Article
Multidisciplinary Sciences
Irene Ifeyinwa Eze, Edmund Ndudi Ossai, Ifeyinwa Chizoba Akamike, Ijeoma Nkem Okedo-Alex, Lawrence Ulu Ogbonnaya, Chigozie Jesse Uneke
Summary: This study assessed the effect of participatory-action research on males' perception and practice towards maternity care and safe motherhood in rural southeast Nigeria. The results showed that there was an improvement in males' perceptions and practices towards safe motherhood after the intervention.
Article
Health Care Sciences & Services
Allison A. Lewinski, Caitlin Sullivan, Kelli D. Allen, Matthew J. Crowley, Jennifer M. Gierisch, Karen M. Goldstein, Kaileigh Gray, Susan N. Hastings, George L. Jackson, Felicia McCant, Abigail Shapiro, Matthew Tucker, Carolyn Turvey, Leah L. Zullig, Hayden B. Bosworth
Summary: Virtual care is crucial for VHA's effort in expanding veterans' access to care, and research on refining virtual care delivery models is needed. A Think Tank convened in December 2019 to address challenges in virtual care research and practice, discuss novel approaches, and develop priorities to enhance virtual care in VHA. The Think Tank identified four key priorities: scaling evidence-based practices, centralizing virtual care, creating high-value care within VHA with virtual care, and identifying appropriate patients for virtual care.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Review
Health Care Sciences & Services
Brandi Leach, Sarah Parkinson, Evangelos Gkousis, Gary Abel, Helen Atherton, John Campbell, Christopher Clark, Emma Cockcroft, Christine Marriott, Emma Pitchforth, Jon Sussex
Summary: This study explores the impact of digital facilitation on primary care. The results show that digital facilitation has the potential to increase patients' uptake and use of web-based services. However, there is limited understanding of the effectiveness of digital facilitation and its impact on healthcare inequalities. Further research is needed to identify the most effective and cost-effective approaches to digital facilitation and evaluate their long-term impacts.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Anthropology
Megan K. Muller
Summary: This article examines the lack of access to primary health services in remote Indigenous communities in British Columbia, attributing it to the historical legacy of settler colonialism. Using ethnographic case studies and historical research, the article argues that racially segregated healthcare developed as part of an assimilationist political agenda. The author emphasizes the need to address both access and quality of care as key factors in achieving health equity for Indigenous populations.
MEDICAL ANTHROPOLOGY
(2022)
Article
Health Care Sciences & Services
Conor Walsh, Caitlin Sullivan, Hayden B. Bosworth, Sarah Wilson, Jennifer M. Gierisch, Kaitlyn B. Goodwin, Felicia Mccant, Helen Hoenig, Leonie Heyworth, Donna M. Zulman, Carolyn Turvey, Ernest Moy, Allison A. Lewinski
Summary: The Covid-19 pandemic led to a significant increase in the use of virtual care, but there are inequities in access and utilization between audio-only and video-based virtual care. This study identified priorities for achieving equitable implementation of virtual care within the Veterans Health Administration (VHA) through a Think Tank involving clinicians, researchers, and operational partners.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Psychiatry
Elizabeth Newbronner, Panagiotis Spanakis, Ruth Wadman, Suzanne Crosland, Paul Heron, Gordon Johnston, Lauren Walker, Simon Gilbody, Emily Peckham
Summary: This study aims to explore the satisfaction of people with severe mental illness (SMI) with the support received during the pandemic, understand the difficulties encountered when accessing mental health and primary care services, and assess the perceived need for future support from mental health services. The results show that while most participants were satisfied with the mental health support they had received, a minority were not. Additionally, the study found that a quarter of the participants thought they would need more mental health support in the coming year, which has implications for future demand on services.
FRONTIERS IN PSYCHIATRY
(2022)
Article
Medicine, General & Internal
Sheryl Spithoff, Lana Mogic, Susan Hum, Rahim Moineddin, Christopher Meaney, Tara Kiran
Summary: In this randomized clinical trial conducted in Ontario, Canada, it was found that family physicians were less likely to accept patients with opioid use disorder as new patients compared to those with diabetes. Efforts to address this disparity may include improving policies for accepting new patients, enhancing compensation, and providing anti-oppression training for clinicians.
Article
Health Policy & Services
Vanessa Seijas, Katherina M. Hrzic, Ximena Z. Neculhueque, Carla Sabariego
Summary: Chile successfully integrated rehabilitation into primary health care through the Comprehensive Rehabilitation in PHC Program, improving access, coverage, and equity. Strong governance, financial commitment, and evidence-based planning were the key to achieving this.
HEALTH SYSTEMS & REFORM
(2023)
Review
Public, Environmental & Occupational Health
Racha Fadlallah, Najla Daher, Amena El-Harakeh, Rima Hammam, Hneine Brax, Lama Bou Karroum, Luciane Cruz Lopes, Ghida Arnous, Inas Kassamany, Stephanie Baltayan, Aya Harb, Tamara Lotfi, Fadi El-Jardali, Elie A. Akl
Summary: This study systematically identifies and describes approaches to prioritize primary research topics in any health-related area. The findings highlight the need for greater participation of potential users and incorporation of equity in the prioritization process. These findings can guide researchers, policymakers, and funders in conducting or funding primary health research and enhance a more coordinated approach to prioritize health research for decision-making at all levels.
Article
Medicine, General & Internal
Ellen Nolte, Jemima H. Kamano, Violet Naanyu, Anthony Etyang, Antonio Gasparrini, Kara Hanson, Hillary Koros, Richard Mugo, Adrianna Murphy, Robinson Oyando, Triantafyllos Pliakas, Vincent Were, Ruth Willis, Edwine Barasa, Pablo Perel
Summary: This study aims to evaluate the effectiveness of the PIC4C model in caring for NCD patients in Kenya, using a combination of in-depth interviews, surveys, and cohort studies to assess implementation and patient needs. The findings will be published in peer-reviewed journals and disseminated through workshops to stakeholders at various levels.
Article
Public, Environmental & Occupational Health
Julia Gonzalez-Holguera, Marie Gaille, Maria del Rio Carral, Julia Steinberger, Joachim Marti, Nolwenn Buhler, Alain Kaufmann, Luca Chiapperino, Ana Maria Vicedo Cabrera, Joelle Schwarz, Anneliese Depoux, Francesco Panese, Nathalie Chevre, Nicolas Senn
Summary: Global anthropogenic environmental degradations, including climate change, are seen as critical public health issues and the concept of Planetary Health recognizes the interdependent relationships between living organisms and ecosystems. Healthcare professionals are calling for greater recognition and adoption of this perspective. However, current Western healthcare systems face limitations in providing affordable, equitable, and sustainable healthcare services, with primary care and public health being undervalued. To address the impacts of environmental degradations, healthcare services need to transform and integrate socio-environmental determinants of health, while also strengthening collaborations and developing environmentally-centered models of care. This requires synergies between health and sustainability institutions and actors.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Medicine, General & Internal
Sydney Jopling, Walter P. Wodchis, Jennifer Rayner, David Rudoler
Summary: The TeamCare program successfully reached its target population and addressed the gap in primary care in Ontario by providing important services to patients with complex needs.
Article
Medicine, General & Internal
Pascal Nzasabimana, Agnieszka Ignatowicz, Barnabas Tobi Alayande, Abdul-Malik Abdul-Latif, Maria Lisa Odland, Justine Davies, Abebe Bekele, Jean Claude Byiringiro
Summary: This study aimed to identify and explore barriers to accessing quality injury care from the perspectives of injured patients, caregivers, and community leaders. Through qualitative research methods, the study found multiple barriers across various stages of care, including barriers to seeking, reaching, receiving, and remaining in care. Key barriers mentioned were the lack of community health insurance, limited access to ambulances, insufficient number of trauma care specialists, and decentralized rehabilitation services.
Article
Primary Health Care
Sagi Shashar, Moriah Ellen, Shlomi Codish, Ehud Davidson, Victor Novack
Summary: The study aimed to evaluate the variation in practice patterns between primary care physicians in southern Israel, finding that the differences between physicians were greater than those within individual physicians over time. Services with lower utilization rates showed increased inter- and intra-physician variation. Individual physician utilization patterns remained consistent across different health services.
ANNALS OF FAMILY MEDICINE
(2021)
Article
Nursing
Melissa E. Cyr, Daryl Boucher, Shayna A. Korona, Barbara J. Guthrie, James C. Benneyan
Summary: In a rural health system with limited dermatology appointment availability, primary care provider diagnostic accuracy may be a key barrier to receiving dermatology care and achieving health outcomes. Older or non-working patients are more likely to remain unevaluated rather than seek care that is more convenient but geographically further away.
JOURNAL OF ADVANCED NURSING
(2021)
Article
Health Care Sciences & Services
Emma E. Thomas, Helen M. Haydon, Ateev Mehrotra, Liam J. Caffery, Centaine L. Snoswell, Annie Banbury, Anthony C. Smith
Summary: The COVID-19 pandemic has led to significant growth in telehealth services globally, including in Australia. It is crucial to consider the long-term sustainability of telehealth post-pandemic, with a focus on developing a skilled workforce, empowering consumers, reforming funding, improving digital ecosystems, and integrating telehealth into routine care.
JOURNAL OF TELEMEDICINE AND TELECARE
(2022)
Article
Clinical Neurology
Andrew D. Wilcock, Lee H. Schwamm, Jose R. Zubizarreta, Kori S. Zachrison, Lori Uscher-Pines, Jessica V. Richard, Ateev Mehrotra
Summary: This study found that patients with acute ischemic stroke treated at hospitals with telestroke capacity were more likely to receive reperfusion treatment and had lower 30-day mortality. There were no differences in days spent living in the community following discharge or in spending.
Article
Health Care Sciences & Services
Bill Wang, Ateev Mehrotra, Ari B. Friedman
Summary: Despite reducing lower-acuity emergency department visits, the impact of urgent care centers was found to be small. Each 37 additional urgent care center visits were associated with a reduction of a single lower-acuity ED visit.
Article
Health Care Sciences & Services
Annie Banbury, Anthony C. Smith, Ateev Mehrotra, Matthew Page, Liam J. Caffery
Summary: This study explores the factors contributing to the variation in telehealth adoption in Queensland, Australia. It found that metropolitan areas with more telehealth use had greater investment, higher population referral areas, well-developed communication strategies, and better understanding of the value proposition of telehealth. In rural areas, telehealth activity was influenced by onboarding processes, clinician willingness, strategic challenges, and primary care activity.
JOURNAL OF TELEMEDICINE AND TELECARE
(2023)
Article
Gerontology
Heejung Jang, Fengyan Tang, Rachel A. Fusco, Rafael J. Engel, Steven M. Albert
Summary: The study found that co-parenting and custodial grandparents had higher all-cause mortality risk than grandparents who babysat occasionally, however, for custodial grandparents, the association was not significant once social relation variables were added to the model.
Article
Gerontology
Jessica Cheng, Lora E. Burke, Elizabeth M. Venditti, Susan M. Sereika, Nancy W. Glynn, Steven M. Albert, Anne B. Newman
Summary: This analysis examined the effectiveness of a community-based intervention in improving dietary habits. The intervention successfully shifted eating patterns and resulted in sustained improvements over 13 months. The use of a simple tool, Rate Your Plate, proved to be effective in assessing dietary changes.
JOURNAL OF APPLIED GERONTOLOGY
(2022)
Article
Clinical Neurology
Sneha Mantri, Lana M. Chahine, Karina Nabieva, Robert Feldman, Andrew Althouse, Benjamin Torsney, Steven M. Albert, Catherine Kopil, Connie Marras
Summary: Fatigue has a major impact on health-related quality of life in Parkinson's disease, especially in younger patients and those with more depressive symptoms.
MOVEMENT DISORDERS CLINICAL PRACTICE
(2022)
Article
Health Care Sciences & Services
Steven M. Albert, Polly McCracken, Thuy Bui, Janel Hanmer, Gary S. Fischer, Jaishree Hariharan, Alton Everette James
Summary: A cross-sectional survey found that the majority of patients support the inclusion of social needs information in medical records, but 20% of patients are uncomfortable with this practice. The survey also showed that individuals with more social needs are more cautious about including this information in electronic health records.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Gerontology
Tracy Chippendale, Steven M. Albert, Atiya Mahmood
Summary: The study found that the "Stroll Safe" program is effective in improving knowledge of outdoor fall risks and increasing safe strategy use for community mobility. This program fills a gap in outdoor fall prevention programs.
Article
Computer Science, Interdisciplinary Applications
Scott A. Malec, Sanya B. Taneja, Steven M. Albert, C. Elizabeth Shaaban, Helmet T. Karim, Arthur S. Levine, Paul Munro, Tiffany J. Callahan, Richard D. Boyce
Summary: Traditional methods of identifying confounders rely on content-matter expertise and literature review, but these methods have limitations. To overcome these challenges, researchers propose a novel method based on knowledge graph, which combines computable literature-derived knowledge with biomedical ontologies for better causal feature selection. The application of this method identifies potential confounders and highlights the need for standardized databases of causal variables.
JOURNAL OF BIOMEDICAL INFORMATICS
(2023)
Article
Geriatrics & Gerontology
Hyejin Kim, Jennifer H. Lingler, Catherine M. Bender, Steven M. Albert, Susan M. Sereika
Summary: This study aimed to explore the differences in illness perceptions, focusing on perceived control and coherence, between patients with Type 2 diabetes (T2DM) and mild cognitive impairment (MCI). The results showed that MCI patients were more likely to perceive their condition as less controllable and understandable compared to T2DM patients. Therefore, healthcare professionals should consider patients' subjective perceptions of their conditions, especially in the context of disease characteristics, when discussing secondary prevention strategies for disease management.
INNOVATION IN AGING
(2023)
Article
Computer Science, Information Systems
Richard D. Boyce, Olga Kravchenko, Subashan Perera, Jordan F. Karp, Sandra L. Kane-Gill, Charles F. Reynolds, Steven M. Albert, Steven M. Handler
Summary: This study aimed to develop and validate a model that predicts the risk of falls for nursing home residents using electronically available data from over 15,000 facilities in the United States. The model was built using a hybrid Classification and Regression Tree (CART)-logistic approach and tested with data from the Long-term Care Minimum Dataset (MDS) and drug data from skilled nursing facilities. The results showed that antidepressant medications have a significant protective association with fall risk in certain conditions. Compared to 22 other fall risk assessment tools, this novel hybrid CART-logit algorithm performed better for predicting falls within a 90-day window and utilizes easily obtainable features in nearly every facility in the United States.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Gerontology
Steven M. Albert, Elizabeth M. Venditti, Robert M. Boudreau, Lori A. Kieffer, Judith R. Rager, Janice C. Zgibor, Joni Vander Bilt, Michelle E. Danielson, Lora E. Burke, Nancy W. Glynn, John M. Jakicic, Kenneth J. Smith, Linda N. Semler, Anne B. Newman
Summary: This study recruited 303 community-dwelling adults for a 32-session weight management intervention led by community health workers. The research found that promoting weight management in older adults can be an effective strategy for reducing the risk of disability.
Article
Gerontology
Eunhee Choi, Sung-Geun Kim, Laura B. Zahodne, Steven M. Albert
Summary: This study found that older workers with physically demanding jobs tend to have poorer cognitive function, with the perceived level of physical demands negatively linked with both memory and reasoning domains of cognition. Further longitudinal studies are needed to confirm this relationship.
AGEING INTERNATIONAL
(2022)
Article
Anthropology
M. W. Amarasiri de Silva, Steven M. Albert
Summary: The introduction of reverse osmosis (RO) water as an alternative form of drinking water in Sri Lanka's North Central Province aimed to combat the risk of Chronic Kidney Disease of Unknown Etiology (CKDu). Research was conducted to assess the impact of this intervention on CKDu prevalence and disease progression, as well as the perceptions of villagers regarding these changes.
HUMAN ORGANIZATION
(2021)