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Assessing the effect of Independent Prescribing for community optometrists and referral rates to Hospital Eye Services in Scotland
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| INTRODUCTION: Since 2010, General Ophthalmic Services (GOS) legislation and Independent Prescribing (IP) enable community optometrists to manage primary eye conditions. No studies have assessed the effect of IP. We wished to determine the distribution of IP optometrists and associated hospital referral rates across Sco... |
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A Review of Web-Based Tools for Value-of-Information Analysis.
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| Value-of-information analysis (VOI) is a decision-theoretic approach that is used to inform reimbursement decisions, optimise trial design and set research priorities. The application of VOI analysis for informing policy decisions in practice has been limited due, in part, to the perceived complexity associated with th... |
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Public opinion on sharing data from health services for clinical and research purposes without explicit consent: an anonymous online survey in the UK
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| OBJECTIVES: UK National Health Service/Health and Social Care (NHS/HSC) data are variably shared between healthcare organisations for direct care, and increasingly de-identified for research. Few large-scale studies have examined public opinion on sharing, including of mental health (MH) versus physical health (PH) dat... |
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Effective management of patients with diabetes foot ulcers: outcomes of an Interprofessional Diabetes Foot Ulcer Team.
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| A longitudinal observational study on a convenience sample was conducted between 4 January and 31 December of 2010 to evaluate clinical outcomes that occur when a new Interprofessional Diabetes Foot Ulcer Team (IPDFUT) helps in the management of diabetes-related foot ulcers (DFUs) in patients living in a small urban co... |
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Vertical integration of primary care practices with acute hospitals in England and Wales: why, how and so what? Findings from a qualitative, rapid evaluation
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| OBJECTIVES: To understand the rationale, implementation and early impact of vertical integration between primary care medical practices and the organisations running acute hospitals in the National Health Service in England and Wales. DESIGN AND SETTING: A qualitative, cross-comparative case study evaluation at two sit... |
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How do community pharmacies in Ontario manage drug shortage problems? Results of an exploratory qualitative study.
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| Background Pharmacists report spending a considerable amount of time dealing with drug shortages. There is no research in Canada identifying and describing the strategies and resources that pharmacists use to minimize disruption and continuity of care for patients. Methods An exploratory qualitative methodology was use... |
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Towards an open and effective dialogue on complementary medicine in oncology: protocol of patient participatory study ‘COMMON’
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| INTRODUCTION: Approximately half of patients with cancer use some form of complementary medicine alongside conventional cancer treatment. The topic of complementary medicine often remains undiscussed in consultations between patients with cancer and their healthcare providers. This results in increased risks for advers... |
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Implementation of a fracture liaison service for patients with hip fracture cared for on a hospital medicine service.
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| OBJECTIVE Hip fracture is a common and morbid condition. Prior studies have shown that the majority of patients with fragility fracture are not treated for underlying osteoporosis. Our hospitalist-led co-management service for patients with acute hip fracture had no system for evaluating and treating osteoporosis in th... |
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Qualified Nurses’ Perceptions of Cultural Competence and Experiences of Caring for Culturally Diverse Patients: A Qualitative Study in Four European Countries
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| Background: European nurses are expected to provide appropriate care for patients from diverse cultural backgrounds. However, there is limited knowledge and understanding of this process. The aim of this study was to analyse the perceptions of culture and experiences of caring for patients from diverse cultural backgro... |
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The protocol of a clinical quality registry for dementia and mild cognitive impairment (MCI): the Australian dementia network (ADNeT) Registry
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| BACKGROUND: Dementia was identified as a priority area for the development of a Clinical Quality Registry (CQR) in Australia in 2016. The Australian Dementia Network (ADNeT) Registry is being established as part of the ADNeT initiative, with the primary objective of collecting data to monitor and enhance the quality of... |
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Mobile Health to Improve Adherence and Patient Experience in Heart Transplantation Recipients: The mHeart Trial
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| Non-adherence after heart transplantation (HTx) is a significant problem. The main objective of this study was to evaluate if a mHealth strategy is more effective than standard care in improving adherence and patients’ experience in heart transplant recipients. Methods: This was a single-center, randomized controlled t... |
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Mitigating the impact of the 'silos' between the disability and aged-care sectors in Australia: Development of a Best Practice Framework
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| BACKGROUND: Although a 'person-centred focus' is a legislated objective for both aged-care and disability services sectors in Australia, evidence suggests limited translation into systems and practices due to entrenched silos. This paper proposes a Best Practice Framework to mitigate these silos. METHODS: Mixed-methods... |
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A Mobile App for Self-management of Urgency and Mixed Urinary Incontinence in Women: Randomized Controlled Trial
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| Background: Many women experience urgency (UUI) and mixed (MUI) urinary incontinence but commonly hesitate to seek care Treatment access and self-management for these conditions can be supported through eHealth approaches Objective: This study aimed to investigate the efficacy of the mobile app Tät II for self-manageme... |
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Responding to the Under-Utilisation of Necessary Health Care in the Time of COVID-19: A Precision Public Health intervention.
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| The Veterans' Medicines Advice and Therapeutics Education Services (MATES) program is a national data driven, behaviorally informed, health intervention to improve the use of medicines among Australian veterans. The program, which has been operating since 2004, has led the way in the use of government held data assets ... |
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Advanced practice providers in the infectious disease workforce: A Nationwide utilization survey
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| Background Shortages of infectious disease (ID) physicians is an identified workforce problem. The COVID-19 pandemic has exacerbated this care gap, leaving many communities without access to an ID physician. More advanced practice providers (APPs), nurse practitioners/physician assistants, work as healthcare extenders,... |
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Patients’ Perspectives on User Involvement in General Practice. A Qualitative Analysis of Free-Text Comments
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| Background: : General practice plays a core role in managing the pathways of patients with chronic diseases. Despite the increased focus on patient involvement in healthcare practice and well-established knowledge of the benefits of involvement and personalized care, involvement in general practice appears to be challe... |
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Hospice@Home to palliative response team
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| BackgroundOur Hospice at Home (H@H) service supports 31 GP practices (population 315,000 patients).Pre- COVID-19 pandemic service provision of seven-days 9am-5pm was reviewed.Enhanced model developed supporting people wishing to die at home. (DIUPR local CCG 45.9 vs 46.6 England 2017 ONS).DIUPR increased during the pan... |
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Collaborative improvement in Scottish GP clusters after the Quality and Outcomes Framework: a qualitative study
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| BACKGROUND: Scotland abolished the Quality and Outcomes Framework (QOF) in April 2016, before implementing a new Scottish GP contract in April 2018. Since 2016, groups of practices (GP clusters) have been incentivised to meet regularly to plan and organise quality improvement (QI) as part of this new direction in prima... |
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Clinical exercise provision in the UK: comparison of staff job titles, roles and qualifications across five specialised exercise services
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| OBJECTIVES: In the UK, the National Health Service long-term plan advocates exercise as a key component of clinical services, but there is no clearly defined workforce to deliver the plan. We aimed to provide an overview of current UK clinical exercise services, focusing on exercise staff job titles, roles and qualific... |
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Digital Health Technology in Asthma: A Comprehensive Scoping Review.
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| BACKGROUND A variety of digital intervention approaches have been investigated for asthma therapy during the last decade, with different levels of interactivity and personalization, with a range of impacts on different outcome measurements. OBJECTIVE To assess the effectiveness of digital interventions in asthma with r... |
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Bereavement Support for Siblings after Neonatal Loss: an Online Survey of U.S. Training Centers
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| OBJECTIVE: The aim of this study was to examine bereavement support for siblings of patients who die in the neonatal intensive care unit (NICU) given the adverse effects of unprocessed grief and the paucity of information on children whose newborn siblings die STUDY DESIGN: This was an anonymous online original survey ... |
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How to embed qualitative research in trials: insights from the feasibility study of the SAFER trial programme
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| Qualitative research can enhance the design, conduct and interpretation of trials. Despite this, few trials incorporate qualitative methods, and those that do may not realise their full potential. In this commentary, we highlight how qualitative research can contribute to the design, conduct and day-to-day running of a... |
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A prospective assessment of the Medicaid Web portal for admission medication reconciliation at a community hospital in Montana
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| DISCLAIMER: In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manu... |
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Development and validation of a multiple-choice question-based delirium care knowledge quiz for critical care nurses
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| Aims: To develop and psychometrically test a multiple choice questions (MCQs) based quiz of delirium care knowledge for critical care nurses. Design: Instrument development and psychometric evaluation study. Methods: The development and validation process including two phases. Phase I focused on the quiz development, c... |
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How Denmark, England, Estonia, France, Germany, and the USA Pay for Variable, Specialized and Low Volume Care: A Cross-country Comparison of In-patient Payment Systems.
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| BACKGROUND Diagnosis-related group (DRG)-based hospital payment can potentially be inadequately low (or high) for highly variable, highly specialized, and/or low volume care. DRG-based payment can be combined with other payment mechanisms to avoid unintended consequences of inadequate payment. The aim of this study was... |
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A multidisciplinary approach to online support for device research translation: regulatory change and clinical engagement
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| OBJECTIVES: To promote medical device EU regulatory understanding in the biomedical research community and encourage greater levels of clinical engagement to further medical device research innovation, translation and effective clinical trials. METHODS: An interdisciplinary, iterative, needs-based design approach was u... |
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Workload and prevalence of open wounds in the community: French Vulnus initiative.
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| OBJECTIVE To calculate the prevalence of open cutaneous wounds presented on a routine working day in community settings in metropolitan France, and to estimate the workload associated with the care of these wounds by nurses, GPs and specialists (dermatologists, diabetologists and phlebologists). METHOD A transversal ep... |
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Knowledge of pharmacy workers on antihypertensive and anticonvulsant drugs for managing pre-eclampsia and eclampsia in Bangladesh.
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| BACKGROUND Pharmacy workers in Bangladesh play an important role in managing pregnancy complications by dispensing, counselling and selling drugs to pregnant women and their families. This study examined pharmacy workers' drug knowledge and practice for pre-eclampsia and eclampsia (PE/E) management, including antihyper... |
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Experiences and Perspectives of Marketing Authorisation Holders towards Medication Safety Monitoring during Pregnancy: A Pan-European Qualitative Analysis
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| Although marketing authorisation holders (MAHs) are involved in monitoring medication safety, it was unclear how they experience their role and current monitoring activities in pregnancy. Therefore, a qualitative study using online focus groups with MAHs and the Belgian umbrella organisation of MAHs was conducted in Ju... |
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Digital health literacy as a super determinant of health: More than simply the sum of its parts
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| • Civic literacy refers to the ability to engage meaningfully with one's community. • Digital, health, and civic literacy are key predictors for digital health literacy. • The extent to which these three affect digital health literacy remains unclear. • Building digital health literacy is vital to limit inequalities fr... |
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Delivering clinical trials at home: protocol, design and implementation of a direct-to-family paediatric lupus trial
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| INTRODUCTION: Direct-to-family clinical trials efficiently provide data while reducing the participation burden for children and their families. Although these trials can offer significant advantages over traditional clinical trials, the process of designing and implementing direct-to-family studies is poorly defined, ... |
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2021 ISHNE/ HRS/ EHRA/ APHRS collaborative statement on mHealth in Arrhythmia Management: Digital Medical Tools for Heart Rhythm Professionals: From the International Society for Holter and Noninvasive Electrocardiology/Heart Rhythm Society/... | This collaborative statement from the International Society for Holter and Noninvasive Electrocardiology/ Heart Rhythm Society/ European Heart Rhythm Association/ Asia Pacific Heart Rhythm Society describes the current status of mobile health ("mHealth") technologies in arrhythmia management. The range of digital medic... |
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A tale of ‘politics and stars aligning’: analysing the sustainability of scaled up digital tools for front-line health workers in India
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| INTRODUCTION: India has become a lighthouse for large-scale digital innovation in the health sector, particularly for front-line health workers (FLHWs). However, among scaled digital health solutions, ensuring sustainability remains elusive. This study explores the factors underpinning scale-up of digital health soluti... |
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Achieving change readiness for health service innovations.
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| Continual innovation to address emerging population needs necessitates health service ongoing redesign and transformation worldwide. Recent examples include service transformations in response to Covid-19, many of which were led and managed by nurses. Ensuring change readiness is central to delivering these transformat... |
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Valuing diversity in value assessment: introducing the PhRMA Foundation Health Disparities Challenge Award.
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| DISCLOSURES:: No funding supported the writing of this article. The author has received grants from BeiGene, Ltd., and Pfizer, Inc., and advisory board fees from PhRMA Foundation. |
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Protocol for an implementation study of an evidence-based home cardiac rehabilitation programme for people with heart failure and their caregivers in Scotland (SCOT:REACH-HF)
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| INTRODUCTION: Despite evidence that cardiac rehabilitation (CR) is an essential component of care for people with heart failure, uptake is low. A centre-based format is a known barrier, suggesting that home-based programmes might improve accessibility. The aim of SCOT: Rehabilitation EnAblement in CHronic Heart Failure... |
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Trials using deferred consent in the emergency setting: a systematic review and narrative synthesis of stakeholders’ attitudes
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| BACKGROUND: Patients with acute conditions often lack the capacity to provide informed consent, and narrow therapeutic windows mean there is no time to seek consent from surrogates prior to treatment being commenced. One method to enable the inclusion of this study population in emergency research is through recruitmen... |
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Factors Driving Local Health Departments' Partnerships With Other Organizations in Maternal and Child Health, Communicable Disease Prevention, and Chronic Disease Control.
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| OBJECTIVES To describe levels of partnership between local health departments (LHDs) and other community organizations in maternal and child health (MCH), communicable disease prevention, and chronic disease control and to assess LHD organizational characteristics and community factors that contribute to partnerships. ... |
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NUrsing Homes End of Life care Program (NUHELP): developing a complex intervention
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| BACKGROUND: Nursing homes are likely to become increasingly important as end-of-life care facilities. Previous studies indicate that individuals residing in these facilities have a high prevalence of end-of-life symptoms and a significant need for palliative care. The aim of this study was to develop an end-of-life car... |
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Non-pharmacological interventions to improve the patient experience of colonoscopy under moderate or no sedation: a systematic review protocol
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| INTRODUCTION: The patient experience is a critical dimension of colonoscopy quality. Sedative and analgesic drugs are commonly used to improve the patient experience of colonoscopy, with predominant regimens being deep sedation, typically achieved with propofol, and moderate sedation, typically achieved with an opioid ... |
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Factors impacting the access and use of formal health and social services by caregivers of stroke survivors: an interpretive description study
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| BACKGROUND: Evidence has shown that family and friend caregivers of stroke survivors are significantly and negatively impacted by caregiving. The negative effects of caregiving may persist over time suggesting that caregivers might benefit from ongoing engagement with supportive services. However, little is known about... |
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Digital Technology in Clinical Trials for Multiple Sclerosis: Systematic Review
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| Clinical trials in multiple sclerosis (MS) have been including digital technology tools to overcome limitations in treatment delivery and disease monitoring. In March 2020, we conducted a systematic search on pubmed.gov and clinicaltrials.gov databases (with no restrictions) to identify all relevant published and unpub... |
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Rotating between day and night shifts: Factors influencing sleep patterns of hospital nurses
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| AIMS AND OBJECTIVES: This study aimed to investigate sleep patterns of hospital nurses using a wearable electronic device and determine the influence of rotating day and night shifts and lifestyle factors on their sleep efficiency. BACKGROUND: Nurses working in shifts are vulnerable to sleep disturbances. However, litt... |
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Using Patient Engagement Platforms in the Postoperative Management of Patients
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| PURPOSE OF REVIEW: The purpose of this review is to contextualize the topic of patient engagement in orthopedic surgery. There will be a specific focus on patient engagement platforms and the impact on outcomes and orthopedic clinical workflows. RECENT FINDINGS: In an attempt to engage patients and optimize the orthope... |
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Consumer Health Informatics: Promoting Patient Self-care Management of Illnesses and Health.
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| Consumer health informatics (CHI) is propelling important changes for medical providers and the lives of patients through information and communications technology. Independently, medical consumers seek, collect, and use health information for decision making. However, when constructing a CHI-based medical platform, hi... |
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Is patient identification of 'comfortable' print size a useful clinical parameter for low vision reading assessment?
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| PURPOSE The purpose of this study was to determine what a person with vision loss considers a 'comfortable' print size to read, and examine whether this reflects any of three currently used parameters for identifying print size required for sustained reading tasks: minimum size to achieve maximum reading speed (the cri... |
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Study Data Element Mapping: Feasibility of Defining Common Data Elements Across COVID-19 Studies
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| Background: Numerous clinical studies are now underway investigating aspects of COVID-19. The aim of this study was to identify a selection of national and/or multicentre clinical COVID-19 studies in the United Kingdom to examine the feasibility and outcomes of documenting the most frequent data elements common across ... |
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The Effect of Using Peer on Self-Care, Quality of Life, and Adherence in Elderly People with Coronary Artery Disease
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| INTRODUCTION: Coronary artery disease is one of the most common diseases and the cause of death among elderly people. Due to the chronic nature of this disease, regular follow-up, lifestyle changes, and adherence to recommendations can reduce the complications and improve the quality of life among elderly individuals. ... |
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Needs to Create Healthy Living Environments—A Two-Stage Delphi Survey in Europe to Identify Facilitating Factors and Barriers in Municipal Health Promotion
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| (1) In the field of health promotion, municipalities offer opportunities to reduce SES-based health inequalities by addressing vulnerable communities. This research project aims to identify facilitating and inhibiting factors for the creation of healthy living environments. (2) After preliminary literature and qualitat... |
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Perspectives About Emergency Department Care Encounters Among Adults With Opioid Use Disorder
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| IMPORTANCE: Emergency departments (EDs) are increasingly initiating treatment for patients with untreated opioid use disorder (OUD) and linking them to ongoing addiction care. To our knowledge, patient perspectives related to their ED visit have not been characterized and may influence their access to and interest in O... |
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Interventions to improve the quality of cataract services: protocol for a global scoping review.
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| INTRODUCTION Cataract is the leading cause of blindness globally and a major cause of vision impairment. Cataract surgery is an efficacious intervention that usually restores vision. Although it is one of the most commonly conducted surgical interventions worldwide, good quality services (from being detected with opera... |
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Thematic Analysis of Hospice Mentions in the Health Records of Veterans with Advanced Kidney Disease.
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| BACKGROUND Patients with advanced kidney disease are less likely than many patients with other types of serious illness to enroll in hospice. Little is known about real-world clinical decision-making related to hospice for members of this population. METHODS We used a text search tool to conduct a thematic analysis of ... |
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Toward a theory-led meta-framework for implementing health system resilience analysis studies: a systematic review and critical interpretive synthesis
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| INTRODUCTION: The variety of frameworks and models to describe resilience in the health system has led researchers and policymakers to confusion and the inability to its operationalization. Therefore, the purpose of this study was to create a meta-framework using the Critical Interpretive Synthesis method. METHOD: For ... |
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The Effect of Perceived Value, Trust, and Commitment on Patient Loyalty in Taiwan
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| Increasing patient loyalty through improved health care quality and patient–provider relationships becomes the key factor in medical providers’ successes. This study explored the mediated relationship of patients’ perceived value, patient commitment, and patient loyalty and the moderating effect of patient trust on the... |
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The PostStroke-Manager – combining mobile, digital and sensor-based technology with personal assistance: protocol of the feasibility study
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| INTRODUCTION: Post stroke management has moved into the focus as it represents the only way to secure acute treatment effects in the long term. Due to individual courses, post stroke management appears rather challenging and is hindered by existing barriers between treatment sectors. As a novel concept, the PostStroke-... |
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“It’s given me confidence”: a pragmatic qualitative evaluation exploring the perceived benefits of online end‐of‐life education on clinical care
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| BACKGROUND: Hospital admissions for end-of-life care are increasing exponentially across the world. Significant numbers of health professionals are now required to provide end-of-life care with minimal training. Many health professionals report they lack confidence to provide this care, particularly those in acute hosp... |
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A feasibility study to assess the design of a multicentre randomized controlled trial of the clinical and cost-effectiveness of a caregiving intervention for people following hip fracture surgery
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| AIMS: This study aims to assess the feasibility of conducting a pragmatic, multicentre randomized controlled trial (RCT) to test the clinical and cost-effectiveness of an informal caregiver training programme to support the recovery of people following hip fracture surgery. METHODS: This will be a mixed-methods feasibi... |
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Helping Patients Understand and Cope with BRCA Mutations
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| PURPOSE OF REVIEW: Individuals carrying germline mutations in BRCA1/2 have unique psychosocial and educational needs that must be met to ensure informed clinical decision-making. In this review, we highlight the strategies used in clinical practice to support patients’ needs as well as currently available pre- and post... |
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Respiratory disease, and treatment / thematic poster session a novel approach to medical monitoring during the sars-cov-2 pandemic supporting the activ 4b outpatient anticoagulation trial
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| Rationale The ACTIV 4B (OWS/NHLBI supported) clinical trial addresses the use of anti-platelet and anticoagulant agents in symptomatic COVID-19 positive non-hospitalized patients with regards to safety and prevention of macro- and micro-thrombotic events using a composite outcome (symptomatic DVT/PE, arterial thromboem... |
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Intrinsic capacity of older people in the community using WHO Integrated Care for Older People (ICOPE) framework: a cross-sectional study
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| BACKGROUND: The World Health Organization (WHO) published the Integrated Care for Older People (ICOPE) framework to guide assessing and promoting intrinsic capacity of older adults. This study, adopting the WHO ICOPE framework, assessed the intrinsic capacity impairment and investigated the relationship among intrinsic... |
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Rapid reviews and the methodological rigor of evidence synthesis: a JBI position statement.
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| ABSTRACT The demand for rapid reviews has exploded in recent years. A rapid review is an approach to evidence synthesis that provides timely information to decision-makers (eg, health care planners, providers, policymakers, and patients) by simplifying the evidence synthesis process. A rapid review is particularly appe... |
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Comparing Deceased Organ Donation Performance in Two Countries that Use Different Metrics: Comparing Apples With Apples
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| Organ donation networks audit and report on national or regional organ donation performance, however there are inconsistencies in the metrics and definitions used, rendering comparisons difficult or inappropriate. This is despite multiple attempts exploring the possibility for convergently evolving audits so that colle... |
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Utilization, satisfaction and barriers to access of health services for Arabic-speaking refugees resettled in Connecticut, USA after completion of Refugee Medical Assistance (RMA)
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| Background: Arabic-speaking refugees are the largest group of resettled persons in the United States since 2008, yet little is known about their rates of healthcare access, utilization and satisfaction. Methods: From January to December 2019, a household survey was conducted of Arabic-speaking refugees resettled in CT.... |
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Reporting stAndards for research in PedIatric Dentistry (RAPID): an expert consensus-based statement
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| BACKGROUND: Reporting guidelines for different study designs are currently available to report studies with accuracy and transparency. There is a need to develop supplementary guideline items that are specific to areas within Pediatric Dentistry. This study aims to develop Reporting stAndards for research in PedIatric ... |
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Information and Communication Technologies for the Dissemination of Clinical Practice Guidelines to Health Professionals: A Systematic Review.
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| BACKGROUND The transfer of research knowledge into clinical practice can be a continuous challenge for researchers. Information and communication technologies, such as websites and email, have emerged as popular tools for the dissemination of evidence to health professionals. OBJECTIVE The objective of this systematic ... |
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Critical care nursing role in low and lower middle-income settings: a scoping review.
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| OBJECTIVES A scoping review was conducted to answer the question: How is critical care nursing (CCN) performed in low-income countries and lower middle-income countries (LICs/LMICs)? DESIGN Scoping review guided by the JBI Manual for Evidence Synthesis. DATA SOURCES Six electronic databases and five web-based resources... |
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Readiness of healthcare providers for e-hospitals: a cross-sectional analysis in China before the COVID-19 period
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| OBJECTIVES: The growth and development of smartphones and eHealth technologies have enabled the potential for extended care hospitals (e-hospitals) in China in order to facilitate the success of a primary healthcare centre (PHC)-based integrated delivery model. Although the adoption of e-hospitals is essential, few stu... |
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A Review of Mortality Risk Prediction Models in Smartphone Applications
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| Healthcare professionals in healthcare systems need access to freely available, real-time, evidence-based mortality risk prediction smartphone applications to facilitate resource allocation. The objective of this study is to evaluate the quality of smartphone mobile health applications that include mortality prediction... |
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Positive deviance in infection prevention and control: A systematic literature review.
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| BACKGROUND Healthcare-associated infections (HAIs) remain a major challenge. Various strategies have been tried to prevent or control HAIs. Positive deviance, a strategy that has been used in the last decade, is based on the observation that a few at-risk individuals follow uncommon, useful practices and that, conseque... |
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An Analysis of Demographic Data in Irish Healthcare Domain to Support Semantic Uplift
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| Healthcare data in Ireland is often fragmented and siloed making it difficult to access and use, and of the data that is digitized, it is rarely standardised from the perspective of data interoperability. The Web of Data (WoD) is an initiative to make data open and interconnected, stored and shared across the World Wid... |
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The Distribution and Composition of Colonoscopy Providers in Australia
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| Introduction: Colorectal cancer is a common cause of cancer in Australia. Also, patients living in regional and rural areas are diagnosed later and have poorer outcomes compared to their metropolitan counterparts. The purpose of this study is to determine the distribution of the workforce providing colonoscopies for th... |
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Alternative approaches to managing respiratory tract infections: a survey of public perceptions
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| BACKGROUND: Respiratory tract infections (RTIs) are a common reason for people to consult in primary care, and contribute to antibiotic overuse and antimicrobial resistance (AMR). Alternative approaches to supporting patients with RTIs may help, but it is important to understand public perceptions about these approache... |
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Women’s perception of continuity of team midwifery care in Iran: a qualitative content analysis
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| BACKGROUND: Understanding the pregnant women’s perception of continuity of team midwifery care is necessary for introducing and implementing this model of midwife-led care in the Iranian maternity services. This qualitative study aims to explore women’s perception of continuity of team midwifery care in Iran. METHODS: ... |
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Optimising outcomes for complex trauma survivors: assessing the motivators, barriers and enablers for implementing trauma informed practice within a multidisciplinary health setting
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| BACKGROUND: Complex trauma is a significant public health issue with detrimental health, interpersonal and psychological impacts, which can impede client recovery and result in multiple representations. ‘Trauma Informed Practice’ (TIP) is an evidence-based model which ensures safe and effective services for clients and... |
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Designing Online Grocery Stores to Support Healthy Eating for Weight Loss.
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| OBJECTIVES This study aimed to identify features to include in online grocery stores to support healthful food purchasing by those striving to lose weight. DESIGN A Value Proposition Design Approach was used to gain shopper insights, devise potential online grocery store features, and obtain feedback on these features.... |
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Ten years of implementation outcome research: a scoping review protocol.
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| INTRODUCTION A 2011 paper proposed a working taxonomy of implementation outcomes, their conceptual distinctions and a two-pronged research agenda on their role in implementation success. Since then, over 1100 papers citing the manuscript have been published. Our goal is to compare the field's progress to the originally... |
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Social Resources for Transplanted Children and Families in European Union Hospitals of ERN TransplantChild
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| Social well-being is an intrinsic part of the current concept of health. In the context of chronic disease, there are many challenges we face in order to provide social well-being to patients and their families, even more if we talk about rare diseases. TransplantChild, a European Reference Network (ERN) in paediatric ... |
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Smart About Meds (SAM): a pilot randomized controlled trial of a mobile application to improve medication adherence following hospital discharge
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| OBJECTIVE: The objectives of this pilot study were (1) to assess the feasibility of a larger evaluation of Smart About Meds (SAM), a patient-centered medication management mobile application, and (2) to evaluate SAM’s potential to improve outcomes of interest, including adherence to medication changes made at hospital ... |
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First Year of Skilled Nursing Facility Value-based Purchasing Program Penalizes Facilities With Poorer Financial Performance
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| BACKGROUND: The Skilled Nursing Facility Value-based Purchasing Program (SNF-VBP) incentivizes facilities to coordinate care, improve quality, and lower hospital readmissions. However, SNF-VBP may unintentionally punish facilities with lower profit margins struggling to invest resources to lower readmissions. OBJECTIVE... |
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Pulmonary rehabilitation and digital applications: Patient engagement, experience and feedback
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| Keywords: Digital, Engagement, Pulmonary Rehabilitation Purpose: In response to the COVID-19 pandemic, the service delivery of Pulmonary Rehabilitation (PR) expanded to provide patients with the option of online digital applications for education. At Liverpool Heart and Chest Hospital, those with a diagnosis of Chronic... |
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Delivery of care for migraine in the Asian Oceanian region: A cross-sectional study.
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| OBJECTIVE To determine the current availability of care for headaches, in particular migraine in the Asian Oceanian region. METHOD A questionnaire-based, cross-sectional study from August 2020 to February 2021, surveyed country representatives from the member countries of the Asian Oceanian Association of Neurology. Th... |
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Policy and vision for community pharmacies in Finland: A roadmap towards enhanced integration and reduced costs
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| Finland’s community pharmacy system provides an example of a privately-owned regulated system being proactively developed by the profession and its stakeholders. Community pharmacists have a legal duty to promote safe and rational medicine use in outpatient care. The development of professionally oriented practice has ... |
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The Porto European Cancer Research Summit 2021
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| Key stakeholders from the cancer research continuum met in May 2021 at the European Cancer Research Summit in Porto to discuss priorities and specific action points required for the successful implementation of the European Cancer Mission and Europe's Beating Cancer Plan (EBCP). Speakers presented a unified view about ... |
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To resuscitate or not to resuscitate;a question for old age psychiatrists
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| Aims The inpatient population of an older adult psychiatric ward will include people with physical and mental health conditions which affect life span and quality of life. Patients may be frail, acutely unwell, or have terminal illnesses such as dementia. It is therefore essential that clinicians review resuscitation s... |
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Modified scoping review of the enablers and barriers to implementing primary health care in the COVID-19 context
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| Since the Alma Ata Declaration of 1978, countries have varied in their progress towards establishing and sustaining comprehensive primary health care (PHC) and realizing its associated vision of ‘Health for All’. International health emergencies such as the coronavirus-19 (COVID-19) pandemic underscore the importance o... |
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"I just didn't want to trust it at all": Atrial fibrillation patient's treatment experience of rivaroxaban and warfarin.
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| BACKGROUND In the treatment of atrial fibrillation (AF), anticoagulant medications such as warfarin and rivaroxaban are commonly prescribed to reduce the risk of ischaemic strokes, and other thromboembolic events. Research has highlighted advantages and disadvantages of each of these medications, but there remains an a... |
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Dementia-related continuing education for rural interprofessional primary health care in Saskatchewan, Canada: perceptions and needs of webinar participants.
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| Dementia-related continuing education opportunities are important for rural primary health care (PHC) professionals given scarce specialized resources. This report explores the initial perceptions and continuing education needs of rural interprofessional memory clinic team members and other PHC professionals related to... |
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Education Priorities and What Matters to Those Considering Living Kidney Donation.
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| INTRODUCTION Although informed consent content elements are prescribed in detailed regulatory guidance, many live kidney donors describe feeling underprepared and under informed. The goal of this pilot study was to explore the educational components needed to support an informed decision-making process for living kidne... |
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Supporting Management of Noncommunicable Diseases With Mobile Health (mHealth) Apps: Experimental Study
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| BACKGROUND: Noncommunicable diseases (NCDs) are the leading global health problem in this century and are the principal causes of death and health care spending worldwide. Mobile health (mHealth) apps can help manage and prevent NCDs if people are willing to use them as supportive tools. Still, many people are reluctan... |
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Perceptions of infection control practices among health professionals.
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| Infection control practice is a cornerstone of modern health care. However, there is minimal research into health professionals' perception of infection control practices and how those perceptions influence staff compliance with recommended protocols. The objective of this study was to explore health care professionals... |
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Systematic Analysis of Literature on the Marketing of Healthcare Systems. Challenges for Russian and Romanian Healthcare Systems
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| This paper aims at finding the most dominant ideas about the marketing of healthcare systems highlighted in the mainstream literature, with a focus on Russia and Romania. To reach this goal, a systematic analysis of literature was conducted and various competitive advantages and disadvantages of the medical models that... |
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Rapid implementation of a modular clinical trial informatics solution for COVID-19 research
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| Veterans Health Administration (VHA) services are most frequently used by patients 65 years and older, an age group that is disproportionally affected by COVID-19. Here we describe a modular Clinical Trial Informatics Solution (CTIS) that was rapidly developed and deployed to support a multi-hospital embedded pragmatic... |
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