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[PMID]:29318275
[Au] Autor:Abbasi J
[Ti] Título:Why Are American Indians Dying Young?
[So] Source:JAMA;319(2):109-111, 2018 Jan 09.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Disparidades nos Níveis de Saúde
Índios Norte-Americanos/estatística & dados numéricos
Mortalidade/etnologia
[Mh] Termos MeSH secundário: Causas de Morte
Seres Humanos
Estados Unidos/epidemiologia
United States Indian Health Service
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180111
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.10122


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[PMID]:28854094
[Au] Autor:Reilley B; Leston J
[Ad] Endereço:From the Northwest Portland Area Indian Health Board, Portland, OR.
[Ti] Título:A Tale of Two Epidemics - HCV Treatment among Native Americans and Veterans.
[So] Source:N Engl J Med;377(9):801-803, 2017 Aug 31.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Epidemias
Disparidades em Assistência à Saúde
Hepatite C/terapia
Índios Norte-Americanos
United States Department of Veterans Affairs/organização & administração
United States Indian Health Service/organização & administração
Veteranos
[Mh] Termos MeSH secundário: Assistência à Saúde/organização & administração
Epidemias/economia
Custos de Cuidados de Saúde
Disparidades em Assistência à Saúde/economia
Hepatite C/etnologia
Seres Humanos
Incidência
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170831
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMp1705991


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[PMID]:28805361
[Au] Autor:Centers for Medicare & Medicaid Services (CMS), HHS
[Ti] Título:Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2018 Rates; Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Electronic Health Record (EHR) Incentive Program Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Provider-Based Status of Indian Health Service and Tribal Facilities and Organizations; Costs Reporting and Provider Requirements; Agreement Termination Notices. Final rule.
[So] Source:Fed Regist;82(155):37990-8589, 2017 Aug 14.
[Is] ISSN:0097-6326
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2018. Some of these changes implement certain statutory provisions contained in the Pathway for Sustainable Growth Rate (SGR) Reform Act of 2013, the Improving Medicare Post-Acute Care Transformation Act of 2014, the Medicare Access and CHIP Reauthorization Act of 2015, the 21st Century Cures Act, and other legislation. We also are making changes relating to the provider-based status of Indian Health Service (IHS) and Tribal facilities and organizations and to the low-volume hospital payment adjustment for hospitals operated by the IHS or a Tribe. In addition, we are providing the market basket update that will apply to the rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits for FY 2018. We are updating the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) for FY 2018. In addition, we are establishing new requirements or revising existing requirements for quality reporting by specific Medicare providers (acute care hospitals, PPS-exempt cancer hospitals, LTCHs, and inpatient psychiatric facilities). We also are establishing new requirements or revising existing requirements for eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) participating in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. We are updating policies relating to the Hospital Value-Based Purchasing (VBP) Program, the Hospital Readmissions Reduction Program, and the Hospital-Acquired Condition (HAC) Reduction Program. We also are making changes relating to transparency of accrediting organization survey reports and plans of correction of providers and suppliers; electronic signature and electronic submission of the Certification and Settlement Summary page of the Medicare cost reports; and clarification of provider disposal of assets.
[Mh] Termos MeSH primário: Registros Eletrônicos de Saúde/economia
Registros Eletrônicos de Saúde/legislação & jurisprudência
Assistência de Longa Duração/economia
Assistência de Longa Duração/legislação & jurisprudência
Medicaid/economia
Medicaid/legislação & jurisprudência
Medicare/economia
Medicare/legislação & jurisprudência
Sistema de Pagamento Prospectivo/economia
Sistema de Pagamento Prospectivo/legislação & jurisprudência
Garantia da Qualidade dos Cuidados de Saúde/economia
Garantia da Qualidade dos Cuidados de Saúde/legislação & jurisprudência
United States Indian Health Service/economia
United States Indian Health Service/legislação & jurisprudência
[Mh] Termos MeSH secundário: Economia Hospitalar/legislação & jurisprudência
Seres Humanos
Legislação Hospitalar/economia
Notificação Compulsória
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170815
[St] Status:MEDLINE


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[PMID]:28727519
[Au] Autor:Bullock A; Sheff K; Moore K; Manson S
[Ad] Endereço:Ann Bullock and Karen Sheff are with the Division of Diabetes Treatment and Prevention, Office of Clinical and Preventive Services, Indian Health Service, Rockville, MD. Kelly Moore and Spero Manson are with the Centers for American Indian and Alaska Native Health, Colorado School of Public Health,
[Ti] Título:Obesity and Overweight in American Indian and Alaska Native Children, 2006-2015.
[So] Source:Am J Public Health;107(9):1502-1507, 2017 Sep.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To estimate obesity and overweight prevalence in American Indian and Alaska Native (AI/AN) children across genders, ages, and geographic regions in the Indian Health Service active clinical population. METHODS: We obtained data from the Indian Health Service National Data Warehouse. At least 184 000 AI/AN children aged 2 to 19 years had body mass index data for each year studied, 2006 to 2015. We calculated body mass index percentiles with the 2000 Centers for Disease Control and Prevention growth charts. RESULTS: In 2015, the prevalence of overweight and obesity in AI/AN children aged 2 to 19 years was 18.5% and 29.7%, respectively. Boys had higher obesity prevalence than girls (31.5% vs 27.9%). Children aged 12 to 19 years had a higher prevalence of overweight and obesity than younger children. The AI/AN children in our study had a higher prevalence of obesity than US children overall in the National Health and Nutrition Examination Survey. Results for 2006 through 2014 were similar. CONCLUSIONS: The prevalence of overweight and obesity among AI/AN children in this population may have stabilized, while remaining higher than prevalence for US children overall.
[Mh] Termos MeSH primário: Nativos do Alasca/estatística & dados numéricos
Índios Norte-Americanos/estatística & dados numéricos
Obesidade/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Índice de Massa Corporal
Criança
Pré-Escolar
Feminino
Seres Humanos
Masculino
Inquéritos Nutricionais
Prevalência
Estados Unidos/epidemiologia
United States Indian Health Service
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303904


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[PMID]:28333724
[Au] Autor:Sofer D
[Ad] Endereço:Dalia Sofer.
[Ti] Título:A Beacon in the Labyrinth of the Indian Health Service.
[So] Source:Am J Nurs;117(4):14, 2017 Apr.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The success of a diabetes program offers hope.
[Mh] Termos MeSH primário: Diabetes Mellitus/diagnóstico
Diabetes Mellitus/terapia
Qualidade da Assistência à Saúde/organização & administração
United States Indian Health Service/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Índios Norte-Americanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170410
[Lr] Data última revisão:
170410
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000515215.07839.39


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[PMID]:28314573
[Au] Autor:Wyatt CM
[Ad] Endereço:Department of Medicine, Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, New York, USA. Electronic address: christina.wyatt@mssm.edu.
[Ti] Título:Decreased incidence of end-stage renal disease in American Indians with diabetes: a model for other high-risk populations?
[So] Source:Kidney Int;91(4):766-768, 2017 Apr.
[Is] ISSN:1523-1755
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Indigenous populations in North America have very high rates of diabetes and diabetic complications, including end-stage renal disease. A promising new report demonstrates a substantial decline in the incidence of diabetic end-stage renal disease among American Indians and Alaska Natives, coinciding with a public health intervention targeting diabetes management in this population. This success may offer a model for interventions to improve kidney disease outcomes in other high-risk populations.
[Mh] Termos MeSH primário: Nativos do Alasca
Diabetes Mellitus/etnologia
Nefropatias Diabéticas/etnologia
Índios Norte-Americanos
Falência Renal Crônica/etnologia
[Mh] Termos MeSH secundário: Diabetes Mellitus/diagnóstico
Diabetes Mellitus/terapia
Nefropatias Diabéticas/diagnóstico
Nefropatias Diabéticas/prevenção & controle
Serviços de Saúde do Indígena
Seres Humanos
Incidência
Falência Renal Crônica/diagnóstico
Falência Renal Crônica/prevenção & controle
Prognóstico
Saúde Pública
Medição de Risco
Fatores de Risco
Fatores de Tempo
Estados Unidos/epidemiologia
United States Indian Health Service
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170319
[St] Status:MEDLINE


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[PMID]:28292501
[Au] Autor:Duvivier H; Gustafson S; Greutman M; Jangchup T; Harden AK; Reinhard A; Warshany K
[Ti] Título:Indian Health Service pharmacists engaged in opioid safety initiatives and expanding access to naloxone.
[So] Source:J Am Pharm Assoc (2003);57(2S):S135-S140, 2017 Mar - Apr.
[Is] ISSN:1544-3450
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To develop effective pharmacy-based interventions to mitigate harm from opioid use disorders. Programs include responsible opioid prescribing, expanded access to medication-assisted treatment (MAT), naloxone, and community interventions. SETTING: Clinical pharmacists practicing at Indian Health Service (IHS) locations in the Southwest, Midwest, and Great Lakes regions. These pharmacists serve culturally diverse American Indian populations throughout the United States and interface with tribal and federal programs to impact the opioid epidemic in Indian Country. PRACTICE DESCRIPTION: Pharmacists have reduced barriers to care by expanding clinical practices to include novel approaches in pain management clinics and MAT programs. PRACTICE INNOVATION: As part of a multidisciplinary team, IHS pharmacists provide comprehensive patient care while focusing on the prevention of opioid dependence and opioid overdose death. EVALUATION: Pharmacists have also expanded professional competencies to include coprescribing naloxone and training first responders on naloxone use. RESULTS: Pharmacists within IHS have proactively completed advanced training on responsible opioid prescribing, augmented services to increase access to MAT for American Indians and Alaska Natives, and increased access to naloxone for opioid overdose reversal. Pharmacists have also developed a comprehensive training program and program measurement tools for law enforcement officers serving in tribal communities. These materials were used to train 350 officers in 6 districts and conduct a mass naloxone dispensing initiative across Indian Country. Pharmacists have consequently developed successful community coalitions that are focused on saving lives. CONCLUSIONS: Pharmacist involvement in key initiatives including responsible opioid prescribing, expanded access to MAT, and expanded access to naloxone for trained first responders, coupled with an emphasis on enhanced education, illustrates pharmacists' impact with the opioid epidemic.
[Mh] Termos MeSH primário: Analgésicos Opioides/efeitos adversos
Overdose de Drogas/tratamento farmacológico
Naloxona/administração & dosagem
Farmacêuticos/organização & administração
[Mh] Termos MeSH secundário: Analgésicos Opioides/administração & dosagem
Competência Clínica
Acesso aos Serviços de Saúde
Seres Humanos
Naloxona/provisão & distribuição
Antagonistas de Entorpecentes/administração & dosagem
Antagonistas de Entorpecentes/provisão & distribuição
Transtornos Relacionados ao Uso de Opioides/complicações
Transtornos Relacionados ao Uso de Opioides/prevenção & controle
Manejo da Dor/métodos
Equipe de Assistência ao Paciente/organização & administração
Assistência Farmacêutica/organização & administração
Padrões de Prática Médica
Estados Unidos
United States Indian Health Service
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Analgesics, Opioid); 0 (Narcotic Antagonists); 36B82AMQ7N (Naloxone)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170316
[St] Status:MEDLINE


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[PMID]:28178916
[Au] Autor:Kosobuski AW; Whitney A; Skildum A; Prunuske A
[Ad] Endereço:a Department of Biomedical Sciences , University of Minnesota Medical School, Duluth Campus , Duluth , MN , USA.
[Ti] Título:Development of an interdisciplinary pre-matriculation program designed to promote medical students' self efficacy.
[So] Source:Med Educ Online;22(1):1272835, 2017.
[Is] ISSN:1087-2981
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND OBJECTIVES: A four-week interdisciplinary pre-matriculation program for Native American and rural medical students was created and its impact on students' transition to medical school was assessed. The program extends the goals of many pre-matriculation programs by aiming to increase not only students' understanding of basic science knowledge, but also to build student self-efficacy through practice with medical school curricular elements while developing their academic support networks. DESIGN: A mixed method evaluation was used to determine whether the goals of the program were achieved (n = 22). Student knowledge gains and retention of the microbiology content were assessed using a microbiology concept inventory. Students participated in focus groups to identify the benefits of participating in the program as well as the key components of the program that benefitted the students. RESULTS: Program participants showed retention of microbiology content and increased confidence about the overall medical school experience after participating in the summer program. CONCLUSIONS: By nurturing self-efficacy, participation in a pre-matriculation program supported medical students from Native American and rural backgrounds during their transition to medical school. ABBREVIATIONS: CAIMH: Center of American Indian and Minority Health; MCAT: Medical College Admission Test; PBL: Problem based learning; UM MSD: University of Minnesota Medical School Duluth.
[Mh] Termos MeSH primário: Educação de Graduação em Medicina/organização & administração
Conhecimentos, Atitudes e Prática em Saúde
Grupos Minoritários/psicologia
População Rural
Autoeficácia
[Mh] Termos MeSH secundário: Adulto
Educação de Graduação em Medicina/normas
Feminino
Grupos Focais
Seres Humanos
Estudos Interdisciplinares
Masculino
Avaliação de Programas e Projetos de Saúde
Serviços de Saúde Rural/organização & administração
Estados Unidos
United States Indian Health Service/organização & administração
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170823
[Lr] Data última revisão:
170823
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170210
[St] Status:MEDLINE
[do] DOI:10.1080/10872981.2017.1272835


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[PMID]:28110985
[Au] Autor:Bernard K; Hasegawa K; Sullivan A; Camargo C
[Ad] Endereço:Department of Emergency Medicine, Tuba City Regional Health Care Corp, Tuba City, AZ. Electronic address: kenneth.bernard@tchealth.org.
[Ti] Título:A Profile of Indian Health Service Emergency Departments.
[So] Source:Ann Emerg Med;69(6):705-710.e4, 2017 Jun.
[Is] ISSN:1097-6760
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:STUDY OBJECTIVE: The Indian Health Service provides health care to eligible American Indians and Alaskan Natives. No published data exist on emergency services offered by this unique health care system. We seek to determine the characteristics and capabilities of Indian Health Service emergency departments (EDs). METHODS: All Indian Health Service EDs were surveyed about demographics and operational characteristics for 2014 with the National Emergency Department Inventory survey (available at http://www.emnet-nedi.org/). RESULTS: Of the forty eligible sites, there were 34 respondents (85% response rate). Respondents reported a total of 637,523 ED encounters, ranging from 521 to 63,200 visits per site. Overall, 85% (95% confidence interval 70% to 94%) had continuous physician coverage. Of all physicians staffing the ED, a median of 13% (interquartile range 0% to 50%) were board certified or board prepared in emergency medicine. Overall, 50% (95% confidence interval 34% to 66%) of respondents reported that their ED was operating over capacity. CONCLUSION: Indian Health Service EDs varied widely in visit volume, with many operating over capacity. Most were not staffed by board-certified or -prepared emergency physicians. Most lacked access to specialty consultation and telemedicine capabilities.
[Mh] Termos MeSH primário: Nativos do Alasca
Assistência à Saúde/organização & administração
Serviço Hospitalar de Emergência/organização & administração
Índios Norte-Americanos
Qualidade da Assistência à Saúde/organização & administração
United States Indian Health Service/normas
[Mh] Termos MeSH secundário: Estudos Transversais
Assistência à Saúde/normas
Serviço Hospitalar de Emergência/normas
Pesquisas sobre Serviços de Saúde
Pesquisa sobre Serviços de Saúde
Disparidades em Assistência à Saúde
Seres Humanos
Qualidade da Assistência à Saúde/normas
Estados Unidos
United States Indian Health Service/organização & administração
United States Indian Health Service/tendências
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170623
[Lr] Data última revisão:
170623
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170124
[St] Status:MEDLINE


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[PMID]:27461978
[Au] Autor:Kruse GR; Hays H; Orav EJ; Palan M; Sequist TD
[Ad] Endereço:Harvard Medical School, Boston, MA.
[Ti] Título:Meaningful Use of the Indian Health Service Electronic Health Record.
[So] Source:Health Serv Res;52(4):1349-1363, 2017 Aug.
[Is] ISSN:1475-6773
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To understand the use of electronic health record (EHR) functionalities by physicians practicing in an underserved setting. DATA SOURCE/STUDY SETTING: A total of 333 Indian Health Service physicians (55 percent response rate) in August 2012. STUDY DESIGN: Cross-sectional. DATA COLLECTION: The survey assessed routine use of EHR functionalities, perceived usefulness, and barriers to adoption. PRINCIPAL FINDINGS: Physicians routinely used a median 7 of 10 EHR functionalities targeted by the Meaningful Use program, but only 5 percent used all 10. Most (63 percent) felt the EHR improved quality of care. Many (76 percent) reported increased documentation time and poorer quality patient-physician interactions (45 percent). Primary care specialty and time using the EHR were positively associated with use of EHR functionalities, while perceived productivity loss was negatively associated. CONCLUSIONS: Significant opportunities exist to increase use of EHR functionalities and preserve physician-patient interactions and productivity in a resource-limited environment.
[Mh] Termos MeSH primário: Registros Eletrônicos de Saúde
Uso Significativo
United States Indian Health Service
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Difusão de Inovações
Feminino
Seres Humanos
Masculino
Meia-Idade
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170811
[Lr] Data última revisão:
170811
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160728
[St] Status:MEDLINE
[do] DOI:10.1111/1475-6773.12531



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