2,875 results match your criteria themes extracted

Health Care Leaders' Perspectives on the Maryland All-Payer Model.

JAMA Health Forum 2022 Feb 4;3(2):e214920. Epub 2022 Feb 4.

Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, Baltimore, Maryland.

Importance: Since 2014, all hospitals in Maryland have operated under an all-payer global budget system. Hospital global budgets have gained renewed attention as a strategy for constraining cost growth, improving patient outcomes, and preserving health care access in rural and underserved communities. Lessons from the implementation of the Maryland All-Payer Model (MDAPM) may have implications for policy makers, payers, and hospitals in other settings seeking to adopt global budgets or other value-based payment models. Read More

View Article and Full-Text PDF
February 2022

Hepatocellular carcinoma and its impact on quality of life: A review of the qualitative literature.

Eur J Cancer Care (Engl) 2022 Aug 16:e13672. Epub 2022 Aug 16.

Palliative Nexus Group, Department of Medicine, University of Melbourne at St Vincent's Hospital, Melbourne, Australia.

Introduction: Hepatocellular carcinoma (HCC) carries significant burden of disease, with high mortality rates and poor prognosis. It is therefore important to consider quality of life (QoL) for patients with HCC. Quantitative research assesses HCC and QoL via standardised measurement tools, but these do not capture the full scope of patient experiences. Read More

View Article and Full-Text PDF

How does the COVID-19 pandemic impact medication adherence of patients with chronic disease?: A systematic review.

Chronic Illn 2022 Aug 16:17423953221110151. Epub 2022 Aug 16.

The College of Arts and Sciences, 142585Case Western Reserve University, Cleveland, USA.

Objective: To determine how the COVID-19 pandemic impacts patients with chronic disease medication adherence.

Methods: Four electronic databases, PubMed, MEDLINE, Web of Science, and CINAHL Plus Full Text, were searched for literature between 2019 and 2021. Abstracts and later full texts were independently screened by the authors of this review using inclusion and exclusion criteria to determine relevance to our study. Read More

View Article and Full-Text PDF

Dance interventions for individuals post-stroke - a scoping review.

Top Stroke Rehabil 2022 Aug 13:1-18. Epub 2022 Aug 13.

Department of Biobehavioral Sciences, Teachers College, Columbia University, New York City, NY, USA.

Background: There is a growing body of literature assessing the potential benefits of dance for individuals post-stroke.

Objectives: We conducted a scoping review mapping the state of the literature on feasibility, intervention procedures, and efficacy of dance to improve health-related outcomes for individuals post-stroke.

Eligibility Criteria: Included studies were original research that described the use of a dance intervention for individuals post-stroke, included any health-related outcome, and were written in English. Read More

View Article and Full-Text PDF

Qualitative Research on the Training Experiences and Needs of Intensive Care Unit General Nurses Against the Background of Regular Coronavirus Disease 2019 Prevention and Control.

Front Public Health 2022 29;10:919987. Epub 2022 Jul 29.

Nursing Department, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.

Objective: This study aimed to investigate the training experiences and needs of intensive care unit (ICU) general nurses against a background of regular Coronavirus disease (COVID-19) prevention and control.

Methods: Using the phenomenological method of qualitative research, semi-structured interviews were conducted with 10 ICU nurses. The interview data were analyzed, sorted, summarized, and refined using the content analysis method. Read More

View Article and Full-Text PDF

War, immigration and COVID-19: The experience of Afghan immigrants to Iran Amid the pandemic.

Front Psychiatry 2022 28;13:908321. Epub 2022 Jul 28.

Psychiatry Department, Medical School, Iran University of Medical Sciences, Tehran, Iran.

Introduction: Afghanistan's domestic upheaval following the Taliban's invasion leads to massive displacement of its population. The number of Afghan refugees in Iran has dramatically increased since the Taliban's takeover of Afghanistan in August 2021. Multiple pre-and post-migratory traumatic experiences affect immigrants' physical, psychological, social, and economic wellbeing. Read More

View Article and Full-Text PDF

Service user experiences of mental health assessments: a systematic review and thematic synthesis of qualitative literature.

J Ment Health 2022 Aug 13:1-14. Epub 2022 Aug 13.

Service User Research Enterprise, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, England.

Background: Successive governments have placed service users' experiences at the heart of mental health services delivery and development. However, little is known about service users' experiences of assessments and there is some evidence that assessments can cause harm.

Aims: To synthesise the qualitative literature on service users' experiences of undergoing mental health service assessments. Read More

View Article and Full-Text PDF

"You have (rotator cuff related) shoulder pain, and to treat it, I recommend exercise." A scoping review of the possible mechanisms underpinning exercise therapy.

Musculoskelet Sci Pract 2022 Aug 8;62:102646. Epub 2022 Aug 8.

Faculty of Health Science and Medicine, Bond Institute of Health and Sport, Bond University, Robina, Queensland, Australia.

Background: Exercise is considered to be both essential and at the forefront of the management of rotator cuff-related shoulder pain (RCRSP). Despite this, many fail to substantially improve with exercise-based treatment. Hence, expanding the current knowledge about the possible mechanisms of exercise for RCRSP is critical. Read More

View Article and Full-Text PDF

Menstrual irregularities and vaginal bleeding after COVID-19 vaccination reported to v-safe active surveillance, USA in December, 2020-January, 2022: an observational cohort study.

Lancet Digit Health 2022 Aug 9. Epub 2022 Aug 9.

CDC COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Background: Anecdotal reports of menstrual irregularities after receiving COVID-19 vaccines have been observed in post-authorisation and post-licensure monitoring. We aimed to identify and classify reports of menstrual irregularities and vaginal bleeding after COVID-19 vaccination submitted to a voluntary active surveillance system.

Methods: This observational cohort study included recipients of a COVID-19 vaccine who were aged 18 years and older and reported their health experiences to v-safe, a voluntary smartphone-based active surveillance system for monitoring COVID-19 vaccine safety in the USA, from Dec 14, 2020, to Jan 9, 2022. Read More

View Article and Full-Text PDF

Family Factors Associated with Problematic Use of the Internet in Children: A Scoping Review.

Indian J Psychol Med 2022 Jul 20;44(4):341-348. Epub 2022 Jun 20.

Dept. of Social Work, Rajagiri College of Social Sciences, Cochin, Kerala, India.

Background: Problematic use of the internet (PUI) is a growing concern, particularly in the young population. Family factors influence internet use among children in negative ways. This study examined the existing literature on familial or parental factors related to PUI in children. Read More

View Article and Full-Text PDF

The good, the bad, and the ugly: Unpacking the pros and cons associated with change for adults who stutter.

J Fluency Disord 2022 Aug 3;73:105924. Epub 2022 Aug 3.

Dept of Special Education & Communication Disorders, University of Nebraska-Lincoln, USA.

Purpose: The purpose of the current study was to document the pros and cons that adults who stutter may consider when deciding to change how they live with stuttering.

Methods: Semi-structured interviews were conducted with 11 adults who stutter and 12 speech-language pathologists who specialize in stuttering therapy. Participants were asked to identify and discuss the advantages and disadvantages of making a change to how they live with stuttering. Read More

View Article and Full-Text PDF

Self-Assessment in Feedback Conversations: A Complicated Balance.

Acad Med 2022 Aug 9. Epub 2022 Aug 9.

J.L. Miller is clinical associate professor, Department of Family Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa; ORCID: http://orcid.org/0000-0001-9518-3396.

Purpose: Learner-centered feedback models encourage educators to ask learners to self-assess at the start of feedback conversations. This study examines how learners perceive and respond to self-assessment prompts during feedback conversations and assesses medical students' perceptions of and approach to self-assessment used as the basis for these conversations.

Method: All rising second-, third-, and fourth-year medical students at a midwestern U. Read More

View Article and Full-Text PDF

"I'm Off My Meds": Public Perception of Interactions Between SARS-CoV-2 Vaccines and Anti-Psoriatic Treatments Online.

J Drugs Dermatol 2022 Aug;21(8):901-905

Importance: Psoriasis patients may seek information about the SARS-CoV-2 vaccine and their diagnosis from social media platforms. Analyses of social media interactions may help guide dermatologists’ educational efforts during this pandemic.

Objectives: This study analyzed the content and sentiment of online social media posts about the medication interaction between SARS-CoV-2 vaccines and anti-psoriatic therapies among psoriasis patients. Read More

View Article and Full-Text PDF

Feasibility of Cooking Matters for Diabetes: A 6-week Randomized, Controlled Cooking and Diabetes Self-Management Education Intervention.

J Acad Nutr Diet 2022 Aug 6. Epub 2022 Aug 6.

Assistant Professor, The Ohio State University College of Medicine, 579 McCampbell Hall, 1581 Dodd Drive, Columbus, OH 43210. Electronic address:

Background: Diabetes self-management education and support (DSMES) is the cornerstone of diabetes care, yet less than 10% of adults with diabetes successfully manage their condition. Feasible interventions are urgently needed.

Objective: Assess the feasibility of a cooking intervention with food provision and DSMES. Read More

View Article and Full-Text PDF

A Psychological Support Intervention to Help Injured Athletes "Get Back in the Game": Design and Development Study.

JMIR Form Res 2022 Aug 9;6(8):e28851. Epub 2022 Aug 9.

Unit of Physiotherapy, Department of Health, Medicine and Caring Science, Linköping University, Linköping, Sweden.

Background: After a serious knee injury, up to half of athletes do not return to competitive sport, despite recovering sufficient physical function. Athletes often desire psychological support for the return to sport, but rehabilitation clinicians feel ill-equipped to deliver adequate support.

Objective: We aimed to design and develop an internet-delivered psychological support program for athletes recovering from knee ligament surgery. Read More

View Article and Full-Text PDF

Continuing chronic care services during a pandemic: results of a mixed-method study.

BMC Health Serv Res 2022 Aug 8;22(1):1009. Epub 2022 Aug 8.

Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

Background: Patients with chronic diseases have seen unprecedented changes to healthcare practices since the emergence of COVID-19. Traditional 'on-site' clinics have had to innovate to continue services. Whether these changes are acceptable to patients and are effective for care continuation are largely unreported. Read More

View Article and Full-Text PDF

Home-dwelling older adults' experiences of living with both frailty and multimorbidity: A meta-ethnography.

Geriatr Nurs 2022 Aug 5;47:191-200. Epub 2022 Aug 5.

Red Cross College of Nursing, Chung-Ang University, 84 Heukseok ro, Dongjak-gu, Seoul 06974, South Korea. Electronic address:

Objectives: To systematically review qualitative studies about home-dwelling older adults' experiences of living with both frailty and multimorbidity.

Methods: This study adopted a meta-ethnography; the databases included PubMed, Embase, CINAHL, Web of Science, PsycINFO, SCOPUS, and Google Scholar. Qualitative peer-reviewed articles in English were searched up to December 31, 2021. Read More

View Article and Full-Text PDF

A scoping review of how exposure to urban violence impacts youth access to sexual, reproductive and trauma health care in LMICs.

Glob Public Health 2022 Aug 7:1-18. Epub 2022 Aug 7.

Department of Social Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

Violence in the community can impact access to health care. This scoping review examines the impact of urban violence upon youth (aged 15-24) access to sexual and reproductive health and trauma care in Low and Middle Income Countries (LMICs). We searched key electronic health and other databases for primary peer-reviewed studies from 2010 through June 2020. Read More

View Article and Full-Text PDF

Patient-Reported Reasons for Switching or Discontinuing Statin Therapy: A Mixed Methods Study Using Social Media.

Drug Saf 2022 Aug 7. Epub 2022 Aug 7.

Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Introduction: Statin discontinuation can have major negative health consequences. Studying the reasons for discontinuation can be challenging as traditional data collection methods have limitations. We propose an alternative approach using social media. Read More

View Article and Full-Text PDF

Making every contact count: Can healthcare professionals do more to avoid preventable child deaths?

Child Abuse Negl 2022 Aug 3;132:105825. Epub 2022 Aug 3.

Public Health Suffolk, Suffolk County Council, Endeavour House, 8 Russell Road, Ipswich IP1 2BX, United Kingdom. Electronic address:

Background: Healthcare professionals (HCPs) have a responsibility and unique opportunities to identify and act on safeguarding concerns. Child Safeguarding Practice Reviews (CSPRs) are produced in the United Kingdom when a child has died or been seriously harmed, and abuse or neglect is suspected or confirmed. To our knowledge there is no recent systematic analysis of CSPRs from an HCP perspective. Read More

View Article and Full-Text PDF

Patient perspectives on major lower limb amputation - A qualitative systematic review.

Int J Orthop Trauma Nurs 2022 Jul 7;46:100958. Epub 2022 Jul 7.

Department of Orthopedic Surgery, Kolding Hospital, Sygehusvej 20, 6000, Kolding, Denmark; Department of Regional Health Research, University of Southern Denmark, J. B. Winsløws Vej 9b, 5000, Odense, Denmark. Electronic address:

Introduction: Major lower limb amputation is a significant event with substantial implications for patients' quality of life. Care, treatment, and rehabilitation are largely governed by evidence-based recommendations, and patients' preferences are sparsely represented. The aim of this systematic review was to explore patients' perspectives on major lower limb amputation resulting from vascular disease. Read More

View Article and Full-Text PDF

Digital Patient Experience: Umbrella Systematic Review.

J Med Internet Res 2022 08 4;24(8):e37952. Epub 2022 Aug 4.

Industrial Design Engineering, Delft University of Technology, Delft, Netherlands.

Background: The adoption and use of technology have significantly changed health care delivery. Patient experience has become a significant factor in the entire spectrum of patient-centered health care delivery. Digital health facilitates further improvement and empowerment of patient experiences. Read More

View Article and Full-Text PDF

Determining Factors Influencing Specialty Preferences of Iranian Medical Doctors: A Qualitative Study.

Iran J Med Sci 2022 Jul;47(4):350-359

Health Human Resources Research Center, School of Health Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: The medical specialty choice of physicians directly affects the healthcare system, community wellbeing, and their own professional life. It is therefore important to identify its underlying factors to predict such medical career choices and to draw up a comprehensive evidence-based public health policy and health human resources planning. The present qualitative study aimed to identify these determinants of career choices through semi-structured interviews with medical doctors in the context of country-specific social and cultural characteristics. Read More

View Article and Full-Text PDF

Hospital disaster risk management improving strategies: A systematic review study.

Am J Disaster Med 2022 Winter;17(1):75-89

Department of Emergency Medicine, School of Medicine Beasat Hospital, AJA University of Medical Sciences, Tehran, Iran. ORCID: https://orcid.org/0000-0002-8976-4618.

Objective: Hospitals are the basic infrastructure for disaster response. While they themselves are exposed to disasters, they also play an important role during the disaster response period. Therefore, they are expected to be able to maintain their performance during and immediately after disasters. Read More

View Article and Full-Text PDF

A systematic review of the perceptions and attitudes of mental health nurses towards alcohol and other drug use in mental health clients.

Int J Ment Health Nurs 2022 Jul 31. Epub 2022 Jul 31.

Sydney Medical School, Faculty of Medicine and Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.

Mental and substance use disorders are leading contributing factors for the Australian non-fatal burden of disease. These disorders frequently co-occur in the mental health population, and mental health nurses are the largest group of professionals treating dual diagnosis. A comprehensive understanding of mental health nurses' attitudes and perceptions is required to inform future implementation of dual diagnosis training programs. Read More

View Article and Full-Text PDF

Palliative and end-of-life care in intensive care units in low- and middle-income countries: A systematically constructed scoping review.

J Crit Care 2022 Jul 27;71:154115. Epub 2022 Jul 27.

International Observatory on End of Life Care, Division of Health Research, Lancaster University, UK. Electronic address:

Purpose: Death is common in intensive care units, and integrating palliative care enhances outcomes. Most research has been conducted in high-income countries. The aim is to understand what is known about the type and topics of research on the provision of palliative care within intensive care units in low- and middle-income countries MATERIALS AND METHODS: Scoping review with nine databases systematically searched for literature published in English on palliative care in intensive care units in low- and middle- income settings (01/01/1990 to 31/05/2021). Read More

View Article and Full-Text PDF

Exploring the long-term psychosocial impact of paediatric haematopoietic stem cell transplantation for nonmalignant diseases.

Health Expect 2022 Jul 29. Epub 2022 Jul 29.

Department of Pediatrics, Willem-Alexander Children's Hospital, Leiden University Medical Center, Division of Stem Cell Transplantation, Leiden, The Netherlands.

Introduction: An understanding of the long-term psychosocial impact of paediatric haematopoietic stem cell transplantation (HSCT) for nonmalignant diseases is needed to optimize pre-HSCT counselling, supportive care and long-term follow-up programmes after HSCT for this group of patients and caregivers.

Methods: This qualitative study included 14 patients who underwent transplantation for a nonmalignant disease during childhood. In-depth interviews were held online to explore patients' perspectives on the long-term psychosocial impact of HSCT on their lives. Read More

View Article and Full-Text PDF

Medical science students' experiences of test anxiety: a phenomenological study.

BMC Psychol 2022 Jul 29;10(1):187. Epub 2022 Jul 29.

Educational Development Center, Arak University of Medical Sciences, Arak, Iran.

Introduction: The studies show test anxiety is a common disorder in students that causes academic failure. There are not enough studies and specific theoretical background about test anxiety and ways to deal with it, so the purpose of this study was to do a qualitative study to fully understand the ways to deal with test anxiety in medical Sciences students.

Materials And Methods: This is a qualitative study. Read More

View Article and Full-Text PDF

A Bibliometric Analysis of Research on the Links Between Gut Microbiota and Atherosclerosis.

Front Cardiovasc Med 2022 12;9:941607. Epub 2022 Jul 12.

Institute of Geriatric, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China.

Background: Emerging evidence has linked gut microbiota (GM) and its related metabolites to atherosclerosis (AS). This study aimed to analyze the evolution of GM in AS in the past decades, and provide valuable insights in this field.

Methods: Web of Science Core Collection (WoSCC) was applied to retrieve the publications related to GM in AS from their inception until 2 December 2021, and the data was analyzed in Microsoft Excel, Scimago Graphica, CiteSpace, and VOSviewer. Read More

View Article and Full-Text PDF