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Total 59897 results found since Jan 2013.

Measuring Preventive Care Delivery
Conclusions Findings suggest that automated EHR and claims data provide valid sources for measuring receipt of most preventive services; however, ordered and unbilled services were primarily captured via EHR data and completed referrals were more often documented in claims data.
Source: American Journal of Preventive Medicine - August 10, 2016 Category: Global & Universal Source Type: research

A Cluster Randomized Trial of a Personalized Multi-Condition Risk Assessment in Primary Care
Conclusions Patient-reported risk factors and EHR-linked multi-condition HRAs in primary care can modestly improve communication and promote accuracy of self-perceived risk.
Source: American Journal of Preventive Medicine - September 14, 2016 Category: Global & Universal Source Type: research

Effects of multidisciplinary team on emergency care for colorectal cancer patients: A nationwide-matched cohort study
Abstract: The literature describing the effectiveness of multidisciplinary team (MDT) for the care of colorectal cancer remains unclear. We investigated the effects of MDT care on the quality of colorectal cancer treatment, and the emergency department visit number was used as an indicator. In total, 45,418 patients newly diagnosed with colorectal cancer from the Taiwan National Health Insurance Research Database (2005–2009) were included. Propensity score matching with a ratio of 1:3 was adopted to reduce differences in characteristics between MDT care participants and non-MDT care participants. After matching, 3039 par...
Source: Medicine - June 1, 2017 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

The indirect costs of palliative care in end-stage cancer: A real-life longitudinal register- and questionnaire-based study.
CONCLUSION: The 45% share of indirect costs is substantial in end-of-life care. The healthcare costs increase towards death, which is especially true of patients living alone. This highlights the significant role of caregivers. More attention should be paid to home care and caregiver support to reduce inpatient care needs and control the costs of end-of-life care. PMID: 28895471 [PubMed - as supplied by publisher]
Source: Palliative Medicine - September 1, 2017 Category: Palliative Care Authors: Haltia O, Färkkilä N, Roine RP, Sintonen H, Taari K, Hänninen J, Lehto JT, Saarto T Tags: Palliat Med Source Type: research

Long-Term Survival of Women with Breast Cancer. Overview Supportive Care Needs Assessment Instruments.
CONCLUSIONS: The supportive care needs of breast cancer women during long-term survivorship are slightly explored, comparing to antineoplasmatic treatment period supportive care needs. This is probably due to the subjective nature of the concept examined. Approximately every scientific team worked on the study of supportive care needs on two or three different dimensions. More frequently examined are Physical and Psychological Care Needs. Gap is observed in exploring the social/economical and spiritual supportive care needs of women with breast cancer survivors as well as practical needs. PMID: 28971436 [PubMed - in process]
Source: Advances in Experimental Medicine and Biology - October 4, 2017 Category: Research Tags: Adv Exp Med Biol Source Type: research

Gastrointestinal Traumatic Injuries
The abdomen is a big place even in a small person. Gastrointestinal trauma can result in injury to the stomach, small bowel, colon, or rectum. Traumatic causes include blunt or penetrating trauma, such as gunshot wounds, stabbings, motor vehicle collisions, and crush injuries. Nontraumatic causes include appendicitis, Crohn disease, cancer, diverticulitis, ulcerative colitis, blockage of the bowel, and chemotherapy. The mechanism of injury will affect both the nature and severity of any resulting injuries. Treatment must address the critical and emergent nature of these injuries as well as issues that affect all trauma sit...
Source: Critical Care Nursing Clinics of North America - November 30, 2017 Category: Nursing Authors: Maria A. Revell, Marcia A. Pugh, Melanie McGhee Source Type: research

Differential effects of early palliative care based on the age and sex of patients with advanced cancer from a randomized controlled trial.
CONCLUSION: Age and sex moderate the effects of early palliative care for patients with advanced lung cancer. Early palliative care may need to be tailored to individuals' unique sociodemographic and clinical characteristics. PMID: 29323617 [PubMed - as supplied by publisher]
Source: Palliative Medicine - January 1, 2018 Category: Palliative Care Authors: Nipp RD, El-Jawahri A, Traeger L, Jacobs JM, Gallagher ER, Park ER, Jackson VA, Pirl WF, Temel JS, Greer JA Tags: Palliat Med Source Type: research

Preventive care among primary care patients living with spinal cord injury.
CONCLUSION: There are many opportunities to improve the preventive care of patients living with SCI. PMID: 29424661 [PubMed - as supplied by publisher]
Source: Journal of Spinal Cord Medicine - February 11, 2018 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Impacts of self-care education on adverse events and mental health related quality of life in breast cancer patients under chemotherapy.
CONCLUSIONS: Based on the results, self-care measures are effective in improving the physical and mental conditions of breast cancer patients under chemotherapy. Self-care measures play an important role in improving patients' life quality. PMID: 30935525 [PubMed - in process]
Source: Complementary Therapies in Medicine - March 31, 2019 Category: Complementary Medicine Authors: Wang Z, Yin G, Jia R Tags: Complement Ther Med Source Type: research

Costs for Colon Cancer Treatment Comparing Benefit Types and Care Sources in the US Military Health System.
CONCLUSIONS: In the MHS, median cost for colon cancer treatment was lower in direct care compared to purchased care or patients using a combination of direct and purchased care. The variation in cancer treatment costs between care sources may be due to differences in treatment incentives or capabilities. Additional studies on cost differences between direct and purchased services are needed to understand how provision of care affects cancer treatment costs and to identify possible targets for cost reduction. PMID: 30941433 [PubMed - as supplied by publisher]
Source: Military Medicine - April 5, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Family Medicine: Data Driven Practice with Emphasis on Underserved Patients
Family physicians' role and interest in caring for underserved or undertreated patients is quite evident in this issue of JABFM. One in 5 family physicians provide urgent or emergency care, which is particularly important in rural areas. Methods and resources for obtaining information about social determinants of health are variable. A data-rich article considers how family medicine practice ownership might be associated with quality outcomes. We have articles on using text messages to increase HIV testing and colon cancer screening for Latino patients. For patients with significant behavioral health disorders, 1 article c...
Source: Journal of the American Board of Family Medicine - May 7, 2019 Category: Primary Care Authors: Bowman, M. A., Neale, A. V., Seehusen, D. A. Tags: Editors ' Note Source Type: research

Potential for Reducing Time to Referral for Colorectal Cancer Patients in Primary Care.
CONCLUSIONS: Long time to referral for CRC in primary care is mainly related to low cancer suspicion. There is potential for reducing the longest times to referral for patients with CRC in primary care, with earlier reconsideration of the initial hypothesis and implementation of strict follow-up consultations. PMID: 31501203 [PubMed - in process]
Source: Annals of Family Medicine - August 31, 2019 Category: Primary Care Authors: van Erp NF, Helsper CW, Olyhoek SM, Janssen RRT, Winsveen A, Peeters PHM, de Wit NJ Tags: Ann Fam Med Source Type: research

Practice patterns of multidisciplinary team meetings in Korean cancer care and patient satisfaction with this approach.
Conclusions: The application of MDT care is a rapidly growing trend in clinical oncology, and shows high patient satisfaction. Further research is needed to determine which types of cancer patients could benefit most from MDT, and to enable MDT care to operate more efficiently so that it may expand successfully throughout Korea. PMID: 31795023 [PubMed - as supplied by publisher]
Source: The Korean Journal of Internal Medicine - December 5, 2019 Category: Internal Medicine Authors: Maeng CH, Ahn HK, Oh SY, Lim S, Kim BS, Kim DY Tags: Korean J Intern Med Source Type: research

Spatial access to primary care providers and colorectal cancer ‐specific survival in Cook County, Illinois
ConclusionsSpatial access to primary care providers is a predictor of colorectal cancer ‐specific survival in Cook County, Illinois. Future research is needed to determine which areas within the cancer care continuum are most affected by spatial accessibility to primary care such as referral for screening, accessibility of screening and diagnostic testing, referral for treatment, and access to appropriate survivorship‐related care.
Source: Cancer Medicine - March 5, 2020 Category: Cancer & Oncology Authors: Vincent L. Freeman, Keith B. Naylor, Emma E. Boylan, Benjamin J. Booth, Oksana Pugach, Richard E. Barrett, Richard T. Campbell, Sara L. McLafferty Tags: ORIGINAL RESEARCH Source Type: research