Healthcare Research

18:53 EDT 22nd March 2019 | BioPortfolio

The rhetoric and reality of integrated patient-centered care for healthcare providers: An ethnographic exploration of epilepsy care in Ireland.

In line with healthcare reform across the world, the National Clinical Programme for Epilepsy (NCPE) in Ireland describes a model that aims to achieve holistic integrated person (patient)-centered care (PCC). While generally welcomed by stakeholders, the steps required to realize the NCPE ambition and the preparedness of those involved to make the journey are not clear. This study explored the per...

Burden of skin disease in two remote primary healthcare centres in northern and central Australia.

The burden of skin infections across all age groups in remote Australian Indigenous communities is currently unknown. In a retrospective audit of 439 residents from two remote communities presenting to health clinics, skin conditions were the most common reason for presentation (1603/7392, 22%) and 330/439 (75%) residents presented at least once with a skin infection. Skin infections are an under-...

Healthcare coverage in the US and Japan: A comparison.

Understanding different models of healthcare worldwide and examining the benefits and challenges of those systems can inform potential improvements in the US. This article compares healthcare coverage in the US and Japan with respect to legislation, healthcare system models, eligibility of coverage, financial expenditures, health resources, and quality of care.

Substitution of low-risk skin cancer hospital care towards primary care: A qualitative study on views of general practitioners and dermatologists.

Rising healthcare expenditures places the potential for substitution of hospital care towards primary care high on the political agenda. As low-risk basal cell carcinoma (BCC) care is one of the potential targets for substitution of hospital care towards primary care the objective of this study is to gain insight in the views of healthcare professionals regarding substitution of skin cancer care, ...

Evaluation of intraosseous computerized injection system (QuickSleeper ) versus conventional infiltration anaesthesia in paediatric oral healthcare: a multicenter, single-blind, combined split-mouth and parallel-arm randomized controlled trial.

Conventional infiltration anaesthesia (CIA) is the most frequently used in paediatric oral healthcare. However, other techniques are available, such as intraosseous anaesthesia (IOA), that can beneficiate from newly developed technologies.

Strategies used by people who inject drugs to avoid stigma in healthcare settings.

People who inject drugs (PWID) have limited engagement in healthcare services and report frequent experiences of stigma and mistreatment when accessing services. This paper explores the impact of stigma against injection drug use on healthcare utilization among PWID in the U.S. Northeast.

Influence of frequent users of the emergency departments on unscheduled revisits.

Fall-related healthcare use and mortality among older adults in the Netherlands, 1997-2016.

Fall-related injuries are a leading cause of morbidity among older adults, leading to a high healthcare consumption and mortality. We aim to describe and quantify time trends of fall-related healthcare use and mortality among adults aged ≥65 years in the Netherlands, 1997-2016.

Racial/Ethnic Variation in Use of Ambulatory and Emergency Care for Atopic Dermatitis Among U.S. Children.

Previous studies indicate racial/ethnic differences in healthcare utilization for pediatric atopic dermatitis (AD) but do not account for disease severity impact. We sought to examine the relationship between race/ethnicity and healthcare utilization, both overall and by specific visit type, while accounting for AD control. A longitudinal cohort study of children with AD in the U.S. was performed ...

Stigma towards alcohol use disorder: Comparing healthcare workers with the general population.

Are perceived barriers to accessing mental healthcare associated with socioeconomic position among individuals with symptoms of depression? Questionnaire-results from the Lolland-Falster Health Study, a rural Danish population study.

To evaluate if perceived barriers to accessing mental healthcare (MHC) among individuals with symptoms of depression are associated with their socio-economic position (SEP).

Comparison of National and Local Approaches to Detecting Suicides in Healthcare Settings.

In order to address the problem of suicide, healthcare providers and researchers must be able to accurately identify suicide deaths. Common approaches to detecting suicide in the healthcare setting include the National Death Index (NDI) and Root-Cause Analysis (RCA) methodology. No study has directly compared these two methods.

Hacking into a pacemaker; risks of smart healthcare devices.

Technological progress in healthcare offers a plethora of opportunities, but they also raise important issues, such as safety. Every year, around 18,000 electronic implants with a therapeutic function, such as pacemakers and implantable cardioverter defibrillators (ICDs), are implanted in patients in the Netherlands. Most of these devices are able to establish a wireless internet connection to sha...

Medicare Annual Wellness Visit association with healthcare quality and costs.

Although use of the Medicare Annual Wellness Visit (AWV) is increasing nationally, it remains unclear whether it can help contain healthcare costs and improve quality. In the context of 2 primary care physician-led accountable care organizations (ACOs), we tested the hypothesis that AWVs can improve healthcare costs and clinical quality.

Clinical decision support for high-cost imaging: A randomized clinical trial.

There is widespread concern over the health risks and healthcare costs from potentially inappropriate high-cost imaging. As a result, the Centers for Medicare and Medicaid Services (CMS) will soon require high-cost imaging orders to be accompanied by Clinical Decision Support (CDS): software that provides appropriateness information at the time orders are placed via a best practice alert for targe...

Family caregiver satisfaction with inpatient rehabilitation care.

Informal family caregivers play an increasingly important role in healthcare. Despite their role in ongoing management and coordination of care, caregiver satisfaction with the healthcare services care recipients receive has been understudied. We sought to assess what influences caregiver satisfaction with inpatient care provided to their care recipient among caregivers of veterans with traumatic ...

Occupational therapy practitioners' decision-making preferences, attitudes, awareness and barriers in relation to evidence-based practice implementation in Saudi Arabia.

Evidence-based practice (EBP) plays a significant part in healthcare. There has been little research into the standard of care that healthcare workers provide to patients in Saudi Arabia. The purpose of this study was to investigate occupational therapy practitioners' (OTPs) decision-making preferences, attitudes and awareness in relation to EBP as well as to discover any barriers possibly limitin...

The views of patients, healthcare professionals and hospital officials on barriers to and facilitators of quality pain management in Ethiopian hospitals: A qualitative study.

Postoperative pain remains a challenge in the developed world, but the consequences of inadequately treated postoperative pain are particularly severe in low- and middle-income countries. Since 2011, reports have drawn attention to the poor quality of postoperative pain management in Ethiopia; however, our multicenter qualitative study was the first to attempt to understand the factors that are ba...

Caring for trafficked and unidentified patients in the EHR shadows: Shining a light by sharing the data.

Healthcare providers have key roles in the prevention of, detection of, and interventions for human trafficking. Yet caring for trafficked persons is particularly challenging: patients whose identities are unknown, unreliable, or false could receive subpar care from providers delivering care in a vacuum of relevant information. The application of precision medicine principles and integration of bi...

How family caregivers of persons with advanced cancer assist with upstream healthcare decision-making: A qualitative study.

Numerous healthcare decisions are faced by persons with advanced cancer from diagnosis to end-of-life. The family caregiver role in these decisions has focused on being a surrogate decision-maker, however, little is known about the caregiver's role in supporting upstream patient decision-making. We aimed to describe the roles of family caregivers in assisting community-dwelling advanced cancer pat...

Longitudinal Patterns of Mexican and Puerto Rican Children's Asthma Controller Medication Adherence and Acute Healthcare Utilization.

Researchers tend to study Latinos as a single group but recent asthma research confirmed differences among Latino subgroups. Variations in controller medication adherence may be a factor in the observed health disparities between Mexican and Puerto Rican children. Adherence is not a stable phenomenon, however, there is a paucity of data on patterns of adherence, sociodemographic predictors of patt...

Service quality: A subliminal pathway to service differentiation and competitive advantage in private healthcare marketing in Ghana.

The study investigates the role of service quality in Ghana's private hospitals and its effect on patients' satisfaction and loyalty. A sample of 622 respondents was drawn using convenience sampling. Structural equation modeling using smart PLS was used to test the measures. The study found a significant positive relationship between service quality and patient satisfaction and also a significant ...

Leadership by Design.

The evolving nature of Canada's healthcare system has necessitated a corresponding evolution of leadership informed by contemporary theoretical perspectives. It has long been recognized that the leadership capabilities, knowledge and skills of the past are no longer sufficient to manage and lead amidst the complexities of today's healthcare system. Events of this millennium have challenged the mos...

Building Healthcare Leadership Capacity: Strategy, Insights and Reflections.

The Dorothy Wylie Health Leaders Institute is a Canadian success story, providing leadership development to over 2,600 nurses and healthcare professionals since its inception in 2001.The authors describe the original design and intent of the Institute and its evolution over the last 18 years as both the context for leadership and leadership requirements have evolved. The Institute's framework, key...

The Role of Education in Developing Leadership in Nurses.

Nurses, with their intimate knowledge of person-centred healthcare, are called to lead at the point of care and to promote health across settings and the continuum of care. Capacity building and knowledge development for nursing leadership is a current priority in Canada, and therefore, academic preparation is foundational to developing nurses who lead. We provide examples of how to build leadersh...

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