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Practice patterns, case mix, Medicare payment policy, and dialysis facility costs. (1/4753)
OBJECTIVE: To evaluate the effects of case mix, practice patterns, features of the payment system, and facility characteristics on the cost of dialysis. DATA SOURCES/STUDY SETTING: The nationally representative sample of dialysis units in the 1991 U.S. Renal Data System's Case Mix Adequacy (CMA) Study. The CMA data were merged with data from Medicare Cost Reports, HCFA facility surveys, and HCFA's end-stage renal disease patient registry. STUDY DESIGN: We estimated a statistical cost function to examine the determinants of costs at the dialysis unit level. PRINCIPAL FINDINGS: The relationship between case mix and costs was generally weak. However, dialysis practices (type of dialysis membrane, membrane reuse policy, and treatment duration) did have a significant effect on costs. Further, facilities whose payment was constrained by HCFA's ceiling on the adjustment for area wage rates incurred higher costs than unconstrained facilities. The costs of hospital-based units were considerably higher than those of freestanding units. Among chain units, only members of one of the largest national chains exhibited significant cost savings relative to independent facilities. CONCLUSIONS: Little evidence showed that adjusting dialysis payment to account for differences in case mix across facilities would be necessary to ensure access to care for high-cost patients or to reimburse facilities equitably for their costs. However, current efforts to increase dose of dialysis may require higher payments. Longer treatments appear to be the most economical method of increasing the dose of dialysis. Switching to more expensive types of dialysis membranes was a more costly means of increasing dose and hence must be justified by benefits beyond those of higher dose. Reusing membranes saved money, but the savings were insufficient to offset the costs associated with using more expensive membranes. Most, but not all, of the higher costs observed in hospital-based units appear to reflect overhead cost allocation rather than a difference in real resources devoted to treatment. The economies experienced by the largest chains may provide an explanation for their recent growth in market share. The heterogeneity of results by chain size implies that characterizing units using a simple chain status indicator variable is inadequate. Cost differences by facility type and the effects of the ongoing growth of large chains are worthy of continued monitoring to inform both payment policy and antitrust enforcement. (+info)Incidence and duration of hospitalizations among persons with AIDS: an event history approach. (2/4753)
OBJECTIVE: To analyze hospitalization patterns of persons with AIDS (PWAs) in a multi-state/multi-episode continuous time duration framework. DATA SOURCES: PWAs on Medicaid identified through a match between the state's AIDS Registry and Medicaid eligibility files; hospital admission and discharge dates identified through Medicaid claims. STUDY DESIGN: Using a Weibull event history framework, we model the hazard of transition between hospitalized and community spells, incorporating the competing risk of death in each of these states. Simulations are used to translate these parameters into readily interpretable estimates of length of stay, the probability that a hospitalization will end in death, and the probability that a nonhospitalized person will be hospitalized within 90 days. PRINCIPAL FINDINGS: In multivariate analyses, participation in a Medicaid waiver program offering case management and home care was associated with hospital stays 1.3 days shorter than for nonparticipants. African American race and Hispanic ethnicity were associated with hospital stays 1.2 days and 1.0 day longer than for non-Hispanic whites; African Americans also experienced more frequent hospital admissions. Residents of the high-HIV-prevalence area of the state had more frequent admissions and stays two days longer than those residing elsewhere in the state. Older PWAs experienced less frequent hospital admissions but longer stays, with hospitalizations of 55-year-olds lasting 8.25 days longer than those of 25-year-olds. CONCLUSIONS: Much socioeconomic and geographic variability exists both in the incidence and in the duration of hospitalization among persons with AIDS in New Jersey. Event history analysis provides a useful statistical framework for analysis of these variations, deals appropriately with data in which duration of observation varies from individual to individual, and permits the competing risk of death to be incorporated into the model. Transition models of this type have broad applicability in modeling the risk and duration of hospitalization in chronic illnesses. (+info)Making Medicaid managed care research relevant. (3/4753)
OBJECTIVE: To help researchers better understand Medicaid managed care and the kinds of research studies that will be both feasible and of value to policymakers and program staff. The article builds on our experience researching Medicaid managed care to provide insight for researchers who want to be policy relevant. PRINCIPAL FINDINGS: We draw four lessons from our work on Medicaid managed care in seven states. First, these are complex programs that differ substantially across states. Second, each program faces common challenges and issues. The need to address common design elements involving program eligibility, managed care and provider contracting, beneficiary enrollment, education, marketing, and administration and oversight provides a vehicle that researchers can use to help understand states and to provide them with relevant insight. Third, well-designed case studies can provide invaluable descriptive insights. Such case studies suggest that providing effective descriptions of state programs and experience, monitoring information on program performance and tradeoffs, and insight on implementation and design are all valuable products of such studies that have considerable potential to be converted into policy-actionable advice. And fourth, some questions demand impact studies but the structure of Medicaid managed care poses major barriers to such studies. CONCLUSIONS: Many challenges confront researchers seeking to develop policy-relevant research on managed care. Researchers need to confront these challenges in turn by developing second-best approaches that will provide timely insight into important questions in a relatively defensible and rigorous way in the face of many constraints. If researchers do not, others will, and researchers may find their contributions limited in important areas for policy debate. (+info)A taxonomy of health networks and systems: bringing order out of chaos. (4/4753)
OBJECTIVE: To use existing theory and data for empirical development of a taxonomy that identifies clusters of organizations sharing common strategic/structural features. DATA SOURCES: Data from the 1994 and 1995 American Hospital Association Annual Surveys, which provide extensive data on hospital involvement in hospital-led health networks and systems. STUDY DESIGN: Theories of organization behavior and industrial organization economics were used to identify three strategic/structural dimensions: differentiation, which refers to the number of different products/services along a healthcare continuum; integration, which refers to mechanisms used to achieve unity of effort across organizational components; and centralization, which relates to the extent to which activities take place at centralized versus dispersed locations. These dimensions were applied to three components of the health service/product continuum: hospital services, physician arrangements, and provider-based insurance activities. DATA EXTRACTION METHODS: We identified 295 health systems and 274 health networks across the United States in 1994, and 297 health systems and 306 health networks in 1995 using AHA data. Empirical measures aggregated individual hospital data to the health network and system level. PRINCIPAL FINDINGS: We identified a reliable, internally valid, and stable four-cluster solution for health networks and a five-cluster solution for health systems. We found that differentiation and centralization were particularly important in distinguishing unique clusters of organizations. High differentiation typically occurred with low centralization, which suggests that a broader scope of activity is more difficult to centrally coordinate. Integration was also important, but we found that health networks and systems typically engaged in both ownership-based and contractual-based integration or they were not integrated at all. CONCLUSIONS: Overall, we were able to classify approximately 70 percent of hospital-led health networks and 90 percent of hospital-led health systems into well-defined organizational clusters. Given the widespread perception that organizational change in healthcare has been chaotic, our research suggests that important and meaningful similarities exist across many evolving organizations. The resulting taxonomy provides a new lexicon for researchers, policymakers, and healthcare executives for characterizing key strategic and structural features of evolving organizations. The taxonomy also provides a framework for future inquiry about the relationships between organizational strategy, structure, and performance, and for assessing policy issues, such as Medicare Provider Sponsored Organizations, antitrust, and insurance regulation. (+info)Organizational and environmental factors associated with nursing home participation in managed care. (5/4753)
OBJECTIVE: To develop and test a model, based on resource dependence theory, that identifies the organizational and environmental characteristics associated with nursing home participation in managed care. DATA SOURCES AND STUDY SETTING: Data for statistical analysis derived from a survey of Directors of Nursing in a sample of nursing homes in eight states (n = 308). These data were merged with data from the On-line Survey Certification and Reporting System, the Medicare Managed Care State/County Data File, and the 1995 Area Resource File. STUDY DESIGN: Since the dependent variable is dichotomous, the logistic procedure was used to fit the regression. The analysis was weighted using SUDAAN. FINDINGS: Participation in a provider network, higher proportions of resident care covered by Medicare, providing IV therapy, greater availability of RNs and physical therapists, and Medicare HMO market penetration are associated with a greater likelihood of having a managed care contract. CONCLUSION: As more Medicare recipients enroll in HMOs, nursing home involvement in managed care is likely to increase. Interorganizational linkages enhance the likelihood of managed care participation. Nursing homes interested in managed care should consider upgrading staffing and providing at least some subacute services. (+info)Explicit guidelines for qualitative research: a step in the right direction, a defence of the 'soft' option, or a form of sociological imperialism? (6/4753)
Within the context of health service research, qualitative research has sometimes been seen as a 'soft' approach, lacking scientific rigour. In order to promote the legitimacy of using qualitative methodology in this field, numerous social scientists have produced checklists, guidelines or manuals for researchers to follow when conducting and writing up qualitative work. However, those working in the health service should be aware that social scientists are not all in agreement about the way in which qualitative work should be conducted, and they should not be discouraged from conducting qualitative research simply because they do not possess certain technical skills or extensive training in sociology, anthropology or psychology. The proliferation of guidelines and checklists may be off-putting to people who want to undertake this sort of research, and they may also make it even more difficult for researchers to publish work in medical journals. Consequently, the very people who may be in a position to change medical practice may never read the results of important qualitative research. (+info)The future of managed care organization. (7/4753)
This paper analyzes the transformation of the central organization in the managed care system: the multiproduct, multimarket health plan. It examines vertical disintegration, the shift from ownership to contractual linkages between plans and provider organizations, and horizontal integration--the consolidation of erstwhile indemnity carriers, Blue Cross plans, health maintenance organizations (HMOs), and specialty networks. Health care consumers differ widely in their preferences and willingness to pay for particular products and network characteristics, while providers differ widely in their willingness to adopt particular organization and financing structures. This heterogeneity creates an enduring role for health plans that are diversified into multiple networks, benefit products, distribution channels, and geographic regions. Diversification now is driving health plans toward being national, full-service corporations and away from being local, single-product organizations linked to particular providers and selling to particular consumer niches. (+info)Commercialization of BRCA1/2 testing: practitioner awareness and use of a new genetic test. (8/4753)
It was our purpose to determine the characteristics of practitioners in the United States who were among the first to inquire about and use the BRCA1 and BRCA2 (BRCA1/2) genetic tests outside of a research protocol. Questionnaires were mailed to all practitioners who requested information on or ordered a BRCA1/2 test from the University of Pennsylvania (UPenn) Genetic Diagnostics Laboratory (GDL) between October 1, 1995 and January 1, 1997 (the first 15 months the test was available for clinical use). The response rate was 67% of practitioners; 54% (121/225) were genetic counselors, 39% (87/225) were physicians or lab directors. Most physicians were oncologists, pathologists, or obstetrician/gynecologists, but 20% practiced surgery or internal or general medicine. Fifty-six percent (125/225) had ordered a BRCA1/2 test for a patient; most of the rest had offered or were willing to offer testing. Of those who had offered testing, 70% had a patient decline BRCA1/2 testing when offered. Practitioners perceived that patients' fear of loss of confidentiality was a major reason for declining. Nearly 60% of practitioners reported that their patients had access to a genetic counselor, but 28% of physicians who ordered a BRCA1/2 test reported having no such access, despite the GDL's counseling requirement. The proportion of physicians reporting no access to genetic counselors for their patients increased from 22.4% in the first half of the study to 50% in the last half. Many practitioners have an interest in BRCA1/2 testing, despite policy statements that discourage its use outside of research protocols. Practitioner responses suggest that patient interest in testing seems to be tempered by knowledge of potential risks. An apparent increase in patient concern about confidentiality and inability to pay for testing could indicate growing barriers to testing. Although most practitioners reported having access to counseling facilities, perceived lack of such access among an increasing proportion of practitioners indicates that lab requirements for counseling are difficult to enforce and suggests that an increasing proportion of patients may not be getting access to counseling. (+info)Some common types of mental disorders include:
1. Anxiety disorders: These conditions cause excessive worry, fear, or anxiety that interferes with daily life. Examples include generalized anxiety disorder, panic disorder, and social anxiety disorder.
2. Mood disorders: These conditions affect a person's mood, causing feelings of sadness, hopelessness, or anger that persist for weeks or months. Examples include depression, bipolar disorder, and seasonal affective disorder.
3. Personality disorders: These conditions involve patterns of thought and behavior that deviate from the norm of the average person. Examples include borderline personality disorder, narcissistic personality disorder, and antisocial personality disorder.
4. Psychotic disorders: These conditions cause a person to lose touch with reality, resulting in delusions, hallucinations, or disorganized thinking. Examples include schizophrenia, schizoaffective disorder, and brief psychotic disorder.
5. Trauma and stressor-related disorders: These conditions develop after a person experiences a traumatic event, such as post-traumatic stress disorder (PTSD).
6. Dissociative disorders: These conditions involve a disconnection or separation from one's body, thoughts, or emotions. Examples include dissociative identity disorder (formerly known as multiple personality disorder) and depersonalization disorder.
7. Neurodevelopmental disorders: These conditions affect the development of the brain and nervous system, leading to symptoms such as difficulty with social interaction, communication, and repetitive behaviors. Examples include autism spectrum disorder, attention deficit hyperactivity disorder (ADHD), and Rett syndrome.
Mental disorders can be diagnosed by a mental health professional using the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which provides criteria for each condition. Treatment typically involves a combination of medication and therapy, such as cognitive-behavioral therapy or psychodynamic therapy, depending on the specific disorder and individual needs.
The burden of chronic diseases is significant, with over 70% of deaths worldwide attributed to them, according to the World Health Organization (WHO). In addition to the physical and emotional toll they take on individuals and their families, chronic diseases also pose a significant economic burden, accounting for a large proportion of healthcare expenditure.
In this article, we will explore the definition and impact of chronic diseases, as well as strategies for managing and living with them. We will also discuss the importance of early detection and prevention, as well as the role of healthcare providers in addressing the needs of individuals with chronic diseases.
What is a Chronic Disease?
A chronic disease is a condition that lasts for an extended period of time, often affecting daily life and activities. Unlike acute diseases, which have a specific beginning and end, chronic diseases are long-term and persistent. Examples of chronic diseases include:
1. Diabetes
2. Heart disease
3. Arthritis
4. Asthma
5. Cancer
6. Chronic obstructive pulmonary disease (COPD)
7. Chronic kidney disease (CKD)
8. Hypertension
9. Osteoporosis
10. Stroke
Impact of Chronic Diseases
The burden of chronic diseases is significant, with over 70% of deaths worldwide attributed to them, according to the WHO. In addition to the physical and emotional toll they take on individuals and their families, chronic diseases also pose a significant economic burden, accounting for a large proportion of healthcare expenditure.
Chronic diseases can also have a significant impact on an individual's quality of life, limiting their ability to participate in activities they enjoy and affecting their relationships with family and friends. Moreover, the financial burden of chronic diseases can lead to poverty and reduce economic productivity, thus having a broader societal impact.
Addressing Chronic Diseases
Given the significant burden of chronic diseases, it is essential that we address them effectively. This requires a multi-faceted approach that includes:
1. Lifestyle modifications: Encouraging healthy behaviors such as regular physical activity, a balanced diet, and smoking cessation can help prevent and manage chronic diseases.
2. Early detection and diagnosis: Identifying risk factors and detecting diseases early can help prevent or delay their progression.
3. Medication management: Effective medication management is crucial for controlling symptoms and slowing disease progression.
4. Multi-disciplinary care: Collaboration between healthcare providers, patients, and families is essential for managing chronic diseases.
5. Health promotion and disease prevention: Educating individuals about the risks of chronic diseases and promoting healthy behaviors can help prevent their onset.
6. Addressing social determinants of health: Social determinants such as poverty, education, and employment can have a significant impact on health outcomes. Addressing these factors is essential for reducing health disparities and improving overall health.
7. Investing in healthcare infrastructure: Investing in healthcare infrastructure, technology, and research is necessary to improve disease detection, diagnosis, and treatment.
8. Encouraging policy change: Policy changes can help create supportive environments for healthy behaviors and reduce the burden of chronic diseases.
9. Increasing public awareness: Raising public awareness about the risks and consequences of chronic diseases can help individuals make informed decisions about their health.
10. Providing support for caregivers: Chronic diseases can have a significant impact on family members and caregivers, so providing them with support is essential for improving overall health outcomes.
Conclusion
Chronic diseases are a major public health burden that affect millions of people worldwide. Addressing these diseases requires a multi-faceted approach that includes lifestyle changes, addressing social determinants of health, investing in healthcare infrastructure, encouraging policy change, increasing public awareness, and providing support for caregivers. By taking a comprehensive approach to chronic disease prevention and management, we can improve the health and well-being of individuals and communities worldwide.
HIV (human immunodeficiency virus) infection is a condition in which the body is infected with HIV, a type of retrovirus that attacks the body's immune system. HIV infection can lead to AIDS (acquired immunodeficiency syndrome), a condition in which the immune system is severely damaged and the body is unable to fight off infections and diseases.
There are several ways that HIV can be transmitted, including:
1. Sexual contact with an infected person
2. Sharing of needles or other drug paraphernalia with an infected person
3. Mother-to-child transmission during pregnancy, childbirth, or breastfeeding
4. Blood transfusions ( although this is rare in developed countries due to screening processes)
5. Organ transplantation (again, rare)
The symptoms of HIV infection can be mild at first and may not appear until several years after infection. These symptoms can include:
1. Fever
2. Fatigue
3. Swollen glands in the neck, armpits, and groin
4. Rash
5. Muscle aches and joint pain
6. Night sweats
7. Diarrhea
8. Weight loss
If left untreated, HIV infection can progress to AIDS, which is a life-threatening condition that can cause a wide range of symptoms, including:
1. Opportunistic infections (such as pneumocystis pneumonia)
2. Cancer (such as Kaposi's sarcoma)
3. Wasting syndrome
4. Neurological problems (such as dementia and seizures)
HIV infection is diagnosed through a combination of blood tests and physical examination. Treatment typically involves antiretroviral therapy (ART), which is a combination of medications that work together to suppress the virus and slow the progression of the disease.
Prevention methods for HIV infection include:
1. Safe sex practices, such as using condoms and dental dams
2. Avoiding sharing needles or other drug-injecting equipment
3. Avoiding mother-to-child transmission during pregnancy, childbirth, or breastfeeding
4. Post-exposure prophylaxis (PEP), which is a short-term treatment that can prevent infection after potential exposure to the virus
5. Pre-exposure prophylaxis (PrEP), which is a daily medication that can prevent infection in people who are at high risk of being exposed to the virus.
It's important to note that HIV infection is manageable with proper treatment and care, and that people living with HIV can lead long and healthy lives. However, it's important to be aware of the risks and take steps to prevent transmission.
Types of Substance-Related Disorders:
1. Alcohol Use Disorder (AUD): A chronic disease characterized by the excessive consumption of alcohol, leading to impaired control over drinking, social or personal problems, and increased risk of health issues.
2. Opioid Use Disorder (OUD): A chronic disease characterized by the excessive use of opioids, such as prescription painkillers or heroin, leading to withdrawal symptoms when the substance is not available.
3. Stimulant Use Disorder: A chronic disease characterized by the excessive use of stimulants, such as cocaine or amphetamines, leading to impaired control over use and increased risk of adverse effects.
4. Cannabis Use Disorder: A chronic disease characterized by the excessive use of cannabis, leading to impaired control over use and increased risk of adverse effects.
5. Hallucinogen Use Disorder: A chronic disease characterized by the excessive use of hallucinogens, such as LSD or psilocybin mushrooms, leading to impaired control over use and increased risk of adverse effects.
Causes and Risk Factors:
1. Genetics: Individuals with a family history of substance-related disorders are more likely to develop these conditions.
2. Mental health: Individuals with mental health conditions, such as depression or anxiety, may be more likely to use substances as a form of self-medication.
3. Environmental factors: Exposure to substances at an early age, peer pressure, and social environment can increase the risk of developing a substance-related disorder.
4. Brain chemistry: Substance use can alter brain chemistry, leading to dependence and addiction.
Symptoms:
1. Increased tolerance: The need to use more of the substance to achieve the desired effect.
2. Withdrawal: Experiencing symptoms such as anxiety, irritability, or nausea when the substance is not present.
3. Loss of control: Using more substance than intended or for longer than intended.
4. Neglecting responsibilities: Neglecting responsibilities at home, work, or school due to substance use.
5. Continued use despite negative consequences: Continuing to use the substance despite physical, emotional, or financial consequences.
Diagnosis:
1. Physical examination: A doctor may perform a physical examination to look for signs of substance use, such as track marks or changes in heart rate and blood pressure.
2. Laboratory tests: Blood or urine tests can confirm the presence of substances in the body.
3. Psychological evaluation: A mental health professional may conduct a psychological evaluation to assess symptoms of substance-related disorders and determine the presence of co-occurring conditions.
Treatment:
1. Detoxification: A medically-supervised detox program can help manage withdrawal symptoms and reduce the risk of complications.
2. Medications: Medications such as methadone or buprenorphine may be prescribed to manage withdrawal symptoms and reduce cravings.
3. Behavioral therapy: Cognitive-behavioral therapy (CBT) and contingency management are effective behavioral therapies for treating substance use disorders.
4. Support groups: Joining a support group such as Narcotics Anonymous can provide a sense of community and support for individuals in recovery.
5. Lifestyle changes: Making healthy lifestyle changes such as regular exercise, healthy eating, and getting enough sleep can help manage withdrawal symptoms and reduce cravings.
It's important to note that diagnosis and treatment of substance-related disorders is a complex process and should be individualized based on the specific needs and circumstances of each patient.
Neoplasm refers to an abnormal growth of cells that can be benign (non-cancerous) or malignant (cancerous). Neoplasms can occur in any part of the body and can affect various organs and tissues. The term "neoplasm" is often used interchangeably with "tumor," but while all tumors are neoplasms, not all neoplasms are tumors.
Types of Neoplasms
There are many different types of neoplasms, including:
1. Carcinomas: These are malignant tumors that arise in the epithelial cells lining organs and glands. Examples include breast cancer, lung cancer, and colon cancer.
2. Sarcomas: These are malignant tumors that arise in connective tissue, such as bone, cartilage, and fat. Examples include osteosarcoma (bone cancer) and soft tissue sarcoma.
3. Lymphomas: These are cancers of the immune system, specifically affecting the lymph nodes and other lymphoid tissues. Examples include Hodgkin lymphoma and non-Hodgkin lymphoma.
4. Leukemias: These are cancers of the blood and bone marrow that affect the white blood cells. Examples include acute myeloid leukemia (AML) and chronic lymphocytic leukemia (CLL).
5. Melanomas: These are malignant tumors that arise in the pigment-producing cells called melanocytes. Examples include skin melanoma and eye melanoma.
Causes and Risk Factors of Neoplasms
The exact causes of neoplasms are not fully understood, but there are several known risk factors that can increase the likelihood of developing a neoplasm. These include:
1. Genetic predisposition: Some people may be born with genetic mutations that increase their risk of developing certain types of neoplasms.
2. Environmental factors: Exposure to certain environmental toxins, such as radiation and certain chemicals, can increase the risk of developing a neoplasm.
3. Infection: Some neoplasms are caused by viruses or bacteria. For example, human papillomavirus (HPV) is a common cause of cervical cancer.
4. Lifestyle factors: Factors such as smoking, excessive alcohol consumption, and a poor diet can increase the risk of developing certain types of neoplasms.
5. Family history: A person's risk of developing a neoplasm may be higher if they have a family history of the condition.
Signs and Symptoms of Neoplasms
The signs and symptoms of neoplasms can vary depending on the type of cancer and where it is located in the body. Some common signs and symptoms include:
1. Unusual lumps or swelling
2. Pain
3. Fatigue
4. Weight loss
5. Change in bowel or bladder habits
6. Unexplained bleeding
7. Coughing up blood
8. Hoarseness or a persistent cough
9. Changes in appetite or digestion
10. Skin changes, such as a new mole or a change in the size or color of an existing mole.
Diagnosis and Treatment of Neoplasms
The diagnosis of a neoplasm usually involves a combination of physical examination, imaging tests (such as X-rays, CT scans, or MRI scans), and biopsy. A biopsy involves removing a small sample of tissue from the suspected tumor and examining it under a microscope for cancer cells.
The treatment of neoplasms depends on the type, size, location, and stage of the cancer, as well as the patient's overall health. Some common treatments include:
1. Surgery: Removing the tumor and surrounding tissue can be an effective way to treat many types of cancer.
2. Chemotherapy: Using drugs to kill cancer cells can be effective for some types of cancer, especially if the cancer has spread to other parts of the body.
3. Radiation therapy: Using high-energy radiation to kill cancer cells can be effective for some types of cancer, especially if the cancer is located in a specific area of the body.
4. Immunotherapy: Boosting the body's immune system to fight cancer can be an effective treatment for some types of cancer.
5. Targeted therapy: Using drugs or other substances to target specific molecules on cancer cells can be an effective treatment for some types of cancer.
Prevention of Neoplasms
While it is not always possible to prevent neoplasms, there are several steps that can reduce the risk of developing cancer. These include:
1. Avoiding exposure to known carcinogens (such as tobacco smoke and radiation)
2. Maintaining a healthy diet and lifestyle
3. Getting regular exercise
4. Not smoking or using tobacco products
5. Limiting alcohol consumption
6. Getting vaccinated against certain viruses that are associated with cancer (such as human papillomavirus, or HPV)
7. Participating in screening programs for early detection of cancer (such as mammograms for breast cancer and colonoscopies for colon cancer)
8. Avoiding excessive exposure to sunlight and using protective measures such as sunscreen and hats to prevent skin cancer.
It's important to note that not all cancers can be prevented, and some may be caused by factors that are not yet understood or cannot be controlled. However, by taking these steps, individuals can reduce their risk of developing cancer and improve their overall health and well-being.
STDs can cause a range of symptoms, including genital itching, burning during urination, unusual discharge, and painful sex. Some STDs can also lead to long-term health problems, such as infertility, chronic pain, and an increased risk of certain types of cancer.
STDs are usually diagnosed through a physical exam, blood tests, or other diagnostic tests. Treatment for STDs varies depending on the specific infection and can include antibiotics, antiviral medication, or other therapies. It's important to practice safe sex, such as using condoms, to reduce the risk of getting an STD.
Some of the most common STDs include:
* Chlamydia: A bacterial infection that can cause genital itching, burning during urination, and unusual discharge.
* Gonorrhea: A bacterial infection that can cause similar symptoms to chlamydia.
* Syphilis: A bacterial infection that can cause a painless sore on the genitals, followed by a rash and other symptoms.
* Herpes: A viral infection that can cause genital itching, burning during urination, and painful sex.
* HPV: A viral infection that can cause genital warts and increase the risk of cervical cancer.
* HIV/AIDS: A viral infection that can cause a range of symptoms, including fever, fatigue, and weight loss, and can lead to AIDS if left untreated.
It's important to note that some STDs can be spread through non-sexual contact, such as sharing needles or mother-to-child transmission during childbirth. It's also important to know that many STDs can be asymptomatic, meaning you may not have any symptoms even if you are infected.
If you think you may have been exposed to an STD, it's important to get tested as soon as possible. Many STDs can be easily treated with antibiotics or other medications, but if left untreated, they can lead to serious complications and long-term health problems.
It's also important to practice safe sex to reduce the risk of getting an STD. This includes using condoms, as well as getting vaccinated against HPV and Hepatitis B, which are both common causes of STDs.
In addition to getting tested and practicing safe sex, it's important to be aware of your sexual health and the risks associated with sex. This includes being aware of any symptoms you may experience, as well as being aware of your partner's sexual history and any STDs they may have. By being informed and proactive about your sexual health, you can help reduce the risk of getting an STD and maintain good sexual health.
Health services research
BMC Health Services Research
Health Services Research (journal)
Health Services Management Research
National Center for Health Services Research
William B. Graham Prize for Health Services Research
Department of Veterans Affairs Under Secretary's Award in Health Services Research
Santa Vitória, Minas Gerais
Águas de São Pedro
Patient dumping
10 Essential Public Health Services
Discrimination in the United States
Registered Health Information Administrator
Propensity score matching
Sandi Lam
Renee Hsia
Astronaut organization in spaceflight missions
End-of-life care
Addiction severity index
Terminal illness
Race and health
Genocide prevention
Problem structuring methods
Gender-specific prison programming in the United States
Residential segregation in the United States
Massachusetts health care reform
Drummond Rennie
Health care efficiency measures
Minimal important difference
Diagnosis code
Wolfgang Fink
Guimaras State University
Stirling
List of food additives
Deaths in December 2014
Ariosa v. Sequenom
Nursing in Japan
National Insurance Academy
Heston
St. James Infirmary Clinic
Mobile positioning data
Kazimierz Bartel
Protocol Wars
Tobacco politics
Cloud database
Mollie Woods Hare
National Pediatric Research Network Act of 2013
1931 in the United States
Monetization of U.S. in-kind food aid
Yessentuki
Australian constitutional law
Harold Sossen
Erich Erber
Inner Harbor East, Baltimore
Digital self-determination
Hawker (trade)
Judith Brown (sculptor)
Photovoice
Gregory Cajete
Cervical cancer
Health Policy and Health Services | Research Projects | Diabetes | CDC
Register of health services research projects in Burma
Professor Kate Gillies | Health Services Research Unit | The University of Aberdeen
Health services research
Health Services Research | NIHR
Health Services Research metropolitan statistical area Archives - Dark Daily
SSM - Qualitative Research in Health - Sherpa Services
Service Need and Use among Youth Exposed to the WTC Attack - WTC Health Program Research Gateway
Transplant: Center for Health Services & Outcomes Research: Feinberg School of Medicine: Northwestern University
Need for Mental Health and Addiction Services in BC - Centre for Applied Research in Mental Health & Addiction (CARMHA) -...
Health & Human Services Archives - NC Center for Public Policy Research
Background paper on the development of a health services research information system in the South-East Asia Region by Dr Mya Tu...
SOAR as a Collective Impact Model: Lessons for Rural Health and Human Services - Rural Policy Research Institute
Future expenditure risk of silent members: a statistical analysis | BMC Health Services Research | Full Text
How Hitnet can service Aboriginal communities » Aboriginal Health & Medical Research Council of NSW
WHO EMRO | Mental health research: developing priorities and promoting its utilization to inform policies and services | Volume...
TBI in Mental Health & Substance Use Service Settings (Research Summary) - Braintrust Canada | Braintrust Canada
Bournemouth University Research Online [BURO] - Content and constraints: IP training between the criminal justice and mental...
Drs. Frakt and Garrido Assume New Editorial Roles at <em>Health Services...
Population Health and Health Services Research (Structured PhD) - University of Galway
JKU-FoDok Forschungsdokumentation der Universit t Linz - Scientific Community Service - Reviewer for International Journal of...
Rural Health: A Qualitative Research Approach to Understanding Best Practices for Rural Health Service Delivery in a Public...
Independence Blue Cross Study in Health Service Research Finds Fewer Emergency Room Visits for Chronically Ill Patients Treated...
National Institutes of Health (NIH): Innovative Measures of Oral Medication Adherence for HIV Treatment and Prevention (R01) -...
A Bill to Promote Greater Equity in the Delivery of Health Care Services to American Women Through Expanded Research on Women's...
Online research: methods, tips, & more | SurveyMonkey
Cancer Health Services Research Unit
Wen Ye, PhD - Cognitive Health Services Research Program
World Health Organ2
Centre4
- The AH&MRC have been able to purchase Hitnet Hubs for Orange Aboriginal Medical Service, Tamworth Aboriginal Medical Service, Pat Dixon Medical Centre, and Coomealla Health Aboriginal Corporation. (ahmrc.org.au)
- The CHSR unit is part of the University of Melbourne Centre for Cancer Research (UMCCR) and the Melbourne School of Population & Global Health (MSPGH) Centre for Health Policy with active collaborations within the Victorian Comprehensive Cancer Centre (VCCC) particularly Western Health and the Peter MacCallum Cancer Centre. (edu.au)
- Prof Blandina T. Mmbaga is a paediatrician at Kilimanjaro Christian Medical Centre (KCMC) participating in clinical, teaching, and research activities. (sphereprogramme.ie)
- She graduated with a PhD in 2013 from the University of Bergen Centre for International Health and Department of Public Health and Primary Health Care. (sphereprogramme.ie)
Clinical11
- I am an MRC Senior Non-Clinical Fellow and Professor working in Methodological Research related to participant centred trials. (abdn.ac.uk)
- The NIHR Clinical Research Network (CRN) includes 30 specialty groups, who coordinate and support the delivery of high quality research by therapy area. (nihr.ac.uk)
- We oversee research that deals with the development of health services ensuring the delivery of high quality studies so that people have the opportunity to know about, and participate in, good clinical research. (nihr.ac.uk)
- Professor Peter Bower is supported by local specialty leads in each of the 15 NIHR Local Clinical Research Networks . (nihr.ac.uk)
- A study authored by Independence Blue Cross (Independence) and CTI Clinical Trial and Consulting Services (CTI) demonstrating fewer emergency department visits for chronically ill patients cared for in a patient-centered medical home has been published by Health Services Research. (pcpcc.org)
- The CHSR unit supports the translation of research findings from the laboratory to clinical practice. (edu.au)
- The health service applications studied can range from minor changes in roles, workflows and processes to adoption and utilization of emerging clinical technologies. (appstate.edu)
- She is a Director of the Kilimanjaro Clinical Research Institute (KCRI) and the Director of research and consultancy at the Kilimanjaro Christian Medical University College of the Tumaini University Makumira. (sphereprogramme.ie)
- With strong leadership and collaboration based on the principles of community engagement, it is feasible to develop an infrastructure that supports community engagement in clinical services research through collaboration across NIH centers and the sharing of responsibilities for infrastructure development, conceptual frameworks, and pilot studies. (cdc.gov)
- After four tracer conditions were established (depression, violence, diabetes, and obesity), the CHIC presented four areas for development of research capacity in line with several of the community engagement principles: public participation in all phases of research (Principle 5), understanding community and organizational context for clinical services interventions (Principles 2 and 3), practical methods for clinical services trials (Principle 8), and advancing health information technology for clinical services research (Principle 7). (cdc.gov)
- Dr. Tribble is the acting director of the infectious disease clinical research program at Uniform Services University of the Health Sciences. (cdc.gov)
Interventions3
- NEXT-D2 is a follow-up to the NEXT-D study that was mandated by health care legislation to evaluate health policies and interventions used by health care systems, businesses, and communities to reduce diabetes risk, complications, and health inequalities across broad segments of the US population. (cdc.gov)
- Interventions developed by CHIC are designed to meet research standards for effectiveness and community standards for validity and cultural sensitivity. (cdc.gov)
- The GAVI Alliance and the Global Fund have identified functional health systems as essential to achieving their objectives and established health systems strengthening funding windows to effectively scale up proven, high-impact interventions and help improve the sustainability of results. (who.int)
Programme2
- The NIHR Health Services and Delivery Research (HS&DR) programme aims to produce rigorous and relevant evidence to improve the quality, accessibility and organisation of health and social care services. (nihr.ac.uk)
- The NIHR Global Health Policy and Systems Research (HPSR) programme supports high quality, appropriate and applicable research that aims to improve whole health systems and health services in low and middle income countries. (nihr.ac.uk)
Researchers9
- We fund health services research projects through our funding programmes, and support training and career development for researchers in the specialty. (nihr.ac.uk)
- The CRN provides researchers with the practical support they need to make research happen. (nihr.ac.uk)
- They connect researchers with health service leaders, managers and clinicians to drive improvement and innovation in the NHS. (nihr.ac.uk)
- We also provide career development funding awards for health services researchers - see the careers tab for more information. (nihr.ac.uk)
- The Northwestern University Transplant Outcomes Research Collaborative (NUTORC) is an interdisciplinary collaboration of clinicians, health services researchers and content experts who are conducting patient-centered outcomes research to improve the quality, safety, efficacy, equity and implementation of evidence-based transplant medicine. (northwestern.edu)
- We are also committed to training the next generation of health services researchers focused on quality, safety and equity for our patients. (northwestern.edu)
- A practical guide for health researchers / Mahmoud F. Fathalla, Mohamed M. F. Fathalla. (who.int)
- Her interest is in mentorship to create a mass of Tanzanian and African independent researchers to in identifying evidence for supporting health care improvement and in implementation science research. (sphereprogramme.ie)
- The engagement process of first forming the partnership between the convening academic researchers and the community organizations and then deciding on health priorities together demonstrates Principle 5, and knowledge of community needs demonstrates Principle 2. (cdc.gov)
Outcomes9
- Health policy and health services research examines the effect of health policies and system-based approaches on the risks and outcomes of type 2 diabetes for various population groups. (cdc.gov)
- The specialty leads have expertise in how the NHS is organised, as well as performance monitoring, and delivering high quality research to test whether new services are producing good outcomes for patients. (nihr.ac.uk)
- NUTORC conducts transplant outcomes research, establishes best transplant practices, guides transplant policy and increases access to transplantation services. (northwestern.edu)
- Through involvement in this project, the AH&MRC has assisted in strengthening the connectedness of the ACCHS sector in the creation and sharing of health promotion content, contributing to improved health, wellbeing and educational outcomes of the Aboriginal community. (ahmrc.org.au)
- Scaling-up mental health research in the EMR could generate enormous returns in terms of reducing disability, improving outcomes and preventing premature death, through early diagnosis, better management and community-based rehabilitation. (who.int)
- 3) What predictors or outcomes of TBI have been reported in these service settings. (braintrustcanada.com)
- Potentially avoidable ED visits are a major concern for health systems," says Candace Gunnarsson, CTI's Vice President, Health Economics and Outcomes Research. (pcpcc.org)
- The Cancer Health Services Research (CHSR) unit's mission is to improve value-based cancer services across the care continuum using real-world outcomes and cost data. (edu.au)
- Strengthening Health Services Research Using Target Trial Emulation: An Application to Volume-Outcomes Studies. (bvsalud.org)
Utilization2
- This study will examine patterns of mental health service utilization, barriers to mental health treatment services, and the factors associated with such use by youth who were exposed to the World Trade Center (WTC) attack. (cdc.gov)
- Hospitalization data for 1998-2009 from State Inpatient Databases, Healthcare Cost and Utilization Project, and Agency for Healthcare Research and Quality. (cdc.gov)
Prevention6
- However, some care avoiders simply chose to avoid the medical system, despite available coverage, appropriateness for recommended prevention services, and access. (biomedcentral.com)
- ABSTRACT Investment in research on the prevention and treatment of mental health disorders is disproportionately low in the WHO Eastern Mediterranean Region (EMR) relative to the disease burden. (who.int)
- The Analysis of Secondary Data to Inform Prevention Interdisciplinary Research Group consists of faculty with multidisciplinary backgrounds who are interested in using secondary data to address public health problems and inform public health prevention. (appstate.edu)
- Amongst her numerous contributions to public health medicine is Professor Smyth's national leadership on public health reform, healthy ageing, and stroke prevention. (sphereprogramme.ie)
- From 2019-2022 he served as a Professor and Chair in Diabetes and Cardiovascular Disease Epidemiology in the School of Public Health at Imperial College London, and before that led a multi-disciplinary public health research unit for chronic diseases at the US Centres for Disease Control Prevention. (sphereprogramme.ie)
- He has worked extensively in chronic disease epidemiology and surveillance, prevention effectiveness trials, the development of natural experiments to study health policies, and modelling of health impact and cost-effectiveness of public health interventions. (sphereprogramme.ie)
Search2
- They appear on MedlinePlus Health Topic pages, but they're listed individually in search results. (medlineplus.gov)
- The publications shared are the result of a bibliographic research work carried out regularly on several online information sources with a major search strategy 'COVID-19 AND Africa' in combination with the following keywords: epidemiology (response activities OR hygiene practices OR social distancing OR case management), vaccination, public perceptions, other diseases and other sectors. (who.int)
Collaborative6
- They were strongly in favor of interagency training and its contribution to enhanced collaborative competence across the workforce and, in the long term, improved offender mental health. (bournemouth.ac.uk)
- Public-Use Derived Data Sets that measure community level measures including racial segregation, income segregation and social determinants of health are derived by project members and available for collaborative outreach and research opportunities. (appstate.edu)
- The goal of this interest group is to provide an interdisciplinary, collaborative forum for individuals interested in developing new health service delivery methods as well as understanding and refining the application of existing processes with the goal of improving access, usability, effectiveness, and cost. (appstate.edu)
- Our research aims to provide public health support to all entities so they can be responsive to the needs of their communities through multi-disciplinary, collaborative, idea generation and action. (appstate.edu)
- The academic component of HAAF evolved into the development of a research infrastructure, the Los Angeles Community Health Improvement Collaborative (CHIC). (cdc.gov)
- The IDCRP is a Department of Defense and the National Institute of Allergy and Infectious Diseases collaborative research program. (cdc.gov)
Medical Researc1
- Medical Research Council. (abdn.ac.uk)
Programmes4
- Our funding programmes fund high quality health services research that benefits the NHS, public health and social care. (nihr.ac.uk)
- We have two research funding programmes that specifically support health services research. (nihr.ac.uk)
- Assosia can provide programmes various services to ensure maximum product availability as well as providing further insight and analysis about the category. (assosia.com)
- Global Health Initiatives (GHIs) are typically programmes targeted at specific diseases and are intended to bring additional resources to the health efforts of countries.5 Since 2000, the number of GHIs has grown exponentially,6 reaching over 140. (who.int)
Collaborations2
- Our research infrastructure also supports research funded by these partners, offering expertise, collaborations and facilities. (nihr.ac.uk)
- Through a range of face-to-face, online, workshops, training and collaborations initiatives, we aim to communicate, educate and promote Aboriginal health. (ahmrc.org.au)
Sciences5
- I am currently accepting PhDs in Applied Health Sciences. (abdn.ac.uk)
- We deliver health services research funded by the NIHR, the life sciences industry and non-commercial organisations such as charities. (nihr.ac.uk)
- Some of this research is funded by the NIHR, but most of it is funded by non-commercial organisations, such as charities or universities, and the life sciences industry. (nihr.ac.uk)
- This entry was posted in Funding by Award Type , Grants (Project Funds) , Health & Medical Sciences , International Funding and tagged US National Institutes of Health . (edu.au)
- Prof Edward W. Gregg is the newly appointed Head of the School of Population Health at RCSI University of Medicine and Health Sciences. (sphereprogramme.ie)
Methods5
- With the right tools, it's easy to perform online research that will yield reliable data quickly, easily, and with lower costs than traditional research methods. (surveymonkey.com)
- Below are the four main methods and techniques for conducting online research. (surveymonkey.com)
- The Health Services Innovation and Optimization interest group is for individuals researching and evaluating methods for delivering services that improve the health of individuals and populations. (appstate.edu)
- Studying the organisation and delivery of health services: research methods. (who.int)
- The database can also be used to assess the implications of recent or proposed changes in public or private health care benefits, methods of financing both health care and insurance coverage, various public and private subsidies for health care, and employee compensation arrangements. (cdc.gov)
Care26
- Effect of the Affordable Care Act on diabetes care at major health centers: newly detected diabetes and diabetes medication management. (cdc.gov)
- We support the set up and delivery of this research in the NHS and in public health and social care settings. (nihr.ac.uk)
- The NIHR supports patients and the public to participate in high quality research taking place in health and care settings across England, advancing knowledge and improving care. (nihr.ac.uk)
- We promote the successful delivery of research studies in the NHS and social care settings and help plan new studies that will address patients' needs. (nihr.ac.uk)
- The NIHR CRN Health Services Research Toolkit has been developed to bring together ideas, guidance and support in one place, to help the delivery of high quality health services research in the NHS and health and social care settings. (nihr.ac.uk)
- This includes evaluations of how the NHS and social care might improve delivery of services. (nihr.ac.uk)
- The implications of future high costs for silent members who become claimants may support the need for additional research to address the risks of care avoidance behaviors. (biomedcentral.com)
- Care avoiders are persons who do not seek medical care or treatment despite suspected symptoms or health complaints, often due to cost or beliefs. (biomedcentral.com)
- Silent-members of commercial health plans may be motivated by any of the offered reasons for care-avoidance. (biomedcentral.com)
- Several studies have assessed the impact of these high-deductible-health-plans or consumer-driven-health-plans (CDHP) on care-avoidance. (biomedcentral.com)
- The Actuaries Study of 2009 reviewed studies comparing CDHP plans to traditional plans and concluded that CDHP members had higher rates for preventive services, most likely due to the fact that much preventive care is provided at no cost to the member [ 10 ]. (biomedcentral.com)
- Quality of life in health and social care. (bournemouth.ac.uk)
- Health Services Research is a peer-reviewed journal published by Health Research and Educational Trust, and is the official publication of Academy Health which publishes original investigations that expand understanding of the wide-ranging field of health care. (pcpcc.org)
- Patient-centered medical homes improve patient health and lower costs through a team-oriented approach to primary care. (pcpcc.org)
- This includes more coordinated care among all health care professionals, electronic health records to better track care, open scheduling to allow for more flexibility in seeing patients when they need care, and more interaction with the physician and staff between appointments to make sure scheduled tests and consultations occurred. (pcpcc.org)
- A Bill to Promote Greater Equity in the Delivery of Health Care Services to American Women Through Expanded Research on Women's Health Issues and Through Improved Access to Health Care Services, Including Preventive Health Services. (georgetown.edu)
- In doing so, the unit aims to improve cancer services by utilising real-world data to analyse patterns of care provision, including treatment sequencing, and their health economics implications. (edu.au)
- This study adds to limited, but mounting evidence that, in at least some states, the burden on non-WC payers to cover health care for industrial injuries is growing, even while WC-related employer costs are decreasing - an area that warrants further research. (cdc.gov)
- This study adds to a growing literature indicating rising drug prices are a threat to the health care system. (medscape.com)
- Results: Of the 76 studies included, most (86%) were cross sectional and nearly half (49%) were conducted in health care settings. (cdc.gov)
- DATA1 DATA2 SRC DATA PURCHASE AND USE AGREEMENT For use with the 1987 National Medical Expenditure Survey Data Individual identifiers have been removed from the micro-data tapes available from the Agency for Health Care Policy and Research through NTIS. (cdc.gov)
- Nevertheless, under sections 308(d) and 903(c) of the Public Health Service Act (42 U.S.C. 242m and 42 U.S.C. 299 a-1), data collected by the Agency for Health Care Policy and Research may not be used for any purpose other than the purpose for which it was supplied. (cdc.gov)
- BACKGROUND General Information This documentation describes one in a series of public use tapes issued by the Agency for Health Care Policy and Research with data from the National Medical Expenditure Survey. (cdc.gov)
- The National Medical Expenditure Survey (NMES) is a research project of the Center for General Health Services Intramural Research, Agency for Health Care Policy and Research. (cdc.gov)
- A Survey of American Indians and Alaska Natives includes a separate sample of American Indians and Alaska Natives living on or near Federal reservations and eligible to receive care provided or supported by the Indian Health Service. (cdc.gov)
- Household Survey Each family in the Household Survey was interviewed four times over a period of 16 months to obtain information about the family's health and health care during calendar year 1987. (cdc.gov)
Priorities4
- EMR countries must therefore work to identify research priorities, mobilize resources, develop human and infrastructure capacities and institutionalize use of research findings to guide development of policies and service delivery models. (who.int)
- During the SPHeRE Network 9th Annual Conference we will examine the current big population health challenges, how we choose amongst competing priorities going forward and look at how the landscape of population health science is changing. (sphereprogramme.ie)
- The conceptual framework developed for CHIC emphasizes the use of community engagement to integrate community and academic perspectives and develop programs that address the health priorities of communities while building the capacity of the partnership. (cdc.gov)
- Priorities for developing the research infrastructure included enhanced public participation in research, assessment of the community context, development of health information technology, and initiation of practical trial designs. (cdc.gov)
Rural Health1
- Presented by Charles W. Fluharty (President and CEO, Rural Policy Research Institute) to National Advisory Committee on Rural Health and Human Services on May 27, 2015 at Natural Bridge State Resort Park, Kentucky. (rupri.org)
Epidemiology1
- Les publications partagées sont le résultat d'un travail de recherche bibliographique effectué régulièrement sur plusieurs sources d'information en ligne avec une comme stratégie de recherche majeure 'COVID-19 ET Afrique' combinés aux mots clés suivants : epidemiology (response activities OR hygiene practices OR social distancing OR case management), vaccination, public perceptions, other diseases and other sectors. (who.int)
Provision2
- In the UK, diversion/liaison schemes are proposed as a means to integrated service provision. (bournemouth.ac.uk)
- Professor Breda Smyth is currently Chief Medical Officer in the Department of Health, leading the provision of evidence-based public health advice across a range of areas including the response to COVID-19 and Monkeypox. (sphereprogramme.ie)
University5
- A research team from the University of Toronto published a research study in The Journal of Head Trauma Rehabilitation exploring traumatic brain injury history among individuals accessing mental health and substance use services. (braintrustcanada.com)
- One interesting finding is that reductions in ED admissions are not coming necessarily from the fact that medical homes are open for longer hours or are more accessible to patients, but from better management of chronic conditions," said Guy David, PhD, the study's lead author, CTI Academic Affiliate, and health management professor at Wharton School of the University of Pennsylvania. (pcpcc.org)
- She is a Personal Professor of Public Health Medicine in University of Galway and most recently worked as a Consultant and Director of the Department of Public Health HSE West. (sphereprogramme.ie)
- She is Adjunct Associate Professor of Duke Global Health, visiting Research Professor UVA and Adjunct Associate Professor of Paediatric and Child Health Cork University Ireland. (sphereprogramme.ie)
- Our study of people with neurologic conditions found fewer than 20% were being treated with new medications," study author Brian C. Callaghan, MD, with University of Michigan Health in Ann Arbor, said in a statement. (medscape.com)
Policy5
- HSR UK is a self-supporting membership organisation dedicated to the promotion of health services research in policy and practice. (nihr.ac.uk)
- We're working to develop services, provide support, and influence policy in order to enable UK higher education to realise the rewards of open access (OA). (sherpa.ac.uk)
- Our new site consolidates Sherpa Services (Romeo, Juliet, Fact and OpenDOAR) in to one handy tool, and brings you Open Access policy, compliance and Transitional Agreement information. (sherpa.ac.uk)
- Health Policy and Systems Research: A Methodology Reader. (who.int)
- Studies in Health Services Organization and Policy. (who.int)
20192
- MRC Strategic Skills Methodology Research Fellowship 2014-2019. (abdn.ac.uk)
- In 2019/20 we recruited 61,549 participants across 209 studies in Health Services Research, with 100 per cent of commercial contract studies and 96 per cent of non-commercial studies recruited to time and target. (nihr.ac.uk)
Mental11
- The study findings will provide guidance to the improvement of mental health intervention for these youth and will help in preparedness efforts for future terrorist attacks. (cdc.gov)
- Brain injury, mental health, and substance use are interconnected, yet brain injury is frequently left out of the conversation. (braintrustcanada.com)
- Traumatic Brain Injury History Among Individuals Using Mental Health and Addictions Services: A Scoping Review. (braintrustcanada.com)
- Content and constraints: IP training between the criminal justice and mental health services. (bournemouth.ac.uk)
- In Europe, unacceptably large numbers of prisoners have mental health issues. (bournemouth.ac.uk)
- Integrated, effective interagency collaboration is required between the criminal justice system (CJS) and mental health services (MHS) to ensure early diagnosis and treatment. (bournemouth.ac.uk)
- NC hospitalization data analysis: Faculty across multiple colleges and universities are working with Inpatient, Emergency Room, and Ambulatory Surgery/Outpatient Hospital Data for the entire state of NC to examine trends in mental health, maternal health, and the impacts of extreme events (e.g., wildfire). (appstate.edu)
- We will examine emerging public health challenges, directions in population mental health, and global health equity. (sphereprogramme.ie)
- It describes and examines four levels of reflexive feedback in an intervention experience based on information and communication technology (ICT) workshops in a mental health clinic for children and teens in Porto Alegre/Brazil. (bvsalud.org)
- The success of this collaboration led to the expansion of HAAF to investigate other health issues, including preterm delivery, mental health, diabetes, asthma, and kidney disease, as well as to look at various women's health projects. (cdc.gov)
- A thorough physical examination is necessary to evaluate the patient's overall state of health, comorbidities, nutritional status, and mental status. (medscape.com)
Participants2
- If you don't receive a response within a few days of your request, follow up with participants to remind them of your research, and that timeliness is appreciated. (surveymonkey.com)
- It is argued that an intervention can offer a rich reflexive experience that challenges the research group's misconceptions, the participants' reflexive notions, institutional common sense and the research direction. (bvsalud.org)
Interdisciplinary1
- The Aging and Adult Health Interdisciplinary Research Group comprises faculty from multiple disciplines interested in all aspects of healthy aging and age-related diseases. (appstate.edu)
Practices1
- Let's discuss online research, how to conduct it, and best practices for obtaining the necessary information. (surveymonkey.com)
Support4
- As a result we support a wide range of research studies that focus on improving the quality, accessibility and organisation of health services. (nihr.ac.uk)
- The overall aim of this research is to explore how e-Health, particularly mHealth, could enhance dementia awareness and support for persons living with dementia, or their caregivers within Aboriginal and Torres Strait Islander communities by evaluating existing research and products, and exploring key stakeholder perspectives. (edu.au)
- The purpose of CHIC was to encourage shared strategies, partnerships, and resources to support rigorous, community-engaged health services research within Los Angeles that was designed to reduce health disparities. (cdc.gov)
- US$ 1.6 billion to health systems strengthening in 27 countries in the Region since 2005.8 In the recent past the GAVI Alliance, the Global Fund and the World Bank have explored the possibility of creation of a health systems funding platform to effectively support countries in line with the principles of the Paris Declaration on aid effectiveness. (who.int)
Illnesses1
- Baseline data on household composition, employment, and insurance were updated at each interview, and information was obtained on illnesses, use of health services, and health expenditures for each family member. (cdc.gov)
Content4
- Hitnet was first utilised by the AH&MRC as a practical tool for services to use through the Head Lice project, whereby relevant content central to the project was loaded onto the Hub and placed in the local AMS for the community to engage with. (ahmrc.org.au)
- Hitnet fulfils a service need of sharing locally generated content and key public health messages with Members, their staff and the wider community. (ahmrc.org.au)
- Hitnet is essentially a one-stop-shop for all health promotion content. (ahmrc.org.au)
- Access to this content through BURO is granted on condition that you use it only for research, scholarly or other non-commercial purposes. (bournemouth.ac.uk)
Public5
- For public health emergencies or hazards, such as outbreaks, food poisoning, meningitis or rabies, please call our after hours emergency phone number at 1-877-298-5888. (hnhu.org)
- A Bill to Promote Public Health and Welfare by Preventing Unwanted Conceptions and Reducing the Need for Abortions Among All Women, Especially Teenagers, Through Improved and Expanded Family Planning Services and Population Research Activities by the Federal Government, and for Other Purposes. (georgetown.edu)
- NCHA data analysis and writing group: Faculty in the Public Health program are working collaboratively to analyze and publish data from the American College Health Association's' National College Health Assessment. (appstate.edu)
- Combining the definition with the WHO, APHA, and CDC, public health refers to all organized measures (public or private) to prevent disease, promote health, and prolong life among the population as a whole where they live, learn, work, and play. (appstate.edu)
- Carbapenem-resistant Enterobacteriaceae (CRE) have become a global public health threat. (cdc.gov)
Implementation3
- This work is intended to advance the field of dissemination and implementation research by aiding scientists in the identification of existing measures and highlighting methodological issues that require additional attention. (cdc.gov)
- Included studies had to assess latent constructs related to the "inner setting" of the organization, as defined by the Consolidated Framework for Implementation Research. (cdc.gov)
- Conclusions: The lack of clarity associated with construct definitions, inconsistent use of theory, absence of standardized reporting criteria for implementation research, and the fact that few measures have demonstrated reliability or validity were among the limitations highlighted in our review. (cdc.gov)
Department of Healt1
- We obtained carbapenem (i.e., meropenem, imipenem, ertapenem, doripenem) susceptibility test results (i.e., susceptible, intermediate, or resistant) and calculated rates of resistance and nonsusceptibility to any carbapenem over time, looking at 2-year windows and grouping facilities into 10 regions designated by the US Department of Health and Human Services ( https://www.hhs.gov/about/agencies/regional-offices/index.html ). (cdc.gov)
Person's1
- This survey provides extensive information on health expenditures by or on behalf of families and individuals, the financing of these expenditures, and each person's use of services. (cdc.gov)
Funding2
- Another Member Service saw the value of Hitnet and included it in a funding grant application. (ahmrc.org.au)
- This opportunity uses the R01 Research Project Grant funding mechanism. (edu.au)
Healthcare2
- Silent-members are members of a medical health plan who submit no claims for healthcare services in a benefit year despite 12 months of continuous-enrollment. (biomedcentral.com)
- The Veterans Health Administration (VHA) is the largest integrated healthcare system in the United States. (cdc.gov)
Trials2
- My research interests focus on the design and delivery of participant centred trials: from point of initial contact through to feeding back results to individuals. (abdn.ac.uk)
- I lead research in the application of behavioural science to trials methodology. (abdn.ac.uk)
Behaviors1
- These national data provide important information trends in college students' health behaviors. (appstate.edu)
Statistical1
- It is necessary, therefore, that the indi such micro-data tapes sign the following assurance: The user gives assurance that individual elementary unit data on the micro-data tapes being ordered will be used solely for statistical summaries and health services research. (cdc.gov)
Main1
- Their main business area is medical services research. (australianexporters.net)
Population2
- The conference is an opportunity to hear from international leaders in the field, to understand how different disciplines can work together to guide decision-making in population health and to discuss how we can shape population health science to achieve the greatest impact. (sphereprogramme.ie)
- Together, the major components of NMES-2 contain information to make national estimates of health status, use of health services, insurance coverage, expenditures, and sources of payment for the civilian population of the United States during the period from January 1 to December 31, 1987. (cdc.gov)
Delivery1
- 2001). Issues in studying the organisation and delivery of health services. (who.int)
Dementia1
- Areas of faculty expertise include basic physiology and muscle development across the lifespan, the impact of nutrition and exercise on muscles and health, mild cognitive impairment and dementia, social aspects of aging, and more. (appstate.edu)
Approach1
- A CBPR approach using the principles of community engagement was employed to develop a community-academic council to coordinate the efforts of several research and training programs housed at three academic institutions. (cdc.gov)
Approaches1
- This award solicits innovative research applications that seek to advance the development of bioanalytical assays, pill ingestion sensors, drug metabolite and taggant detection systems, or wireless technologic approaches for monitoring and improving adherence to oral antiretroviral therapy (ART) and pre-exposure prophylaxis (PrEP). (edu.au)
Study4
- Trends in high deductible health plan enrolment and spending among commercially insured members with and without chronic conditions: a Natural Experiment for Translation in Diabetes (NEXT-D2) Study. (cdc.gov)
- Join us for Knowledge Translation Tuesday, where we summarize a recently published research study to give you current, evidence-based brain injury information. (braintrustcanada.com)
- David also noted that the research, which involved more patients than any other study of its kind, showed the most significant reductions in ED visits for patients who have either hypertension or diabetes. (pcpcc.org)
- These latest results show another exciting aspect of the benefits of medical homes, which have demonstrated in our previous studies that they help reduce costs and improve the health of chronically ill patients," said Somesh Nigam, Independence's senior vice president and chief informatics officer and a contributor to the study. (pcpcc.org)
Professor1
- Professor Peter Bower is the CRN National Specialty Lead for health services research. (nihr.ac.uk)
Development1
- This data can help to assess individual community needs and guide the development of health programs. (ahmrc.org.au)
Strengthen1
- Health systems operate at and across national, district, community and individual levels.3 Governments have the responsibility to strengthen their own health systems. (who.int)