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991.
Mariyam Aly Victoria García-Cárdenas Kylie A. Williams Shalom I. Benrimoj 《Research in social & administrative pharmacy》2019,15(5):496-504
BackgroundAn international strategy designed to promote access to primary care is the utilisation of community pharmacy to deliver structured minor ailment services (MASs). An understanding of key implementation features of MASs will support effective service delivery and implementation, promote MAS viability, sustainability and overall improvement.AimThe aim of this study is to explore the views and experiences of a range of stakeholders concerning the implementation of MASs in the United Kingdom.MethodsA qualitative approach was used to obtain data. Participants were recruited using purposeful and snowball sampling. Stakeholders from five different regions were included. Using the digital recordings of the interviews, thematic content analysis was undertaken.ResultsThirty-three participants agreed to be interviewed. Twenty-nine semi-structured interviews were conducted. Thematic content analysis yielded three major themes, including (1) benefits of MASs, (2) structural challenges associated with MAS design and (3) other implementation factors associated with MAS delivery. Stakeholders recognised the positive impact of the service to improve patient access and care, promote efficiencies, and promote the professional role of the pharmacist. Nevertheless barriers do exist to service delivery and implementation. Stakeholders identified the need to potentially increase the population groups served by MASs, increase the conditions treated and widen their formulary lists. Similarly, marketing strategies needed to be improved to enhance consumer awareness. Stakeholders presented mixed views about whether pharmacists needed to complete clinical training and the need to increase pharmacist's remuneration. In addition the level of healthcare collaboration needed to improve.ConclusionSeveral concepts emerged from the investigation to facilitate service delivery. Barriers to service implementation had a variable impact on implementation. Service delivery should function to meet all stakeholder needs and can be achieved through stakeholder collaboration. However, improved marketing to promote consumer awareness together with better collaborative processes can potentially improve MAS implementation. 相似文献
992.
993.
Jane Mohler Karen D’Huyvetter Lisa O’Neill Conrad Clemens Amy Waer Victoria Began 《Gerontology & geriatrics education》2014,35(4):354-368
Using interprofessional faculty, the authors reviewed and enhanced the nationally renowned Chief Resident Immersion Training (CRIT) in the Care of Older Adults Program to include Triple Aim objectives and interprofessional competency-based content and developed the Interprofessional CRIT. Evaluations were positive and sustained. The authors educated chief residents about value-based care, linking them to key interprofessional staff to build team-based care. The authors addressed quality improvement issues identified by the Institute of Medicine and our health network. Chief residents are now better prepared to train medical students and residents using a team-based, patient-centered approach, and a culture of continual quality improvement toward improved care of older patients. 相似文献
994.
Michael Heuser Carola Schlarmann Vera Dobbernack Victoria Panagiota Lutz Wiehlmann Carolin Walter Fabian Beier Patrick Ziegler Haiyang Yun Sofia Kade Aylin Kirchner Liu Huang Christian Koenecke Matthias Eder Tim H. Brümmendorf Martin Dugas Arnold Ganser Felicitas Thol 《Haematologica》2014,99(9):e165-e167
995.
Isac Davidson Santiago Fernandes Pimenta dala Nayana de Sousa Mata Liliane Pereira Braga Gidyenne Christine Bandeira Silva de Medeiros Kesley Pablo Morais de Azevedo Isaac Newton Machado Bezerra Victor Hugo de Oliveira Segundo Ana Clara de Frana Nunes Gilberto Martins Santos Suely Grosseman Ismael Martínez Nicols Grasiela Piuvezam 《Medicine》2020,99(50)
Background:Good communication strategies are essential in times of crisis, such as the coronavirus pandemic. The dissemination of inaccurate information and the need for social isolation to control coronavirus disease 2019 (COVID-19) have shown a negative impact on the population, causing damage to mental health, with the appearance or worsening of symptoms of stress, fear, anxiety, and depression. Thus, the systematic review study is intended to gather evidence on the impact of information about COVID-19 on the mental health of the population.Methods:This systematic review protocol is conducted using the guidelines of the preferred reporting items for systematic reviews and meta-analyses protocols and the Cochrane Handbook for Systematic Reviews of Interventions. The review aims to include published studies that address the exposure of the general population to information about COVID-19, through observational and experimental studies, which consider the following outcomes: fear, stress, anxiety, and depression. Thus, a comprehensive research strategy will be conducted in the following databases: PubMed / Medline, Scopus, Web of Science, EMBASE, Science Direct, CINAHL, PsycINFO and Cochrane Central Register of Controlled Trials (CENTRAL). Two independent reviewers will perform all procedures, such as study selection, data collection, and methodological evaluation. Disagreements will be forwarded to a third reviewer. RevMan 5.3 software will be used for data analysis.Results:This systematic review will provide evidence of the influence of access to and consumption of media and scientific information about COVID-19 on the mental health of the population. It will consider information about the characterization of the study and the population studied, clinical and epidemiological information on mental health, and data on access to and consumption of media and scientific information.Discussion:The results should inform about the consequences of communication about the new coronavirus on the emergence or worsening of psychological and psychiatric symptoms, allowing to develop strategies to achieve effective communication of information to promote the mental health of the population.Systematic review registration number:PROSPERO CRD42020182918 相似文献
996.
Jessica L. Diaz Verl B. Siththanandan Victoria Lu Nicole Gonzalez-Nava Lincoln Pasquina Jessica L. MacDonald Mollie B. Woodworth Abdulkadir Ozkan Ramesh Nair Zihuai He Vibhu Sahni Peter Sarnow Theo D. Palmer Jeffrey D. Macklis Suzanne Tharin 《Proceedings of the National Academy of Sciences of the United States of America》2020,117(46):29113
997.
998.
Harminder Singh Grigorios I Leontiadis Lawrence Hookey Robert Enns Lana Bistritz Louis-Charles Rioux Louise Hope Paul Sinclair 《Journal canadien de gastroenterologie》2014,28(9):473-480
An important mandate of the Canadian Association of Gastroenterology (CAG), as documented in the
Association’s governance policies, is to optimize the care of patients with digestive
disorders. Clinical practice guidelines are one means of achieving this goal. The benefits of
timely, high-quality and evidenced-based recommendations include:
- Enhancing the professional development of clinical members through education and dissemination of synthesized clinical research;
- Improving patient care provided by members by providing focus on quality and evidence;
- Creating legislative environments that favour effective clinical practice;
- Enhancing the clinical care provided to patients with digestive disease by nongastroenterologists; and
- Identifying areas that require further information or research to improve clinical care.
999.
Mona Izadnegahdar Colleen Norris Padma Kaul Louise Pilote Karin H. Humphries 《The Canadian journal of cardiology》2014
This review aims to provide new insights into the basis for sex differences in acute coronary syndrome (ACS). Sex differences in mortality after ACS depend on age and the type of ACS, with the greatest gap being observed among younger adults and patients with ST-segment elevation myocardial infarction (STEMI). The sex gap diminishes with increasing age and does not appear to exist to the same extent among patients with non–STEMI or unstable angina. Although it is clear that younger women with acute myocardial infarction have higher mortality than do men in the short term; whether this difference is present in the long term remains unclear. Furthermore, women with ACS face delays in diagnosis and treatment, undergo less invasive management, have more bleeding complications, and receive less evidence-based medical therapy than do their male counterparts. Finally, women with ACS consistently report lower health-related quality of life than do men. To date, our understanding of the sex differences in ACS remains limited. The impact of biological factors and nonbiological factors (especially gender roles) need to be explored to elucidate the disparities in health outcomes between men and women. 相似文献
1000.