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[PMID]:28353501
[Au] Autor:Dwyer JW; Contreras D; Eschbach CL; Tiret H; Newkirk C; Carter E; Cronk L
[Ad] Endereço:J.W. Dwyer is director, Michigan State University Extension, professor, Department of Family Medicine, College of Human Medicine, and professor, Food Science and Human Nutrition, College of Agriculture and Natural Resources, Michigan State University, East Lansing, Michigan. D. Contreras is director, Health and Nutrition Institute, Michigan State University Extension, Michigan State University, East Lansing, Michigan. C.L. Eschbach is Extension specialist, Michigan State University Extension, Michigan State University, East Lansing, Michigan. H. Tiret is senior Extension educator, Michigan State University Extension, Michigan State University, Grand Rapids, Michigan. C. Newkirk is Extension educator, Michigan State University Extension, Michigan State University, Flint, Michigan. E. Carter is Extension educator, Michigan State University Extension, Michigan State University, Marquette, Michigan. L. Cronk is Extension educator, Michigan State University Extension, Michigan State University, Traverse City, Michigan.
[Ti] Título:Cooperative Extension as a Framework for Health Extension: The Michigan State University Model.
[So] Source:Acad Med;92(10):1416-1420, 2017 Oct.
[Is] ISSN:1938-808X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PROBLEM: The Affordable Care Act charged the Agency for Healthcare Research and Quality to create the Primary Care Extension Program, but did not fund this effort. The idea to work through health extension agents to support health care delivery systems was based on the nationally known Cooperative Extension System (CES). Instead of creating new infrastructure in health care, the CES is an ideal vehicle for increasing health-related research and primary care delivery. APPROACH: The CES, a long-standing component of the land-grant university system, features a sustained infrastructure for providing education to communities. The Michigan State University (MSU) Model of Health Extension offers another means of developing a National Primary Care Extension Program that is replicable in part because of the presence of the CES throughout the United States. A partnership between the MSU College of Human Medicine and MSU Extension formed in 2014, emphasizing the promotion and support of human health research. The MSU Model of Health Extension includes the following strategies: building partnerships, preparing MSU Extension educators for participation in research, increasing primary care patient referrals and enrollment in health programs, and exploring innovative funding. OUTCOMES: Since the formation of the MSU Model of Health Extension, researchers and extension professionals have made 200+ connections, and grants have afforded savings in salary costs. NEXT STEPS: The MSU College of Human Medicine and MSU Extension partnership can serve as a model to promote health partnerships nationwide between CES services within land-grant universities and academic health centers or community-based medical schools.
[Mh] Termos MeSH primário: Relações Comunidade-Instituição
Comportamento Cooperativo
Assistência à Saúde/organização & administração
Apoio ao Planejamento em Saúde
Atenção Primária à Saúde/organização & administração
[Mh] Termos MeSH secundário: Assistência à Saúde/economia
Assistência à Saúde/métodos
Promoção da Saúde/métodos
Promoção da Saúde/organização & administração
Seres Humanos
Michigan
Patient Protection and Affordable Care Act
Atenção Primária à Saúde/economia
Atenção Primária à Saúde/métodos
Estados Unidos
Universidades
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170330
[St] Status:MEDLINE
[do] DOI:10.1097/ACM.0000000000001640


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[PMID]:28126867
[Au] Autor:Vorster M
[Ad] Endereço:Herts.
[Ti] Título:Viewpoint: Support for grassroots could rescue general practice.
[So] Source:Br J Gen Pract;67(655):73, 2017 Feb.
[Is] ISSN:1478-5242
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Medicina Geral/organização & administração
Apoio ao Planejamento em Saúde
[Mh] Termos MeSH secundário: Medicina Geral/normas
Seres Humanos
Carga de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170128
[St] Status:MEDLINE
[do] DOI:10.3399/bjgp17X689173


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[PMID]:26925937
[Au] Autor:Keep SM; Reiffer A; Bahl TE
[Ad] Endereço:Suzanne M. Keep, PhD, RN, is an Assistant Professor of Nursing, McAuley School of Nursing, University of Detroit Mercy, Detroit, Michigan. Alice Reiffer, RN, NP-C, is an Adjunct Professor of Nursing, McAuley School of Nursing, University of Detroit Mercy, Detroit, Michigan. Thomas E. Bahl, PhD, is an Associate Professor, Biology Department, Aquinas College, Grand Rapids, Michigan.
[Ti] Título:Supporting Self-management of Asthma Care.
[So] Source:Home Healthc Now;34(3):126-34; quiz E1-2, 2016 Mar.
[Is] ISSN:2374-4537
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Asthma is a major public health concern, with an estimated 18.8 million adults in the United States having the disease. Asthma can be controlled with a variety of effective treatment options; however, only half the people with asthma report their asthma is well controlled. Uncontrolled asthma leads to high direct and indirect costs as well as decreased quality of life. The pathophysiology of asthma, current asthma practice guidelines, and common barriers to self-management will be discussed. Through use of motivational interviewing techniques and knowledge of available self-management tools, the home care clinician is poised to help increase self-management of asthma, decrease hospitalizations, and improve quality of life.
[Mh] Termos MeSH primário: Asma/epidemiologia
Asma/terapia
Serviços de Assistência Domiciliar/organização & administração
Autocuidado/métodos
[Mh] Termos MeSH secundário: Adulto
Asma/fisiopatologia
Feminino
Apoio ao Planejamento em Saúde
Seres Humanos
Estilo de Vida
Masculino
Determinação de Necessidades de Cuidados de Saúde
Guias de Prática Clínica como Assunto
Prognóstico
Saúde Pública
Medição de Risco
Autocuidado/mortalidade
Índice de Gravidade de Doença
Taxa de Sobrevida
Resultado do Tratamento
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170228
[Lr] Data última revisão:
170228
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160302
[St] Status:MEDLINE
[do] DOI:10.1097/NHH.0000000000000366


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[PMID]:26589476
[Au] Autor:Silva CA; Aikawa NE; Pereira RM; Campos LM
[Ad] Endereço:a Pediatric Rheumatology Unit , Faculdade de Medicina da Universidade de São Paulo , São Paulo , Brazil.
[Ti] Título:Management considerations for childhood-onset systemic lupus erythematosus patients and implications on therapy.
[So] Source:Expert Rev Clin Immunol;12(3):301-13, 2016.
[Is] ISSN:1744-8409
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Childhood-onset systemic lupus erythematosus (cSLE) is a chronic inflammatory and autoimmune disease that may involve various organs and systems. This narrative review focuses on the recent evidence relating to cSLE management. The general management considerations of cSLE patients require the use of validated classification criteria, disease and health-related quality of life tools evaluation, as well as assessments of lupus nephritis biomarkers and cSLE quality indicators. The drug treatment for cSLE patients includes general supportive care and immunosuppressive therapy. Important implications on cSLE therapy are also updated such as infection, vaccination, infertility, pregnancy, contraception, dyslipidemia, physical activity, cancer, bone health, drug pharmacokinetics, adherence, academic outcomes, transition to adult care and cumulative organ damage.
[Mh] Termos MeSH primário: Imunossupressores/uso terapêutico
Lúpus Eritematoso Sistêmico/tratamento farmacológico
Lúpus Eritematoso Sistêmico/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Idade de Início
Animais
Criança
Gerenciamento Clínico
Feminino
Apoio ao Planejamento em Saúde
Seres Humanos
Cooperação do Paciente
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Nm] Nome de substância:
0 (Immunosuppressive Agents)
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151122
[St] Status:MEDLINE
[do] DOI:10.1586/1744666X.2016.1123621


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[PMID]:26858955
[Au] Autor:Zhang N; Ning XH; Zhu ML; Liu XH; Li JB; Liu Q
[Ad] Endereço:Department of Geriatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China.
[Ti] Título:Attitudes towards Advance Care Planning and Healthcare Autonomy among Community-Dwelling Older Adults in Beijing, China.
[So] Source:Biomed Res Int;2015:453932, 2015.
[Is] ISSN:2314-6141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To investigate the preferences of ACP and healthcare autonomy in community-dwelling older Chinese adults. METHODS: A community-based cross-sectional study was conducted with older adults living in the residential estate of Chaoyang District, Beijing. RESULTS: 900 residents were enrolled. 80.9% of them wanted to hear the truth regarding their own condition from the physician; 52.4% preferred to make their own healthcare decisions. Only 8.9% of them preferred to endure life-prolonging interventions when faced with irreversible conditions. 78.3% of the respondents had not heard of an ACP; only 39.4% preferred to document in an ACP. Respondents with higher education had significantly higher proportion of having heard of an ACP, as well as preferring to document in an ACP, compared to those with lower education. Those aged <70 years had higher proportion of having heard of an ACP, as well as refusing life-prolonging interventions when faced with irreversible conditions, compared to those aged ≥ 70 years. CONCLUSIONS: Although the majority of community-dwelling older Chinese adults appeared to have healthcare autonomy and refuse life-prolonging interventions in terms of end-of-life care, a low level of "Planning ahead" awareness and preference was apparent. Age and education level may be the influential factors.
[Mh] Termos MeSH primário: Assistência à Saúde/organização & administração
Apoio ao Planejamento em Saúde/organização & administração
Autonomia Pessoal
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
China
Estudos Transversais
Assistência à Saúde/tendências
Feminino
Apoio ao Planejamento em Saúde/tendências
Seres Humanos
Masculino
Meia-Idade
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1610
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160210
[St] Status:MEDLINE
[do] DOI:10.1155/2015/453932


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[PMID]:26548276
[Ti] Título:Grant win for liver service led by nurses.
[So] Source:Nurs Times;111(39):7, 2015 Sep 23-29.
[Is] ISSN:0954-7762
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Líquido Ascítico
Apoio ao Planejamento em Saúde
Hepatopatias/enfermagem
Paracentese/enfermagem
[Mh] Termos MeSH secundário: Doença Crônica
Inglaterra
Seres Humanos
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1601
[Cu] Atualização por classe:151109
[Lr] Data última revisão:
151109
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:151110
[St] Status:MEDLINE


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[PMID]:26355065
[Au] Autor:Prina LL
[Ti] Título:Recent Foundation Grants: Cancer And Diabetes.
[So] Source:Health Aff (Millwood);34(9):1603-4, 2015 Sep.
[Is] ISSN:1544-5208
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Diabetes Mellitus/economia
Organização do Financiamento/economia
Apoio ao Planejamento em Saúde/economia
Neoplasias/economia
[Mh] Termos MeSH secundário: Diabetes Mellitus/terapia
Organização do Financiamento/estatística & dados numéricos
Fundações/economia
Seres Humanos
Neoplasias/terapia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170120
[Lr] Data última revisão:
170120
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150911
[St] Status:MEDLINE
[do] DOI:10.1377/hlthaff.2015.0872


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[PMID]:26292061
[Au] Autor:Petrescu-Prahova M; Belza B; Leith K; Allen P; Coe NB; Anderson LA
[Ad] Endereço:School of Public Health, University of Washington, 1107 NE 45th St, Suite 200, Seattle, WA 98105. Email: mirunapp@uw.edu.
[Ti] Título:Using Social Network Analysis to Assess Mentorship and Collaboration in a Public Health Network.
[So] Source:Prev Chronic Dis;12:E130, 2015 Aug 20.
[Is] ISSN:1545-1151
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Addressing chronic disease burden requires the creation of collaborative networks to promote systemic changes and engage stakeholders. Although many such networks exist, they are rarely assessed with tools that account for their complexity. This study examined the structure of mentorship and collaboration relationships among members of the Healthy Aging Research Network (HAN) using social network analysis (SNA). METHODS: We invited 97 HAN members and partners to complete an online social network survey that included closed-ended questions about HAN-specific mentorship and collaboration during the previous 12 months. Collaboration was measured by examining the activity of the network on 6 types of products: published articles, in-progress manuscripts, grant applications, tools, research projects, and presentations. We computed network-level measures such as density, number of components, and centralization to assess the cohesiveness of the network. RESULTS: Sixty-three respondents completed the survey (response rate, 65%). Responses, which included information about collaboration with nonrespondents, suggested that 74% of HAN members were connected through mentorship ties and that all 97 members were connected through at least one form of collaboration. Mentorship and collaboration ties were present both within and across boundaries of HAN member organizations. CONCLUSION: SNA of public health collaborative networks provides understanding about the structure of relationships that are formed as a result of participation in network activities. This approach may offer members and funders a way to assess the impact of such networks that goes beyond simply measuring products and participation at the individual level.
[Mh] Termos MeSH primário: Envelhecimento
Serviços de Saúde para Idosos/organização & administração
Relações Interinstitucionais
Mentores
Saúde Pública/métodos
Rede Social
[Mh] Termos MeSH secundário: Fortalecimento Institucional
Centers for Disease Control and Prevention (U.S.)
Doença Crônica/prevenção & controle
Comportamento Cooperativo
Estudos Transversais
Coleta de Dados/métodos
Apoio ao Planejamento em Saúde
Pesquisa sobre Serviços de Saúde
Seres Humanos
Disseminação de Informação
Comunicação Interdisciplinar
Editoração
Técnicas Sociométricas
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1511
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150821
[St] Status:MEDLINE
[do] DOI:10.5888/pcd12.150103


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[PMID]:26168618
[Au] Autor:Somme D; Corvol A; Couturier Y; Pimouguet C; Moreau O; Perivier S; Balard F; de Stampa M
[Ti] Título:[New professional field in France: Analysis of the training needs of case managers].
[Ti] Título:Nouveau champ professionnel en France. Les besoins de formation des gestionnaires de cas..
[So] Source:Sante Publique;27(1 Suppl):S61-6, 2015 Jan-Feb.
[Is] ISSN:0995-3914
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:Case management is a relatively new career field in France. It was first introduced on an experimental basis in 2007-2008, and was then developedfollowing the National Alzheimer Plan and finally enshrined in legislation in 2012. This careerfield is based on a set of tasks widely described internationally: identifying the right level of intervention, standardized multidimensional assessment, planning all aid (care and social services), implementation of the plan, monitoring and reassessment and periodic reassessment of all needs in a continuous and long-term process. The specific, systematic and dedicated nature of these tasks to these tasks makes training essential. Regulations also stipulate that the professional must acquire additional training by a dedicated inter-university degree. This requirement is a French specificity The authors present the history of case management and training in France and analyze the various international training frameworks identified by an Internet search. Moreover, based on the opinions expressed by case managers at different times of the scientific assessment and a review ofseveral studies conducted by inter-university case management program students, this article highlights the specific training needs of case managers and how the proposed training can meet these needs.
[Mh] Termos MeSH primário: Administração de Caso
Assistência à Saúde/recursos humanos
Pessoal de Saúde/educação
Necessidades e Demandas de Serviços de Saúde
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Administração de Caso/ética
Administração de Caso/organização & administração
Administração de Caso/normas
Doença Crônica/epidemiologia
Doença Crônica/terapia
Comorbidade
Educação Continuada em Enfermagem/métodos
Educação Continuada em Enfermagem/normas
Feminino
França/epidemiologia
Pessoal de Saúde/normas
Apoio ao Planejamento em Saúde/organização & administração
Apoio ao Planejamento em Saúde/normas
Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos
Seres Humanos
Meia-Idade
Universidades
[Pt] Tipo de publicação:CASE REPORTS; ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1508
[Cu] Atualização por classe:150714
[Lr] Data última revisão:
150714
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150715
[St] Status:MEDLINE


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[PMID]:25883316
[Au] Autor:Guiteras R; Levinsohn J; Mobarak AM
[Ad] Endereço:Department of Economics, University of Maryland, College Park, MD 20742, USA.
[Ti] Título:Sanitation subsidies. Encouraging sanitation investment in the developing world: a cluster-randomized trial.
[So] Source:Science;348(6237):903-6, 2015 May 22.
[Is] ISSN:1095-9203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Poor sanitation contributes to morbidity and mortality in the developing world, but there is disagreement on what policies can increase sanitation coverage. To measure the effects of alternative policies on investment in hygienic latrines, we assigned 380 communities in rural Bangladesh to different marketing treatments-community motivation and information; subsidies; a supply-side market access intervention; and a control-in a cluster-randomized trial. Community motivation alone did not increase hygienic latrine ownership (+1.6 percentage points, P = 0.43), nor did the supply-side intervention (+0.3 percentage points, P = 0.90). Subsidies to the majority of the landless poor increased ownership among subsidized households (+22.0 percentage points, P < 0.001) and their unsubsidized neighbors (+8.5 percentage points, P = 0.001), which suggests that investment decisions are interlinked across neighbors. Subsidies also reduced open defecation by 14 percentage points (P < 0.001).
[Mh] Termos MeSH primário: Defecação
Países em Desenvolvimento
Investimentos em Saúde
População Rural
Saneamento/economia
Sanitários Públicos/economia
[Mh] Termos MeSH secundário: Bangladesh/epidemiologia
Características da Família
Apoio ao Planejamento em Saúde
Seres Humanos
Morbidade
Mortalidade
Motivação
Saneamento/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1509
[Cu] Atualização por classe:150522
[Lr] Data última revisão:
150522
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150418
[St] Status:MEDLINE
[do] DOI:10.1126/science.aaa0491



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