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What socioeconomic factors are associated with different levels of antenatal care visits in Bangladesh? A behavioral model

We identify the socioeconomic determinants of three levels of antenatal care (ANC) visits (no, intermediate [1–3], and recommended [≥4]) in Bangladesh using a behavior model framework for health care utilization. Using multinomial logistic regression, we found that different levels of visits had different determinants; for example, media exposure increased the likelihood of intermediate compared w

The Role of Image Quality in Telehealth: Adoption Challenges in the Subcontinent

Background: The purpose of this paper is to explore the underlying challenges in the telehealth environment in India and Pakistan that impede the delivery of high-quality images between a patient and health care professional.Method: An exploratory study was conducted among healthcare professionals in India and Pakistan to assess their perceptions regarding image quality, which is used for the diag

Factors affecting chronic obstructive pulmonary disease (COPD)-related costs: a multivariate analysis of a Swedish COPD cohort.

Chronic obstructive pulmonary disease (COPD) is an increasing public health problem, generating considerable costs. The objective of this study was to identify factors affecting COPD-related costs. A cohort of 179 subjects with COPD was interviewed over the telephone on four occasions about their annual use of COPD-related resources. The data set and explanatory variables were analysed by means of

The epistemic roles of clinical expertise : An empirical study of how Swedish healthcare professionals understand proven experience

Clinical expertise has since 1891 a Swedish counterpart in proven experience. This study aims to increase our understanding of clinicians’ views of their professional expertise, both as a source or body of knowledge and as a skill or quality. We examine how Swedish healthcare personnel view their expertise as captured by the (legally and culturally relevant) Swedish concept of “proven experience,”Clinical expertise has since 1891 a Swedish counterpart in proven experience. This study aims to increase our understanding of clinicians’ views of their professional expertise, both as a source or body of knowledge and as a skill or quality. We examine how Swedish healthcare personnel view their expertise as captured by the (legally and culturally relevant) Swedish concept of “proven experience,”

Professionals’ involvement of relatives – only good intentions?

PurposeThe purpose of this paper is to explore how, and under what conditions, professionals involve relatives in clinical practice.Design/methodology/approachTwo cases were constructed from two studies in Denmark, theoretically inspired by Bourdieu’s concepts of doxa and position and analyzed with focus on the involvement of relatives from the perspective of professionals.FindingsSupport to relatPurposeThe purpose of this paper is to explore how, and under what conditions, professionals involve relatives in clinical practice.Design/methodology/approachTwo cases were constructed from two studies in Denmark, theoretically inspired by Bourdieu’s concepts of doxa and position and analyzed with focus on the involvement of relatives from the perspective of professionals.FindingsSupport to relat

Healthcare professionals' experiences and views of eHealth in pediatric care : qualitative interview study applying a theoretical framework for implementation

Objective: This study aims to investigate the perspectives and insights of health care professionals (HCPs) regarding the implementation of an eHealth intervention in pediatric health care while applying the NASSS framework to theorize and evaluate the conditions influencing the implementation of eHealth solutions.Methods: Semistructured interviews were performed with health care providers, includ

Coordination of health and rehabilitation services for person with disabilities in Sierra Leone–a stakeholders’ perspective

Purpose: To explore stakeholders’ perceptions of the coordination of health and rehabilitation services for persons with disabilities in Sierra Leone. Materials and methods: A qualitative study including seven focus group discussions with health, rehabilitation, and disability organisations stakeholders in Sierra Leone. Content analysis was used for data analysis. Results: One theme emerged; poor

Antibiotic therapy in acute pancreatitis: From global overuse to evidence based recommendations

Background: Unwarranted administration of antibiotics in acute pancreatitis presents a global challenge. The clinical reasoning behind the misuse is poorly understood. Our aim was to investigate current clinical practices and develop recommendations that guide clinicians in prescribing antibiotic treatment in acute pancreatitis. Methods: Four methods were used. 1) Systematic data collection was pe

Health financing for the poor produces promising short-term effects on utilization and out-of-pocket expenditure: evidence from Vietnam

Background: Vietnam introduced the Health Care Fund for the Poor in 2002 to increase access to health care and reduce the financial burden of health expenditure faced by the poor and ethnic minorities. It is often argued that effects of financing reforms take a long time to materialize. This study evaluates the short-term impact of the program to determine if pro-poor financing programs can achiev

Practical issues in handling data input and uncertainty in a budget impact analysis

The objective of this paper was to address the importance of dealing systematically and comprehensively with uncertainty in a budget impact analysis (BIA) in more detail. The handling of uncertainty in health economics was used as a point of reference for addressing the uncertainty in a BIA. This overview shows that standard methods of sensitivity analysis, which are used for standard data set in

Longitudinal analysis of income-related health inequality

This paper considers the characterisation and measurement of income-related health inequality using longitudinal data. The paper elucidates the nature of the Jones and Lopez Nicolas (2004) index of "health-related income mobility" and explains the negative values of the index that have been reported in all the empirical applications to date. The paper further presents an alternative approach to th

Striving for emotional survival in palliative cancer nursing

In this grounded theory study, the authors analyze interviews and participant observation data related to palliative cancer nursing in hospitals. Striving for Emotional Survival emerged as the pattern of behavior through which nurses deal with their main concern, the risk of being emotionally overloaded by their work. It involved three main strategies: Emotional Shielding through Professional Shie

Chloride binding capacity and binding isotherms of OPC pastes and mortars

A method for evaluating chloride binding capacity of concrete was proposed based on the adsorption from solution and chloride binding isotherms of OPC pastes and mortars with water-cement ratio 0.4, 0.6 and 0.8. The experimental results show that the chloride binding capacity of concrete strongly depends on the content of CSH gel in the concrete, regardless of the water-cement radio and the additi

Documentation quality in occupational therapy patient records: Focusing on the technical aid prescription process

In order to plan for and implement research on the outcome of the technical aid prescription process, more knowledge about the documentation of the process is imperative. The overarching aim of this study was to survey documentation quality aspects in patient records in community-based OT, with a particular focus on the technical aid prescription process. An additional aim was to compare the quali

Cost-utility analysis of adjuvant therapies for breast cancer in iran

Objectives: The aim of this study was to evaluate the cost-utility of Docetaxel with doxorubicin and cyclophosphamide (TAC) and 5-fluorouracil, doxorubicin, cyclophosphamide (FAC) in node-positive breast cancer patients in the south of Iran. Methods: A double blind study was done on a cohort of 100 patients suffering from breast cancer with node-positive over 8 months in the radiotherapy center of

Effects of anti-secretory factor (ASF) on irritable bowel syndrome (IBS)

Objective. To evaluate the role of the endogenous protein anti-secretory factor (ASF) on the symptoms, especially loose stools, in irritable bowel ayndrome (IBS). Design. A diet with specially processed cereals (SPC) known to induce ASF production was used in patients with IBS, in an eight-week randomized, placebo-controlled study. Subjects. Eighty-two patients with IBS were randomized to a diet w

De Lege Delenda - International Legislation on Health-Related Genetics and Biotechnology

Law should be the expression of the collective will, and the regulative sphere becomes therefore a highly consensual field supposed to reflect generally agreed norms and values. Although it is generally admitted that genetic and biotechnology developments can contribute to immense benefits within the health-care sector, the exponential globalisation trend and the rapid pace of scientific and techn

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Abstract in Danish Kapitlet sætter fokus på kobling mellem teori og praksis. Vi argumenterer for, at teoribevidsthed er nødvendig for studerende og sundhedsprofessionelle, her sygeplejersker, for at kunne reflektere, forstå, håndtere og udvikle handlinger, interaktioner og sygepleje i klinisk praksis. Først redegør vi kort for forståelser af teori og praksis. Dernæst præsenterer vi en case fra kli