Article
Health Care Sciences & Services
Susan Herrmann, Brad Power, Amineh Rashidi, Mark Cypher, Frank Mastaglia, Amy Grace, Elizabeth McKinnon, Pierre Sarrot, Christophe Michau, Matthew Skinner, Renae Desai, Martin Duracinsky
Summary: The research team designed and pilot-tested a multimedia software platform to support the long-term management of HIV patients and increase focus on HRQL issues. Results showed that most respondents found the application easy to use and comprehend, but older Australians had lower scores in understanding the visual interface and finding the buttons organized. Concerns about confidentiality were prevalent, especially among participants with higher anxiety and stress scores.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Medicine, General & Internal
Guido M. Peters, Carine J. M. Doggen, Wim H. van Harten
Summary: From the perspective of a large teaching hospital in the Netherlands, a budget impact analysis of virtual care showed that virtual care can only save money if it is deployed at sufficient scale or if the active involvement of health professionals is minimized.
Article
Public, Environmental & Occupational Health
Yanan Zhang, Sarah Harper
Summary: The study reveals that in China, parents who receive care from sons have better self-reported health status (SRH) than those cared for by daughters, particularly in rural areas, for mothers, and poorer families.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Health Care Sciences & Services
Hector P. Rodriguez, Martin J. Kyalwazi, Valerie A. Lewis, Karl Rubio, Stephen M. Shortell
Summary: This study examines the adoption of patient-reported outcome measures (PROs) among health systems and physician practices nationwide and identifies the organizational capabilities associated with greater adoption. The findings show that health systems with more advanced health IT functions were more likely to adopt PROs for disability and depression. At the practice level, chronic care management programs, routine screening, and patient-centered care initiatives were associated with higher adoption of PROs. The study suggests that enhancing these practice-level capabilities may be more effective in promoting the adoption of PROs than solely expanding health IT functions.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Medicine, General & Internal
Andrea Duncan, Vicky Stergiopoulos, Katie N. Dainty, Walter P. Wodchis, Maritt Kirst
Summary: The involvement of stakeholders in community mental health funding reform has been found to have a positive impact on outcomes. Meaningful stakeholder engagement may involve connecting around a shared purpose, individual participation, and meaningful interactions and dialogue.
Article
Gastroenterology & Hepatology
Eric S. Orman, Marwan S. Ghabril, Archita P. Desai, Lauren Nephew, Kavish R. Patidar, Sujuan Gao, Chenjia Xu, Naga Chalasani
Summary: PROMs can marginally improve the prediction of 30-day readmissions for patients with cirrhosis. Poor social support and disability are associated with readmissions and may be important targets for future interventions.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Article
Rheumatology
Yomei Shaw, Delphine S. Courvoisier, Almut Scherer, Adrian Ciurea, Thomas Lehmann, Veronika K. Jaeger, Ulrich A. Walker, Axel Finckh
Summary: The study found that rheumatic disease patients who discussed app data with their rheumatologist had better shared decision making and physician awareness of disease fluctuations. On the other hand, patients who only used the app without discussing data did not show significant improvement in patient-provider interactions.
Article
Rehabilitation
Tamra Keeney, Amit Kumar, Kimberly S. Etter, Amol M. Karmarkar
Summary: Advancements in data science and health informatics have opened up possibilities for integrating patient-reported outcome measures (PROMs) into clinical workflows and improving rehabilitation service delivery. Standardization of PROMs data collection and increased partnerships can help advance rehabilitation health services research.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Clinical Neurology
Boback Ziaeian, Haolin Xu, Roland A. Matsouaka, Ying Xian, Yosef Khan, Lee S. Schwamm, Eric E. Smith, Gregg C. Fonarow
Summary: We provide timely, reliable, and actionable US national surveillance data for acute ischemic stroke (AIS) using Bayesian interpolation poststratification weights, which can contribute to quality improvement in stroke care and outcomes.
Review
Public, Environmental & Occupational Health
Joshua S. Ng Kamstra, Teresa Molina, Timothy Halliday
Summary: The Patient Protection and Affordable Care Act aims to expand health insurance coverage in the USA and promote innovation in healthcare delivery, but the market-based protections provided for poor and vulnerable residents are not a perfect substitute for government programs like Medicaid. Changes in policy have led to reduced access to healthcare and increased mortality for residents from Compact of Free Association nations in Hawaii. Challenges such as communication difficulties, administrative barriers, increased healthcare costs, and short enrollment windows must be addressed by policymakers to achieve universal health coverage in the USA.
Article
Public, Environmental & Occupational Health
Matthew T. Schneider, Angela Y. Chang, Sawyer W. Crosby, Stephen Gloyd, Anton C. Harle, Stephen Lim, Rafael Lozano, Angela E. Micah, Golsum Tsakalos, Yanfang Su, Christopher J. L. Murray, Joseph L. Dieleman
Summary: Primary healthcare (PHC) expenditures increased in low-income and middle-income countries between 2000 and 2017, with a plateau in low-income countries after 2014. An increase in the fraction of health expenditures on PHC was associated with improvements in maternal and child health outcomes, but not with reductions in mortality or disease burdens for other causes, such as non-communicable diseases. It is important for policy-makers and health professionals to adapt primary healthcare to address emerging health challenges.
Review
Medicine, General & Internal
Andrea Bertuzzi, Alison Martin, Nicola Clarke, Cassandra Springate, Rachel Ashton, Wayne Smith, Andi Orlowski, Duncan McPherson
Summary: This systematic review and narrative synthesis assessed the impact of single rooms versus multioccupancy accommodation on inpatient healthcare outcomes and processes. The results showed that there was no significant difference between the two accommodation types in terms of clinical outcomes, except for critically ill patients, particularly those in neonatal intensive care units, who may benefit from single rooms. Most patients preferred single rooms for privacy, while some preferred shared accommodation to avoid loneliness.
Review
Multidisciplinary Sciences
Sarah Masyuko, Carrie J. Ngongo, Carole Smith, Rachel Nugent
Summary: This study investigated the use of Patient-Reported Outcome Measures (PROMs) for diabetes and hypertension care in low- and middle-income countries (LMICs). It found that PROMs for diabetes were more widely deployed in LMICs compared to those for hypertension, highlighting the need for improvement and adaptation of hypertension PROMs.
Review
Medicine, General & Internal
Sapna Desai, Kala M. Mehta, Roopal Jyoti Singh, Allie K. Westley, Osasuyi Dirisu, Connie Wong, Thomas De Hoop, Gary L. Darmstadt
Summary: This protocol presents a mixed-methods systematic review on integrated economic and health interventions on women's groups in low-income and middle-income countries, aiming to assess how these interventions improve health-related knowledge, behavior, and outcomes.
Article
Medicine, General & Internal
Kasper Hermans, Annelies Boonen, Harald E. Vonkeman, Astrid van Tubergen
Summary: During the COVID-19 pandemic, there has been an increased use of remote monitoring strategies in place of traditional face to face care. However, there is limited data on the effects of remote care interventions for patients with rheumatic and musculoskeletal diseases, and the interpretation of existing studies is hindered by heterogeneity and concerns about research quality. High-quality evidence is needed to guide future implementation in clinical practice, particularly in terms of health economic analyses. Currently, there is a lack of RCTs comparing telemonitoring with conventional care for patients with spondyloarthritis (SpA).
Article
Endocrinology & Metabolism
Sheikh Mohammed Shariful Islam, Riaz Uddin, Sojib Bin Zaman, Tuhin Biswas, Tania Tansi, Zahra Chegini, Mohammad Ali Moni, Louis Niessen, Aliya Naheed
Summary: This study found that regular consultation or visiting healthcare centers may help improve glycemic control in patients with type 2 diabetes in Bangladesh. Patients who did not seek medical help had twice the odds of uncontrolled diabetes compared to those who did seek medical help.
INTERNATIONAL JOURNAL OF DIABETES IN DEVELOPING COUNTRIES
(2021)
Article
Primary Health Care
Simon Leigh, Bimal Mehta, Lillian Dummer, Harriet Aird, Sinead McSorley, Venessa Oseyenum, Anna Cumbers, Mary Ryan, Karl Edwardson, Phil Johnston, Jude Robinson, Frans Coenen, David Taylor-Robinson, Louis W. Niessen, Enitan D. Carrol
Summary: The study found that integrating a general practitioner into a pediatric emergency department can reduce hospital admissions and waiting times for non-urgent pediatric patients, but may increase antibiotic prescribing, and lower treatment costs.
BRITISH JOURNAL OF GENERAL PRACTICE
(2021)
Article
Public, Environmental & Occupational Health
Sayem Ahmed, Mohammad Wahid Ahmed, Md Zahid Hasan, Gazi Golam Mehdi, Ziaul Islam, Clas Rehnberg, Louis W. Niessen, Jahangir A. M. Khan
Summary: Out-of-pocket payments for healthcare in Bangladesh have been increasing, leading to financial risk for households. The incidence of catastrophic health expenditure is high among the poor, and the main determinants are the use of private facilities, the presence of older people, chronic illness, and geographical location.
INTERNATIONAL HEALTH
(2022)
Article
Medicine, General & Internal
Tinevimbo Shiri, Josephine Birungi, Anupam Garrib, Sokoine L. Kivuyo, Ivan Namakoola, Janneth Mghamba, Joshua Musinguzi, Godfather Kimaro, Gerald Mutungi, Moffat J. Nyirenda, Joseph Okebe, Kaushik Ramaiya, M. Bachmann, Nelson K. Sewankambo, Sayoki Mfinanga, Shabbar Jaffar, Louis W. Niessen
Summary: The integration of HIV services with diabetes and hypertension control reduces both health service and household costs, substantially. It is likely an efficient and equitable way to address the increasing burden of financially vulnerable households among Africa's ageing populations. Further economic evidence is needed from longer-term larger-scale implementation studies to directly compare extended integrated care packages with evidence on sustained clinical outcomes.
Review
Health Care Sciences & Services
Lucky G. Ngwira, Kamran Khan, Hendramoorthy Maheswaran, Linda Sande, Linda Nyondo-Mipando, Sarah C. Smith, Stavros Petrou, Louis Niessen
Summary: This article systematically reviews the available generic childhood PBMs and their application and cross-cultural validation in sub-Saharan Africa. The findings show that application of generic childhood PBMs in sub-Saharan African settings has been limited to certain measures, like the HUI3 and EQ-5D-Y. There is a need to ensure linguistic and conceptual equivalence and undertake validation across a range of sub-Saharan African cultural contexts.
VALUE IN HEALTH REGIONAL ISSUES
(2021)
Article
Medicine, General & Internal
Zelalem G. Terfa, Rebecca Nantanda, Maia Lesosky, Graham Devereux, Angela Obasi, Kevin Mortimer, Jahangir Khan, Jamie Rylance, Louis Wihelmus Niessen
Summary: This study aims to investigate the association between infant lung function and household food insecurity, energy poverty, and maternal dietary diversity. The study will collect data and use statistical analysis to evaluate the impact of these factors on infant lung function.
Article
Environmental Sciences
Zelalem G. Terfa, Sayem Ahmed, Jahangir Khan, Louis W. Niessen
Summary: This study addresses the health effects of household microenvironments in resource-poor settings, focusing on the associations with acute respiratory infection, diarrhea, and stunting among young children. The findings suggest that multidimensional energy poverty, women's social independence, attitude against domestic violence, and access to sanitation facilities are all factors associated with the risk of these health issues in children. Integrated energy and water, sanitation and hygiene, and women empowerment programs can contribute to reducing the burden of early childhood illnesses.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Health Care Sciences & Services
Lucky G. Ngwira, Jennifer Jelsma, Hendramoorthy Maheswaran, Fanny Kapakasa, Sarah Derrett, Stavros Petrou, Louis Niessen, Sarah C. Smith
Summary: This study translated EQ-5D-Y-5L into Chichewa using the card ranking exercise and successfully addressed the issue of severity level inversion.
VALUE IN HEALTH REGIONAL ISSUES
(2022)
Editorial Material
Infectious Diseases
Louis W. Niessen, Maarten J. Postma
LANCET INFECTIOUS DISEASES
(2022)
Article
Medicine, General & Internal
Joanne Euden, Emma Thomas-Jones, Stephen Aston, Lucy Brookes-Howell, Julie Carman, Enitan Carrol, Stephanie Gilbert, Philip Howard, Kerenza Hood, Matthew Inada-Kim, Martin Llewelyn, Fiona McGill, Sarah Milosevic, Louis Wihelmus Niessen, Emmanuel Nsutebu, Philip Pallmann, Paul Schmidt, David Taylor-Robinson, Ingeborg Welters, Stacy Todd, Neil French
Summary: This article discusses the diagnosis and treatment methods of sepsis, emphasizing the importance of clinical scoring systems and the biomarker PCT. It introduces a study that aims to compare the efficacy and safety of standard clinical management and PCT-guided risk assessment in patients with suspected sepsis.
Article
Public, Environmental & Occupational Health
Ahmed D. Alatawi, Louis W. Niessen, Minakshi Bhardwaj, Yussif Alhassan, Jahangir A. M. Khan
Summary: This study investigates the factors influencing the efficiencies of health service provision in public hospitals in Saudi Arabia. The findings reveal that ineffective hospital management, lack of strategic planning, weak administrative leadership, and absence of monitoring hospital performance significantly impact hospital efficiency. The study also highlights the influence of healthcare staff conditions and the absence of appropriate health informatics system on efficiency. The study concludes that raising awareness and providing training on efficient resource utilization are vital for improving hospital performance in Saudi Arabia. Further research is needed to enhance knowledge on hospital efficiency in the region.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Health Care Sciences & Services
Lucky G. G. Ngwira, Hendramoorthy Maheswaran, Janine Verstraete, Stavros Petrou, Louis Niessen, Sarah C. C. Smith
Summary: The psychometric performance of the EQ-5D-Y-3L and EQ-5D-Y-5L was evaluated in this study. Both versions had issues with missing data in younger children. Convergent validity, discriminant validity with respect to gender and age, and known-group validity were met for both measures, although with some limitations. The EQ-5D-Y-5L was less efficient than the EQ-5D-Y-3L in detecting differences in health status.
JOURNAL OF PATIENT-REPORTED OUTCOMES
(2023)
Article
Public, Environmental & Occupational Health
David S. Lawrence, Charles Muthoga, David B. Meya, Lillian Tugume, Darlisha Williams, Radha Rajasingham, David R. Boulware, Henry C. Mwandumba, Melanie Moyo, Eltas N. Dziwani, Hendramoorthy Maheswaran, Cecilia Kanyama, Mina C. Hosseinipour, Chimwemwe Chawinga, Graeme Meintjes, Charlotte Schutz, Kyla Comins, Funeka Bango, Conrad Muzoora, Samuel Jjunju, Edwin Nuwagira, Mosepele Mosepele, Tshepo Leeme, Chiratidzo E. Ndhlovu, Admire Hlupeni, Shepherd Shamu, Timothee Boyer-Chammard, Sile F. Molloy, Nabila Youssouf, Tao Chen, Tinevimbo Shiri, Shabbar Jaffar, Thomas S. Harrison, Joseph N. Jarvis, Louis W. Niessen
Summary: This cost-effectiveness analysis involving five countries found that a treatment regimen based on a single high dose of liposomal amphotericin B deoxycholate is cost-effective for HIV-associated cryptococcal meningitis and may even be cost-saving in real-world implementation.
LANCET GLOBAL HEALTH
(2022)
Article
Medicine, General & Internal
Martin W. Njoroge, Patrick Mjojo, Catherine Chirwa, Sarah Rylance, Rebecca Nightingale, Stephen B. Gordon, Kevin Mortimer, Peter Burney, John Balmes, Jamie Rylance, Angela Obasi, Louis W. Niessen, Graham Devereux
Summary: In a cohort study conducted in rural Chikwawa, Malawi, an increasing prevalence of chronic obstructive pulmonary disease (COPD) was found to be associated with a high rate of forced expiratory volume in one second (FEV1) decline and pre-existing lung function deficits. Respiratory symptoms and sub-optimal lung function were independently associated with reduced health-related quality of life (HRQoL).
Article
Medicine, General & Internal
Sayoki Godfrey Mfinanga, Moffat J. Nyirenda, Gerald Mutungi, Janneth Mghamba, Sarah Maongezi, Joshua Musinguzi, Joseph Okebe, Sokoine Kivuyo, Josephine Birungi, Erik van Widenfelt, Marie-Claire Van Hout, Max Bachmann, Anupam Garrib, Dominic Bukenya, Walter Cullen, Jeffrey Lazarus, Louis Wihelmus Niessen, Anne Katahoire, Elizabeth Henry Shayo, Ivan Namakoola, Kaushik Ramaiya, Duolao Wang, L. E. Cuevas, Bernard M. Etukoit, Janet Lutale, Shimwela Meshack, Kenneth Mugisha, Geoff Gill, Nelson Sewankambo, Peter G. Smith, Shabbar Jaffar
Summary: This study aims to evaluate the concept of providing integrated care services for HIV-infected, diabetic, or hypertensive patients in Africa. The research findings will compare the treatment effects of single clinic care versus standard vertical care, and will continue with a 12-month follow-up period to assess patient retention and viral load suppression.