serota, Kyle Singleton, Sebastian E Baumeister
BACKGROUND: QUIT is the only primary care-based brief intervention that has previously shown efficacy for reducing risky drug use in the United States (Gelberg et al., 2015). This pilot study replicated the QUIT protocol in one of the five original QUIT clinics primarily serving Latinos. DESIGN: Single-blind, two-arm, randomized controlled trial of patients enrolled from March-October 2013 with 3-month follow-up. SETTING: Primary care waiting room of a federally qualified health center (FQHC) in East Los Angeles...
June 13, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28840913/effect-of-integrated-community-neurology-on-utilization-diagnostic-testing-and-access
#13
Muhamad Y Elrashidi, Lindsey M Philpot, Nathan P Young, Priya Ramar, Kristi M Swanson, Paul M McKie, Sarah J Crane, Jon O Ebbert
BACKGROUND: The primary care medical home (PCMH) aims to promote delivery of high-value health care. However, growing demand for specialists due to increasingly older adults with complicated and chronic disease necessitates development of novel care models that efficiently incorporate specialty expertise while maintaining coordination and continuity with the PCMH. We describe the effect of a model of integrated community neurology (ICN) on health care utilization, diagnostic testing, and access...
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/28839990/short-term-high-intensity-rehabilitation-in-radically-treated-lung-cancer-a-three-armed-randomized-controlled-trial
#14
Jian Huang, Yutian Lai, Xudong Zhou, Shuangjiang Li, Jianhua Su, Mei Yang, Guowei Che
BACKGROUND: The feasibility and practicality of preoperative rehabilitation (PR) programs remains quite controversial in the treatment of lung cancer (LC). This study explored whether a short-term high-intensity rehabilitation program could improve postoperative outcomes compared to those achieved with conventional inspiratory muscle training (IMT). METHODS: A three-armed randomized controlled trial comparing the two training modalities and routine care was conducted in surgical LC patients...
July 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28838887/the-use-of-mobile-apps-and-sms-messaging-as-physical-and-mental-health-interventions-systematic-review
#15
Amy Leigh Rathbone, Julie Prescott
BACKGROUND: The initial introduction of the World Wide Web in 1990 brought around the biggest change in information acquisition. Due to the abundance of devices and ease of access they subsequently allow, the utility of mobile health (mHealth) has never been more endemic. A substantial amount of interactive and psychoeducational apps are readily available to download concerning a wide range of health issues. mHealth has the potential to reduce waiting times for appointments; eradicate the need to meet in person with a clinician, successively diminishing the workload of mental health professionals; be more cost effective to practices; and encourage self-care tactics...
August 24, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28835850/risk-based-triage-for-nephrology-referrals-using-the-kidney-failure-risk-equation
#16
Jay Hingwala, Peter Wojciechowski, Brett Hiebert, Joe Bueti, Claudio Rigatto, Paul Komenda, Navdeep Tangri
BACKGROUND: In some jurisdictions, routine reporting of the estimated glomerular filtration rate (eGFR) has led to an increase in nephrology referrals and wait times. OBJECTIVE: We describe the use of the Kidney Failure Risk Equation (KFRE) as part of a triage process for new nephrology referrals for patients with chronic kidney disease stages 3 to 5 in a Canadian province. DESIGN: A quasi-experimental study design was used. SETTING: This study took place in Manitoba, Canada...
2017: Canadian Journal of Kidney Health and Disease
https://www.readbyqxmd.com/read/28830380/primary-care-physician-referral-patterns-in-ontario-canada-a-descriptive-analysis-of-self-reported-referral-data
#17
Clare Liddy, Sadaf Arbab-Tafti, Isabella Moroz, Erin Keely
BACKGROUND: In many countries, the referral-consultation process faces a number of challenges from inefficiencies and rising demand, resulting in excessive wait times for many specialties. We collected referral data from a sample of family doctors across the province of Ontario, Canada as part of a larger program of research. The purpose of this study is to describe referral patterns from primary care to specialist and allied health services from the primary care perspective. METHODS: We conducted a prospective study of patient referral data submitted by primary care providers (PCP) from 20 clinics across Ontario between June 2014 and January 2016...
August 22, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28825952/the-impact-of-waiting-list-bmi-changes-on-the-short-term-outcomes-of-lung-transplantation
#18
Valérie Jomphe, Geneviève Mailhot, Véronic Damphousse, Muhammad-Ramzan Tahir, Olivier Receveur, Charles Poirier, Pasquale Ferraro
BACKGROUND: Obesity and underweight are associated with a higher postlung transplantation (LTx) mortality. This study aims to assess the impact of the changes in BMI during the waiting period for LTx on early postoperative outcomes. METHODS: Medical records of 502 consecutive cases of LTx performed at our institution between 1999 and 2015 were reviewed. Patients were stratified per change in BMI category between pre-LTx assessment (candidate BMI) and transplant BMI as follows: A-Candidate BMI<18...
August 18, 2017: Transplantation
https://www.readbyqxmd.com/read/28817783/the-association-between-insurance-type-and-cost-related-delay-in-care-a-survey
#19
Sora Al Rowas, Michael B Rothberg, Benjamin Johnson, Joel Miller, Mohanad AlMahmoud, Jennifer Friderici, Sarah L Goff, Tara Lagu
OBJECTIVES: Massachusetts has insurance rates similar to those projected under the Affordable Care Act, but many of the state's patients are insured through private insurance plans with high out-of-pocket costs. We aimed to explore the relationship between insurance type (private vs public) and delays in care due to cost, stratified by income. STUDY DESIGN: Cross-sectional study. METHODS: We conducted a study of English-speaking adults recruited from the waiting rooms of the emergency department or outpatient clinics of a large healthcare system in western Massachusetts...
July 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/28816912/distance-learning-adhd-quality-improvement-in-primary-care-a-cluster-randomized-trial
#20
Alexander G Fiks, Stephanie L Mayne, Jeremy J Michel, Jeffrey Miller, Manju Abraham, Andrew Suh, Abbas F Jawad, James P Guevara, Robert W Grundmeier, Nathan J Blum, Thomas J Power
OBJECTIVE: To evaluate a distance-learning, quality improvement intervention to improve pediatric primary care provider use of attention-deficit/hyperactivity disorder (ADHD) rating scales. METHODS: Primary care practices were cluster randomized to a 3-part distance-learning, quality improvement intervention (web-based education, collaborative consultation with ADHD experts, and performance feedback reports/calls), qualifying for Maintenance of Certification (MOC) Part IV credit, or wait-list control...
August 9, 2017: Journal of Developmental and Behavioral Pediatrics: JDBP
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