• Patient adherence and effective communication. (medlineplus.gov)
  • This Academic Highlights addresses best practices for improving adherence and outcomes for people living with schizophrenia, including lessening the side effect burden and providing comprehensive, patient-centric care. (psychiatrist.com)
  • The goal of this study is to evaluate the role of patient satisfaction with experience of care and adherence to medications in diverse race/ethnic groups. (sutterhealth.org)
  • A characteristics of patients and their training offers little help in resolving the total of 128 completed and submitted satisfaction with adherence of physi- ethical dilemmas encountered by health the questionnaires. (who.int)
  • Decision making is a critical element in the field of medicine that can lead to life-or-death outcomes, yet it is an element fraught with complex and conflicting variables, diagnostic and therapeutic uncertainties, patient preferences and values, and costs. (sagepub.com)
  • The Encyclopedia of Medical Decision Making gives a gentle introduction to both categories, revealing how medical and healthcare decisions are actually made-and constrained-and how physician, healthcare management, and patient decision making can be improved to optimize health outcomes. (sagepub.com)
  • AI-driven software significantly speeds up the detection of large vessel occlusion in stroke patients, reducing treatment time and potentially improving outcomes. (news-medical.net)
  • Return of PRO results included comparison with age- and sex-matched peers and was built into the Patient-Reported Outcomes Following Initial Treatment and Long-Term Evaluation of Survivorship registry. (jmir.org)
  • The function of communication is to gather information, define therapeutic outcomes, and build a caring and supportive relationship with patients. (bmj.com)
  • 1 Effective communication also provides the physician with the opportunity to improve patient satisfaction thereby facilitating improved health outcomes. (bmj.com)
  • 3-5 Although IVUS versus FFR reports in Korean patients suggest that 4.8 mm 2 is a better MLA cut-off than 6.0 mm 2 in LMCA lesions, 6 the worst outcomes in Western patients were associated with an IVUS MLA of 5.0-6.0 mm 2 . (acc.org)
  • In addition, information about outcomes associated with cardiopulmonary resuscitation (CPR) and admission to the intensive care unit (ICU) at the EOL will allow the oncology clinician to better present options to patients with advanced cancer who are near the EOL. (cancer.gov)
  • AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund. (ahrq.gov)
  • The data presented at ATS demonstrate the breadth of activities being undertaken by GSK to improve patient outcomes and generate evidence that will help answer some of the key questions in respiratory medicine. (gsk.com)
  • New results from patient-handling studies will be presented assessing outcomes for single Ellipta inhaler use compared to multiple inhaler use. (gsk.com)
  • Pulis said patients who do not receive timely and consistent mental health care will ultimately experience worse outcomes. (pressdemocrat.com)
  • In contrary, it provided complementary insight on the relevance of the clinical outcomes in the daily life of a patient who suffers from the disease. (kantar.com)
  • The discussion particularly emphasizes the importance of broadening the understanding of outcomes relevant to dying patients and those close to them. (nationalacademies.org)
  • support systematic research on the effects of different clinical, organizational, and financing options for end-of-life care and on the effectiveness of alternative strategies for improving care and outcomes for patients and those close to them. (nationalacademies.org)
  • This, in turn, limits efforts to establish and refine standards or benchmarks against which care processes and outcomes can be assessed and improved. (nationalacademies.org)
  • Shared decision-making is advocated as a key component of patient-centred care and associated with many benefits that improve patient outcomes. (who.int)
  • In a recent study published in the Scientific Reports, a group of researchers evaluated the efficiency, therapeutic efficacy, and patient perceptions of a custom robotic system for transcranial magnetic stimulation (TMS) coil placement in treating depression compared to traditional manual methods. (news-medical.net)
  • The aim of another study was to assess the efficacy of homeopathic remedies for the prevention and treatment of migraine in children [28] . (researchgate.net)
  • OBJECTIVE: The study was carried out to assess the efficacy and tolerability of rizatriptan orally disintegrating tablet (ODT) for treating acute migraine in patients who are non-responders to sumatriptan. (druglib.com)
  • The objectives of this study are to assess the efficacy and safety of frovatriptan, and rizatriptan in the subgroup of women with menstrually related migraine of a multicenter, randomized, double blind, cross-over study. (druglib.com)
  • One randomized trial of laser therapy indicated efficacy of 43%, with recurrence among 95% of patients. (cdc.gov)
  • A randomized trial of surgical excision demonstrated efficacy of 93%, with recurrences among 29% of patients. (cdc.gov)
  • Efficacy of interferon injected directly into genital warts (intralesional therapy) during two randomized trials was 44%-61%, with recurrences among none to 67% of patients. (cdc.gov)
  • From April 2020 to April 2021, we surveyed patients seeking abortion in Ohio, West Virginia, and Kentucky. (nih.gov)
  • Clinicians should regularly reassess all patients receiving long-term opioid therapy, including patients who are new to the clinician but on long-term opioid therapy, with a suggested interval of every 3 months or more frequently for most patients ( Recommendation 7 ). (cdc.gov)
  • Although measurement of CAC progression is not ready to be adopted into routine practice, this biomarker could be used in the future to guide informed clinician-patient decision making regarding the intensity of risk factor management. (jabfm.org)
  • Patient-clinician communication: American Society Of Clinical Oncology consensus guideline. (medlineplus.gov)
  • Through primary care, patients can develop a long-standing relationship with their clinician and receive whole-person, comprehensive care. (ahrq.gov)
  • The Clinician & Group Survey assesses patients' experiences in physician offices and medical groups in ambulatory care settings. (ahrq.gov)
  • The patients were treated from July 2019 to July 2022 by 889 clinicians (physicians, nurse practitioners, and physician assistants), who wrote nearly 1.9 million medication orders. (medscape.com)
  • If benefits do not outweigh the risks for continued opioid therapy, clinicians should optimize other therapies and work closely with patients to gradually taper to lower dosages or, if warranted based on the individual clinical circumstances of the patient, to appropriately taper and discontinue opioids. (cdc.gov)
  • they defined PBRNs as "A group of ambulatory practices devoted principally to the primary care of patients, and affiliated in their mission to improve the health of their patients and communities by investigating questions related to community-based practice and to the quality of primary care, and by supporting clinicians with clinical education, methods to change practice, and opportunities to influence health policy " (emphasis added). (jabfm.org)
  • Dr. Chung is conducting clinical trials to develop less toxic but effective molecularly targeted agents which can potentially benefit this subset of HNC patients. (moffitt.org)
  • Capitalizing on real-world data, as well as clinical trials, is crucial to ensure that the use of virtual consultations is tailored according to patient needs and is inclusive of the intended end users. (jmir.org)
  • Such "real-time benefit tools" provide more meaningful information about patient drug prices in clinical settings than has previously been available, Sinaiko said. (medscape.com)
  • On the other hand, primary data are needed for prospective studies designed to better understand whether observed racial variations can be accounted for by factors such as patients' clinical characteristics, health/functional status, preferences for treatment options, or racism. (nationalacademies.org)
  • This relationship can enhance communication, manage clinical information, facilitate transitions in care, and engage patients and their families in care. (ahrq.gov)
  • No control for age or clinical condition of the patient. (bmj.com)
  • Three randomized clinical trials (RCTs), DEFER (Deferral Versus Performance of PTCA in Patients Without Documented Ischemia), FAME (Fractional Flow Reserve Versus Angiography for Multivessel Evaluation), and FAME 2 (Fractional Flow Reserve Versus Angiography for Multivessel Evaluation 2), established fractional flow reserve (FFR) as the gold standard to assess the significance of a non-left main coronary artery (LMCA) lesion. (acc.org)
  • In the HTA reports, patient preference data were not assessed to replace neither clinical nor economic evidence. (kantar.com)
  • Through providing complementary data that only a patient who suffers the disease knows, it may help HTA committees in evaluating, interpreting and deliberating the clinical and economic evidence in reimbursement decision making. (kantar.com)
  • For all the patients we dosed PCT at the time of admission, and we collected them into three different groups - septic, hemorrhagic and mixed shock - based on clinical presentation and laboratory and instrumental examination. (bvsalud.org)
  • patients, for facilitating access to community-based resources, and We demonstrated the ability to systematically screen and refer for for integrating clinical and community-based data. (cdc.gov)
  • Although emergency department visits are characterized as high evidence base regarding the assessment of SDOH from which acuity, up to 25% of patients visiting emergency departments view clinical interventions can be guided (22). (cdc.gov)
  • In recent years, clinical trials have established targeted therapy as the first-line treatment in patients with metastatic disease. (medscape.com)
  • The main objective of this study was to assess determinants of the acceptance of the Internet use for provision of chosen health care services remaining in the scope of current nationwide eHealth initiative in Poland. (springer.com)
  • The objective of this study was to assess patient satisfaction with acute treatment of migraine with frovatriptan or rizatriptan by preference questionnaire. (druglib.com)
  • Our objective was to perform a systematic review to assess who makes medical decisions for hospitalized unrepresented patients. (cdc.gov)
  • The objective of this research is therefore to present a computerized preference assessment test developed as an alternative to the table-top formats. (bvsalud.org)
  • Background: Incorporating patients' preferences in the care they receive is an important component of evidence-based practice and patient-centred care.Objective: This study assessed stroke patients' preferences regarding rehabilitation settings. (bvsalud.org)
  • The nature of relationship-based care provides the opportunity to potentially identify many, if not all, of patients' determinants of health, from the health services themselves to the social and environmental factors that affect their health. (ahrq.gov)
  • METHODS: In the present paper, we report our experience with all patients who came to the Emergency Department from March 1 to April 1, 2020, with suggestive symptoms of COVID-19 infection. (bvsalud.org)
  • The survey will be administered to two groups of participants, those from a longitudinal cohort of patients receiving opioids for CNCP and a convenience sample of patients recruited through Australia's leading pain advocacy body (Painaustralia) and their social media and website. (bmj.com)
  • Using unconditional logistic regression models, we examined unadjusted and adjusted associations between mistrust in the abortion provider and preferences for telemedicine abortion among all participants, and among only participants undergoing medication abortion. (nih.gov)
  • 10 Handley et al 11 used a validated instrument to assess CHAs among low-income participants enrolled in a diabetes self-management program. (jabfm.org)
  • Of all invited patients, 51.1% (456/892) responded and web-based participants (n=227) were randomly assigned to care as usual (n=76), return of PRO results (n=74), or return of PRO results and access to Living with lymphoma (n=77). (jmir.org)
  • To reach good results in reinforcement-based interventions in basic, translational or applied research, it is important to identify preferred items to use with patients and participants. (bvsalud.org)
  • Please note that medical information found on this website is designed to support, not to replace the relationship between patient and physician/doctor and the medical advice they may provide. (news-medical.net)
  • By fragmenting the patient-physician relationship and often putting personal physicians at a distance from their dying patients, these arrangements may diminish the knowledge and intimacy that contributes to a professional's feeling of individual responsibility. (nationalacademies.org)
  • and to improve physician understanding of patient and family preferences. (nationalacademies.org)
  • ABSTRACT This cross-sectional study was conducted to assess the knowledge, perceptions and practices towards medical ethics of physician residents at university hospitals in Alexandria, Egypt. (who.int)
  • Practice Pearls presents readers' advice on practice operations and patient care, along with tips drawn from the literature. (aafp.org)
  • This issue illustrates how research from practice-based research networks has evolved to span a spectrum from improving patient-level care and practice quality to improving health within local and global communities. (jabfm.org)
  • This JABFM issue illustrates how PBRN research has evolved to inform improvements not only at the patient and practice levels but also at the community level, often through sustained collaborations with community-based organizations. (jabfm.org)
  • Patients with specific cardiac conditions such as valvular heart disease and congenital abnormalities, or those requiring a pacemaker, should practice good dental and skin hygiene to help prevent rare but potentially deadly infections of the heart's inner lining and valves, according to European Society of Cardiology (ESC) Guidelines on infective endocarditis, published online today in European Heart Journal. (news-medical.net)
  • Significant results which can readily be addressed by instituting a change of practice in administration, daily patient communication and training of junior medical staff. (bmj.com)
  • An adult patient at our practice is transitioning from female to male. (medicalprotection.org)
  • Only 48.0% of the residents were compliant with the principles of medical ethics in practice and 52.0% of patients were dissatisfied with their treating physicians. (who.int)
  • Of the 65 patients with What are the implications for public health practice? (cdc.gov)
  • Manuscripts were excluded if they were an editorial, case report, abstract, review , newspaper article, if study population did not include patients residing in the United States, not written in English, and if the capacity assessment was for research. (cdc.gov)
  • A primary review of the title and abstract by one author (BCW) excluded manuscripts if they definitively did not include unrepresented patients. (cdc.gov)
  • The landmark IMPACT study was the first to directly compare single inhaler triple therapy to members of two different classes of dual therapy with all treatments delivered once-daily and in the same inhaler type, advancing the evidence that informs the treatment of patients with COPD. (gsk.com)
  • Further results from patient preference and inhaler teaching time studies will also be presented. (gsk.com)
  • Inhaler technique needs to be assessed regularly. (medscape.com)
  • The final 40-item survey addresses patient and/or family perceptions of communications with healthcare providers after the injury, perceptions of remedial gestures, overall satisfaction with the reconciliation process, the nature and impacts of the injury, and patient characteristics. (ahrq.gov)
  • A self-administered structured questionnaire was used for knowledge and perceptions and a checklist for observations of doctor -patient interactions in the outpatient setting. (who.int)
  • RÉSUMÉ La présente étude transversale a été menée afin d'évaluer les connaissances, les perceptions et les pratiques en matière d'éthique médicale des internes exerçant dans des centres hospitaliers universitaires d'Alexandrie (Égypte). (who.int)
  • However, our experiences demon- strate that widespread implementation efforts should thoughtfully address staff perceptions and patient communication challenges. (cdc.gov)
  • Clinicians should always involve patients in decisions about whether to continue opioid therapy, including discussing the benefits and risks for changing the opioid dosage. (cdc.gov)
  • Data collection methods that are bespoke to the primary care context and account for patient characteristics are necessary to generate a stronger evidence base to inform future virtual care policies. (jmir.org)
  • We will examine the patterns of care (telemedicine use and care disruption/recovery) over time following California's shelter-in-place order and the subphases in the ongoing COVID period, and by patient characteristics (age, sex, race/ethnicity, language, cancer type, comorbidity, socioeconomic status). (sutterhealth.org)
  • In addition to assessing the effectiveness of the gel in preventing pregnancy, the researchers will also track how diligent men are at applying the gel daily as well as evaluating its acceptance as a contraceptive method. (news-medical.net)
  • Researchers identify a specific genetic variant, rs2204985, linked to less severe lung involvement and a stronger immune response in COVID-19 patients with severe pneumonia. (news-medical.net)
  • Researchers from Dana-Farber Cancer Institute have found a way to use artificial intelligence (AI) to diagnose muscle wasting, called sarcopenia, in patients with head and neck cancer. (news-medical.net)
  • In a recent review published in Brain Sciences, researchers reviewed existing data on visual impairments among Parkinson's disease (PD) patients. (news-medical.net)
  • Researchers also found that clinicians weren't more likely to change psychiatric medications when the cost savings for the patient was higher. (medscape.com)
  • The researchers did not assess whether the cheaper alternative medications were appropriate in individual cases. (medscape.com)
  • 3 ] In addition, other researchers have reported that family caregivers often report worse scores than do patients with advanced cancer in self-assessments of the patients' QOL. (cancer.gov)
  • The researchers have enrolled 97 of the 160 eligible patients (61 percent), of which 61 completed the survey. (curetoday.com)
  • Under the banner of accountability, a variety of public and private policymakers, purchasers, health care organizations, researchers, and others have joined together to develop new methods to monitor and influence patient care in hospitals, managed care plans, and other settings. (nationalacademies.org)
  • Risk of bias was assessed using the Mixed Methods Appraisal Tool. (jmir.org)
  • The participating organizations also conduct research on the various uses of CAHPS survey findings, and best methods to collect patient experience information. (ahrq.gov)
  • One way to accomplish that is through preference assessment methods. (bvsalud.org)
  • The Mixed Methods Appraisal Tool (MMAT) was used to assess the methodological quality of the studies in this review. (who.int)
  • Methods: A cross-sectional design was used to examine preferences of stroke patients receiving physiotherapy at three hospitals in Northern Nigeria. (bvsalud.org)
  • Medication errors in overweight and obese pediatric patients: a systematic review. (ahrq.gov)
  • Patients were selected in a sequential, systematic and whole-ward manner. (bmj.com)
  • A study to assess the feasibility. (mendeley.com)
  • A study to assess the safety, tolerability, and single dose pharmacokinetics of a marketed drug in pediatric subjects with migraines. (druglib.com)
  • Survey data was used to develop univariate and multivariate logistic regression models for six outcome variables originating from the items assessing the acceptance of specific types of eHealth applications. (springer.com)
  • The Lymphoma Intervention (LIVE) trial is conducted to examine the impact of return of individual patient-reported outcome (PRO) results and a web-based self-management intervention on psychological distress, self-management, satisfaction with information, and health care use in a population-based setting. (jmir.org)
  • Return of individual PRO results seems to meet patients' wishes but had no beneficial effects on patient outcome. (jmir.org)
  • Primary and secondary outcome measures Patients preferred mode of address from healthcare providers including first name, title and second name, abbreviated first name or another name. (bmj.com)
  • CDC, our planners, and presenters wish to disclose they have no financial relationships with ineligible companies whose primary business is producing, marketing, selling, reselling, or distributing healthcare products used by or on patients with the exception of Dr. Naima Joseph who would like to disclose that she is a coinvestigator on a Paxlovid in pregnancy study for Pfizer. (cdc.gov)
  • If you're a patient, please refer your questions to your healthcare provider. (cdc.gov)
  • The Agency for Healthcare Research and Quality (AHRQ) has developed a five-step process, the SHARE approach, for facilitating shared decision making between clinicians and patients. (aafp.org)
  • 1 , 2 AHRQ defines high-quality primary care as "the provision of whole-person, integrated, accessible, and equitable healthcare by interprofessional teams who are accountable for addressing the majority of an individual's health and wellness needs across settings and through sustained relationships with patients, families, and communities. (ahrq.gov)
  • AHRQ's broad definition of patient safety includes "prevention of diagnostic errors, medical errors, injury or other preventable harm to a patient during the process of healthcare, and reduction of risk of unnecessary harm associated with healthcare. (ahrq.gov)
  • Quality healthcare is defined by the Institute of Medicine as the delivery of safe, effective, patient-centered, timely, efficient, and equitable care. (ahrq.gov)
  • Objectives To investigate how patients prefer to be addressed by healthcare providers and to assess their knowledge of their attending medical team's identity in an Australian Hospital. (bmj.com)
  • however, healthcare providers cannot assume that a documented legal first name is preferred by the patient. (bmj.com)
  • For 25 years, AHRQ has developed evidence-based surveys to support healthcare professionals in assessing and improving patients' experiences with the healthcare system. (ahrq.gov)
  • TalkingQuality offers guidance on how to convey patient experience measures and other useful comparative information about healthcare quality in a way that is understandable and useful to consumers. (ahrq.gov)
  • In 2005, the name was changed to "Consumer Assessment of Healthcare Providers and Systems" to reflect a broader focus on consumers' and patients' experiences with different aspects of the healthcare system. (ahrq.gov)
  • This survey has evolved to address the evolving needs and preferences of patients, the changing circumstances of its users, and changes in healthcare delivery. (ahrq.gov)
  • florio HAEMO is a new hemophilia treatment monitoring application consisting of a patient smartphone application (app) and a web‐based dashboard for healthcare professionals, providing several novel features, including activity tracking, wearable connectivity, kids and caregiver mode, and real‐time pharmacokinetic factor level estimation. (cuni.cz)
  • Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. (ahrq.gov)
  • Patients with lymphoma who completed the web-based questionnaire were equally randomized to care as usual, return of PRO results, and return of PRO results plus self-management intervention. (jmir.org)
  • The online questionnaire included 17 questions about overall satisfaction, ease‐of‐use, intuitiveness, and patient preference. (cuni.cz)
  • Personal factors and preferred rehabilitation setting data were obtained using the Modified Rankin Scale (to assess global disability) and a researcher-developed questionnaire. (bvsalud.org)
  • Together, decisions made by physicians, patients, insurers, and policymakers determine the quality of health care, quality that depends inherently on counterbalancing risks and benefits and competing objectives such as maximizing life expectancy versus optimizing quality of life or quality of care versus economic realities. (sagepub.com)
  • OBJECTIVES--To assess women's preferences for, and the acceptability of, medical abortion and vacuum aspiration in the early first trimester. (bmj.com)
  • Towards an assessment instrument for suffering in patients. (cambridge.org)
  • To enable research into when and why suffering experiences incite patients with psychiatric conditions to request euthanasia, and to help explore preventive and curative perspectives, the development of an assessment instrument is needed. (cambridge.org)
  • Assessment of patient retention of inpatient care information post-hospitalization. (ahrq.gov)
  • The hydration status of patients naturally has a bearing on the measurement and assessment of dilatation in the collecting system, and any extreme outlying states should be duly noted. (medscape.com)
  • Due to the lack of guidance on how to optimise evidence demonstration and systematically incorporate quantitative patient preference studies in Health Technology Assessment (HTA), Kantar Health conducted a study aimed to investigate how patient preference data may be supplied, its relevance in HTA, and how it has been valued in UK, France and Germany. (kantar.com)
  • A computerized preference assessment test could solve some of these restrictions. (bvsalud.org)
  • Patient involvement in the monitoring and treatment of disease is of crucial importance for the effectiveness of the therapy [ 3 , 4 ]. (springer.com)
  • Spirometry can assist the health professional by determining if a worker demonstrates a specific pattern of respiratory impairment and can help to assess the effectiveness of measures implemented to prevent further lung function deterioration. (cdc.gov)
  • However, because of interobserver and intraobserver variability in assessing the degree of dilatation in ultrasonography, many centers continue to rely on the AP diameter of the renal pelvis to diagnose hydronephrosis. (medscape.com)
  • The convenience and privacy provided by telemedicine medication abortion may make this service preferable to patients who mistrust their abortion provider. (nih.gov)
  • We assessed associations between mistrust in the abortion provider and preferences for telemedicine abortion. (nih.gov)
  • In three abortion-restrictive states, most patients expressed preferences for telemedicine abortion, but few accessed them. (nih.gov)
  • Telemedicine may improve access to abortion services for patients experiencing medical mistrust. (nih.gov)
  • We will compare patient experience with care across patient groups: (a) between pre-COVID and ongoing COVID periods, and (b) between in-person visits and telemedicine visits. (sutterhealth.org)
  • COVID-19 and telemedicine in haemophilia in a patient with severe haemophilia A and orthopaedic surgery. (cdc.gov)
  • Further research endeavours should examine potential differences in suffering experiences over time and in patients with psychiatric conditions with and without euthanasia requests. (cambridge.org)
  • As part of the study, they set out to identify these differences among minority patients compared with non-minority patients, all with newly diagnosed stage 3 to 4 lung cancer receiving treatment in Mount Sinai's cancer center. (curetoday.com)
  • Three case studies were identified with the aim of identifying differences in the type and use of patient preference data, how preference data is developed, and for which purpose across indications. (kantar.com)
  • We determined yearly change in prevalence and risk factors for amebic colitis caused by intestinal invasive amebiasis among persons who underwent endoscopy and assessed differences between HIV-positive and HIV-negative persons in Japan. (cdc.gov)
  • No differences in risk factors were identified between HIV-positive and HIV-negative patients. (cdc.gov)
  • A 2011 prospective study of QOL in a cohort of patients with advanced cancer seen in outpatient medical oncology clinics provides additional insight into the patient's perspective of what contributes to a good QOL. (cancer.gov)
  • This section summarizes information that will allow oncology clinicians and patients with advanced cancer to create a plan of care to improve QOL at the end of life (EOL) by making informed choices about the potential harms of continued aggressive treatment and the potential benefits of palliative or hospice care. (cancer.gov)
  • Successful doctor-patient communication remains central to the establishment of a therapeutic doctor-patient relationship. (bmj.com)
  • however, there is a considerable lack of evidence on the impacts on patient safety, equity, and patient-centeredness, highlighting areas where future research efforts should be devoted. (jmir.org)
  • Using real-world data, the goals of this project are to understand the impacts of COVID-19 on (1) cancer care management, including detection, diagnosis and treatment of cancer, (2) patient-reported experience, and (3) costs of cancer care. (sutterhealth.org)
  • Aim 3: Assess the economic impacts of COVID-19 in cancer care management. (sutterhealth.org)
  • Provision of care to patients with chronic diseases remains a great challenge for modern health care systems. (springer.com)
  • eHealth is indicated as one of the strategies which could improve care delivery to this group of patients. (springer.com)
  • The survey was carried out among patients with diagnosed chronic conditions who were treated in three health care facilities in Krakow, Poland. (springer.com)
  • The perception of the usefulness of the Internet in making health-related decision is a key determinant of the acceptance of provision of health care services online among patients with chronic diseases. (springer.com)
  • In recent years, the provision of care to patients with chronic conditions has become one of the greatest challenges faced by health care systems. (springer.com)
  • Patients with chronic diseases require care for prolonged periods. (springer.com)
  • Furthermore, expenditures related to care provided to patients with chronic diseases are a significant part of health care budgets [ 2 ]. (springer.com)
  • Chronic care requires regular interactions between patients and health care systems. (springer.com)
  • The growing incidence of chronic diseases can lead to a shortage of health care resources available to patients and their families. (springer.com)
  • All these circumstances trigger intensive searches for new models of care which would enable an adequate and cost-effective support offered to patients with chronic diseases. (springer.com)
  • The performance of the health care system in Poland is a continuous source of frustration for patients. (springer.com)
  • Physicians and patients sharing in health care decisions is an integral part of primary care, but doing so in a comprehensive, repeatable way can be difficult. (aafp.org)
  • More than 20 years ago, the Institute of Medicine (IOM), now the National Academy of Medicine, defined primary care as "The provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (jabfm.org)
  • Thus, primary care is largely charged with addressing patients health needs, which are broadly defined to include those related to family and community. (jabfm.org)
  • Implicit in Williams and Rhyne's 3 focus on PBRNs as "health improvement networks" is collaboration among multiple entities-for example, patients, primary care practices, communities, and other organizations-committed to improving the health of patients and their communities through research. (jabfm.org)
  • The first three articles offer more traditional PBRN research, with the potential to guide care for individual patients. (jabfm.org)
  • 8 Yet, most primary care clinicians do not ask about CHAs, 9 and most patients do not volunteer this information if not asked. (jabfm.org)
  • 1 Advance care planning can increase the quality of life of dying patients, improve the experience of family members and decrease health care costs. (cmaj.ca)
  • Advance care planning is a process by which patients consider options for future health care decisions and identify their wishes. (cmaj.ca)
  • In other settings, the plan may result in an advance care directive - a verbal or written instruction describing what kind of care a patient would want (or not want) if he or she were no longer able to speak for him or herself, and the values that guide the patient in making important health care decisions. (cmaj.ca)
  • Advance care planning may also result in the nomination of a substitute decision-maker - someone who makes decisions for the patient if the patient is incapable of doing so. (cmaj.ca)
  • 4 , 5 however, hospital-based health care providers infrequently engage patients and families in such conversations. (cmaj.ca)
  • 6 Accordingly, the focus of our review is to provide guidance for advance care planning as it pertains to the in-patient setting (i.e., determination of goals of care for the patient in hospital). (cmaj.ca)
  • Competency-based cardiac imaging delivery is needed for effective and efficient patient care, according to a European Society of Cardiology (ESC) statement published today in European Heart Journal, a journal of the ESC. (news-medical.net)
  • Virtual consultations may reduce waiting times, lower patient costs, and reduce rates of follow-up in secondary and tertiary care settings. (jmir.org)
  • Overall, it appears that virtual care is more likely to be used by younger, female patients, with disparities among other subgroups depending on contextual factors. (jmir.org)
  • Patient education allows patients to play a bigger role in their own care. (medlineplus.gov)
  • It also aligns with patient- and family-centered care. (medlineplus.gov)
  • Teachers and health care providers need to be able to assess patient needs and communicate clearly. (medlineplus.gov)
  • Often, the first step is to find out what your patient already knows and believes about their health care and condition. (medlineplus.gov)
  • Talk to the health care team members and observe your patient. (medlineplus.gov)
  • Ask if your patient wants other people involved with the care process. (medlineplus.gov)
  • It is possible that the person who volunteers to be involved in your patient's care may not be the person your patient prefers to be involved with. (medlineplus.gov)
  • One in eight primary care clinicians revised prescriptions after receiving electronic alerts that estimated how much patients would pay out of pocket and that offered cheaper alternatives if available, according to findings from a new study published September 5 in JAMA Internal Medicine . (medscape.com)
  • and Jack Westfall, MD, MPH, Director of the Robert Graham Center for Policy Studies in Family Medicine and Primary Care, for their thoughtful interviews on the topic of Primary Care and Patient Safety, which helped lay the groundwork for this Perspective. (ahrq.gov)
  • . 4 By providing a usual source of care, clinicians can help prevent, diagnose, and manage a wide range of patient conditions. (ahrq.gov)
  • In addition to its role in managing most common patient conditions, primary care can prevent harms such as diagnostic delays, medication-related safety events, and avoidable hospital admissions and readmissions. (ahrq.gov)
  • There is an opportunity to begin looking more closely at the alignment between the functions of primary care and patient safety as a component of quality care and at AHRQ's approach to addressing both. (ahrq.gov)
  • The Accreditation Council for Continuing Medical Education (ACCME) defines a commercial interest as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. (psychiatrist.com)
  • 4 , 5 About half of the patients with migraine stop seeking care for their headaches, partly because of their side effect profile. (bmj.com)
  • 1 ] Anticipating the end of life (EOL) and making health care decisions about appropriate or preferred treatment or care near the EOL is intellectually challenging and emotionally distressing for patients with advanced cancer, their families and friends, oncology clinicians, and other professional caregivers. (cancer.gov)
  • The purpose of this summary is to review the evidence surrounding conversations about EOL care in advanced cancer to inform providers, patients, and families about the transition to compassionate and effective EOL care. (cancer.gov)
  • Oncology clinicians are obligated to explore, with the patient and family, the potential impact of continued disease-directed treatments or care directed at the patient's symptoms and QOL. (cancer.gov)
  • Surveys and interviews of patients with life-threatening illnesses, not restricted to cancer, can contribute to the understanding of what constitutes high-quality EOL care. (cancer.gov)
  • A variety of indicators have been proposed to measure the quality of EOL care in patients with advanced cancer. (cancer.gov)
  • HCAHPS is the first national, standardized, and publicly reported survey of patients' experiences with hospital care. (ahrq.gov)
  • Racial disparities in palliative and hospice care beliefs appear to influence early integration in to standard oncologic care for patients with advanced lung cancer. (curetoday.com)
  • Minority patients with advanced lung cancer reported they are more likely to prefer palliative care rather than hospice and had less favorable beliefs about hospice care compared with non-minority patients, according to study results presented at the 2018 ASCO Annual Meeting. (curetoday.com)
  • One of the things we know is that palliative and hospice care can be extremely helpful for patients with advanced cancer, and yet, racial and ethnic minorities often have higher morbidity and less report of medical care that is in line with their wishes," Cardinale B. Smith, M.D., Ph.D., from the Icahn School of Medicine at Mount Sinai in New York City, said in an interview with CURE . (curetoday.com)
  • This can be addressed with the integration of palliative and hospice care, which, with early integration in to standard oncologic care for patients with advanced lung cancer, has proven to improve quality of life, mood and survival. (curetoday.com)
  • Since little is known about racial disparities in palliative and hospice care beliefs and the influence of these factors on the utilization of palliative care and hospice, Smith and colleagues conducted a prospective cohort study, as part of a larger study intended to enroll 160 patients. (curetoday.com)
  • Within three months of diagnosis, patients completed a validated survey designed to assess palliative and hospice care beliefs and care preferences. (curetoday.com)
  • In regards to palliative care beliefs, minority patients reported feeling more hopeful and more secure with palliative care referral. (curetoday.com)
  • Moreover, a larger amount of minorities preferred palliative care to hospice care compared with non-minority patients. (curetoday.com)
  • I just didn't know how much minority patients knew about palliative care. (curetoday.com)
  • Petrakis, who is part of the bargaining team, agreed that Kaiser's wages and benefits are generous, but mental health staff are abandoning Kaiser because the overwhelming workload is threatening patient care. (pressdemocrat.com)
  • Aim 2: Understand the impact of COVID-19 on patient experiences with and preferences for care. (sutterhealth.org)
  • The days when medical care was a small private matter between patient and general practitioner are long gone and will never return. (nationalacademies.org)
  • Thus, at the individual, organizational, and community level, cultivating responsibility and establishing accountability for the quality of care for patients approaching death are especially important tasks. (nationalacademies.org)
  • We discuss his experiences and research focused on improving communication and the delivery of palliative care to patients with advanced heart failure, including for those folks with AICD's and LVADs (and other interesting acronyms). (geripal.org)
  • In select patients with advanced emphysema refractory to optimized medical care, surgical or bronchoscopic interventional treatments may be beneficial. (medscape.com)
  • Francis Beninger, M.D. based recommendations to improve patient care. (bvsalud.org)
  • Similarly, in physicians and patients work jointly, utilizing the best many of the high-income Western countries, the concept available evidence, to make decisions that considers the of patient-centred care or SDM is being integrated into patients' preferences ( 1 ). (who.int)
  • SDM is considered to be a key health systems, but this is not yet the case in the Region component of patient-centred care and corroborated in and other developing countries. (who.int)
  • Targeted therapy and immunomodulatory agents are considered standard of care in patients with metastatic disease. (medscape.com)
  • p = 0.01).Conclusion: A preference for rehabilitation in outpatient facilities predominated followed by home-based rehabilitation, and preferences varied based on age and source of finance. (bvsalud.org)
  • Clinicians should regularly evaluate risk for opioid-related harms and discuss with patients because conditions can change during the course of treatment ( Recommendation 8 ). (cdc.gov)
  • establishing a more balanced discussion of patient preferences and improving how we assess benefits and harms. (bmj.com)
  • All patient preference data supported the primary or secondary endpoints, and QoL data. (kantar.com)
  • Primary thromboprophylaxis in a patient with type 3 von Willebrand disease and severe COVID-19 infection. (cdc.gov)
  • Continuing Opioid Therapy refers to when clinicians continue to prescribe opioids for acute, subacute, and chronic pain for patients who are already on opioid therapy . (cdc.gov)
  • For more information about initially prescribing opioids to patients for acute, subacute, and chronic pain for shorter durations, please visit Initiating Opioids . (cdc.gov)
  • For patients with subacute pain who started opioid therapy for acute pain and have been treated with opioid therapy for ≥30 days, clinicians should ensure that potentially reversible causes of chronic pain are addressed ( Recommendation 2 ). (cdc.gov)
  • Clinicians should ensure that for patients with subacute pain who started opioid therapy for acute pain and have been treated with opioid therapy for ≥30 days, potentially reversible causes of chronic pain are addressed and that opioid prescribing for acute pain does not unintentionally become long-term opioid therapy simply because medications are continued without reassessment ( Recommendation 2 ). (cdc.gov)
  • New research exploring the potential of inhaled PI3Kδ inhibitor nemiralisib in treating acute COPD exacerbations will be presented, including results on lung function and re-exacerbations in exacerbating COPD patients. (gsk.com)
  • In patients with severe chronic hypercapnia and a history of hospitalization for acute respiratory failure, long-term noninvasive ventilation may decrease mortality and prevent rehospitalization. (medscape.com)
  • Comparison of medical abortion with surgical vacuum aspiration: women's preferences and acceptability of treatment. (bmj.com)
  • Concomitant chronic diseases occur frequently in COPD patients and should be treated because they can independently affect mortality and hospitalizations. (medscape.com)
  • For physicians, there is also good reason to keep cost out of the picture until asked so that patients don't feel like they're getting suboptimal choices. (medscape.com)
  • Of 1,218 patients who met inclusion criteria, 546 used medication abortion services. (nih.gov)
  • Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. (ahrq.gov)
  • This suggests that clinicians are taking medication out-of-pocket prices into account when they are most meaningful for patients. (medscape.com)
  • In the big picture, Sinaiko said, "The fact that medication orders were changed more often when the potential cost savings for patients were larger suggests to me that clinicians were taking out-of-pocket cost into account when it was most salient for the patient. (medscape.com)
  • It's also possible that clinicians discuss the option to change a medication order with their patient, and for reasons other than cost, they decide to keep the original selection. (medscape.com)
  • Adverse effects are a frequent reason for medication nonadherence among patients with schizophrenia, and nonadherence is the single biggest risk factor for relapse. (psychiatrist.com)
  • Assess mental health and medication. (who.int)
  • Approximately 30% of patients with renal carcinoma (RCC) present with metastatic disease. (medscape.com)
  • To improve the cognitive validity of a large initial item pool used to assess the nature and extent of suffering in patients with psychiatric conditions. (cambridge.org)
  • He was initially seen by a private gender clinic that started him on testosterone but I am unsure to what extent he was assessed by the clinic. (medicalprotection.org)
  • Teamwork is associated with reduced hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey. (ahrq.gov)
  • The findings suggest that incorporating the alerts into electronic health record (EHR) software could be useful for reducing patient expenses, said lead author Anna D. Sinaiko, PhD, assistant professor of health economics and policy at Harvard T. H. Chan School of Public Health. (medscape.com)
  • Introduction High rates of chronic non-cancer pain (CNCP), concerns about adverse effects including dependence among those prescribed potent pain medicines, the recent evidence supporting active rather than passive management strategies and a lack of funding for holistic programme have resulted in challenges around decision making for treatment among clinicians and their patients. (bmj.com)
  • The relevance of patient preference data may rest on its purpose in how it supports the overall value proposition and the evidence base of the treatment that is relevant to the patient. (kantar.com)
  • The suffering experiences that prompt patients with psychiatric conditions to consider ending their life by means of suicide or medical assistance in dying has been understudied and remains insufficiently understood. (cambridge.org)
  • Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. (ahrq.gov)
  • Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. (ahrq.gov)
  • Secondarily, patient knowledge of their attending medical team members name and role and if correct, what position within the medical hierarchy they held. (bmj.com)
  • 57% of patients were unable to correctly name a single member of their attending medical team. (bmj.com)
  • Patient knowledge of their attending medical team is poor and suggests current introduction practices are insufficient. (bmj.com)
  • Medical treatments inconsistent with personal preferences. (cancer.gov)
  • The relationship between patient and practitioner-this once small, private matter-is now enmeshed in a very large and complex system that delivers the benefits of medical progress to the people of the United States. (nationalacademies.org)
  • Although there are several vulnerable populations that need particular consideration during medical decision making, unrepresented patients pose a unique challenge. (cdc.gov)
  • While prior reviews have been broad in scope, ours exclusively focuses on determining who is involved in medical decision making for hospitalized unrepresented patients. (cdc.gov)
  • We will focus on which agents are involved in medical decision making for hospitalized unrepresented patients. (cdc.gov)
  • In general, avoid prescribing additional opioids to patients "just in case" pain continues longer than expected. (cdc.gov)
  • Clinicians seeing new patients already receiving opioids should establish treatment goals, including functional goals, for continued opioid therapy. (cdc.gov)
  • In the context of shared decision making, individualised decision analysis is valuable in a sizeable proportion of elderly patients with atrial fibrillation. (bmj.com)
  • To investigate the impact of patients' preferences for the treatment of atrial fibrillation, by using individualised decision analysis combining probability and utility assessments into a decision tree. (bmj.com)
  • Conclusions Unrepresented patients present a unique challenge for providers who must choose what decision making process is optimal for their patient. (cdc.gov)
  • In patients with severe resting chronic hypoxemia, long-term oxygen therapy improves survival. (medscape.com)
  • In stable COPD, an inhaled corticosteroid (ICS) combined with a long-acting beta-agonist (LABA) is more effective than the individual components in improving lung function and health status and reducing exacerbations in patients with exacerbations and moderate to very severe COPD. (medscape.com)
  • on the other hand, 28 (47%) of 59 patients were not being prescribed warfarin although the results of their decision analysis suggested they wanted to be. (bmj.com)
  • There has been a cultural shift toward patient engagement in health, with a growing demand from patients to access their results. (jmir.org)
  • Results Over 99% of patients prefer informal address with greater than one-third having a preference to being called a name other than their legal first name. (bmj.com)
  • 3 ] The median survival of the cohort was 10 months, so the results may not reflect the situation for patients closer to death. (cancer.gov)
  • First results did not show a significant increase of PCT in patients with hemorrhagic shock alone (average 0.12 ± 0.07 ng/mL), while PCT levels were similarly high in those with septic and mixed shock (17.63 ± 32.16 and 24.62 ± 33.02 respectively). (bvsalud.org)
  • Finally, we also aimed at investigating if PCT levels would show any correlation with age of patients, regardless of the type of shock: results provided an higher PCT in individuals ≥ 80 years old, than in those (bvsalud.org)
  • Self-management of health conditions does not occur in isolation but in Results the context of patients' physical, social, and family environment. (cdc.gov)
  • Associations between preferences and personal factors were explored using bivariate statistics.Results: Sixty stroke patients whose mean age was 53.6 ± 14.8 years participated in the study. (bvsalud.org)
  • It enables us to talk with you, assess you and plan involvement with you based on your functional level and personal preferences. (www.gov.je)
  • However, when the excess skin begins anesthesia type (local or general anesthesia) used to weigh down the lid and obstructs upper visual fields to perform the procedure has wide economic and (dermatochalasis), it becomes a functional opera- patient safety implications that warrant investigation. (bvsalud.org)
  • 7 Newer effective and tolerable options for migraine prophylaxis are necessary to reduce this gap and improve patients' quality of life. (bmj.com)
  • Patients with advanced cancer, their family and friends, and oncology clinicians often are faced with treatment decisions that profoundly affect the patient's quality of life (QOL). (cancer.gov)
  • A Cross-National Survey of People Living with Hemophilia: Impact on Daily Living and Patient Education in Central Europe. (cdc.gov)
  • Patient-centred research intended to improve patient's experience while in hospital. (bmj.com)
  • These agents have largely replaced cytokines (immunotherapy) in treatment-naive patients. (medscape.com)
  • Showing clinicians the actual prices of medications their patient would pay led to changes in 1 in 6 orders when the potential cost savings to the patient was $20 or more, she said. (medscape.com)
  • This study assesses the preferences of patients with cystic fibrosis for treatments that differ in the mode of administration. (pharmacytimes.com)
  • Dur- ing routine emergency department visits, with careful evaluation for poten- ing the trial, 61% (n = 129) of patients reported 1 or more need, tial bias and stigma among staff, providers, and patients. (cdc.gov)
  • Also, they did not take into account other factors, such as patient preferences, that affect how clinicians make prescription decisions. (medscape.com)
  • Oncologists and patients often avoid or delay planning for the EOL until the final weeks or days of life because of many potential factors. (cancer.gov)
  • This experience suggests that QOL is related to factors such as disease progression and its complications, and to patients' goals relative to any treatment they are receiving. (cancer.gov)
  • Compare risk factors for amebic colitis between HIV-positive and -negative patients, based on a study of Japanese persons who underwent endoscopy. (cdc.gov)
  • COPD should be considered in any patient with dyspnea, chronic cough or sputum production, and/or a history of exposure to risk factors. (medscape.com)
  • however, individual patient factors should be considered. (medscape.com)
  • Dr. Hal Barron, Chief Scientific Officer and President R&D, GSK said: "We have a comprehensive portfolio of innovative respiratory medicines that are used by millions of patients worldwide who suffer from asthma and chronic obstructive pulmonary disease (COPD). (gsk.com)
  • Of 195 eligible patients, 97 participated in decision making using decision analysis. (bmj.com)
  • Every decision is different, every patient has different values and preferences, and it's not always easy to determine if a patient clearly grasps the risks and benefits of a given decision. (aafp.org)
  • Reach a decision with your patient: "Would you like some more time to think about the treatment choices, or are you ready to decide? (aafp.org)
  • The majority of these excluded articles tested decision concordance between a patient and surrogate, or another aspect of decision making. (cdc.gov)
  • Discrete choice experiments (DCEs) are one way of assessing and valuing treatment preferences. (bmj.com)
  • An unrepresented patient is one who is unable to communicate their treatment preferences and lacks a surrogate to advocate on their behalf. (cdc.gov)