- Patient-Provider Communication in Healthcare
- Healthcare Policy and Management
- Patient Satisfaction in Healthcare
- Primary Care and Health Outcomes
- Smoking Behavior and Cessation
- Geriatric Care and Nursing Homes
- Health Literacy and Information Accessibility
- Healthcare Systems and Technology
- Clinical practice guidelines implementation
- Health Systems, Economic Evaluations, Quality of Life
- Patient Safety and Medication Errors
- Family and Patient Care in Intensive Care Units
- Healthcare Quality and Management
- Chronic Disease Management Strategies
- Emergency and Acute Care Studies
- Diabetes Management and Education
- Health and Medical Research Impacts
- Workplace Health and Well-being
- Electronic Health Records Systems
- Mediterranean and Iberian flora and fauna
- Medical Malpractice and Liability Issues
- Botany and Plant Ecology Studies
- Air Quality and Health Impacts
- Food Security and Health in Diverse Populations
- Global Cancer Incidence and Screening
Governo do Distrito Federal
2022
Universidade Federal de Santa Catarina
2022
Virginia Commonwealth University
2007-2017
Universidad de Deusto
2016
Temple University
2016
National Institutes of Health
2016
University of Hong Kong
2015
Roma Tre University
2015
Research Network (United States)
2011
NDT Consultants (United Kingdom)
2010
Effectively engaging patients in their care is essential to improve health outcomes, satisfaction with the experience, reduce costs, and even benefit clinician experience.This article will address topic of patient engagement directly review relationships between literacy engagement.While there are many ways define family engagement, this consider as "patients, families, representatives, professionals working active partnership at various levels across system -direct care, organizational...
Since the Institute of Medicine (IOM) reports on medical errors and quality, national attention has focused improving patient safety through changes in "systems" care. These resulted a new paradigm that, rather than centering individual errors, focuses necessary to facilitate enhance quality protect patients.To assess status hospital systems since release IOM identify over time 2 states that collaborated project funded by Agency for Healthcare Research Quality.Survey all acute care hospitals...
<h3>PURPOSE</h3> Americans receive only one-half of recommended preventive services. Information technologies have been advocated to engage patients. We tested the effectiveness an interactive health record (IPHR) that links patients their clinician’s record, explains information in lay language, displays tailored recommendations and educational resources, generates reminders. <h3>METHODS</h3> This randomized controlled trial involved 8 primary care practices. Four thousand five hundred were...
<h3>PURPOSE</h3> Health care leaders encourage clinicians to offer portals that enable patients access personal health records, but implementation has been a challenge. Although large integrated systems have promoted use through costly advertising campaigns, other methods are needed for small medium-sized practices where most receive their care. <h3>METHODS</h3> We conducted mixed assessment of proactive strategy patient portal (an interactive preventive record [IPHR]) offered by 8 primary...
BACKGROUND AND OBJECTIVES To examine the long term impact of workplace smoking bans on employee cessation and relapse. Over three years we studied a total 1033 current or former smokers (intervention group) employed in smoke-free hospitals 816 (comparison non-smoke-free workplaces. The design this natural experiment is prospective cohort study. We randomly selected both employees from 12 strata based hospital size state tobacco regulations, sampled same communities. Main outcome measures...
Consumer reports in health care are a relatively recent phenomenon. Primarily designed to assist consumers making more informed decisions about their personal care, they appear have an important by-product-they led positive changes the behavior of clinicians and delivery organizations. While there has been much speculation on impact consumer behavior, offer effective strategy improving quality patient care.To examine obstetrics report developed issued by Missouri Department Health hospital...
To examine the impact of workplace smoking bans on behavior employees.A total 1469 current or former smokers (intervention group) employed in smoke-free hospitals and 920 (comparison non-smoke-free workplaces were surveyed to determine behavior.This cross-sectional study is part a larger, ongoing prospective study. The design was quasi-experimental. We randomly selected sites consisting hospital corresponding community. Furthermore, we subjects from their communities.Postban quit ratio...
Evidence-based preventive services offer profound health benefits, yet Americans receive only half of indicated care. A variety government and specialty society policy initiatives are promoting the adoption information technologies to engage patients in their care, such as personal records, but current systems may not utilize technology's full potential. Using a previously described model make technology more patient-centered, we developed an interactive record (IPHR) designed deeply care...
Objective To assess factors related to use and non-use of a sophisticated interactive preventive health record (IPHR) designed promote uptake 18 recommended clinical services; little is known about how patients want or be engaged by such advanced information tools. Design Descriptive interpretive qualitative analysis transcripts field notes from focus groups the IPHR users who were invited but did not (non-users). Grounded theory techniques then applied via an editing approach for key...
By Dianne C. Berry . Open University Press/McGraw-Hill Education , 2004 PB £19.99 173pp ISBN 0-335-21351-0 This book is one of the first to address issue communication health risk in context a movement away from paternalistic model health-care which doctors rarely involved patients decision-making. In order for become more empowered and truly their own decision-making, needs understand clearly issues method communicating risk. Early chapters define explain use term 'risk' various...
<h3>OBJECTIVES</h3> To determine how well hospitals complied with the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) tobacco control standards, which required banning smoking in hospital buildings; to explore issues involved developing and implementing bans; ascertain perceived success policies. <h3>DESIGN</h3> Postal survey conducted January through June 1994. <h3>PARTICIPANTS</h3> Stratified random sample American surveyed by JCAHO (n = 1055). <h3>MAIN OUTCOME...
Informal caregiving is an integral component of the health care system, saving national economy more than $522 billion annually. The current study examined how association between intensity and caregiver quality life varies by sociodemographic factors through a secondary analysis National Study Caregiving. Generalized linear models assessed associations among four aspects intensity, three life, key factors. Compared to White individuals, Black individuals had higher levels overall (β =...
In a retrospective case-control study, structural characteristics of hospitals that closed during the years 1976-1980 were contrasted with three comparison groups: acquired in merger; joined multihospital system; and remained autonomously opened, to investigate these as predictors closure. Characteristics investigated included environmental, structural, process variables. The independent variables measured 5 prior outcome. Findings indicate resemble merger ("failure"), likewise autonomous...
Breast cancer patients are some of today's most proactive healthcare consumers. Given how the media has highlighted many issues involved in breast cancer, unprecedented rise consumerism general, and specifically, a plethora information on emerged both scientific popular media. It is timely appropriate to consider patients' perspectives regarding their search for health-related its use treatment decision making coping.The present study explores health information-seeking behaviors (passive...
Background: Digital information technology can facilitate informed decision making by individuals regarding their personal health care.The digital divide separates those who do and not have access to or otherwise make use of information.To close the divide, care communications research must address a fundamental issue, consumer vocabulary problem: consumers care, at least are laypersons, always familiar with professional concepts used providers information, and, conversely, consumers.One way...
Hospitals have made slow progress in meeting the Institute of Medicine's patient safety goals, and implementation systems has been inconsistent. The next logical question is this: What organizational characteristics predict greater systems, terms both extent over time? To answer this question, a survey was administered to 107 hospitals at two points time. Data were consolidated into seven latent variables measuring specific areas. Using overall measure, Joint Commission-accredited showed...
It is critical to understand patients' information use from the patient perspective, especially when patients are different cultures and levels of health literacy. A cross-sectional survey supplemented with interviews breast cancer survivors including both Latina non-Latina women was undertaken. Subjects were classified as active seekers, passive receivers, and/or users information. further by stage use, progressing unawareness or awareness available non-use make decisions. Information...
Evidence-based preventive services for early detection of cancer and other health conditions offer profound benefits, yet Americans receive only half indicated services. Policy initiatives promote the adoption information technologies to engage patients in care. We developed a theory-driven interactive record (IPHR) promotion. The model defines five levels functionality: (1) collecting patient information, (2) integrating with electronic records (EHRs), (3) translating into lay language, (4)...
<h3>Objective.</h3> —To examine compliance and characteristics of hospitals with tobacco control standards enacted by the Joint Commission on Accreditation Healthcare Organizations (JCAHO). <h3>Design Setting.</h3> —On-site national survey as part routine JCAHO accreditation visits. <h3>Participants.</h3> —A total 3327 US received site visits in 1992 1993 were matched American Hospital Association Annual Survey Hospitals data. <h3>Main Outcome Measures.</h3> —Compliance or noncompliance...