Academic literature on the topic 'Chronic health condition'

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Journal articles on the topic "Chronic health condition"

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Glied, S. "Chronic condition why health reform fails." Public Health 113, no. 1 (January 1999): 47–48. http://dx.doi.org/10.1016/s0033-3506(99)00114-6.

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Thorpe, Kenneth E. "Chronic Condition: Why Health Reform Fails." Journal of Health Politics, Policy and Law 24, no. 4 (January 1, 1999): 845–48. http://dx.doi.org/10.1215/03616878-24-4-845.

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Mintz, Beth, and Sherry Glied. "Chronic Condition: Why Health Reform Fails." Contemporary Sociology 27, no. 6 (November 1998): 652. http://dx.doi.org/10.2307/2654293.

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Nieman, Linda Z. "Chronic condition self-management and two teaching models for chronic conditions." Chronic Illness 5, no. 1 (March 2009): 15–17. http://dx.doi.org/10.1177/1742395309102239.

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Wollenhaupt, Josanne, Beth Rodgers, and Kathleen J. Sawin. "Family Management of a Chronic Health Condition." Journal of Family Nursing 18, no. 1 (December 19, 2011): 65–90. http://dx.doi.org/10.1177/1074840711427545.

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Santoro, Maya S., Dhwani J. Kothari, Charles Van Liew, and Terry A. Cronan. "Health Care Advocacy." Californian Journal of Health Promotion 12, no. 3 (December 1, 2014): 46–55. http://dx.doi.org/10.32398/cjhp.v12i3.1580.

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Background and Purpose: The U.S. population is living longer; therefore, a relatively large proportion of the population is likely to experience chronic illnesses within their lifetime. An experimental study was conducted to examine factors influencing the likelihood of hiring a Health Care Advocate (HCA). Methods: Survey data were collected from a randomly selected community sample of participants (N = 470) over the age of 18 who were provided with a description of an HCA and a written vignette describing a medical scenario. Participants read one of eight vignettes in which they were asked to imagine they were in a car accident and required medical care. Age, injury (chronic vs. acute), and presence of comorbid chronic condition were manipulated. Results: A significant interaction indicated that when there was no pre-existing chronic health condition, sustaining a chronic injury increased the likelihood of hiring an HCA. In addition, younger adults with comorbid conditions were perceived as having greater need for an HCA than younger adults without comorbid conditions. Older adults were perceived as benefiting from HCAs regardless of comorbid conditions. Conclusion: This study demonstrates the need for patient-centered support for older adults following an injury, and for younger adults when a pre-existing chronic condition exists. Efforts should be made to target services to these populations of interest.
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Jacobs, Lawrence R. "Chronic Condition: Why Health Reform Failsby Sherry Glied." Political Science Quarterly 113, no. 4 (December 1998): 712–14. http://dx.doi.org/10.2307/2658257.

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Kimble, Chris. "Electronic Health Records: Cure-All or Chronic Condition?" Global Business and Organizational Excellence 33, no. 4 (April 23, 2014): 63–74. http://dx.doi.org/10.1002/joe.21554.

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McNeill, Ted. "Fathers of Children with a Chronic Health Condition." Men and Masculinities 9, no. 4 (April 2007): 409–24. http://dx.doi.org/10.1177/1097184x05284220.

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Corrigan, John D., and Flora M. Hammond. "Traumatic Brain Injury as a Chronic Health Condition." Archives of Physical Medicine and Rehabilitation 94, no. 6 (June 2013): 1199–201. http://dx.doi.org/10.1016/j.apmr.2013.01.023.

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Dissertations / Theses on the topic "Chronic health condition"

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Truba, Natalie. "Social and Educational Functioning in College Students with a Chronic Physical Health Condition." TopSCHOLAR®, 2010. http://digitalcommons.wku.edu/theses/188.

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The purpose of the current study is to examine the academic and social functioning of college students with a chronic physical health condition (CPHC). For the current study, chronic physical health condition will be defined as follows: “A physical [or mental] health condition that has lasted or is expected to last at least 6 months and interferes with their activities,” (Varni & Limbers, 2008, p. 107). The sample consisted of 174 participants attending Western Kentucky University. Two groups (CPHC vs. Healthy) were comprised based on the participants’ self-reported health status. Participants were solicited through Western Kentucky University’s department of Psychology Study Board as well as through the university’s Department of Disability Services. The participants completed the demographics questionnaire, Pediatric Quality of Life Inventory for Young Adults (PEDSQL), and the Costello-Comrey Depression and Anxiety Scales (CCDAS). All the measures were completed online. Three hypotheses were made. Hypothesis one stated that college students who have a chronic physical condition will have a lower level of social functioning when compared to their healthy peers. Hypothesis two stated that college students who have a chronic physical health condition will have a lower level of educational adjustment when compared to their healthy peers. Hypothesis three stated that female college students who have a chronic physical health condition will endorse higher levels of the internal symptoms associated with anxiety and depression. Results yielded support for the second hypothesis, as individuals with a CPHC did report lower levels of academic adjustment than healthy individuals. The first hypothesis was marginally supported as participants with a CPHC reported lower levels of social functioning than healthy individuals. The third hypothesis was not supported as females and males with a CPHC reported similar levels of anxiety and depression.
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Chi, Donald Leslie. "The impact of chronic condition status, chronic condition severity, and other factors on access to dental care for Medicaid-enrolled children in Iowa." Diss., University of Iowa, 2009. https://ir.uiowa.edu/etd/345.

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Previous studies suggest that Medicaid-enrolled children have difficulties accessing dental care, which can lead to untreated dental disease, poor oral health, and compromised overall health status. While Medicaid-enrolled children with a chronic condition (CC) encounter additional barriers to dental care, most relevant studies on dental utilization fail to adopt risk adjustment methods. As such, the impact of CC status and CC severity on access to dental care for Medicaid-enrolled children is poorly understood. The main objectives of this dissertation were to: 1) compare dental utilization for Medicaid-enrolled children with and without a CC; 2) assess the relationship between CC severity and dental utilization; and 3) identify the other factors associated with dental utilization. The 3M Clinical Risk Grouping (CRG) Methods were applied to enrollee-level data from the Iowa Medicaid Program (2003-2008) to identify children with and without a CC and to classify children with a CC into a CC severity level. Three outcome measures were developed: 1) access to an annual dental visit; 2) use of dental services under general anesthesia (GA); and 3) time to the first dental visit after initial enrollment into the Medicaid program. We used multiple variable logistic regression models and survival analytic techniques to test our study hypotheses. Compared to Medicaid-enrolled children without a CC, those with a CC were more likely to have had an annual dental visit and earlier first dental visits. Having a CC was an important determinant of dental utilization under GA for older but not for younger Medicaid-enrolled children. In terms of CC severity, Medicaid-enrolled children with more severe CCs were less likely to have had an annual dental visit and more likely to have utilized dental services under GA. CC severity was not associated with the rate at which the first dental visit took place. Not residing in a dental Health Professional Shortage Area, previous use of dental care, and previous utilization of primary medical care were all positively associated with dental utilization. Identifying and understanding the determinants of access to dental care is an important first step in developing clinical interventions and policies aimed at improving access to dental care for all Medicaid-enrolled children. Future work should focus on identifying the socio-behavioral determinants of as well as the clinical outcomes associated with access to dental services for vulnerable children.
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Ray, Lynne. "Promoting the health of families raising a child with a chronic condition : directions for outcomes research /." Thesis, Connect to this title online; UW restricted, 1997. http://hdl.handle.net/1773/7256.

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Hunt, Sara M. "Patterns of Psychosocial Functioning and Mental Health Service Utilization in Children and Adolescents with Chronic Health Conditions or Physical Disabilities." DigitalCommons@USU, 2009. https://digitalcommons.usu.edu/etd/360.

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This study was designed to further understand the psychosocial functioning of youth with chronic health conditions or physical disabilities, their need for and use of mental health services, and possible barriers to receiving needed services. Previous research has suggested these youth experience poorer psychosocial functioning compared to peers without special health care needs, and they also underutilize needed mental health services. A mixed-methods design was implemented consisting of a quantitative parent survey and a qualitative semistructured interview with young adults with special health care needs. Children demonstrating poorer psychosocial adjustment in this study experienced more problems related to social functioning than psychopathology (e.g., depression, anxiety). Over half of the youth had accessed mental health services with the majority utilizing community-based outpatient services. Identified barriers to accessing needed mental health services included difficulty finding professionals with experience in working with youth with special health care needs and lack of financial coverage.
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Lewis, Kristi Leanne. "The Psychometric Properties of the Inner Strength Questionnaire for Women with Chronic Health Conditions." VCU Scholars Compass, 2004. http://scholarscompass.vcu.edu/etd/1022.

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The purpose of this research was to develop and test an instrument to measure or quantify the construct of inner strength. Inner strength was synthesized into a theory based on twelve years of qualitative data from direct participant quotes, defined by Roux et al. (2002) as a central human resource that promotes well-being and healing. The inner strength questionnaire (ISQ) has undergone extensive psychometric evaluation which resulted in several versions. The third version had 37-items and was believed to have four subscales that mirrored the theoretical themes that emerged through the qualitative data. The sample was composed of 281 women with a variety of chronic health conditions including breast cancer, multiple sclerosis, diabetes, and heart disease. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were employed to assess the structure of the ISQ. Internal consistency was used to assess the reliability of each hypothesized subscale and the entire ISQ. Convergent and discriminant validity, were analyzed using the multitrait-multimethod by Campbell and Fiske (1959). For convergent validity, the entire instrument and each of the subscales was correlated with similar theoretical subscales of the Mastery of Stress Instrument (Younger, 1993). For discriminant validity, the Center for Epidemiological Studies in Depression (CESD) was correlated with the entire ISQ. Both the EFA and CFA revealed a four factor model. The four factors were labeled 1) mental, 2) connectedness, 3) knowing and searching, 4) physical. The reliability for all items on the ISQ was 0.91. The reliabilities for each of the subscales were 0.85 for mental, 0.96 for connectedness, 0.85 for knowing and searching, and 0.83 for physical. The multitrait-multimethod matrix revealed correlation coefficients for the relationship between the ISQ and MSI to be 0.55 and a correlation coefficient of -0.19 between the ISQ and the CESD.A four factor model is supported by the statistical data. Through face-to-face interviewing and input from content expert reviewers, ten items were eliminated from the 37-item (version 3) instrument to form a new version of the instrument. The new instrument supports the metasynthesis generated by Roux (2002) except for the fifth theme, entitled "new normal", which was found to be a consequence of having inner strength, not a component of inner strength.
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Huffaker, Luke Gregor, and Luke Gregor Huffaker. "Assessment of School Nurse-Provider Communication of Changes in Student Condition." Diss., The University of Arizona, 2018. http://hdl.handle.net/10150/626690.

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The landscape of the United States public school system was greatly improved upon with the creation of The Individuals with Disabilities Education Act of 2004 (IDEA 2004). This act established a standard that allowed all school aged children living with chronic illnesses to integrate into public school systems. This mandate currently impacts over 12 million children living with chronic illness including and not limited to asthma, seizure disorders, developmental delay, cystic fibrosis, traumatic brain injuries, anxiety and cancer. IDEA 2004 extended healthcare into public school systems and as a result, increased the average acuity of students that school nurses (SNs) care for. It is estimated that 15% of school-aged children miss 11 or more school days per year because of illness or injury demonstrating evidence of increased student acuity and a need to provide more appropriate care for these students in order to increase their time spent in the academic setting. Adequate SN and primary care provider (PCP) communication is essential to reduce absenteeism for this population and to ensure that students are safe during their time spent away from home and healthcare clinics. From this quality improvement project, more is understood pertaining to the communication patterns between SNs and PCPs and recommendations are provided in order to increase effective SN and PCP communication.
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McFarland, S. Lorraine A. "The Role of Emotional Disclosure in Self-Management Interventions for People with a Long-term Chronic Health Condition." Thesis, Coventry University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.486903.

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Hoppe, Margarete. "Perceived Social Support of Children with Severe Chronic Physical Health Conditions : A Systematic Literature Review." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ. CHILD, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-30707.

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Arslanian, Christine Lucy. "Maintaining well-being in arthritis: Mediators of the adversive condition." Diss., The University of Arizona, 1993. http://hdl.handle.net/10150/186461.

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The purpose of this study was to test the relationships between and among the concepts of severity of illness, dependency, uncertainty, functional status and the mediators of self-esteem and mastery relative to the outcome of wellbeing. The conceptual framework was adapted from various sources in the literature which support the concept of wellbeing as an important outcome in arthritis. Evidence also supports self-esteem and mastery as mediators of the chronic illness experience. Dependency, uncertainty and functional status have been shown to be predictors of wellbeing but have never been tested as a complete paradigm. The sample for the study was 128 patients with either rheumatoid arthritis or osteoarthritis. Subjects completed 7 questionnaires which measured the 7 variables under study. Descriptive statistics were used to examine the demographic characteristics of the sample. Multiple regression technique was used to empirically test the predicted theoretical concepts and to estimate predictive validity for the theoretical concepts. The results demonstrated that when self-esteem was used in the causal model, 58% of the variance in wellbeing was explained by self-esteem and uncertainty. When mastery was included instead of self-esteem 52% of the variance of wellbeing was explained by mastery and uncertainty. When tested as mediators, both self-esteem and mastery emerged as significant mediators of dependency, uncertainty and functional status relative to wellbeing. These results are of clinical use to nurses who, by virtue of working with these patients on a daily basis, are in a position to intervene with actions which encourage positive self-esteem and maintain mastery over the environment. If these actions are successful, then wellbeing can be maintained for those patients diagnosed with arthritis.
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Sahraei, Valla. "Evaluating the utility of the adaptive tasks framework for assessing parental needs when providing primary care for their child with a chronic health condition." Thesis, University of British Columbia, 2008. http://hdl.handle.net/2429/2526.

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The purpose of this study was to evaluate the utility of the Adaptive Tasks Framework for assessing parental needs when providing primary care for their child with a chronic health condition. A qualitative descriptive methodology framed the study and two methods were employed to collect data: a secondary analysis of existing interview data from seven parents of children with chronic health conditions and interviews with four parents who were currently providing primary care for their child with a chronic health condition. The data was analyzed using content analysis, whereby interview data was explored to determine if it fit into one or more of the eight adaptive tasks categories. Parents reported needs in all of the eight adaptive tasks categories, with the need for information regarding their child's chronic health condition being the foremost concern among parents. The need for caring, empathetic, and patient health care professionals who are sympathetic to the informational needs of parents, while at the same time acknowledging their expertise, was the second need expressed by the parents in this study. Implications of these findings for nurses is that the Adaptive Tasks Framework provides a useful tool for assessing parental needs when managing their child's chronic health condition and for determining areas in which the parents may require support.
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Books on the topic "Chronic health condition"

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Chronic condition: Why health reform fails. Cambridge, Mass: Harvard Unviersity Press, 1997.

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Chronic condition: Why Canada's health-care system needs to be dragged into the 21st century. Toronto: Penguin, 2013.

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Chronic condition: Why Canada's health-care system needs to be dragged into the 21st century. Toronto: Allen Lane, 2012.

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author, Madans Jennifer H., and National Center for Health Statistics (U.S.), eds. Life Expectancy Free of Chronic Condition-induced Activity Limitations Among White and Black Americans, 2000-2006. Hyattsville, Maryland: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, 2010.

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Lorig, Kate. Living a healthy life with chronic conditions: For ongoing physical and mental health conditions. 3rd ed. Boulder, Colo: Bull Pub. Company, 2007.

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Living a healthy life with chronic conditions: For ongoing physical and mental health conditions. 3rd ed. Boulder, Colo: Bull Pub. Company, 2007.

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Wan, Thomas T. H. Population Health Management for Poly Chronic Conditions. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-68056-9.

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Post-traumatic stress disorder and chronic health conditions. Washington, DC: American Public Health Association, 2012.

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Inc, ebrary, ed. Caring for people with chronic conditions: A health system perspective. Maidenhead, England: Open University Press, 2008.

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T, Dull Valerie, Jobe Jared B, National Center for Health Statistics (U.S.), and National Science Foundation (U.S.), eds. Social cognition approach to reporting chronic conditions in health surveys. Hyattsville, Md: U.S. Dept. of Health and Human Services, Public Health Service, Centers for Disease Control, National Center for Health Statistics, 1989.

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Book chapters on the topic "Chronic health condition"

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Jason, Leonard A., Renee R. Taylor, and Judith A. Richman. "The Role of Science and Advocacy Regarding a Chronic Health Condition." In The Social Psychology of Politics, 157–72. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-1-4615-0569-3_8.

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Balcazar, Fabricio E., Renée R. Taylor, Gary W. Kielhofner, Karen Tamley, Tom Benziger, Nancy Carlin, and Sabrina Johnson. "Participatory action research: General principles and a study with a chronic health condition." In Participatory community research: Theories and methods in action., 17–35. Washington: American Psychological Association, 2004. http://dx.doi.org/10.1037/10726-001.

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Guillett, Sharron E., and Elizabeth Kane. "The Student with a Chronic Health Condition: Susan Nacht, a Nursing Student with Narcolepsy." In Disability as Diversity, 117–24. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-55886-4_12.

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Strosahl, Kirk, and Patricia Robinson. "The Primary Care Behavioral Health Model: Applications to Prevention, Acute Care and Chronic Condition Management." In Collaborative Medicine Case Studies, 85–95. New York, NY: Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-76894-6_8.

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Nemade, Milind U. "A Pilot Study of Indian Ragas-Based Music Therapy for Enhancement of Chronic Patient Health Condition." In Advances in Speech and Music Technology, 325–39. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-33-6881-1_27.

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Taylor, Nichole L., and Charlotte H. O’Connor. "The Student with a Chronic Health Condition: Hillary Hampton, a Second-Year Medical Student with Crohn’s Disease." In Disability as Diversity, 47–54. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-55886-4_5.

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Charles E, Phelps, and Parente Stephen T. "Chronic conditions." In The Economics of US Health Care Policy, 149–75. Abingdon, Oxon ; New York, NY : Routledge, 2018.: Routledge, 2017. http://dx.doi.org/10.4324/9781315228518-13.

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Kawaguchi, Takayasu, Masumi Azuma, Masae Satoh, and Yoji Yoshioka. "Telenursing in Chronic Conditions." In Health Informatics, 61–74. London: Springer London, 2011. http://dx.doi.org/10.1007/978-0-85729-529-3_6.

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Haslam, Catherine, Jolanda Jetten, Tegan Cruwys, Genevieve A. Dingle, and S. Alexander Haslam. "Chronic mental health conditions." In The New Psychology of Health, 278–306. 1 Edition. | New York : Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9781315648569-13.

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Haslam, Catherine, Jolanda Jetten, Tegan Cruwys, Genevieve A. Dingle, and S. Alexander Haslam. "Chronic physical health conditions." In The New Psychology of Health, 307–31. 1 Edition. | New York : Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9781315648569-14.

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Conference papers on the topic "Chronic health condition"

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Вакурова, Н. В., Т. А. Азовскова, and С. А. Бабанов. "Compliance as the most important condition for the effectiveness of pharmacotherapy in patients with occupational chronic obstructive pulmonary disease." In III International Scientific Forum "Health And Safety At The Workplace". Polikraft, 2019. http://dx.doi.org/10.31089/978-985-7153-76-3-2019-1-3-57-60.

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Askenäs, Linda, Jan Aidemark, Tiny Jaarsma, Anna Sttrömberg, and Leonie Klompstra. "CO-DESIGN TO SELF-ORGANIZING EXERGAMING - A STUDY OF STIMULATING PHYSICAL ACTIVITY FOR ELDERLY PEOPLE WITH A CHRONIC HEALTH CONDITION." In International Conferences on Internet Technologies & Society 2019. IADIS Press, 2019. http://dx.doi.org/10.33965/its2019_201901l005.

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Kelson, MJ, J. Hawkins, M. Edwards, L. McConnon, B. Hallingberg, E. Oliver, J. Charles, R. Tudor Edwards, S. Murphy, and S. Simpson. "P26 Exploring the acceptability and feasibility of using activity monitors to support increased physical activity within an exercise referral scheme for adults with, or at risk of, a chronic health condition." In Society for Social Medicine and Population Health and International Epidemiology Association European Congress Annual Scientific Meeting 2019, Hosted by the Society for Social Medicine & Population Health and International Epidemiology Association (IEA), School of Public Health, University College Cork, Cork, Ireland, 4–6 September 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/jech-2019-ssmabstracts.177.

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Carbone, Daniel. "Information Systems in General Practice: A Framework to Implement the Management and Prevention of Chronic Diseases." In InSITE 2007: Informing Science + IT Education Conference. Informing Science Institute, 2007. http://dx.doi.org/10.28945/3078.

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The detrimental health and economic impacts due to the growth of chronic condition sufferers worldwide is well documented. The practical application of electronic information systems is expected to provide valuable support to this predicament. The purpose of this study is to develop an information systems implementation framework for the management and prevention of chronic diseases (CD) in general practices (Doctor’s surgeries). Interviews were conducted on key practice personnel where successful CD information systems implementations and adoption occurred. The interviews, in conjunction with the observations of an external IS facilitator to those implementations aimed at corroborating an emerging framework developed from the literature earlier in the study. Results to this date provided a wealth of information to both part validate and re-design the framework. The role of practice champions, external support, motivators, workflow effects and health outcomes are some of the prominent parameters highlighted in the findings. The implications, so far in this study have identified commonalities in capacity, processes and implementations flows that affect the framework. However, additional validation on new findings needs to be further explored.
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Angraini, Dian Isti, Bagus Pratama, and Dwita Oktaria. "The Effectiveness of Health Education on Mother's Knowledge and Food Intake among Stunting Childrean in South Lampung, Lampung." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.07.

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ABSTRACT Background: Short stature (stunting) is a condition of chronic nutritional problems that results in failure of growth in children under five who only appear after the age of 24 months. This condition is caused by a lack of nutritional intake for a long time and a lack of knowledge of the mother so that the golden period is not realized in children at the age of 0-24 months. Health education as a prevention effort has a positive impact on changes in maternal knowledge and children’s food intake (energy and protein). This study aimed to analyze the effectiveness of health education on mother’s knowledge and food intake among stunting children in South Lampung, Lampung. Subjects and Method: This was an experimental study using a one group pretest-posttest design. This study was conducted in the working area of Sukadami community health center, South Lampung, from August to November 2019. The sample was 52 mothers who had stunted children aged 2-5 years and lived together. The dependent variables were maternal knowledge and food intake (energy and protein). The independent variable was maternal education. Maternal knowledge data was measured using a questionnaire and data on children’s food intake was measured using a 24 hours food recall questionnaire. Data were analyzed using the Wilcoxon test. Results: Health education was improving maternal knowledge (Mean= 15.6; p<0.001); increasing energy intake (Mean= 13.2; p <0.001), and increasing protein intake (Mean= 21.5; p<0.001), and they were statistically significant. Conclusion: Health education is proven to have an effect on maternal knowledge and food intake (energy and protein) of stunting children in the working area of Sukadami community health center, South Lampung. Keywords: health education, stunting, food intake, maternal knowledge Correspondence: Dian Isti Angraini. Faculty of Medicine Universitas Lampung, Bandar Lampung, Indonesia. DOI: https://doi.org/10.26911/the7thicph.03.07
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Fitriani, Dyah Ayu, and Fathiyatur Rohmah. "http://theicph.com/id_ID/2020/12/06/the-effect-of-ginger-extract-consumption-on-reducing-morning-sickness-in-first-trimester-of-pregnant-women-at-pratama-mariana-clinic-medan-north-sumatra/224-nurhidaya-fitria-ida-lestari-tampubolon/." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.45.

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ABSTRACT Background: Due to chronic malnutrition, stunting is a condition that prevents young children (children under five) from growing up, resulting in underage. Malnutrition occurs from the time the baby enters the uterus to the early days after the baby is born. Still, the developmental delay only occurs after the baby is two years old. This study aimed to determine the relationship between exclusive breastfeeding and the incidence of stunting in children under five. Subjects and Methods: This was a case control study conducted in Harjobinangun Village, 2018. A sampel of 42 study subjects of toddlers aged 24-59 months were selected by accidental sampling. The dependent variable was incidence of stunting. The independent variable was exclusive breastfeeding. The data were collected by observation and questionnaire. The data were analysed by Chi-square. Results: There was no relationship between exclusive breastfeeding and the incidence of stunting (OR = 1.276; 95% CI = 0.439-3.706; p = 0.653). The results of the study that of 42 respondents there were 21 (19.26%) under-fives who stunted and most of the children under five aged 24-59 months in Harjobinangun Village were not given exclusive breastfeeding as many as 24 respondents (57.1%). Conclusion: Optimally exclusive breastfeeding is still at risk of stunting if it is not given adequate complementary breastfeeding and good and correct breastfeeding. Keywords: Toddler, Stunting Incidence, Exclusive Breastfeeding Correspondence: Dyah Ayu Fitriani, Aisyiyah University Yogyakarta. Jl. Ring Road Barat No. 63 Mlangi, Nogotirto, Sleman district, Yogyakarta. fituri32@gmail.com. 081233461060. DOI: https://doi.org/10.26911/the7thicph.03.45
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Jugl, Sebastian, Aimalohi Okpeku, Brianna Costales, Earl Morris, Golnoosh Alipour-Harris, Juan Hincapie-Castillo, Nichole Stetten, et al. "A Mapping Literature Review of Medical Cannabis Clinical Outcomes and Quality of Evidence in Approved Conditions in the United States, from 2016 to 2019." In 2020 Virtual Scientific Meeting of the Research Society on Marijuana. Research Society on Marijuana, 2021. http://dx.doi.org/10.26828/cannabis.2021.01.000.25.

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Background: Medical cannabis is available to patients by physician order in two-thirds of the United States (U.S.) as of 2020, but remains classified as an illicit substance by federal law. States that permit medical cannabis ordered by a physician typically require a diagnosed medical condition that is considered qualifying by respective state law. Objectives: To identify and map the most recently (2016-2019) published clinical and scientific literature across approved conditions for medical cannabis, and to evaluate the quality of identified recent systematic reviews. Methods: Literature search was conducted from five databases (PubMed, Embase, Web of Science, Cochrane, and ClinicalTrials.gov), with expansion and update from the National Academies of Sciences, Engineering, and Medicine’s (NASEM) comprehensive evidence review through 2016 of the health effects of cannabis on several conditions. Following consultation with experts and stakeholders, 11 conditions were identified for evidence evaluation: amyotrophic lateral sclerosis (ALS), autism, cancer, chronic pain, Crohn’s disease, epilepsy, glaucoma, HIV/AIDS, multiple sclerosis (MS), Parkinson’s disease, and posttraumatic stress disorder (PTSD). The following exclusion criteria were imposed: preclinical focus, non-English language, abstracts only, editorials/commentary, case studies/series, and non-U.S. study setting. Data extracted from studies included: study design type, outcome, intervention, sample size, study setting, and reported effect size. Studies classified as systematic reviews with or without meta-analysis were graded using the AMSTAR-2 tool by two raters to evaluate the quality of evidence, with additional raters to resolve cases of evidence grade disagreement. Results: A total of 438 studies were included after screening. Five completed randomized controlled trials (RCTs) were identified, and an additional 11 trials were ongoing, and 1 terminated. Cancer, chronic pain, and epilepsy were the most researched topic areas, representing more than two-thirds of all reviewed studies. The quality of evidence assessment for each condition suggests that few high-quality systematic reviews are available for most conditions, with the exceptions of MS, epilepsy, and chronic pain. In those areas, findings on chronic pain are mostly in alignment with the previous literature, suggesting that cannabis or cannabinoids are potentially beneficial in treating chronic neuropathic pain. In epilepsy, findings suggest that cannabidiol is potentially effective in reducing seizures in pediatric patients with drug-resistant Dravet and Lennox-Gastaut syndromes. In MS, recent high-quality systematic reviews did not include new RCTs, and are therefore not substantially expanding the evidence base. In sum, the most recent clinical evidence suggests that for most of the conditions assessed, we identified few studies of substantial rigor and quality to contribute to the evidence base. However, there are some conditions for which significant evidence suggests that select dosage forms and routes of administration likely have favorable risk-benefit ratios (i.e., epilepsy and chronic pain), with the higher quality of evidence for epilepsy driven by FDA-approved formulations for cannabis-based seizure treatments. Conclusion: The body of evidence for medical cannabis requires more rigorous evaluation before consideration as a treatment option for many conditions and evidence necessary to inform policy and treatment guidelines is currently insufficient for many conditions.
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Nagy, Diána. "Possibilities of Digitalization and Service Design in the Development of Patient Adherence." In New Horizons in Business and Management Studies. Conference Proceedings. Corvinus University of Budapest, 2021. http://dx.doi.org/10.14267/978-963-503-867-1_05.

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In parallel with the development of modern health systems and the growth of the welfare state, diseases have shifted towards chronic diseases. Today, instead of rapid-onset infections, most resources are focused on the long-term treatment of mostly lifelong chronic conditions. The condition for the effective use of therapies is to take the specified dose with the prescribed frequency and for the required period of time. If these parameters are met, we can talk about patient collaboration or adherence. For certain diseases and treatments, adherence is critically low. In the case of complex preparations to be taken several times a day, or diseases that do not cause serious, noticeable complaints, the initial number of patients treated is reduced to a fraction within a short time. As a result, economic harm is perceived not only by the patient but also by all those involved in the health care system, including pharmaceutical companies. However, the factors influencing patient collaboration vary widely. In order to achieve high adherence, the goal is to develop health services that coordinate the actors involved, the infrastructure, the communication, the material components to improve the user experience. As a user-centered methodology, service design can play a prominent role in the design of therapeutic services, contributing to the reduction of uncertainties in innovation processes. In my study, I assess the digital toolkit of patient education in Hungarian society. The aim is to explore digital tools and technologies that can contribute to the development of health awareness and education so that both science and the pharmaceutical and technology companies that exploit it can apply the results of research.
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Rahmawati, Dian. "Psychososial Stimulation in Stunting and Non Stunting Firms." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.24.

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ABSTRACT Background: Stunting is a condition of growth failure among children under five due to chronic malnutrition. According to World Health Organization (WHO), stunting under five is a public health problem if the prevalence is 20% or more. In 2018, stunting in Indonesia is more than 20%, so it becomes a public health problem and needs to be addressed immediately. Stunting does not only affect physical growth but also psychosocial development. Stunting can reduce the quality of human resources (HR) because the body’s organs, especially the brain, are not able to develop optimally, and increase the risk of diseases such as hypertension, diabetes mellitus, heart disease, and stroke. The low psychosocial stimulation has an impact on the subsequent growth of the child. This study aimed to analyze the association between psychosocial stimulation and stunting. Subjects and Method: A case control study was conducted in the Village Bangkok, Kediri, East Java, in August 2020. A total sample of 25 stunting children aged 24-59 months was obtained as a case group and 25 normal toddlers aged 24-59 months as a control group. The dependent variable was the incidence of stunting, while the independent variable was psychosocial stimulation. The stunting measurement was based on the height per age (converted into a Z-score). Measurement of psychosocial stimulation was using the Home Observation for Measurement of the Environment Revisited (HOME) questionnaire consists of 55 statements divided into 8 aspects. The data were collected and analyzed using the Chi Square test. Results: Stunting children showed that psychosocial stimulation were low (20%), medium (64%), and high (16%). While psychosocial stimulation among not stunted children were absent (0%), medium (64%), and high (36%). Psychosocial stimulation was associated with the incidence of stunting (p= 0.031), and it was statistically significant. Conclusion: Psychological stimulation is associated with the incidence of stunting. The psychosocial stimulation provided by families for stunting toddlers is still less than that of non-stunting children. Keywords: stunting, psychosocial stimulation, children under five Correspondence: Dian Rahmawati. Academy of Midwifery of Dharma Husada. Jl. Penanggungan 41A Kediri City 64114, East Java. Email: lintangkayana31@gmail.com. Mobile: +6285645076003. DOI: https://doi.org/10.26911/the7thicph.03.24
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"ENABLING INTEROPERABILITY THROUGH AN ONTOLOGY APPROACH IN THE HETEROGENEOUS DOMAINS OF COMPLEX CHRONIC CONDITIONS." In International Conference on Health Informatics. SciTePress - Science and and Technology Publications, 2012. http://dx.doi.org/10.5220/0003744700460052.

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Reports on the topic "Chronic health condition"

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Damiano, Peter, Suzanne Bentler, Jason Wachsmuth, Elizabeth Momany, Phuong Nguyen-Hoang, and Dan M. Shane. Outcomes for Iowa Medicaid Chronic Condition Health Home Program Enrollees SFYs 2012-2015. Iowa City, Iowa: University of Iowa Public Policy Center, February 2017. http://dx.doi.org/10.17077/73yf-djhe.

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Treadwell, Jonathan R., James T. Reston, Benjamin Rouse, Joann Fontanarosa, Neha Patel, and Nikhil K. Mull. Automated-Entry Patient-Generated Health Data for Chronic Conditions: The Evidence on Health Outcomes. Agency for Healthcare Research and Quality (AHRQ), March 2021. http://dx.doi.org/10.23970/ahrqepctb38.

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Background. Automated-entry consumer devices that collect and transmit patient-generated health data (PGHD) are being evaluated as potential tools to aid in the management of chronic diseases. The need exists to evaluate the evidence regarding consumer PGHD technologies, particularly for devices that have not gone through Food and Drug Administration evaluation. Purpose. To summarize the research related to automated-entry consumer health technologies that provide PGHD for the prevention or management of 11 chronic diseases. Methods. The project scope was determined through discussions with Key Informants. We searched MEDLINE and EMBASE (via EMBASE.com), In-Process MEDLINE and PubMed unique content (via PubMed.gov), and the Cochrane Database of Systematic Reviews for systematic reviews or controlled trials. We also searched ClinicalTrials.gov for ongoing studies. We assessed risk of bias and extracted data on health outcomes, surrogate outcomes, usability, sustainability, cost-effectiveness outcomes (quantifying the tradeoffs between health effects and cost), process outcomes, and other characteristics related to PGHD technologies. For isolated effects on health outcomes, we classified the results in one of four categories: (1) likely no effect, (2) unclear, (3) possible positive effect, or (4) likely positive effect. When we categorized the data as “unclear” based solely on health outcomes, we then examined and classified surrogate outcomes for that particular clinical condition. Findings. We identified 114 unique studies that met inclusion criteria. The largest number of studies addressed patients with hypertension (51 studies) and obesity (43 studies). Eighty-four trials used a single PGHD device, 23 used 2 PGHD devices, and the other 7 used 3 or more PGHD devices. Pedometers, blood pressure (BP) monitors, and scales were commonly used in the same studies. Overall, we found a “possible positive effect” of PGHD interventions on health outcomes for coronary artery disease, heart failure, and asthma. For obesity, we rated the health outcomes as unclear, and the surrogate outcomes (body mass index/weight) as likely no effect. For hypertension, we rated the health outcomes as unclear, and the surrogate outcomes (systolic BP/diastolic BP) as possible positive effect. For cardiac arrhythmias or conduction abnormalities we rated the health outcomes as unclear and the surrogate outcome (time to arrhythmia detection) as likely positive effect. The findings were “unclear” regarding PGHD interventions for diabetes prevention, sleep apnea, stroke, Parkinson’s disease, and chronic obstructive pulmonary disease. Most studies did not report harms related to PGHD interventions; the relatively few harms reported were minor and transient, with event rates usually comparable to harms in the control groups. Few studies reported cost-effectiveness analyses, and only for PGHD interventions for hypertension, coronary artery disease, and chronic obstructive pulmonary disease; the findings were variable across different chronic conditions and devices. Patient adherence to PGHD interventions was highly variable across studies, but patient acceptance/satisfaction and usability was generally fair to good. However, device engineers independently evaluated consumer wearable and handheld BP monitors and considered the user experience to be poor, while their assessment of smartphone-based electrocardiogram monitors found the user experience to be good. Student volunteers involved in device usability testing of the Weight Watchers Online app found it well-designed and relatively easy to use. Implications. Multiple randomized controlled trials (RCTs) have evaluated some PGHD technologies (e.g., pedometers, scales, BP monitors), particularly for obesity and hypertension, but health outcomes were generally underreported. We found evidence suggesting a possible positive effect of PGHD interventions on health outcomes for four chronic conditions. Lack of reporting of health outcomes and insufficient statistical power to assess these outcomes were the main reasons for “unclear” ratings. The majority of studies on PGHD technologies still focus on non-health-related outcomes. Future RCTs should focus on measurement of health outcomes. Furthermore, future RCTs should be designed to isolate the effect of the PGHD intervention from other components in a multicomponent intervention.
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Library, Spring. How Close are We Really to the HIV Cure? Spring Library, January 2020. http://dx.doi.org/10.47496/sl.blog.20.

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The virus’ tricky, constantly mutating nature has so far made it impossible to develop an effective vaccine, even as the constantly improving antiviral drug classes have made HIV infection a manageable chronic health condition.
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Long, Judith, Shreya Kangovi, Nandita Mitra, Lindsey Norton, Rory Harte, Tamala Carter, Xinyi Zhao, and David Grande. Collaborative Goal Setting with or without Community Health Worker Support for Patients with Multiple Chronic Conditions. Patient-Centered Outcomes Research Institute (PCORI), July 2019. http://dx.doi.org/10.25302/7.2019.ad.131007292.

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Chou, Roger, Rongwei Fu, Tracy Dana, Miranda Pappas, Erica Hart, and Kimberly M. Mauer. Interventional Treatments for Acute and Chronic Pain: Systematic Review. Agency for Healthcare Research and Quality (AHRQ), September 2021. http://dx.doi.org/10.23970/ahrqepccer247.

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Objective. To evaluate the benefits and harms of selected interventional procedures for acute and chronic pain that are not currently covered by the Centers for Medicare & Medicaid Services (CMS) but are relevant for and have potential utility for use in the Medicare population, or that are covered by CMS but for which there is important uncertainty or controversy regarding use. Data sources. Electronic databases (Ovid® MEDLINE®, PsycINFO®, the Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews) to April 12, 2021, reference lists, and submissions in response to a Federal Register notice. Review methods. Using predefined criteria and dual review, we selected randomized controlled trials (RCTs) for 10 interventional procedures and conditions that evaluated pain, function, health status, quality of life, medication use, and harms. Random effects meta-analysis was conducted for vertebral compression fracture; otherwise, outcomes were synthesized qualitatively. Effects were classified as small, moderate, or large using previously defined criteria. Results. Thirty-seven randomized trials (in 48 publications) were included. Vertebroplasty (13 trials) is probably more effective at reducing pain and improving function in older (>65 years of age) patients, but benefits are small (less than 1 point on a 10-point pain scale). Benefits appear smaller (but still present) in sham-controlled (5 trials) compared with usual care controlled trials (8 trials) and larger in trials of patients with more acute symptoms; however, testing for subgroup effects was limited by imprecision. Vertebroplasty is probably not associated with increased risk of incident vertebral fracture (10 trials). Kyphoplasty (2 trials) is probably more effective than usual care for pain and function in older patients with vertebral compression fracture at up to 1 month (moderate to large benefits) and may be more effective at >1 month to ≥1 year (small to moderate benefits) but has not been compared against sham therapy. Evidence on kyphoplasty and risk of incident fracture was conflicting. In younger (below age for Medicare eligibility) populations, cooled radiofrequency denervation for sacroiliac pain (2 trials) is probably more effective for pain and function versus sham at 1 and 3 months (moderate to large benefits). Cooled radiofrequency for presumed facet joint pain may be similarly effective versus conventional radiofrequency, and piriformis injection with corticosteroid for piriformis syndrome may be more effective than sham injection for pain. For the other interventional procedures and conditions addressed, evidence was too limited to determine benefits and harms. Conclusions. Vertebroplasty is probably effective at reducing pain and improving function in older patients with vertebral compression fractures; benefits are small but similar to other therapies recommended for pain. Evidence was too limited to separate effects of control type and symptom acuity on effectiveness of vertebroplasty. Kyphoplasty has not been compared against sham but is probably more effective than usual care for vertebral compression fractures in older patients. In younger populations, cooled radiofrequency denervation is probably more effective than sham for sacroiliac pain. Research is needed to determine the benefits and harms of the other interventional procedures and conditions addressed in this review.
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Lin, Yang. Effect of advanced nursing care on psychological condition in patients with chronic heart failure: a protocol of systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review Protocols, April 2020. http://dx.doi.org/10.37766/inplasy2020.4.0077.

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Dy, Sydney M., Julie M. Waldfogel, Danetta H. Sloan, Valerie Cotter, Susan Hannum, JaAlah-Ai Heughan, Linda Chyr, et al. Integrating Palliative Care in Ambulatory Care of Noncancer Serious Chronic Illness: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), February 2020. http://dx.doi.org/10.23970/ahrqepccer237.

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Objectives. To evaluate availability, effectiveness, and implementation of interventions for integrating palliative care into ambulatory care for U.S.-based adults with serious life-threatening chronic illness or conditions other than cancer and their caregivers We evaluated interventions addressing identification of patients, patient and caregiver education, shared decision-making tools, clinician education, and models of care. Data sources. We searched key U.S. national websites (March 2020) and PubMed®, CINAHL®, and the Cochrane Central Register of Controlled Trials (through May 2020). We also engaged Key Informants. Review methods. We completed a mixed-methods review; we sought, synthesized, and integrated Web resources; quantitative, qualitative and mixed-methods studies; and input from patient/caregiver and clinician/stakeholder Key Informants. Two reviewers screened websites and search results, abstracted data, assessed risk of bias or study quality, and graded strength of evidence (SOE) for key outcomes: health-related quality of life, patient overall symptom burden, patient depressive symptom scores, patient and caregiver satisfaction, and advance directive documentation. We performed meta-analyses when appropriate. Results. We included 46 Web resources, 20 quantitative effectiveness studies, and 16 qualitative implementation studies across primary care and specialty populations. Various prediction models, tools, and triggers to identify patients are available, but none were evaluated for effectiveness or implementation. Numerous patient and caregiver education tools are available, but none were evaluated for effectiveness or implementation. All of the shared decision-making tools addressed advance care planning; these tools may increase patient satisfaction and advance directive documentation compared with usual care (SOE: low). Patients and caregivers prefer advance care planning discussions grounded in patient and caregiver experiences with individualized timing. Although numerous education and training resources for nonpalliative care clinicians are available, we were unable to draw conclusions about implementation, and none have been evaluated for effectiveness. The models evaluated for integrating palliative care were not more effective than usual care for improving health-related quality of life or patient depressive symptom scores (SOE: moderate) and may have little to no effect on increasing patient satisfaction or decreasing overall symptom burden (SOE: low), but models for integrating palliative care were effective for increasing advance directive documentation (SOE: moderate). Multimodal interventions may have little to no effect on increasing advance directive documentation (SOE: low) and other graded outcomes were not assessed. For utilization, models for integrating palliative care were not found to be more effective than usual care for decreasing hospitalizations; we were unable to draw conclusions about most other aspects of utilization or cost and resource use. We were unable to draw conclusions about caregiver satisfaction or specific characteristics of models for integrating palliative care. Patient preferences for appropriate timing of palliative care varied; costs, additional visits, and travel were seen as barriers to implementation. Conclusions. For integrating palliative care into ambulatory care for serious illness and conditions other than cancer, advance care planning shared decision-making tools and palliative care models were the most widely evaluated interventions and may be effective for improving only a few outcomes. More research is needed, particularly on identification of patients for these interventions; education for patients, caregivers, and clinicians; shared decision-making tools beyond advance care planning and advance directive completion; and specific components, characteristics, and implementation factors in models for integrating palliative care into ambulatory care.
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Mishra, Sharmistha, Nathan M. Stall, Huiting Ma, Ayodele Odutayo, Jeffrey C. Kwong, Upton Allen, Kevin A. Brown, et al. A Vaccination Strategy for Ontario COVID-19 Hotspots and Essential Workers. Ontario COVID-19 Science Advisory Table, April 2021. http://dx.doi.org/10.47326/ocsat.2021.02.26.1.0.

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Ontario’s initial mass COVID-19 vaccination strategy in place until April 8, 2021 was based on per-capita regional allocation of vaccines with subsequent distribution – in order of relative priority – by age, chronic health conditions and high-risk congregate care settings, COVID-19 hotspots, and essential worker status. Early analysis of Ontario’s COVID-19 vaccine rollout reveals inequities in vaccine coverage across the province, with residents of higher risk neighbourhoods being least likely get vaccinated. Accelerating the vaccination of COVID-19 hotspots and essential workers will prevent considerably more SARS-CoV-2 infections and COVID-19 hospitalizations, ICU admissions and deaths as compared with Ontario’s initial mass vaccination strategy (Figure 1).
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Chronic illness may present barriers to engaging in CBT for depression. ACAMH, March 2021. http://dx.doi.org/10.13056/acamh.14997.

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Between 10 and 20% of teenagers have a chronic illness:1 an ongoing health condition that lasts at least 3 months, and for which a cure is unlikely. Research suggests that teenagers with chronic illnesses are more likely to also have low mood and develop depression than their healthy peers.2
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Integration of reproductive health services for men in health and family welfare centers in Bangladesh. Population Council, 2004. http://dx.doi.org/10.31899/rh17.1006.

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Since the mid-1970s, the Bangladesh national family planning program primarily focused on motivating women to use modern contraceptive methods and encouraging them to seek services from clinics. In addition, female field workers were recruited to deliver contraceptive methods at homes. The program design facilitated women’s access to information and medical care through clinics and home visits. In the process, however, the medical needs of males were marginalized. Men generally seek services from pharmacies, private practitioners, and district hospitals, and often ignore preventive steps and postpone seeking medical care for chronic health conditions. In cases of acute illness, they often resort to self-medication. As noted in this report, the study’s aim was to integrate male reproductive health services within the existing government female-focused health-care delivery system. The study concluded that reproductive health services for men could easily be integrated into the health and family welfare centers without affecting the clinics’ focus on serving women and children.
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