Article
Psychology, Clinical
Kai -Ming Jhang, Wen-Fu Wang, Yu-Ching Cheng, Yu-Chun Tung, Shao-Wei Yen, Hsin-Hung Wu
Summary: The purpose of this study was to identify care need combinations for dementia patients with multiple chronic diseases and their caregivers. A cross-sectional study was conducted with 83 patients to find relationships between care needs and variables from dementia patients with multiple chronic diseases. The study identified several basic care needs and common unmet needs.
PSYCHOLOGY RESEARCH AND BEHAVIOR MANAGEMENT
(2023)
Article
Nursing
Ann Annis, Hyokyoung G. Hong
Summary: This study conducted an observational study using Medicare Public Use Files from 2015 to 2018. It found that although chronic care management services increased each year, they remained underutilized. Increases in beneficiaries, percentage of dually enrolled, and primary care services predicted higher utilization of chronic care management.
Editorial Material
Public, Environmental & Occupational Health
Henrik Toft Sorensen
Summary: Despite the Covid-19 pandemic, international travel is expected to increase in the future, raising the risk of unavailable medical record information. To address this, we propose the development of an international medical record system to mitigate the additional risk of traveling.
CLINICAL EPIDEMIOLOGY
(2022)
Review
Medicine, General & Internal
Leticia A. Barajas-Nava, Juan Garduno-Espinosa, Juan M. Mireles Dorantes, Raul Medina-Campos, M. Carmen Garcia-Pena
Summary: This systematic review analyzed the effectiveness of care models for older people with chronic diseases. The results showed that there is currently no established effective care model, with the majority of interventions being ineffective or partially effective. The most effective outcomes were focused on improving the patient-healthcare professional relationship in the early stages of the intervention.
Review
Gastroenterology & Hepatology
Rachel Pryke, Neil Guha
Summary: Addressing primary care's low confidence in detecting and managing chronic liver disease is crucial due to the rising prevalence of lifestyle-related risk factors. Education for primary care should focus on distinguishing fibrosis risk and emphasizing the limitations of minor liver function abnormalities. Aligning liver disease management with other metabolic disorders and developing local fibrosis assessment pathways can lead to improved care and reduced testing. Increasing the value of existing monitoring is more important than generating additional work.
JOURNAL OF HEPATOLOGY
(2023)
Article
Rheumatology
Daiva Mitchell, Leslie Lesoon, Cuoghi Edens, Traci M. Kazmerski, Olivia M. Stransky, Flor A. Cameron, Megan E. B. Clowse, Sonya Borrero, Megan Hamm, Mehret Birru Talabi
Summary: Rheumatologists and rheumatology advanced practice providers generated potential solutions to overcoming barriers to sexual and reproductive health (SRH) care through focus group discussions. Recommendations included preparing patients for SRH conversations, establishing consultation systems for rapid SRH care, developing training opportunities and accessible resources, and providing educational materials in the rheumatology context. Different preferences were identified between rheumatologists and APPs regarding additional training and education versus electronic health record prompts and tools.
JOURNAL OF RHEUMATOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Christoph Hochsmann, James L. Dorling, Corby K. Martin, Robert L. Newton, John W. Apolzan, Candice A. Myers, Kara D. Denstel, Emily F. Mire, William D. Johnson, Dachuan Zhang, Connie L. Arnold, Terry C. Davis, Vivian Fonseca, Carl J. Lavie, Eboni G. Price-Haywood, Peter T. Katzmarzyk
Summary: A pragmatic ILI delivered in primary care setting produced clinically relevant improvements in cardiometabolic health in underserved population over 24 months, including significant weight loss and improvements in blood glucose, cholesterol levels.
Article
Economics
Hui Ding, Yiwei Chen, Min Yu, Jieming Zhong, Ruying Hu, Xiangyu Chen, Chunmei Wang, Kaixu Xie, Karen Eggleston
Summary: Evidence from China shows that efforts to promote primary health care management in rural areas have led to increased healthcare utilization and better health outcomes for hypertension/diabetes patients, resulting in lower medical spending and improved medication adherence and blood pressure control. The resource savings from reduced inpatient admissions outweigh the costs of the program.
JOURNAL OF HEALTH ECONOMICS
(2021)
Review
Medicine, General & Internal
Magdalena Z. Raban, Gabriela Gonzalez, Amy D. Nguyen, Ben R. Newell, Ling Li, Karla L. Seaman, Johanna Westbrook
Summary: This systematic review explores the use of nudge interventions to reduce unnecessary antibiotic prescribing in primary care. The findings indicate that nudge interventions, particularly social norm nudges, are effective in reducing overall antibiotic prescribing. Policy-makers and managers should consider expanding the use of nudge interventions and carefully implement social norm nudges to optimize their effects.
Article
Public, Environmental & Occupational Health
Jose Carlos Prado Junior, Roberto de Andrade Medronho
Summary: This study conducted a cross-sectional analysis in Rio de Janeiro, Brazil, and found that TB cure rate was influenced by factors such as education level, alcohol consumption, contact investigation, HIV seropositivity, and elderly population density. Individuals covered by primary healthcare had higher odds of cure compared to those without coverage.
Article
Public, Environmental & Occupational Health
Mengjie Sun, Yumeng Qian, Lamei Liu, Jianan Wang, Mengyao Zhuansun, Tongyao Xu, Ronnell Dela Rosa
Summary: This study explored the perceptions of older adults and healthcare providers in China about the transition of care from hospital to home for older patients. Barriers and facilitators in the transition of care were identified, and it was suggested that patient and family-centered care should be implemented, along with the development of information support systems, navigator roles, and healthcare reforms.
FRONTIERS IN PUBLIC HEALTH
(2023)
Editorial Material
Medicine, General & Internal
Anne Parkinson, Sethunya Matenge, Jane Desborough, Sally Hall Dykgraaf, Lauren Ball, Michael Wright, Elizabeth A. Sturgiss, Michael Kidd
Summary: Continuing chronic disease management in primary care is crucial during the COVID-19 pandemic.
MEDICAL JOURNAL OF AUSTRALIA
(2022)
Review
Public, Environmental & Occupational Health
Helen Burn, Lisa Hamm, Joanna Black, Anthea Burnett, Matire Harwood, Matthew J. Burton, Jennifer R. Evans, Jacqueline Ramke
Summary: Globally, there are around 370 million Indigenous peoples who typically experience worse health compared to non-Indigenous populations, including higher rates of avoidable vision impairment. The service delivery models aimed at improving access to eye care for Indigenous peoples in high-income countries are predominantly focused on Australia and services for diabetic retinopathy. More engagement with Indigenous communities is necessary for designing and implementing accessible eye care services.
Article
Pediatrics
Kevin Cates, Neelkamal Soares
Summary: Behavioral health concerns are highly prevalent in patients seen in primary care pediatric clinics, with approximately 1 in 7 children experiencing a behavioral or mental health concern requiring treatment, counseling, or referral by 21 years of age. Both the American Academy of Pediatrics and the American Academy of Child and Adolescent Psychiatry endorse children needing to access mental health screening and assessment.
PEDIATRIC CLINICS OF NORTH AMERICA
(2021)
Article
Medicine, General & Internal
Alissa Bernstein Sideman, Melissa Ma, Alma Hernandez de Jesus, Cecilia Alagappan, Na'amah Razon, Daniel Dohan, Anna Chodos, Tala Al-Rousan, Loren I. Alving, Freddi Segal-Gidan, Howie Rosen, Katherine P. Rankin, Katherine L. Possin, Soo Borson
Summary: This qualitative study explored the perspectives of primary care practitioners (PCPs) on their role in dementia care. The study found alignment between PCP perspectives and the core values of primary care in diagnosing and providing care for individuals with dementia, but identified a mismatch between these values and the health systems infrastructure for dementia care in their practice environment.
Article
Ecology
Mika R. Moran, Daniel A. Rodriguez, Andrea Cortinez-O'Ryan, J. Jaime Miranda
Summary: Parks and greenspaces can improve personal health through psychological restoration and increased well-being, but may also have adverse effects under certain circumstances. This study found that high self-reported park proximity was associated with lower perceptions of social disorder, but this association was no longer significant after considering neighborhood characteristics. Significant interactions were observed between park proximity and neighborhood characteristics.
LANDSCAPE AND URBAN PLANNING
(2022)
Review
Environmental Sciences
Kerrie Pickering, Eranga K. Galappaththi, James D. Ford, Chandni Singh, Carol Zavaleta-Cortijo, Keith Hyams, J. Jaime Miranda, Ingrid Arotoma-Rojas, Cecil Togarepi, Harpreet Kaur, Jasmitha Arvind, Halena Scanlon, Didacus B. Namanya, Cecilia Anza-Ramirez
Summary: This study provides an overview of the experiences of Indigenous peoples during the COVID-19 pandemic. The findings highlight the challenges faced by Indigenous peoples in terms of ecological, poverty, communication, education, and healthcare services. The government responses have been inadequate, while Indigenous peoples have implemented their own coping strategies. Rating: 9 out of 10.
ENVIRONMENTAL RESEARCH LETTERS
(2023)
Review
Cardiac & Cardiovascular Systems
Lynaea Filbey, Jie Wei Zhu, Francesca D'Angelo, Lehana Thabane, Muhammad Shahzeb Khan, Eldrin Lewis, Manesh R. Patel, Tiffany Powell-Wiley, J. Jaime Miranda, Liesl Zuhlke, Javed Butler, Faiez Zannad, Harriette G. C. Van Spall
Summary: Participants in cardiovascular disease randomized controlled trials often do not represent the diverse population living with the disease. This review discusses the barriers and facilitators of trial enrollment, temporal trends, and the need for representativeness. It proposes strategies to increase representativeness, such as inclusive recruitment practices, diverse trial leadership, and research capacity-building in under-represented regions. Implementing these strategies can generate better and more generalizable evidence to address healthcare inequalities.
EUROPEAN HEART JOURNAL
(2023)
Article
Agricultural Economics & Policy
Juan-Jose Diaz, Alan Sanchez, Francisco Diez-Canseco, J. Jaime Miranda, Barry M. Popkin
Summary: Peru increased its sugar-sweetened beverage tax and implemented front-of-package warning labels on processed and ultra-processed foods and beverages high in unhealthy ingredients. However, these policies did not lead to job or wage losses in the food and beverage industry, which is consistent with previous studies on similar policies in other countries. The findings suggest that industry substitutions and other actions may have mitigated the potential negative impacts of these policies.
Article
Public, Environmental & Occupational Health
Antonio Bernabe-Ortiz, Rodrigo M. Carrillo-Larco, Robert H. Gilman, Liam Smeeth, William Checkley, J. Jaime Miranda
Summary: The study evaluated the agreement between the equation and bio-impedance analysis methods in estimating skeletal muscle mass and assessed the association between skeletal muscle mass and all-cause mortality risk in different geographical sites in Peru. The study found a strong correlation and agreement between skeletal muscle mass estimates obtained by the equation and bio-impedance analysis. However, an association between skeletal muscle mass and all-cause mortality only exists when using the equation.
TROPICAL MEDICINE & INTERNATIONAL HEALTH
(2023)
Article
Green & Sustainable Science & Technology
Ione Avila-Palencia, Brisa N. Sanchez, Daniel A. Rodriguez, Carolina Perez-Ferrer, J. Jaime Miranda, Nelson Gouveia, Usama Bilal, Andres F. Useche, Maria A. Wilches-Mogollon, Kari Moore, Olga L. Sarmiento, Ana V. Diez Roux
Summary: This study investigates the relationship between urban landscape profiles and health and environmental outcomes, and explores the potential co-benefits. The study uses data from 208 cities in 8 Latin American countries and defines four urban landscape profiles based on fragmentation, isolation, and shape of patches. The findings suggest that different landscape profiles are associated with varying co-benefits, and certain profiles have positive or negative effects on health and environmental outcomes.
Article
Public, Environmental & Occupational Health
Carlos M. Guerrero-Lopez, Edson Servan-Mori, J. Jaime Miranda, Stephen Jan, Emanuel Orozco-Nunez, Laura Downey, Emma Feeny, Ileana Heredia-Pi, Laura Flamand, Gustavo Nigenda, Robyn Norton
Summary: This study compares the burden of non-communicable diseases (NCDs) and related risk factors by gender in Mexican adults. It found that women have a higher burden in diabetes, cancers, and chronic kidney disease, but a lower burden in chronic respiratory diseases compared to men. Women are less affected by tobacco and alcohol use, but face a higher risk of physical inactivity.
JOURNAL OF GLOBAL HEALTH
(2023)
Article
Geriatrics & Gerontology
Hernando Santamaria-Garcia, Sebastian Moguilner, Odir Antonio Rodriguez-Villagra, Felipe Botero-Rodriguez, Stefanie Danielle Pina-Escudero, Gary O'Donovan, Cecilia Albala, Diana Matallana, Michael Schulte, Andrea Slachevsky, Jennifer S. Yokoyama, Katherine Possin, Lishomwa C. Ndhlovu, Tala Al-Rousan, Michael J. Corley, Kenneth S. Kosik, Graciela Muniz-Terrera, J. Jaime Miranda, Agustin Ibanez
Summary: This study assessed the impact of social determinants of health, cardiometabolic factors, and other medical/social factors on cognition and functionality in an aging Colombian population. The combination of social determinants of health and cardiometabolic factors accurately predicted cognition and functionality, with social determinants of health being the stronger predictor.
Article
Public, Environmental & Occupational Health
Maria Lazo-Porras, Adela Del Valle, David Beran, Maria Amalia Pesantes, Silvana Perez-Leon, Vilarmina Ponce-Lucero, Antonio Bernabe-Ortiz, Maria Kathia Cardenas, Francois Chappuis, Pablo Perel, J. Jaime Miranda, Francisco Diez-Canseco
Summary: This study conducted a process evaluation of a salt substitute trial in Peru. The intervention, Salt Liz, was accepted by the villagers and found to have a positive effect on health. However, the use of the Salt Liz spoon was poor.
FRONTIERS IN PUBLIC HEALTH
(2023)
Editorial Material
Public, Environmental & Occupational Health
Stephane Besancon, David Beran, Malek Batal
Article
Public, Environmental & Occupational Health
M. Amalia Pesantes, Leonardo Cortez, Carolina Scaramutti, Jill Portocarrero, Hassan Haghparast-Bidgoli, J. Jaime Miranda
Summary: This study presents the response of the Peruvian health system to the sexual and reproductive health needs of Venezuelan women in Lima, Peru. Through in-depth telephone interviews with Venezuelan women, healthcare workers, and health officials, the study analyzes the capacity and limitations of the public health services in meeting the sexual and reproductive health needs of this population. The findings show a positive experience and the existence of priority policies and social protection mechanisms that benefit migrant women, despite the policies not originally considering this population.
REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH
(2023)
Article
Health Policy & Services
Edson Servan-Mori, Emanuel Orozco-Nunez, Carlos M. Guerrero-Lopez, J. Jaime Miranda, Stephen Jan, Laura Downey, Emma Feeny, Ileana Heredia-Pi, Laura Flamand, Gustavo Nigenda, Robyn Norton, Rafael Lozano
Summary: Latin America is facing an increasing burden of noncommunicable diseases, which has led to challenges in healthcare delivery and social protection for vulnerable populations. This study examined catastrophic and excessive health care expenditures in Mexican households with and without elderly members, taking into account the gender bias in care-seeking preferences. The findings showed that female-headed households, especially those with elderly members, faced greater risks of catastrophic and excessive health care expenditures compared to male-headed households. This highlights the urgent need for strengthening social protection in health, especially as the burden of noncommunicable diseases continues to grow and is further exacerbated by COVID-19.
HEALTH SYSTEMS & REFORM
(2023)
Review
Endocrinology & Metabolism
Jessica Hanae Zafra-Tanaka, Adela del Valle, Antonio Bernabe-Ortiz, J. Jaime Miranda, David Beran
Summary: This study describes the outcomes measured by researchers when evaluating health systems interventions for type 1 diabetes management. It reveals a focus on clinical-based outcomes rather than patient-reported outcome measures, in contrast to a core outcome set.
Article
Health Care Sciences & Services
Jessica Hanae Zafra-Tanaka, Ariela Braverman, Cecilia Anza-Ramirez, Ana Ortigoza, Mariana Lazo, Tamara Doberti, Lorena Rodriguez-Osiac, Gina S. Lovasi, Monica Mazariegos, Olga Sarmiento, Carolina Perez Ferrer, J. Jaime Miranda
Summary: The study examines the association between built and social environment features of cities and childhood obesity in Latin America. It finds that factors such as urbanization, education, and living conditions are related to the risk of childhood obesity.
LANCET REGIONAL HEALTH-AMERICAS
(2023)
Letter
Medicine, General & Internal
Jane E. Hirst, Nicole Votruba, Ian M. Bennett, J. Jaime Miranda, Pallab K. Maulik
