Journals Journal of Evaluation in Clini...

Journal of Evaluation in Clinical Practice
Richard C Armitage
INTRODUCTION: Since non-directed (altruistic) kidney donors do not stand to benefit from the lengthening and strengthening of a relationship that they intrinsically value, their donations are considered to constitute the most altruistic variety of living kidney donation. METHODOLOGY: This paper uses publicly-available data to assess the expected value that accrues to the donor of altruistic kidney donation. FINDINGS: Compared to healthy non-donors, living kidney donors experience only marginally increased absolute risks of poor physical health outcomes, and no difference in important psychosocial health outcomes...
September 28, 2023: Journal of Evaluation in Clinical Practice
Sarah A Teele, Patrice Tremoulet, Peter C Laussen, Nicole Danaher-Garcia, Joshua W Salvin, Bobbie Ann A White
RATIONALE: Advancing our understanding of how decisions are made in cognitively, socially and technologically complex hospital environments may reveal opportunities to improve healthcare delivery, medical education and the experience of patients, families and clinicians. AIMS AND OBJECTIVES: Explore factors impacting clinician decision making in the Boston Children's Hospital Cardiac Intensive Care Unit. METHODS: A convergent mixed methods design was used...
September 28, 2023: Journal of Evaluation in Clinical Practice
Michele Battle-Fisher
No abstract text is available yet for this article.
September 28, 2023: Journal of Evaluation in Clinical Practice
Deborah A Marshall, Toni Tagimacruz, Claire E H Barber, Monica Cepoiu-Martin, Elena Lopatina, Jill Robert, Terri Lupton, Jatin Patel, Diane P Mosher
RATIONALE: Timely assessment of a chronic condition is critical to prevent long-term irreversible consequences. Patients with inflammatory arthritis (IA) symptoms require diagnosis by a rheumatologist and intervention initiation to minimize potential joint damage. With limited rheumatologist capacity, meeting urgency wait time benchmarks can be challenging. We investigate the impact of the maximum wait time guarantee (MWTG) policy and referral volume changes in a rheumatology central intake (CI) system on meeting this challenge...
September 18, 2023: Journal of Evaluation in Clinical Practice
Yi-Ting Kuo, Chang-Chyi Jenq, Uen Shuen Li, Ya-Ping Lin
RATIONALE: Previous studies have explored shared decision making (SDM) implementation to determine the renal replacement therapy modality; however, the SDM approach for dialysis initiation, especially when patients refuse physician suggestions for long-term dialysis, remains unclear. AIMS AND OBJECTIVES: This study aimed to explore physicians' responses towards patients' refusal of long-term dialysis during the SDM process and the thinking processes of both physicians and patients regarding dialysis refusal...
September 18, 2023: Journal of Evaluation in Clinical Practice
Edina Tomán, Judit Nóra Pintér, Rita Hargitai
BACKGROUND: Open heart surgery is a potentially traumatic experience for patients, thus posing a real risk to both the patient's physical and mental health as well as bodily integrity. All of these can greatly affect the emotional relationship to the sternotomy scar, the physical aspect of self-representation. Sternotomy scars mark patients for life, yet our knowledge of patients' subjective experiences is unknown. METHOD: In our case study, we explore the embodied experiences of a woman (42) who underwent open heart surgery with the method of interpretative phenomenological analysis combined with drawings...
September 18, 2023: Journal of Evaluation in Clinical Practice
Evan Rusoja, R Chad Swanson, Mini Swift
RATIONALE: COVID-19 has fundamentally changed the practice of Emergency Medicine (EM). Care delivery on the front lines has historically depended upon ostensibly reliable input-output models for staffing, supplies, policies, and therapies. Challenged by the complexity of healthcare during the pandemic, the fallibility of these reductionist models was quickly revealed. Providers and systems quickly had to reconceptualize their dependence on the wider, complex system in which healthcare operates and find adaptive solutions to rapid changes...
September 18, 2023: Journal of Evaluation in Clinical Practice
Kathleen L Bagot, Chris F Bladin, Michelle Vu, Stephen Bernard, Karen Smith, Grant Hocking, Tessa Coupland, Debra Hutton, Diane Badcock, Marc Budge, Voltaire Nadurata, Wayne Pearce, Howard Hall, Ben Kelly, Angie Spencer, Pauline Chapman, Ernesto Oqueli, Ramesh Sahathevan, Thomas Kraemer, Casey Hair, Stub Dion, Connor McGuinness, Dominique A Cadilhac
RATIONALE: Delivering optimal patient health care requires interdisciplinary clinician communication. A single communication tool across multiple pre-hospital and hospital settings, and between hospital departments is a novel solution to current systems. Fit-for-purpose, secure smartphone applications allow clinical information to be shared quickly between health providers. Little is known as to what underpins their successful implementation in an emergency care context. AIMS: To identify (a) whether implementing a single, digital health communication application across multiple health care organisations and hospital departments is feasible; (b) the barriers and facilitators to implementation; and (c) which factors are associated with clinicians' intentions to use the technology...
September 18, 2023: Journal of Evaluation in Clinical Practice
Manuel Augusto Cardoso de Oliveira, Andrew Miles, Jonathan Elliott Asbridge
Medical schools' curricula have expanded over the decades to incorporate important new medical breakthroughs and discoveries. Their current focus and overall structures remain, however, stubbornly captive of early 20th-century thinking, with changes having been undertaken in a piecemeal fashion. Indeed, since the notable Flexner reform in 1910, medical schools' study plans have suffered successive and typically always partial adjustments which have failed to keep up with scientific, technological and sociological change...
September 1, 2023: Journal of Evaluation in Clinical Practice
Shi Hui Ng, Muneer Gohar Babar, Syed Imran Ahmed, Syed Shahzad Hasan, Wai Yew Yang
AIM: Empathic behaviour has a direct link to the positive clinical outcomes. Health professionals, which include dietitians, are increasingly expected to demonstrate the impact of their care on patient outcomes. To date, there is limited research exploring the empathic behaviour of dietetics students. METHODS: This cross-sectional study evaluated the psychometric properties of Jefferson Scale of Empathy-Healthcare Provider Student (JSE-HPS) and empathic behaviour of dietetics students...
August 28, 2023: Journal of Evaluation in Clinical Practice
Marco Zaccagnini, André Bussières, Sungha Kim, Peter Nugus, Andrew West, Aliki Thomas
RATIONALE: Engagement in scholarly practice has been associated with professional empowerment, role satisfaction and improvements in care delivery and patient outcomes across many healthcare professions. However, in evolving professions like respiratory therapy, scholarly practice is excluded from competency frameworks, resulting in a gap in education and subsequent application of this competency in practice. An exploration of scholarly practice in respiratory therapy may provide insights into evolving professions that face tensions between meeting competency requirements as outlined in frameworks and providing quality healthcare to the populations they serve...
August 25, 2023: Journal of Evaluation in Clinical Practice
Iztok Hozo, Benjamin Djulbegovic
RATIONALE: Decision curve analysis (DCA) helps integrate prediction models with treatment assessments to guide personalised therapeutic choices among multiple treatment options. However, the current versions of DCA do not explicitly model treatment effects in the analysis but implicitly or holistically assess therapeutic benefits and harms. In addition, the existing DCA cannot allow the comparison of multiple treatments using a standard metric. AIMS AND OBJECTIVES: To develop a generalised version of DCA (gDCA) by decomposing holistically assessed net benefits and harms into patient preferences versus empirical evidence (as obtained in the trials, meta-analyses of clinical studies, etc...
August 25, 2023: Journal of Evaluation in Clinical Practice
Rebecca L Venchiarutti, Ashleigh R Sharman, Tania Dawson, Michael S Elliott, Jonathan R Clark, Carsten E Palme
RATIONALE: Head and neck surgery services are increasingly being centralised in Australia. Outreach models can overcome burdens of travel that patients in regional and rural areas experience when attending routine appointments, by providing services closer to home. AIM: To explore patient-reported experiences and satisfaction with regional outreach services for head and neck surgery in Australia. METHODS: Patients who attended two regional outreach clinics in New South Wales (NSW), Australia, were surveyed over a 6-month period...
August 22, 2023: Journal of Evaluation in Clinical Practice
Michael Vetter, Karen Donelan, Sophia Guzikowski, Carie Michael, Christine S Ritchie, Christine Vogeli, Brent P Forester
RATIONALE: The informal caregivers who provide unpaid support for persons living with dementia (PLWD) are often unprepared to appropriately manage symptoms and navigate health services to support themselves or the PLWD. AIM: To understand informal caregivers' perceived capabilities of handling dementia symptomology and perceived support from providers. METHODS: We identified and surveyed caregivers of primary care patients in the Mass General Brigham health system...
August 18, 2023: Journal of Evaluation in Clinical Practice
Michael Loughlin, Luis de Miranda
No abstract text is available yet for this article.
August 15, 2023: Journal of Evaluation in Clinical Practice
Poul-Erik Kofoed, Susanne Lisbjerg, Jane Thomsen
BACKGROUND AND OBJECTIVES: Despite advancements in diabetes management, a subgroup of patients does not achieve an acceptable level of metabolic control. To achieve treatment goals for high-risk patients, a higher frequency of contact with healthcare professionals is essential. However, socioeconomic challenges often lead to nonattendance at the outpatient clinic. Therefore, home visits were introduced as a supplement/an alternative to consultations at the paediatric diabetes clinic. The aim of this study was to uncover the perception of patients, mothers and healthcare professionals regarding home visits versus consultations at the outpatient clinic in order to being able to improve the services offered...
August 15, 2023: Journal of Evaluation in Clinical Practice
Zhen Chen, Xu Zhao, Rui He, Hong Li, Shimin Fu, Kebiao Zhang, Manping Gu, Sumei Zhou
AIM: This study was designed to determine the associations between insurance status and clinical outcomes among patients with hyperglycemic crisis. METHODS: Overall, 1,668 patients with hyperglycemic crisis were recruited from the Chongqing Medical University Medical Data Science Academy's big data platform. In-hospital mortality, length of stay, and complications (i.e., hypoglycemia, hypokalemia, pulmonary infection, multiple systemic organ failure, acute kidney injury, and deep venous thrombosis) were assessed...
August 13, 2023: Journal of Evaluation in Clinical Practice
Laura Moreno-Galarraga, Jonathan Gaffin, Tregony Simoneau
No abstract text is available yet for this article.
August 10, 2023: Journal of Evaluation in Clinical Practice
Vivek K Murthy, Christy Boscardin, Ethan Cumbler, Christopher Irobunda, Mark A McQuillan, Linda G Phillips, Manish Suneja, Scott M Wright, Gurpreet Dhaliwal
BACKGROUND: Master clinicians are recognized as multidimensional experts in clinical medicine. Studying their formative clinical activities could generate insights to guide medical trainees and early career clinicians. OBJECTIVES: To investigate which early career activities were adopted more commonly by master clinicians than their matched peers and to characterize master clinicians' early career activities across institutions and specialties. SUBJECTS AND METHODS: We surveyed master clinicians at seven medical centres about their early career activities...
August 9, 2023: Journal of Evaluation in Clinical Practice
Jill Garner, Maayken van den Berg, Belinda Lange, Sally Vuu, Sheila Lennon
RATIONALE: There is a lack of consensus in the literature related to what is assessed clinically by physical therapists in people with neurological disorders. AIMS: This mixed-methods systematic review aimed to identify domains that physiotherapists routinely assess in people with neurological conditions in clinical settings and explored factors influencing assessment domains including country, clinical setting, therapist experience and neurological condition. METHOD: Five databases were searched from 1946 to 31st January 2023...
August 3, 2023: Journal of Evaluation in Clinical Practice
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