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Pesquisa : N03.349.330 [Categoria DeCS]
Referências encontradas : 9975 [refinar]
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[PMID]:29181938
[Au] Autor:Onarheim KH; Gopinathan U
[Ti] Título:Global health financing: Priority to poor people or poor countries?.
[So] Source:Tidsskr Nor Laegeforen;137(22), 2017 11 28.
[Is] ISSN:0807-7096
[Cp] País de publicação:Norway
[La] Idioma:nor
[Mh] Termos MeSH primário: Saúde Global/economia
Financiamento da Assistência à Saúde
Pobreza
[Mh] Termos MeSH secundário: Prioridades em Saúde/economia
Seres Humanos
Lactente
Mortalidade Infantil
Expectativa de Vida
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.4045/tidsskr.17.0715


  2 / 9975 MEDLINE  
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[PMID]:29320522
[Au] Autor:Christie J; Gray TA; Dumville JC; Cullum NA
[Ad] Endereço:Division of Nursing, Midwifery and Social Work, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom.
[Ti] Título:Do systematic reviews address community healthcare professionals' wound care uncertainties? Results from evidence mapping in wound care.
[So] Source:PLoS One;13(1):e0190045, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Complex wounds such as leg and foot ulcers are common, resource intensive and have negative impacts on patients' wellbeing. Evidence-based decision-making, substantiated by high quality evidence such as from systematic reviews, is widely advocated for improving patient care and healthcare efficiency. Consequently, we set out to classify and map the extent to which up-to-date systematic reviews containing robust evidence exist for wound care uncertainties prioritised by community-based healthcare professionals. METHODS: We asked healthcare professionals to prioritise uncertainties based on complex wound care decisions, and then classified 28 uncertainties according to the type and level of decision. For each uncertainty, we searched for relevant systematic reviews. Two independent reviewers screened abstracts and full texts of reviews against the following criteria: meeting an a priori definition of a systematic review, sufficiently addressing the uncertainty, published during or after 2012, and identifying high quality research evidence. RESULTS: The most common uncertainty type was 'interventions' 24/28 (85%); the majority concerned wound level decisions 15/28 (53%) however, service delivery level decisions (10/28) were given highest priority. Overall, we found 162 potentially relevant reviews of which 57 (35%) were not systematic reviews. Of 106 systematic reviews, only 28 were relevant to an uncertainty and 18 of these were published within the preceding five years; none identified high quality research evidence. CONCLUSIONS: Despite the growing volume of published primary research, healthcare professionals delivering wound care have important clinical uncertainties which are not addressed by up-to-date systematic reviews containing high certainty evidence. These are high priority topics requiring new research and systematic reviews which are regularly updated. To reduce clinical and research waste, we recommend systematic reviewers and researchers make greater efforts to ensure that research addresses important clinical uncertainties and is of sufficient rigour to inform practice.
[Mh] Termos MeSH primário: Tomada de Decisão Clínica
Serviços de Saúde Comunitária
Medicina Baseada em Evidências
Pessoal de Saúde/psicologia
Literatura de Revisão como Assunto
Incerteza
Ferimentos e Lesões/terapia
[Mh] Termos MeSH secundário: Prioridades em Saúde
Seres Humanos
Pesquisa
Medicina Estatal
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180111
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190045


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[PMID]:29253388
[Au] Autor:Donegan K; Fox N; Black N; Livingston G; Banerjee S; Burns A
[Ad] Endereço:Vigilance and Risk Management of Medicines, Medicines and Healthcare products Regulatory Agency, London, UK.
[Ti] Título:Trends in diagnosis and treatment for people with dementia in the UK from 2005 to 2015: a longitudinal retrospective cohort study.
[So] Source:Lancet Public Health;2(3):e149-e156, 2017 Mar.
[Is] ISSN:2468-2667
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The objectives of this study were to describe changes in the proportion of people diagnosed with dementia and the pharmacological treatments prescribed to them over a 10 year period from 2005 to 2015 at a time of UK policy strategies and prioritisation of dementia. We aimed to explore the potential impact of policy on dementia care. METHODS: In this longitudinal retrospective cohort study, we included all patients registered at a Clinical Practice Research Datalink (CPRD) practice between July 1, 2005, and June 30, 2015, with a diagnosis of dementia defined using Read codes. The main outcomes were the number and proportion of acceptable patients, who met the CPRD threshold for data quality, in a GP practice defined by the CPRD as contributing up-to-standard data with a diagnosis of dementia and the number and proportion of these with a prescription for an antidementia or antipsychotic medication. We examined the prevalence of dementia diagnosis and prescribing by calendar quarter, and stratified by age, sex, and UK country (England, Scotland, Wales, or Northern Ireland). We investigated the use of antidementia drugs, alone and in combination, antipsychotics, antidepressants, anxiolytics, and hypnotics. The trend in the proportion of patients with a diagnosis of dementia, before and after the introduction of the UK National Dementia Strategy, was estimated using an interrupted time-series analysis. FINDINGS: 8 966 224 patients were identified in the CPRD whose most recent registration period overlapped the study period. Of these, 128 249 (1·4%) had a diagnosis of dementia before the end of the study period. The proportion of people diagnosed with dementia in the UK doubled from 0·42% (19 635 of 4 640 290 participants) in 2005 to 0·82% (25 925 of 3 159 754 participants) in 2015 (χ test for trend, p<0·0001), and the proportion of those who received antidementia medication increased from 15·0% (2942 of 19 635) to 36·3% (9406 of 25 925). The interrupted time-series analysis showed a significant acceleration in the rate of diagnosis of dementia after the introduction of the UK National Dementia Strategy (p<0·0001). There was a large reduction in antipsychotic drug prescription in dementia from 22·1% (4347 of 19 635) in 2005 to 11·4% (2943 of 25 925) by 2015. INTERPRETATION: Over the 10 years studied, there is evidence of a sustained positive change in diagnosis rates of dementia and in the quality of drug treatment provided to those diagnosed. The prescription of antidementia drugs more than doubled and the prescription of potentially hazardous antipsychotics halved after the introduction of national dementia strategies. These data support the formulation and delivery of national policy to improve the quality of care for people with dementia. FUNDING: None.
[Mh] Termos MeSH primário: Antipsicóticos/uso terapêutico
Demência/diagnóstico
Demência/tratamento farmacológico
Prescrições de Medicamentos/estatística & dados numéricos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Política de Saúde
Prioridades em Saúde
Seres Humanos
Estudos Longitudinais
Masculino
Meia-Idade
Estudos Retrospectivos
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antipsychotic Agents)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE


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[PMID]:28457940
[Au] Autor:Fairbrother G; Dougherty D; Pradhananga R; Simpson LA
[Ad] Endereço:AcademyHealth, Washington, DC. Electronic address: Gerry.Fairbrother1@gmail.com.
[Ti] Título:Road to the Future: Priorities for Child Health Services Research.
[So] Source:Acad Pediatr;17(8):814-824, 2017 Nov - Dec.
[Is] ISSN:1876-2867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Prior health services research (HSR) agendas for children have been published, but major ones are now over 15 years old and do not reflect augmented understanding of the drivers and determinants of children's health; recent changes in the organization, financing, and delivery of health care; a growing emphasis on population health; and major demographic shifts in the population. A policy-relevant research agenda that integrates knowledge gained over the past 2 decades is essential to guide future child HSR (CHSR). We sought to develop and disseminate a robust, domestically focused, policy-oriented CHSR agenda. METHODS: The new CHSR agenda was developed through a series of consultations with leaders in CHSR and related fields. After each round of consultation, the authors synthesized the previous experts' guidance to help inform subsequent discussions. The multistep process in generation of the agenda included identification of major policy-relevant research domains and specification of high-value research questions for each domain. Stakeholders represented in the discussions included those with expertise in child and family advocacy, adult health, population health, community development, racial and ethnic disparities, women's health, health economics, and government research funders and programs. RESULTS: In total, 180 individuals were consulted in developing the research agenda. Six priority domains were identified for future research, including both enduring and emerging emphases: 1) framing children's health issues so that they are compelling to policy-makers; 2) addressing poverty and other social determinants of child health and wellbeing; 3) promoting equity in population health and health care; 4) preventing, diagnosing, and treating high priority health conditions in children; 5) strengthening performance of the health care system; and 6) enhancing the CHSR enterprise. Within these 6 domains, 40 specific topics were identified as the most pertinent for future research. Three overarching and crosscutting themes that affect research across the domains were also noted: the need for syntheses to build on the current, and sometimes extensive, evidence base to avoid duplication; the interrelated nature of the domains, which could lead to synergies in research; and the need for multidisciplinary collaborations in conducting research because research studies will look beyond the health sector. CONCLUSIONS: The priorities presented in the agenda are policy-oriented and include a greater emphasis on how findings are framed and communicated to support action. We expect that the agenda will be useful for immediate uptake by investigators and research funders.
[Mh] Termos MeSH primário: Serviços de Saúde da Criança
Política de Saúde
Prioridades em Saúde
Pesquisa sobre Serviços de Saúde
[Mh] Termos MeSH secundário: Criança
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180130
[Lr] Data última revisão:
180130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


  5 / 9975 MEDLINE  
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[PMID]:29274268
[Au] Autor:Murfet G
[Ti] Título:DIABETES: A TICKING TIME BOMB.
[So] Source:Aust Nurs Midwifery J;24(10):22-8, 2017 May.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Diabetes is fast becoming one of the biggest epidemics in the world. Nowhere is this more apparent than in Australia where approximately 1 million Australians have been diagnosed with the disease. Natalie Dragon investigates why Diabetes has become so prevalent and what is being done about it.
[Mh] Termos MeSH primário: Diabetes Mellitus Tipo 2/epidemiologia
Diabetes Mellitus Tipo 2/prevenção & controle
Profissionais de Enfermagem
Papel do Profissional de Enfermagem
[Mh] Termos MeSH secundário: Diabetes Mellitus Tipo 2/diagnóstico
Saúde Global
Prioridades em Saúde
Seres Humanos
Obesidade/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171224
[St] Status:MEDLINE


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[PMID]:29272091
[Au] Autor:Deravin L; Francis K; Anderson J
[Ti] Título:ARE CLOSING THE GAP TARGETS BEING MET?
[So] Source:Aust Nurs Midwifery J;24(9):38, 2017 04.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Long term strategies to improve the health and wellbeing of communities need to remain the central focus of government despite any changes in political power and political priorities.
[Mh] Termos MeSH primário: Prioridades em Saúde
Serviços de Saúde do Indígena
Disparidades nos Níveis de Saúde
[Mh] Termos MeSH secundário: Austrália
Política de Saúde
Seres Humanos
Grupo com Ancestrais Oceânicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE


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[PMID]:29271623
[Au] Autor:Thomas L
[Ti] Título:Editorial.
[So] Source:Aust Nurs Midwifery J;24(9):3, 2017 04.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Mh] Termos MeSH primário: Sociedades de Enfermagem
[Mh] Termos MeSH secundário: Austrália
Prioridades em Saúde
Serviços de Saúde do Indígena
Seres Humanos
Enfermagem Militar
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE


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[PMID]:29260840
[Au] Autor:Thomas L
[Ti] Título:Editorial.
[So] Source:Aust Nurs Midwifery J;24(8):3, 2017 Mar.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Mh] Termos MeSH primário: Prioridades em Saúde
Serviços de Saúde para Idosos
Objetivos Organizacionais
Sociedades de Enfermagem
[Mh] Termos MeSH secundário: Idoso
Austrália
Seres Humanos
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171221
[St] Status:MEDLINE


  9 / 9975 MEDLINE  
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[PMID]:29257363
[Ti] Título:ANMF PRIORITIES 2017.
[So] Source:Aust Nurs Midwifery J;24(7):12-5, 2017 02.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Without a doubt our professions and our communities are up for some significant challenges in health and aged care during 2017. Based on the issues important to you, the ANMF has set key priorities for the year ahead and will work hard to ensure health equity and fair conditions for all.
[Mh] Termos MeSH primário: Objetivos Organizacionais
Sociedades de Enfermagem
[Mh] Termos MeSH secundário: Austrália
Prioridades em Saúde
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE


  10 / 9975 MEDLINE  
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[PMID]:29256576
[Au] Autor:Thomas L
[Ti] Título:Editorial.
[So] Source:Aust Nurs Midwifery J;24(7):3, 2017 02.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Mh] Termos MeSH primário: Objetivos Organizacionais
Sociedades de Enfermagem
[Mh] Termos MeSH secundário: Austrália
Prioridades em Saúde
Seres Humanos
Publicações Periódicas como Assunto
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE



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