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PMID:28363315
Autor:Tompkins DA; Hobelmann JG; Compton P
Endereço:Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: dtompki1@jhmi.edu.
Título:Providing chronic pain management in the "Fifth Vital Sign" Era: Historical and treatment perspectives on a modern-day medical dilemma.
Fonte:Drug Alcohol Depend; 173 Suppl 1:S11-S21, 2017 Apr 01.
ISSN:1879-0046
País de publicação:Ireland
Idioma:eng
Resumo:BACKGROUND: Over 100 million Americans are living with chronic pain, and pain is the most common reason that patients seek medical attention. Despite the prevalence of pain, the practice of pain management and the scientific discipline of pain research are relatively new fields compared to the rest of medicine - contributing to a twenty-first century dilemma for health care providers asked to relieve suffering in the "Fifth Vital Sign" era. METHODS: This manuscript provides a narrative review of the basic mechanisms of chronic pain and history of chronic pain management in the United States - including the various regulatory, health system and provider factors that contributed to the decline of multidisciplinary pain treatment in favor of the predominant opioid treatment strategy seen today. Multiple non-opioid pain treatment strategies are then outlined. The manuscript concludes with three key questions to help guide future research at the intersection of pain and addiction. CONCLUSIONS: The assessment and treatment of chronic pain will continue to be one of the most common functions of a health care provider. To move beyond an over reliance on opioid medications, the addiction and pain research communities must unite with chronic pain patients to increase the evidence base supporting non-opioid analgesic strategies.
Tipo de publicação: BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE
Nome de pessoa como assunto: Bonica JJ
Nome de substância:0 (Analgesics, Opioid)


  2 / 370 MEDLINE  
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PMID:28213837
Autor:Carter J; Broder-Fingert S; Neumeyer A; Giauque A; Kao A; Iyasere C
Endereço:Clinician Educator, Department of Medicine, Massachusetts General Hospital, 55 Fruit Street, Bulfinch 015, Boston, MA, 02114, USA. jcarter0@partners.org.
Título:Brief Report: Meeting the Needs of Medically Hospitalized Adults with Autism: A Provider and Patient Toolkit.
Fonte:J Autism Dev Disord; 47(5):1510-1529, 2017 May.
ISSN:1573-3432
País de publicação:United States
Idioma:eng
Resumo:In an effort to meet the needs of adults with autism spectrum disorder (ASD) while hospitalized, a team of experts and providers from Massachusetts General Hospital (MGH), MGH for Children as well as parents of individuals with ASD was sparked in 2013. This became a multidisciplinary collaborative, the MGH Autism Care Collaborative, to improve adult care for inpatients with ASD. The collaborative was created with three goals in mind: (1) to educate internal medicine adult inpatient providers and staff on the unique needs of adults with ASD when hospitalized; (2) to create ASD specific resources for internal medicine adult inpatient providers; (3) to optimize patient care from admission to discharge among adults with ASD admitted to internal medicine services.
Tipo de publicação: JOURNAL ARTICLE


  3 / 370 MEDLINE  
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PMID:28768946
Autor:Kobuke Y
Endereço:Departmet of Social Pharmacy, Daiichi University of Pharmacy.
Título:Present Conditions and Problems of Home Care Education in Pharmaceutical Education: Through the Activities of "the Working Group to Create Home Clinical Cases for Education".
Fonte:Yakugaku Zasshi; 137(8):935-940, 2017.
ISSN:1347-5231
País de publicação:Japan
Idioma:jpn
Resumo:In the pharmaceutical education model core curriculums revision, "basic qualities required as a pharmacist" are clearly shown, and "the method based on learning outcomes" has been adopted. One of the 10 qualities (No. 7) is "Practical ability of the health and medical care in the community". In the large item "F. Pharmaceutical clinical" of the model core curriculums, "participation in the home (visit) medical care and nursing care" is written in "participation in the health, medical care, and welfare of the community", and it is an important problem to offer opportunities of home medical care education at university. In our university, we launched a working group to create "home clinical cases for education" from the educational point of view to pharmacy students to learn home medical care, in collaboration with university faculty members and pharmacists, who are practitioners of home care. Through its working group activities, we would like to organize the present conditions and problems of home care education in pharmaceutical education and to examine the possibility of using "home clinical case studies" in home care education at university.
Tipo de publicação: JOURNAL ARTICLE; REVIEW


  4 / 370 MEDLINE  
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PMID:28768943
Autor:Maki H; Shiraishi A; Miki A; Satoh H; Konishi Y; Asai K; Funahashi K; Usui Y; Sawada Y
Endereço:Sompo Care Next Inc.
Título:What the Desirable Collaboration between Care Workers in Nursing Homes and Phamacists Should Be: An Approach for Security and Safe Medication for Residents in Nursing Homes.
Fonte:Yakugaku Zasshi; 137(8):1041-1049, 2017.
ISSN:1347-5231
País de publicação:Japan
Idioma:jpn
Resumo:In our previous research, there was no collaboration between care workers and pharmacists, for the most part. As a result, it was discovered that in some cases, problems concerning medication of nursing home residents had not been resolved. To solve this issue, we brought together care workers and pharmacists for a workshop we conducted. We assigned 12 care workers with at least two years of experience and 12 pharmacists to four mixed groups and guided them in the management of in-home long-term medical care and conducted small group discussions (SGD) using the KJ method. In the pre-survey before the workshop, all 12 care workers replied "yes" to having experienced "concerns over medication" and nine (75%) replied "no" to having experienced "discussions (consultations) with pharmacists regarding the medication of residents". As a result of the SGD, "information sharing among professionals" was revealed as a problem common to all groups. Furthermore, common countermeasures for this issue included communication notes and holding collaborative meetings. In the post-survey after the workshop, 67% of the participants replied that their thoughts concerning countermeasures were "coherent", and everyone replied that their "awareness was increased". In a follow-up survey after the workshop, 82% of the participants replied that they were using some form of what they had learned and discovered in the workshop in their actual work.
Tipo de publicação: JOURNAL ARTICLE


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PMID:28554958
Autor:Collier R
Endereço:CMAJ.
Título:Is police-public health collaboration an oxymoron?
Fonte:CMAJ; 189(21):E760-E761, 2017 05 29.
ISSN:1488-2329
País de publicação:Canada
Idioma:eng
Tipo de publicação: JOURNAL ARTICLE


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PMID:28440678
Autor:Wallner LP; Abrahamse P; Uppal JK; Friese CR; Hamilton AS; Ward KC; Katz SJ; Hawley ST
Endereço:Lauren P. Wallner, Paul Abrahamse, Jaspreet K. Uppal, Christopher R. Friese, Steven J. Katz, and Sarah T. Hawley, University of Michigan; Sarah T. Hawley, Ann Arbor US Department of Veterans Affairs Health Services Research and Development, Ann Arbor, MI; Ann S. Hamilton, Keck School of Medicine of
Título:Involvement of Primary Care Physicians in the Decision Making and Care of Patients With Breast Cancer.
Fonte:J Clin Oncol; 34(33):3969-3975, 2016 Nov 20.
ISSN:1527-7755
País de publicação:United States
Idioma:eng
Resumo:Purpose Collaborative care between cancer specialists and primary care providers (PCPs) may improve the delivery of high-quality cancer care. Yet, patient perspectives about how involved the PCPs were in their breast cancer care and treatment decisions remain unknown. Patients and Methods A weighted random sample of women newly diagnosed with breast cancer in 2013 to 2014, as reported to the SEER registries in Los Angeles, California, and Georgia, were sent a survey approximately 6 months after diagnosis (N = 2,279, 71% response rate). The distributions of patient-perceived PCP quality (six questions about PCP access and awareness of values) and the following three measures of patient-reported PCP involvement were assessed: how informed the respondent felt her PCP was about her breast cancer (engagement); how often the respondent talked with her PCP (communication); and how often the respondent felt the PCP participated in treatment decisions (participation). Adjusted mean scores of patient-reported satisfaction with and deliberation about the surgical treatment decision were then compared across levels of PCP engagement, communication, and participation using multivariable linear regression. Results The majority of women in this sample perceived high PCP quality (63.6%), high PCP breast cancer engagement (66.2%), and high PCP communication (69.1%). More than a third of women (35.4%) reported that their PCP participated in their treatment decisions. Higher PCP engagement was associated with higher decision satisfaction when compared with low PCP engagement (adjusted P = .003). Conclusion Patient perceptions of PCP quality and PCP involvement in breast cancer care during treatment are high for most women, and PCPs often participate in breast cancer treatment decisions. However, PCP involvement did not lead to meaningful improvements in patients' appraisals of their decision making.
Tipo de publicação: JOURNAL ARTICLE


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PMID:28427366
Autor:Leischow SJ; Okamoto J; McIntosh S; Ossip DJ; Lando HA
Endereço:Mayo Clinic, 13400 E. Shea Blvd, Scottsdale, AZ, USA. leischow.scott@mayo.edu.
Título:Network analysis of global tobacco control collaboration: data from the World Conference on Tobacco or Health (WCTOH).
Fonte:BMC Public Health; 17(1):338, 2017 Apr 20.
ISSN:1471-2458
País de publicação:England
Idioma:eng
Resumo:BACKGROUND: The World Conference on Tobacco or Health (WCTOH) is held every three years to foster communication and collaboration on global tobacco control. Very little is known about the nature of interactions between WCTOH attendees and their linkages to tobacco control organizations, so knowing this information could help improve tobacco control efforts. METHODS: At the 2015 WCTOH, we implemented an online survey to assess barriers to global tobacco control activities, which information sources they use for tobacco control information, and with whom they interact regarding tobacco control. RESULTS: A total of 169 respondents completed the survey, with responses from all six World Health Organization (WHO) regions. Respondents worked in all areas of tobacco control; the most common were research (29.2%) and patient care/treatment (23.3%). The top barriers faced regarding tobacco control activities were: funding is weak (56.8%), government commitment (45.0%), tobacco industry interference (43.8%), and lack of coordination (34.3%). The network analysis identified Framework Convention Alliance (FCA) and Society for Research on Nicotine and Tobacco (SRNT) as the two most prominent groups that people belonged to and where they went to exchange information and best practices. Important regional and country specific groups also appear to be growing, such as the African Tobacco Control Alliance (ATCA) and the Argentinian Association of Tabacology (ASAT). DISCUSSION: Mapping and better understanding the global tobacco control network is important for informing knowledge exchange and best practices, particularly as increasing attention is being focused on global tobacco control efforts in low- and middle-income countries in particular. CONCLUSIONS: The present study demonstrates that even a subsample of the WCTOH shows considerable collaboration. The full WCTOH network should be mapped in order to foster greater collaboration that has the the potential to improve global tobacco control efforts.
Tipo de publicação: JOURNAL ARTICLE


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PMID:28302798
Autor:Horning SJ
Endereço:Sandra J. Horning is the Chief Medical Officer and Global Head of Product Development at Genentech and Roche, South San Francisco, California. sandrahorning@gene.com.
Título:A new cancer ecosystem.
Fonte:Science; 355(6330):1103, 2017 03 17.
ISSN:1095-9203
País de publicação:United States
Idioma:eng
Tipo de publicação: EDITORIAL


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Texto completo SciELO México
Texto completo SciELO Saúde Pública
PMID:27991980
Autor:Cid C; Báscolo E; Morales C
Endereço:Asesor Regional en Economía de la Salud y Financiamiento. Organización Panamericana de la Salud. Washington DC, EUA. cidcam@paho.org.
Título:[Efficiency of the agenda for universal access to health and health coverage in the Americas].
Título:La eficiencia en la agenda de la estrategia de acceso y cobertura universales en salud en las Américas..
Fonte:Salud Publica Mex; 58(5):496-503, 2016 Sep-Oct.
ISSN:1606-7916
País de publicação:Mexico
Idioma:spa
Tipo de publicação: JOURNAL ARTICLE


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PMID:28679016
Autor:Ciliberti-Vargas MA; Gardener H; Wang K; Dong C; Yi L; Romano JG; Robichaux M; Waddy SP; Nobo U; Diaz-Acosta S; Rundek T; Waters MF; Sacco RL
Endereço:From the University of Miami Miller School of Medicine, Miami, Florida, University of Miami School of Architecture, Coral Gables, Florida, the National Institute for Neurological Diseases and Stroke, Bethesda, Maryland, Hospital HIMA San Pablo, Caguas, Puerto Rico, American Heart Association Greater
Título:Stroke Hospital Characteristics in the Florida-Puerto Rico Collaboration to Reduce Stroke Disparities Study.
Fonte:South Med J; 110(7):466-474, 2017 Jul.
ISSN:1541-8243
País de publicação:United States
Idioma:eng
Resumo:OBJECTIVES: Although disparities in stroke care and outcomes have been well documented nationally, state-based registries to monitor acute stroke care in Florida (FL) and Puerto Rico (PR) have not been established. The FL-PR Collaboration to Reduce Stroke Disparities (CReSD) was developed to evaluate race-ethnicity and regional disparities in stroke care performance. The objective of this study was to assess and compare hospital characteristics within a large quality improvement registry to identify characteristics associated with better outcomes for acute ischemic stroke care. METHODS: Trained personnel from 78 FL-PR CReSD hospitals (69 FL, 9 PR) completed a 50-item survey assessing institutional characteristics across seven domains: acute stroke care resource availability, emergency medical services integration, stroke center certification, data collection and use, quality improvement processes, FL-PR CReSD recruitment incentives, and hospital infrastructure. RESULTS: The rate of survey completion was 100%. Differences were observed both within FL and between FL and PR. Years participating in Get With The Guidelines-Stroke (8.9 ± 2.6 years FL vs 4.8 ± 2.4 years PR, < 0.0001) and proportion of hospitals with any stroke center certification (94.2% FL vs 11.1% PR, < 0.0001) showed the largest variations. Smaller hospital size, fewer years in Get With The Guidelines-Stroke, and lack of stroke center designation and acute stroke care practice implementation may contribute to poorer outcomes. CONCLUSIONS: Results from our survey indicated variability in hospital- and system-level characteristics in stroke care across hospitals in Florida and Puerto Rico. Identification of these variations, which may explain potential disparities, can help clinicians understand gaps in stroke care and outcomes and targeted interventions to reduce identified disparities can be implemented.
Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE



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