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health care for doctors

Taeho Greg Rhee, Richard A Marottoli, Peter H Van Ness, Becca R Levy
INTRODUCTION: Older minority individuals are less likely to receive adequate health care than their white counterparts. This study investigates whether perceived racism is associated with delayed/forgone care among minority older adults, and whether poor doctor communication mediates this relationship. METHODS: Study cohort consisted of minority participants, aged ≥65 years, in the 2015 California Health Interview Survey (N=1,756). Authors obtained data in November 2017, and statistical analyses were performed from February to April 2018...
February 14, 2019: American Journal of Preventive Medicine
P Breton, R Morello, P Chaussarot, P Delamillieure, X Le Coutour
BACKGROUND: Burnout syndrome is a reality in health professions. Many studies report a growing and alarming exhaustion among doctors and residents in France. However, medical studies deemed to be stressful, medical students could be also affected by this syndrome. Few studies are conducted in France at this stage of training, so we will focus our study on the sensitivity to burnout syndrome of students in pre-clerkship. METHODS: This is a descriptive cross-sectional study involving 312 students in their third year of medical school in Caen, France...
February 13, 2019: Revue D'épidémiologie et de Santé Publique
Jonathan David Comins, Kirsten Schierup Freund, Karl Bang Christensen, Jørgen Lous, John Brodersen
BACKGROUND: Health inequality is on the rise due to various social and individual factors. While preventive health checks (PHC) aim to counteract health inequality, there is robust evidence against the use of PHC in general practice. It is unknown which factors can identify persons who will benefit from preventive interventions that are more beneficial than harmful. Hence, valid screening instruments are needed. METHODS: The aim of this study was to assess the psychometric properties of a screening questionnaire (SQ-33), which targets vulnerable persons in primary care practice who can benefit from preventive consultations...
February 15, 2019: Journal of patient-reported outcomes
Lisa Van de Wijer, Deborah N Mchaile, Quirijn de Mast, Blandina T Mmbaga, Nanda N J Rommelse, Ashanti Duinmaijer, André J A M van der Ven, Arnt F A Schellekens, Grace D Kinabo
BACKGROUND: Efavirenz is commonly prescribed for children with HIV infection, yet little is known about risks of neuropsychiatric side-effects. We aimed to compare competence (social involvement, activities, and school performance) and psychopathology (internalising and externalising problems), cognitive performance (intelligence and working memory), and adherence in Tanzanian children on an efavirenz-based versus a non-efavirenz-based regimen. METHODS: In this multicentre, cross-sectional, observational study, we included consecutive children (aged 6-12 years) with HIV infection, on combination antiretroviral therapy (cART) for at least 6 months, and with viral loads of less than 1000 copies per mL from HIV care clinics of three primary health facilities and three referral hospitals in Moshi, Kilimanjaro, Tanzania...
February 12, 2019: Lancet HIV
Franck Garanet, Adama Baguiya, Nongoba Sawadogo, Stéphane Besancon, Assa Sidibé Traoré, Joseph Drabo, Christian Mesenge, Line Kleinebreil, Hélène Delisle
OBJECTIVE: To examine educational practices in type 2 diabetes among health professionals. METHODS: A cross-sectional study took place from June to September 2012 in Bamako and Ouagadougou. The study population consisted of all health professionals responsible for diabetes care in secondary and tertiary public health facilities. RESULTS: A total of 78 participants were interviewed. Doctors and nurses accounted for 77% and 23% respectively...
September 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
Sanjay Kalra, Gagan Priya, Emmy Grewal, Than Than Aye, B K Waraich, Tint SweLatt, Touch Khun, Menh Phanvarine, Sun Sutta, Uditha Kaush, Manilka, Sundeep Ruder, Bharti Kalra
From its earliest days, Buddhism has been closely intertwined with the practice of medicine, both being concerned in their own way in the alleviation and prevention of human suffering. However, while the connection between Buddhism and healthcare has long been noted, there is scarce literature on how Buddhist philosophy can guide health-care practitioners in their professional as well as personal lives. In the sutras, we find analogies that describe the Buddha as a doctor, knowledge of Dharma as the treatment, and all lay people as patients...
November 2018: Indian Journal of Endocrinology and Metabolism
Seth A Seabury, J Samantha Dougherty, Jeff Sullivan
OBJECTIVES: To assess the extent to which medication adherence in congestive heart failure (CHF) and diabetes may serve as a measure of physician-level quality. STUDY DESIGN: A retrospective analysis of Medicare data from 2007 to 2009, including parts A (inpatient), B (outpatient), and D (pharmacy). METHODS: For each disease, we assessed the correlation between medication adherence and health outcomes at the physician level. We controlled for selection bias by first regressing patient-level outcomes on a set of covariates including comorbid conditions, demographic attributes, and physician fixed effects...
February 2019: American Journal of Managed Care
Mainul Haque, Nor Azlina A Rahman, Judy McKimm, Shahidah Leong Binti Abdullah, Md Zakirul Islam, Zainal Zulkifli, Nurfarhana Binti Saidan, Nadia Iman Khairul Azhar, Siti Nur Najihah Binti Lutfi, Syamirah Aishah Binti Othman
BACKGROUND AND AIMS: The introduction of antibiotics into modern medicine has changed clinical care by saving millions of lives. However, antibiotics are not a panacea for everything and misuse of antibiotics has led to their many benefits being overshadowed by the development of antimicrobial resistance. This study aimed to assess university students' knowledge and beliefs about and their use of antibiotics. METHODS: This cross-sectional study was conducted among medical and non-medical students of the National Defence University of Malaysia...
February 14, 2019: Expert Review of Anti-infective Therapy
Tyrone Reden L Sy, Retna Siwi Padmawati, Emmanuel S Baja, Riris Andono Ahmad
BACKGROUND: The Philippines has a high burden of TB and HIV, yet the WHO estimates that only 13% of Filipino TB patients know their HIV status. This is partly attributable to the lack of trained HIV counselors and medical technologists (or laboratory technicians) at the primary healthcare level. In Africa where resources and manpower are also scarce, TB/HIV care is already delegated to community health workers. Evidence is scant however about the acceptability and feasibility of engaging community health workers to provide HIV counseling and testing (HCT) among TB patients in the Philippines...
February 13, 2019: BMC Public Health
Hanna Czajka, Szymon Czajka, Katarzyna Anna Dyląg, Elżbieta Borek, Ernest Kuchar
A worrying increase in the number of measles cases has been noted recently in Poland, which may have to do with a decreasing proportion of children vaccinated against measles, mumps, and rubella (MMR) in the second year of life (<95%). For many years, MMR vaccination in children has been associated with a fear of allergy to eggs. This study seeks to define the reason and justification for postponing MMR vaccination in a population of children referred to the outpatient specialist immunization clinic. One hundred and thirty eight (138) children, mean 24...
February 14, 2019: Advances in Experimental Medicine and Biology
Emily Reeve, Lee-Fay Low, Sarah N Hilmer
BACKGROUND/OBJECTIVES: Use of harmful and/or unnecessary medications in older adults is common. Understanding older adult and caregiver attitudes toward deprescribing will contribute to medication optimization in practice. The aims of this study were to capture the attitudes and beliefs of older adults and caregivers toward deprescribing and determine what participant characteristics and/or attitudes (if any) predicted reported willingness to have a medication deprescribed. DESIGN: Self-completed questionnaire...
February 13, 2019: Journal of the American Geriatrics Society
Chris Rissel, Santosh Khanal, Jane Raymond, Vanessa Clements, Kit Leung, Michael Nicholl
Objectives Get Healthy in Pregnancy (GHiP) is a telephone based lifestyle coaching service for pregnant women, in New South Wales, Australia. GHiP had two service options; a telephone-based health coaching program consisting of up to 10 calls and information only (including one call). This study sought to compare the outcomes of the two GHiP options, to determine the characteristics of women likely to use the service and to explore the feedback from women and health professionals. Methods A pragmatic stratified clustered randomised controlled trial was conducted...
February 12, 2019: Maternal and Child Health Journal
K Guha, F Ashraf
Maternal death audit in a tertiary hospital was conducted to improve the quality of maternal health care. In this descriptive type cross sectional study, maternal deaths were reviewed and factors responsible for maternal death were identified and noted in Rajshahi Medical College Hospital from July 2008 to June 2009. During the study period total 63 maternal deaths recorded among 7560 deliveries. Almost 43% deceased mother was less than 25 years of age. 39.7% mother died during their first pregnancy. Among the delivery group 46% cases delivered vaginally...
January 2019: Mymensingh Medical Journal: MMJ
Praise O Iyiewuare, Ian D Coulter, Margaret D Whitley, Patricia M Herman
OBJECTIVE: This paper describes a process for ensuring and documenting Health Insurance Portability and Accountability Act (HIPAA) compliance in clinical practice-based research. METHODS: The Center of Excellence for Research in Complementary and Alternative Medicine was funded by National Center for Complementary and Integrative Health to develop the methods for researching the appropriateness of care in complementary and integrative health, which previously was known as complementary and alternative medicine...
February 10, 2019: Journal of Manipulative and Physiological Therapeutics
Alex Broom, Emma Kirby, Renata Kokanović, Lisa Woodland, David Wyld, Paul de Souza, Eng-Siew Koh, Zarnie Lwin
In this article, we focus on developing a critical sociology of 'cultural and linguistic diversity' as evident in cancer care praxis, drawing on the perspectives of cancer care health professionals. Set within the context of increasing efforts on the part of healthcare providers to 'accommodate difference' and 'incorporate diversity', we aimed to utilise participants' accounts of practice to ask: how do we and how should we think about and operationalise 'culture' (if at all) in cancer care settings. Drawing on eight focus groups with doctors, nurses, allied health staff and multicultural community workers, here we explore their accounts of: othering and over-simplification; the role of absences in biographical reciprocity; intimacy, care and carelessness; and entanglements of culture with other aspects of the person...
February 13, 2019: Health (London)
G Jackson-Koku, P Grime
Background: Burnout is a pervasive health condition affecting many doctors at various stages in their careers. Characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment it can result in significant personal and professional consequences putting patient care at risk. Emotion regulation describes a capacity to self-modulate emotions to achieve desirable emotional outcomes. Emotional intelligence theory suggests that emotion regulation skills facilitate the maintenance of appropriate emotions, reducing or adapting undesirable emotions in oneself and others...
February 7, 2019: Occupational Medicine
Joël Ladner, Ahmed Ben Abdelaziz
In the 21st century, public health is not only about fighting infectious diseases, but also contributing to a "multidimensional" well-being of people (health promotion, non-communicable diseases, the role of citizens and people in the health system etc.). Six themes of public health, issues of the 21st century will be addressed. Climate change is already aggravating already existing health risks, heat waves, natural disasters, recrudescence of infectious diseases. Big data is the collection and management of databases characterized by a large volume, a wide variety of data types from various sources and a high speed of generation...
October 2018: La Tunisie Médicale
Hatem Shili, Sonia Ben Hadj Hassen, Taycir Daoud, Hichem Denguir, Françoise Ounalli
The Tunisian health care system is experiencing a significant period of change and needs reforms so as to adapt. The nursing profession, which is the main actor of this system, in terms of number and function, is barely known or utterly unknown. The present paper's authors, who are paramedical teachers, aim to shed light on the specificity of the nursing and the nursing profession based on data collecting, and rare articles and legislation texts. In four sections, the paper will discuss the following issues: the nursing population demography, providing several indicators, their training throughout the reforms period, their training which has been "hooked" to university studies, their job profile and career plan...
October 2018: La Tunisie Médicale
Ahmed Ben Abdelaziz, Asma Ben Abdelaziz, Chokri Zoghlami, Mohamed Khelil, Tarek Barhoumi, Sami Ben Abdelfattah, Kamel Ben Salem
CONTEXT: Following the Tunisian revolution of 2010/2011, a new Public Health literature emerged, by the ministerial departments as well as the civil society, which was marked by the transparency and the comprehensiveness of the approach. OBJECTIVE: To identify the key ideas of the new Tunisian Public Health discourse, reconciling the principles of a globalizing paradigm with the health problems of a country in transition. METHODS: During this qualitative research, a selected series of three Tunisian reports of Public Health, published in the first quinquennium of the revolution, was read by an independent team of experts in Public Health, not having contributed to their elaboration, to identify the consensual foundations of the new Public Health discourse...
October 2018: La Tunisie Médicale
Fang Xu, James M Dahlhamer, Emily P Terlizzi, Anne G Wheaton, Janet B Croft
BACKGROUND: Previous reports suggest that adults with inflammatory bowel disease (IBD) receive suboptimal preventive care. AIMS: The population-based study compared the receipt of these services by US adults with and without IBD. METHODS: Adults aged ≥ 18 years with IBD (1.2%) and without IBD were identified from the 2015 and 2016 National Health Interview Survey (n = 66,610). Age-standardized prevalence of doctor visits, receipt of medical advice, and selected preventive care was calculated for adults with and without IBD...
February 12, 2019: Digestive Diseases and Sciences
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