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Provider perception

Kotaro Yamashita, Shinji Mine, Tasuku Toihata, Ian Fukudome, Akihiko Okamura, Masami Yuda, Masaru Hayami, Yu Imamura, Masayuki Watanabe
BACKGROUND: The three-dimensional video-assisted (3D-VA) system is known to provide depth perception and the precise measurement of anatomical spaces, unlike the two-dimensional video-assisted (2D-VA) system. However, the advantages of the 3D-VA system in thoracoscopic esophagectomy remains unclear. METHODS: We retrospectively analyzed data from 104 patients who underwent thoracoscopic esophagectomy for esophageal cancer from 2016 to 2017. We performed thoracic esophagectomy using either the 2D-VA or 3D-VA system during this period...
March 19, 2019: Esophagus: Official Journal of the Japan Esophageal Society
Robert S Nocon, Paige C Fairchild, Yue Gao, Kathryn E Gunter, Sang Mee Lee, Michael Quinn, Elbert S Huang, Marshall H Chin
BACKGROUND: The patient-centered medical home (PCMH) is a widely adopted primary care model. However, it is unclear whether changes in provider and staff perceptions of clinic PCMH capability are associated with changes in provider and staff morale, job satisfaction, and burnout in safety net clinics. OBJECTIVE: To determine how provider and staff PCMH ratings changed under a multi-year PCMH transformation initiative and assess whether changes in provider and staff PCMH ratings were associated with changes in morale, job satisfaction, and burnout...
March 18, 2019: Journal of General Internal Medicine
Tim Eckmanns, Henning Füller, Stephen L Roberts
Contemporary infectious disease surveillance systems aim to employ the speed and scope of big data in an attempt to provide global health security. Both shifts - the perception of health problems through the framework of global health security and the corresponding technological approaches - imply epistemological changes, methodological ambivalences as well as manifold societal effects. Bringing current findings from social sciences and public health praxis into a dialogue, this conversation style contribution points out several broader implications of changing disease surveillance...
March 19, 2019: Life Sciences, Society and Policy
David F Kisor, Christopher L Farrell
Background: As pharmacogenomics (PGx), a component of genetics/genomics and precision medicine, gains traction in the clinical setting, education of health care providers and health professions students must be made broadly available to improve accessibility of such services to patients. As medication experts with education in pharmacology, pharmacokinetics, and pharmacodynamics, pharmacists must further their education to include pharmacogenomics. Currently, few opportunities exist to gain this type of education, and therefore, these services are not yet broadly available to the public...
January 2019: Journal of Medical Education and Curricular Development
Michael E Rezaee, Charlotte E Ward, Einar F Sverrisson, Lawrence M Dagrosa
With recent guidelines emphasizing patient values, patient preferences and shared decision-making in regards to prostate specific antigen (PSA) screening it is important for primary care providers and urologists to identify factors that influence men's decisions to undergo PSA screening. We sought to evaluate the impact of men's perceptions of healthcare quality on obtaining a screening PSA for the early detection of prostate cancer. A retrospective secondary data analysis was conducted of men ages 55-69 without a history of prostate cancer using 2015 Medical Expenditure Panel Survey (MEPS) data...
June 2019: Preventive Medicine Reports
Maria de Las Mercedes Martín-Perpiñá, Ferran Viñas Poch, Sara Malo Cerrato
The vulnerability that characterizes adolescents justifies the growing health concern about the impact of excessive use of ICT. Exploring the roll both psychological and social variables in excessive use of ICT in adolescents can help preventing risk behaviors. Examining the ICT use of 1,102 secondary school, baccalaureate and professional training course students (11-18 years old, M = 14.42, Sd = 1.78; 50.58% boys), we investigate the psycho-social profile of those adolescents who have self -reported an excessive use of ICTs...
2019: Frontiers in Psychology
S Chemla, A Reynaud, M di Volo, Y Zerlaut, L Perrinet, A Destexhe, F Chavane
How does the brain link visual stimuli across space and time? Visual illusions provide an experimental paradigm to study these processes. When two stationary dots are flashed in close spatial and temporal succession, human observers experience a percept of motion. Large spatio-temporal separation challenges the visual system to keep track of object identity along the apparent motion path, the so-called "correspondence problem". Here, we utilize voltage-sensitive dye imaging in primary visual cortex (V1) of awake monkeys to show that intra-cortical connections within V1 can solve this issue by shaping cortical dynamics to represent the illusory motion...
March 18, 2019: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
Nneka N Ufere, John Donlan, Lauren Waldman, Jules L Dienstag, Lawrence S Friedman, Kathleen E Corey, Nikroo Hashemi, Peter Carolan, Alan C Mullen, Michael Thiim, Irun Bhan, Ryan Nipp, Joseph A Greer, Jennifer S Temel, Raymond T Chung, Areej El-Jawahri
BACKGROUND & AIMS: Despite evidence for the benefits of palliative care (PC) referrals and early advance care planning (ACP) discussions for patients with chronic diseases, patients with end-stage liver disease (ESLD) often do not receive such care. We sought to examine physicians' perceptions of the barriers to PC and timely ACP discussions for patients with ESLD. METHODS: We conducted a cross-sectional survey of hepatologists and gastroenterologists who provide care to adult patients with ESLD, recruited from the American Association for the Study of Liver Diseases 2018 membership registry...
March 15, 2019: Clinical Gastroenterology and Hepatology
Jonathon P Leider, Fatima Coronado, Kyle Bogaert, Elizabeth Gould
INTRODUCTION: Workforce development is one of the ten essential public health services. Recent studies have better characterized individual worker perceptions regarding workforce interests and needs, but gaps remain around workforce needs from program managers' perspectives. This study characterized management perspectives regarding subordinate's abilities and training needs and perceived challenges to recruitment and retention. METHODS: In 2017, the Directors Assessment of Workforce Needs Survey was sent to 574 managers at state health agencies across the U...
March 15, 2019: American Journal of Preventive Medicine
Sumera Aziz Ali, Zahid Abbasi, Anam Feroz, K Michael Hambidge, Nancy F Krebs, Jamie E Westcott, Sarah Saleem
BACKGROUND: Maternal anemia is a leading public health issue placing pregnant women at higher risk of low birth weight, preterm birth, perinatal mortality, and neonatal mortality. Women in developing countries are at higher risk of anemia which could be either due to micronutrient deficiencies, hemoglobinopathies, infections or other socio-demographic factors. Thus, it is highly essential to explore the factors of anemia among women of the reproductive age group in order to design suitable interventions...
March 18, 2019: Reproductive Health
M R Gualano, F Bert, S Passi, M Stillo, V Brescia, G Scaioli, R Thomas, G Voglino, D Minniti, F Boraso, R Siliquini
BACKGROUND: Shared Decision Making (SDM) is an approach where clinicians and patients share the best available evidence to make decision and where patients opinions are considered. This approach provides benefits for patients, clinicians and health care system. The aim of the present study is to investigate the patients' perception of their participation in treatment choices and to identify the possible influences of variables in decision aids and therapeutic choices. Furthermore the present study evaluates the impact of SDM on the length of hospital stay and the health expenditure in Piemonte, an Italian region...
March 18, 2019: BMC Health Services Research
Jessica Young, Ursula Poole, Fardowsa Mohamed, Shona Jian, Martyn Williamson, Jim Ross, Chrystal Jaye, Peter Radue, Tony Egan
OBJECTIVES: There is renewed attention to the role of social networks as part of person-centred long-term conditions care. We sought to explore the benefits of 'care maps' - a patient-identified social network map of their care community - for health professionals in providing person-centred care. METHODS: We piloted care maps with 39 patients with long-term conditions in three urban and one rural general practice and two hospital wards. We interviewed the health professionals (n = 39) of these patients about what value, if any, care maps added to patient care...
March 18, 2019: Chronic Illness
Heather Scriven, Darren P Doherty, Elizabeth C Ward
INTRODUCTION: Individuals living in rural/remote areas have recognised barriers to specialist services for persistent pain management. Although there is current evidence to support the use of telehealth to deliver individual pain management support, there is minimal evidence to support the use of pain management programs delivered within a group model, using telehealth. The aim of the present research was to perform a formative evaluation of a persistent pain management program implemented using a multisite telehealth group model, and to examine consumer perceptions...
March 2019: Rural and Remote Health
Tie Hua Zhou, Gong Liang Hu, Ling Wang
The Institute for Health Metrics and Evaluation (IHME) has stated that over 1.1 billion people suffered from mental disorders globally in 2016, and the burden of mental disorders has continued to grow with impacts on social development. Despite the implementation of strategies for promotion and prevention in mental health WHO's Comprehensive Mental Health Action Plan 2013⁻2020, the difficulty of diagnosis of mental disorders makes the objective "To provide comprehensive, integrated, and responsive mental health and social care services in community-based settings" hard to carry out...
March 16, 2019: International Journal of Environmental Research and Public Health
Denise C Hunter, Veronika S Jones, Duncan I Hedderley, Sara R Jaeger
Functional foods which enhance satiety and hence offer appetite control can support weight loss efforts, but consumers' perceptions of such products are not fully understood. Urban-dwelling Australian consumers (n = 1629) trying to lose or to maintain weight rated written product concepts offering appetite control benefits for purchase intent and believability. In general, all product concepts were rated moderately for purchase intent, although products that were more likely to be commonly consumed, and that were a solid format received significantly higher ratings...
May 2019: Food Research International
Marielle G Contesse, James E Valentine, Tracy E Wall, Mindy G Leffler
INTRODUCTION: The traditional model of evaluating treatments based primarily on primary outcome measures has stumbled in its application to rare disease. Rare disease clinical trials face the methodological challenges of small, heterogeneous patient populations and relatively few validated, disease-specific outcome measures. Incorporating qualitative research into rare disease clinical trials may help sponsors, regulators, payers, and prescribers to better understand the real-world and patient-specific impact of a potential therapy...
March 16, 2019: Advances in Therapy
Shenade Baker, Ya Ping Lee, H Laetitia Hattingh
Background The need for greater collaboration between pharmacists and general practitioners in Australia facilitated the development of the practice pharmacist role. Practice pharmacists work from within general practices to provide services to patients and health professionals to improve the quality use of medications. Objective To explore the perceptions of Australian accredited pharmacists and pharmacists already working in general practices about current roles, facilitators and barriers, and remuneration expectations of practice pharmacists...
March 16, 2019: International Journal of Clinical Pharmacy
Ahna L H Pai, Avi Madan Swain, Fang Fang Chen, Wei-Ting Hwang, Gabriela Vega, Olivia Carlson, Francisco Argueta Ortiz, Kimberly Canter, Naomi Joffe, E Anders Kolb, Stella M Davies, Joseph Chewning, Janet Deatrick, Anne E Kazak
OBJECTIVE: Family psychosocial risk screening is an important initial step in delivering evidence-based care in hematopoietic stem cell transplantation (HCT). Establishing an evidence-based screening approach that is acceptable, reliable and valid is an essential step in psychosocial care delivery. METHODS: This is a three-institution multi-method study. In Part 1 caregivers of children about to undergo HCT (n = 140) completed the Psychosocial Assessment Tool (PAT), a brief parent report screener adapted for HCT, and validating questionnaires...
March 13, 2019: Biology of Blood and Marrow Transplantation
Geoffrey P Whitfield, Susan A Carlson, Emily N Ussery, Kathleen B Watson, David Berrigan, Janet E Fulton
Built environments that provide activity-friendly routes (e.g., sidewalks) to everyday destinations (e.g., shops) can increase physical activity. Surveillance of supports and destinations is important, and identifying which are associated with walking could prioritize surveillance questions. Our purpose was to identify the significant associations between supports and destinations with walking among a nationally-representative sample of urban- and rural-dwelling adults. Participants in the 2015 National Health Interview Survey, Cancer Control Supplement (n = 29,925) reported the near-home presence of walkable supports (roads, sidewalks, paths, or trails; sidewalks on most streets), destinations (shops; transit; movies, libraries, or churches; relaxing places), and past-week walking for leisure or transportation...
March 13, 2019: Preventive Medicine
Gary Orsborn, Kathy Dumbleton
PURPOSE: To gain a better understanding of eye care professionals' (ECPs) perceptions regarding the benefits of silicone hydrogel (SiH) daily disposable contact lenses (DDCL), particularly with respect to health, comfort and patient satisfaction. METHODS: A survey was conducted with 300 ECPs in the United States, United Kingdom and Japan during November 2017. The survey comprised 34 statements relating to SiH DDCLs, to which the ECPs provided their level of agreement using a 6 point Likert scale...
March 13, 2019: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
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