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Multidisciplinary Sciences
Seid Wodajo, Alemnesh Mosisa, Dawit Misganaw, Ambaye Minayehu, Berhane Teklay, Yegoraw Gashaw, Yimenu Gardie, Yilkal Dagnaw, Adugna Olani
Summary: This study aimed to assess the magnitude of evidence-based intrapartum care practice among obstetric care providers in hospitals of Wollega zones, West Ethiopia. The overall magnitude of evidence-based intrapartum care practice was found to be low, indicating the need for additional attention and monitoring to implement current guidelines.
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Medicine, General & Internal
Maaike Hoedemakers, Milad Karimi, Fenna Leijten, Lucas Goossens, Kamrul Islam, Apostolos Tsiachristas, Maureen Rutten-van Molken
Summary: This study evaluates the value of the person-centred, integrated care programme CCFE compared to usual care using multicriteria decision analysis (MCDA). The results indicate that CCFE performs better than usual care in terms of enjoyment of life and person-centredness at 6 months. However, at 12 months, there is little difference between CCFE and usual care from the perspective of patients, informal caregivers, and professionals, while payers and policy-makers seem to prefer usual care.
Article
Public, Environmental & Occupational Health
Leticia Xander Russo, Timothy Powell-Jackson, Jorge Otavio Maia Barreto, Josephine Borghi, Roxanne Kovacs, Garibaldi Dantas Gurgel Junior, Luciano Bezerra Gomes, Juliana Sampaio, Helena Eri Shimizu, Allan Nuno Alves de Sousa, Adriana Falangola Benjamin Bezerra, Airton Tetelbom Stein, Everton Nunes Silva
Summary: The study shows that there is a negative and significant association between PMAQ and hospitalization rates for ACSCs, with an increase in PMAQ participating leading to a decrease in hospitalization rates.
Article
Medicine, General & Internal
Kevin Duan, Francisco Rodriguez Garza, Hugo Flores, Daniel Palazuelos, Jimena Maza, Luis Alberto Martinez-Juarez, Patrick F. Elliott, Elena Moreno Lazaro, Natan Enriquez Rios, Gustavo Nigenda, Lindsay Palazuelos, Ryan K. McBain
Summary: CESPEC is a cost-effective community-based model of diabetes care for patients in rural Mexico, providing more health-adjusted years at a lower cost compared to usual care.
Article
Medicine, General & Internal
Juliette Malley, Annette Bauer, Annette Boaz, Hannah Kendrick, Martin Knapp
Summary: Research-practice partnerships are long-term collaborations between research and practice that aim to improve practice. This project aims to explore whether the RPP approach can be applied successfully in English care homes. The study takes a theory-based approach, using a mixed-methods design, to evaluate and improve the effectiveness of RPPs in the care home context.
Article
Health Care Sciences & Services
Harriet Unsworth, Bernice Dillon, Lucie Collinson, Helen Powell, Mark Salmon, Tosin Oladapo, Lynda Ayiku, Gary Shield, Joanne Holden, Neelam Patel, Mark Campbell, Felix Greaves, Indra Joshi, John Powell, Alexia Tonnel
Summary: The ESF is a standardized framework developed in 2018 by NICE in partnership with various UK health organizations to guide developers and commissioners on the evidence levels required for evaluating DHTs. The framework has been well-received and has had a significant impact globally, with ongoing efforts to maintain and improve it in a rapidly evolving field.
Article
Medicine, General & Internal
Atsushi Miyawaki, Ryo Ikesu, Yasuharu Tokuda, Rei Goto, Yasuki Kobayashi, Kazuaki Sano, Yusuke Tsugawa
Summary: This study aimed to investigate the use and factors associated with low-value care in Japan. The study utilized a multicentre observational design and claims data from 242 large acute care hospitals in Japan. The findings revealed that approximately 7.5% of patients received low-value care services based on the broader definition, while about 4.9% received such services based on the narrower definition. There was no significant change in the prevalence of low-value services between 2015 and 2019. Factors such as hospital size, age, sex, and comorbidities were associated with the likelihood of receiving low-value care.
Article
Medicine, General & Internal
Majid Twahir, Razaq Oyesegun, Joel Yarney, Andrew Gachii, Clement Edusa, Chukwumere Nwogu, Gitangu Mangutha, Philip Anderson, Emmanuel Benjamin, Borna Mueller, Charles Ngoh
Summary: The study evaluated medical resource utilisation and timeliness of access to breast cancer care at tertiary care centres in sub-Saharan Africa. Findings revealed that many patients lack timely diagnosis and modern systemic therapies, with most patients having to pay for healthcare costs out-of-pocket.
Review
Public, Environmental & Occupational Health
R. Spelten Evelien, N. Hardman Ruth, E. Pike Kerryn, Y. N. Yuen Eva, Wilson Carlene
Summary: Telehealth services for cancer supportive care require consideration of patient characteristics, healthcare provider characteristics, and skill gaps. The capacity and willingness of services to adapt to telehealth in the context of COVID-19 have been acknowledged, but there is a need to assess the impact of the transition on service quality.
PATIENT EDUCATION AND COUNSELING
(2021)
Article
Medicine, General & Internal
Shengxuan Jin, Zhonghua Wang, Lanlan Tian, Zhenyu Sun, Zhenping Lin, Dongfu Qian
Summary: The study aimed to establish a quality evaluation scale for CFDS and assess service quality from the perspective of patient perceptions and expectations in Jiangsu, China. Significant differences were found between patient perceptions and expectations, with factors such as region, gender, age, and education levels significantly associated with each dimension score. The study highlights the importance of policy efforts in improving the capacity of family doctor services to meet the needs of elderly patients with chronic diseases.
Article
Medicine, General & Internal
Darach O. Ciardha, Anne-Marie Blake, Dylan Creane, Michael O. Callaghan, Catherine Darker
Summary: The study aimed to assess the feasibility and cost impact of incorporating a practice pharmacist in a general practice setting in Ireland. The results showed that integrating pharmacists into general practice is feasible and effective in improving prescribing safety and implementing deprescribing. The study highlights the ease with which pharmacists can integrate into general practice and suggests sustainable funding options.
Article
Medicine, General & Internal
Shingo Fukuma, Hirotaka Kato, Reo Takaku, Yusuke Tsugawa
Summary: Using a regression discontinuity design, this study investigated the impact of no cost sharing on paediatric care usage and health outcomes in Japan. The results showed that no cost sharing was associated with increased outpatient care usage and spending, but did not affect inpatient care usage. Notably, the effect of no cost-sharing policy was greater among children from high-income households, suggesting that it disproportionately benefits higher-income families and may contribute to larger disparities.
Article
Medicine, General & Internal
Victoria Mailen Arfuch, Carina Aguilar Martin, Anna Berenguera, Rosa Caballol Angelats, Noelia Carrasco-Querol, Gemma Gonzalez Serra, Maria Cinta Sancho Sol, Immaculada Fuste Anguera, Jose Fernandez Saez, Alessandra Queiroga Goncalves, Marc Casajuana
Summary: This study aims to compare the cost and health benefits of patients with Fibromyalgia Syndrome (FMS) receiving a multicomponent intervention programme versus usual clinical care (UCC). A cost-utility analysis will be conducted from a societal perspective, estimating the incremental cost-utility ratio and considering different cost scenarios in the analysis.
Article
Medicine, General & Internal
Sangkyun Jo, Duk Bin Jun, Sungho Park
Summary: The mild disease differential copayment policy in South Korea successfully reduced unnecessary visits to secondary/tertiary healthcare institutions for treating mild diseases. The policy had a smaller effect on the low-income group and a greater effect on frequent healthcare visitors, indicating its effectiveness in promoting primary healthcare utilization.
Article
Medicine, General & Internal
Marina Soley-Bori, Raghu Lingam, Rose-Marie Satherley, Julia Forman, Lizzie Cecil, Julia Fox-Rushby, Ingrid Wolfe
Summary: CYPHP is a new approach to integrated care delivery for children and young people, comparing its impact with enhanced usual care through an economic evaluation. The study will include within-trial and beyond-trial economic evaluations, supplemented by a novel long-term model. Findings will provide valuable insights for community-based models of care.