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https://read.qxmd.com/read/30875638/impact-of-a-collaborative-pharmaceutical-care-service-among-patients-with-diabetes-in-an-ambulatory-care-setting-in-qatar-a-multiple-time-series-study
#1
Sara Hamdi Abdulrhim, Rana Ahmed Saleh, Mohamed Abdelazim Mohamed Hussain, Hend Al Raey, Ahmed Hussein Babiker, Nadir Kheir, Ahmed Awaisu
BACKGROUND: Diabetes mellitus is highly prevalent in the Middle East and the burden associated with it is dramatically increasing. Pharmacists working in collaborative healthcare teams have an important role to improve outcomes in the primary care of diabetes. OBJECTIVES: To evaluate the impact of a collaborative pharmaceutical care service (CPCS) on improving outcomes among patients with diabetes in a primary care setting. METHODS: This was a retrospective, multiple time series study involving patients attending an ambulatory diabetes clinic at Qatar Petroleum Healthcare Center in Dukhan, Qatar...
March 12, 2019: Value in Health Regional Issues
https://read.qxmd.com/read/30873036/the-use-of-assessment-of-chronic-illness-care-technology-to-evaluate-the-institutional-capacity-for-hiv-aids-management
#2
Andressa Wanneska Martins da Silva, Micheline Marie Milward de Azevedo Meiners, Elza Ferreira Noronha, Maria Inês de Toledo
The effectiveness of antiretroviral therapy has rendered HIV infection a manageable chronic condition. Currently, the health systems face the challenge of adopting organizational healthcare models capable of ensuring the delivery of comprehensive care. The Chronic Care Model has been reported for its effectiveness, particularly in terms of delivery system design. In this study, the Assessment of Chronic Illness Care (ACIC) questionnaire, a soft technology widely used for other chronic conditions, was employed on a teaching hospital to evaluate healthcare provided to people living with HIV/AIDS...
2019: Frontiers in Pharmacology
https://read.qxmd.com/read/30872067/meeting-the-needs-of-multimorbid-patients-with-type-2-diabetes-mellitus-a-randomized-controlled-trial-to-assess-the-impact-of-a-care-management-intervention-aiming-to-improve-self-care
#3
Martina Kamradt, Dominik Ose, Johannes Krisam, Christian Jacke, Hans-Joachim Salize, Werner Besier, Manfred Mayer, Joachim Szecsenyi, Michel Wensing
AIMS: This study explored the impact of a care management intervention aiming to improve self-care behavior in multimorbid individuals with Type 2 diabetes mellitus on health-related quality of life (HRQoL). METHODS: A patient-level randomized parallel-group superiority trial with 32 primary care practice teams, 11 care managers and 495 patients was conducted. The intervention was delivered as add-on to an already implemented disease management program and embedded in a network of primary care practices...
March 11, 2019: Diabetes Research and Clinical Practice
https://read.qxmd.com/read/30871513/interprofessional-collaboration-in-diabetes-care-perceptions-of-family-physicians-practicing-in-or-not-in-a-primary-health-care-team
#4
Olga Szafran, Sandra L Kennett, Neil R Bell, Jacqueline M I Torti
BACKGROUND: In Canada, most patients with type 2 diabetes mellitus (T2DM) are cared for in the primary care setting in the practices of family physicians. This care is delivered through a variety of practice models ranging from a single practitioner to interprofessional team models of care. This study examined the extent to which family physicians collaborate with other health professionals in the care of patients with T2DM, comparing those who are part of an interprofessional health care team called a Primary Care Network (PCN) to those who are not part of a PCN...
March 13, 2019: BMC Family Practice
https://read.qxmd.com/read/30870475/budgetary-impact-analysis-of-a-primary-care-based-hepatitis-c-treatment-program-effects-of-340b-drug-pricing-program
#5
Eric A Jones, Benjamin P Linas, Ve Truong, James F Burgess, Karen E Lasser
PURPOSE: Safety-net health systems, which serve a disproportionate share of patients at high risk for hepatitis C virus (HCV) infection, may use revenue generated by the federal drug discount pricing program, known as 340B, to support multidisciplinary care. Budgetary impacts of repealing the drug-pricing program are unknown. Our objective was to conduct a budgetary impact analysis of a multidisciplinary primary care-based HCV treatment program, with and without 340B support. METHODS: We conducted a budgetary impact analysis from the perspective of a large safety-net medical center in Boston, Massachusetts...
2019: PloS One
https://read.qxmd.com/read/30870019/whole-systems-research-methods-in-health-care-a-scoping-review
#6
Nadine Ijaz, Jennifer Rioux, Charles Elder, John Weeks
OBJECTIVES: This scoping review evaluates two decades of methodological advances made by "whole systems research" (WSR) pioneers in the fields of traditional, complementary, and integrative medicine (TCIM). Rooted in critiques of the classical randomized controlled trial (RCT)'s suitability for evaluating holistic, complex TCIM interventions, WSR centralizes the principle of "model validity," representing a "fit" between research design and therapeutic paradigm...
March 2019: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://read.qxmd.com/read/30870015/cost-effectiveness-of-a-team-based-integrative-medicine-approach-to-the-treatment-of-back-pain
#7
Peter M Wayne, Julie E Buring, David M Eisenberg, Kamila Osypiuk, Brian J Gow, Roger B Davis, Claudia M Witt, Thomas Reinhold
OBJECTIVES: To report the results of health economic analyses comparing two treatment approaches for chronic low back pain (CLBP). DESIGN: Observational prospective cohort study comparing effectiveness and cost-effectiveness of CLBP care provided at an integrative care clinic with that provided in other clinics within the same hospital. CLBP-related medical utilization, function, quality of life, and days of work incapacity were self-reported at baseline, 3, 6, and 12 months...
March 2019: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://read.qxmd.com/read/30869124/evaluation-of-a-pharmacist-led-penicillin-allergy-de-labelling-ward-round-a-novel-antimicrobial-stewardship-intervention
#8
M Devchand, C M J Kirkpatrick, W Stevenson, K Garrett, D Perera, S Khumra, K Urbancic, M L Grayson, J A Trubiano
BACKGROUND: Antibiotic allergy labels (AALs), reported by up to 25% of hospitalized patients, are a significant barrier to appropriate prescribing and a focus of antimicrobial stewardship (AMS) programmes. METHODS: A prospective audit of a pharmacist-led AMS penicillin allergy de-labelling ward round at Austin Health (Melbourne, Australia) was evaluated. Eligible inpatients with a documented penicillin allergy receiving an antibiotic were identified via an electronic medical report and then reviewed by a pharmacist-led AMS team...
March 14, 2019: Journal of Antimicrobial Chemotherapy
https://read.qxmd.com/read/30866676/transitioning-to-the-national-institutes-of-health-single-institutional-review-board-model-piloting-the-use-of-the-streamlined-multi-site-accelerated-resources-for-trials-irb-reliance
#9
Orly Vardeny, Adrian F Hernandez, Lauren W Cohen, Amy Franklin, Mina Baqai, Sarah Palmer, Barbara E Bierer, Nichelle Cobb
BACKGROUND/AIMS: Obtaining ethical approval from multiple institutional review boards is a long-standing challenge to multi-site clinical trials and often leads to significant delays in study activation and enrollment. As of 25 January 2018, the National Institutes of Health began requiring use of a single institutional review board for US multi-site trials. To learn more and further inform the research and regulatory communities around aspects of transitioning to single institutional review board review, this study evaluated the efficiency, resource use, and user perceptions of a nascent institutional review board reliance model (Streamlined, Multi-site, Accelerated Resources for Trials IRB Reliance)...
March 13, 2019: Clinical Trials: Journal of the Society for Clinical Trials
https://read.qxmd.com/read/30866159/individual-and-contextual-factors-associated-with-traumatic-dental-injuries-in-a-population-of-brazilian-adolescents
#10
Rejane Cristina Leite da Fonseca, Jose Leopoldo Ferreira Antunes, Andreia Morales Cascaes, Rafael Aiello Bomfim
BACKGROUND/AIMS: Traumatic dental injuries (TDIs) stand out as one of the major public health problems worldwide, characterized by a high prevalence in children and adolescents, however, their association with the 15-19 years age group has not been fully described. The aim of this study was to evaluate TDIs in a population of Brazilian adolescents. METHODS: An association study was performed with 5,558 adolescents attending the São Paulo State Oral Health Survey (SBSP-15)...
March 13, 2019: Dental Traumatology: Official Publication of International Association for Dental Traumatology
https://read.qxmd.com/read/30864532/home-treatment-for-acute-mental-healthcare-randomised-controlled-trial
#11
Niklaus Stulz, Lea Wyder, Lienhard Maeck, Matthias Hilpert, Helmut Lerzer, Eduard Zander, Wolfram Kawohl, Martin Grosse Holtforth, Ulrich Schnyder, Urs Hepp
BACKGROUND: Home treatment has been proposed as an alternative to acute in-patient care for mentally ill patients. However, there is only moderate evidence in support of home treatment.AimsTo test whether and to what degree home treatment services would enable a reduction (substitution) of hospital use. METHOD: A total of 707 consecutively admitted adult patients with a broad spectrum of mental disorders (ICD-10: F2-F6, F8-F9, Z) experiencing crises that necessitated immediate admission to hospital, were randomly allocated to either a service model including a home treatment alternative to hospital care (experimental group) or a conventional service model that lacked a home treatment alternative to in-patient care (control group) (trial registration at ClinicalTrials...
March 13, 2019: British Journal of Psychiatry: the Journal of Mental Science
https://read.qxmd.com/read/30862259/building-the-plane-in-the-air%C3%A2-but-also-before-and-after-it-takes-flight-considerations-for-training-and-workforce-preparedness-in-integrated-behavioural-health
#12
Tziporah Rosenberg, Daniel Mullin
Collaborative approaches to healthcare that integrate behavioural and biomedical interventions are more likely to enhance patient outcomes as well as provider satisfaction with care delivery than siloed approaches to care. The recognition for specific and targeted training for these models is growing among all health professions, although many in the field have not received systematized, interprofessional, and competency-based training that adequately prepared them for the work of integration. This article reviews some of the fundamental principles of biopsychosocially-oriented, team-based approaches to care that integrate behavioural and biomedical perspectives and delineates the need for targeted training efforts...
March 12, 2019: International Review of Psychiatry
https://read.qxmd.com/read/30856191/implementing-a-function-based-cognitive-strategy-intervention-within-inter-professional-stroke-rehabilitation-teams-changes-in-provider-knowledge-self-efficacy-and-practice
#13
Sara E McEwen, Michelle Donald, Katelyn Jutzi, Kay-Ann Allen, Lisa Avery, Deirdre R Dawson, Mary Egan, Katherine Dittmann, Anne Hunt, Jennifer Hutter, Sylvia Quant, Jorge Rios, Elizabeth Linkewich
BACKGROUND: The Cognitive Orientation to daily Occupational Performance (CO-OP) approach is a complex rehabilitation intervention in which clients are taught to use problem-solving cognitive strategies to acquire personally-meaningful functional skills, and health care providers are required to shift control regarding treatment goals and intervention strategies to their clients. A multi-faceted, supported, knowledge translation (KT) initiative was targeted at the implementation of CO-OP in inpatient stroke rehabilitation teams at five freestanding rehabilitation hospitals...
2019: PloS One
https://read.qxmd.com/read/30855305/shared-decision-making-for-athletes-with-cardiovascular-disease-practical-considerations
#14
Aaron L Baggish, Michael J Ackerman, Margot Putukian, Rachel Lampert
The diagnosis and management of cardiovascular disease (CVD) in competitive athletes represent a fundamental responsibility of the sports medicine community. Following the diagnosis of a CVD in a competitive athlete, it is the responsibility of the sports medicine team to delineate an effective treatment and management strategy that places the health and wellness of the athlete as the primary objective. An essential and often challenging aspect of this process is determining the appropriateness of continued participation (i...
March 2019: Current Sports Medicine Reports
https://read.qxmd.com/read/30854865/variation-between-hospitals-in-outcomes-following-cardiac-surgery-in-the-uk
#15
G Soppa, P Theodoropoulos, R Bilkhu, D A Harrison, R Alam, R Beattie, D Bleetman, A Hussain, S Jones, L Kenny, M Khorsandi, A Lea, Ka Mensah, T N Hici, A C Pinho-Gomes, L Rogers, A Sepehripour, S Singh, D Steele, H Weaver, A Klein, N Fletcher, M Jahangiri
INTRODUCTION: We examine the influence of variations in provision of cardiac surgery in the UK at hospital level on patient outcomes and also to assess whether there is an inequality of access and delivery of healthcare. Cardiothoracic surgery has pioneered the reporting of surgeon-specific outcomes, which other specialties have followed. We set out to identify factors other than the individual surgeon, which can affect outcomes and enable other surgical specialties to adopt a similar model...
March 11, 2019: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/30850452/canadian-hiv-care-settings-as-patient-centered-medical-homes-pcmhs
#16
Claire E Kendall, Esther S Shoemaker, Janessa E Porter, Lisa M Boucher, Lois Crowe, Ron Rosenes, Christine Bibeau, Philip Lundrigan, Marissa L Becker, Shabnam Asghari, Sean B Rourke, Clare Liddy
PURPOSE: For people living with HIV (PLWH) using continuous antiretroviral therapy, HIV is now a complex chronic condition often managed in primary care settings. The patient-centered medical home (PCMH) is a model to deliver comprehensive, coordinated, and integrated primary care that promotes collaboration between primary and specialist care and allied services. The study assessed how both Canadian primary and specialist HIV care settings align with the PCMH. METHODS: Mixed-methods surveys and interviews with providers in Canadian HIV care settings...
March 2019: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/30850112/chlorhexidine-versus-routine-bathing-to-prevent-multidrug-resistant-organisms-and-all-cause-bloodstream-infections-in-general-medical-and-surgical-units-abate-infection-trial-a-cluster-randomised-trial
#17
Susan S Huang, Edward Septimus, Ken Kleinman, Julia Moody, Jason Hickok, Lauren Heim, Adrijana Gombosev, Taliser R Avery, Katherine Haffenreffer, Lauren Shimelman, Mary K Hayden, Robert A Weinstein, Caren Spencer-Smith, Rebecca E Kaganov, Michael V Murphy, Tyler Forehand, Julie Lankiewicz, Micaela H Coady, Lena Portillo, Jalpa Sarup-Patel, John A Jernigan, Jonathan B Perlin, Richard Platt
BACKGROUND: Universal skin and nasal decolonisation reduces multidrug-resistant pathogens and bloodstream infections in intensive care units. The effect of universal decolonisation on pathogens and infections in non-critical-care units is unknown. The aim of the ABATE Infection trial was to evaluate the use of chlorhexidine bathing in non-critical-care units, with an intervention similar to one that was found to reduce multidrug-resistant organisms and bacteraemia in intensive care units...
March 4, 2019: Lancet
https://read.qxmd.com/read/30847323/health-complex-model-as-the-start-of-a-new-primary-healthcare-reform-in-iran-part-b-the-intervention-protocol
#18
Jafar Sadegh Tabrizi, Majid Karamouz, Homayoun Sadeghi-Bazargani, Alireza Nikniaz, Leila Nikniaz, Roya Hasanzadeh, Jalal Hanaee, Mostafa Farahbakhsh
Background: For overcoming the existing problems and finding a pathway for realization of universal health care, health complexes were implemented in the form of a pilot project in Tabriz suburban area. Methods: Tabriz Health Complex Project was designed in 2013 in the provincial health center of East Azerbaijan. In terms of execution schedule, this intervention had 4 phases including 1) study phase, 2) planning phase, 3) pilot phase, and 4) implementation phase...
January 2019: Iranian Journal of Public Health
https://read.qxmd.com/read/30846013/collaborative-approaches-to-team-based-primary-health-care-for-individuals-with-dementia-in-rural-remote-settings
#19
Amanda Froehlich Chow, Debra Morgan, Melanie Bayly, Julie Kosteniuk, Valerie Elliot
ABSTRACTApplying primary health care (PHC) team-based approaches to diagnosing and treating dementia is considered best practice. Unfortunately, those living in rural and remote areas often have limited access to dementia-specific PHC services. The purpose of this scoping review was to identify and understand PHC team-based approaches for dementia care in rural settings. A search strategy was employed which included only peer-reviewed journal articles that were published from 1997 to 2017. Four databases (Embase, Medline, PsycInfo, and CINAHL) were searched from March 2017 to May 2017...
March 8, 2019: Canadian Journal on Aging
https://read.qxmd.com/read/30841926/impact-of-team-configuration-and-team-stability-on-primary-care-quality
#20
Sylvia J Hysong, Amber B Amspoker, Ashley M Hughes, Lechauncy Woodard, Frederick L Oswald, Laura A Petersen, Houston F Lester
BACKGROUND: The science of effective teams is well documented; far less is known, however, about how specific team configurations may impact primary care team effectiveness. Further, teams experiencing frequent personnel changes (perhaps as a consequence of poor implementation) may have difficulty delivering effective, continuous, well-coordinated care. This study aims to examine the extent to which primary care clinics in the Veterans Health Administration have implemented team configurations consistent with recommendations based on the Patient-Centered Medical Home model and the extent to which adherence to said recommendations, team stability, and role stability impact healthcare quality...
March 6, 2019: Implementation Science: IS
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