MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Health Expectations' source. Thu, 09 Feb 2012 10:12:55 +0100 http://www.medworm.com/index.php?rid=5654802&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00745.x Discussion and conclusion  Compared to previous studies far fewer messages reported non‐systematic decision processes and only a small number of messages reflected lay beliefs or misbeliefs about PCa treatment. Implications for men and their clinicians of seeking health information online are discussed. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5654802 Thu, 02 Feb 2012 05:00:00 +0100 5654802 http://www.medworm.com/index.php?rid=5654801&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00747.x Discussion and conclusions  This paper raises a number of issues that concern the applicability of SERVQUAL in health care services and could enhance current discussions about SERVQUAL improvement. Quality of health care needs to be redefined by encompassing multiple dimensions. Beyond a simple expectations–perceptions gap, people may hold different understandings of health care that, in turn, influence their perception of the quality of services. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5654801 Thu, 02 Feb 2012 05:00:00 +0100 5654801 http://www.medworm.com/index.php?rid=5654800&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00749.x Conclusions  There appears to be evidence suggesting that the views of individuals who participate in citizens’ juries change as a result of the experience, and those ‘informed’ views are sustained. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5654800 Thu, 02 Feb 2012 05:00:00 +0100 5654800 http://www.medworm.com/index.php?rid=5654804&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00746.x Conclusion  A large number and range of symptoms and triggers were identified, and individualized strategies were devised to minimize symptoms and triggers. Medication adherence was poor.Practice implications  Patients with IAR can be assisted to identify their symptoms and triggers and develop relevant strategies to manage these. This approach has the potential to facilitate patient self‐manageme\nt of a chronic and incapacitating condition. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5654804 Wed, 01 Feb 2012 05:00:00 +0100 5654804 http://www.medworm.com/index.php?rid=5654803&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00755.x Conclusions  Safety remains a global challenge affecting many patients throughout the world. Large variability exists in the frequency of patient‐reported error across countries. To learn from others’ errors is not only essential within countries but may also prove a promising strategy internationally. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5654803 Wed, 01 Feb 2012 05:00:00 +0100 5654803 http://www.medworm.com/index.php?rid=5567146&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00757.x Conclusion  This paper considers patient or person centred care in the light of empowerment as it is understood in the health promotion charters first established in Alma Ata in 1977. We argue that patient or person centred care can be reconfigured within a social justice and rights framework and that doing so supports the creation of conditions for well‐being in the broader context, one that impacts strongly on individuals. These arguments have broader implications for the practice of patient centred care as it occurs between patient and health professional and for creating shared responsibility for management of the self. It also has implications for those who manage their health outside of the health sector. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5567146 Mon, 02 Jan 2012 05:00:00 +0100 5567146 http://www.medworm.com/index.php?rid=5567145&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00758.x Conclusion  A chasm exists between what patients apparently want with regard to humour use in health‐care interactions and what actually transpires. Initiating humour involves risk, and risk‐taking requires a degree of self‐esteem and confidence. Nurses are, arguably, risk‐averse and have low self‐esteem. Future research could review confidence and self‐esteem markers with observed humour use in nurses and their interactions across a range of specialities. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5567145 Mon, 02 Jan 2012 05:00:00 +0100 5567145 http://www.medworm.com/index.php?rid=5567144&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00759.x Conclusions  Using the social media tools of an online weight loss programme at least once per week is strongly associated with receiving Encouragement for weight loss behaviours. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5567144 Mon, 02 Jan 2012 05:00:00 +0100 5567144 http://www.medworm.com/index.php?rid=5567143&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00760.x Conclusions  This study confirmed the importance of physician engagement when implementing DESIs and found mixed effects for providing financial incentives. The relatively low rate of DESI viewing suggests further research on increasing patient uptake of these interventions in routine practice is necessary. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5567143 Mon, 02 Jan 2012 05:00:00 +0100 5567143 http://www.medworm.com/index.php?rid=5499921&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00725.x Conclusion  Video and leaflet could be effective at encouraging patient involvement in some safety‐related behaviours. Further in‐depth research on patients’ attitudes towards different educational materials is required to help inform future policies and interventions in this very important but under‐researched area. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5499921 Mon, 12 Dec 2011 05:00:00 +0100 5499921 http://www.medworm.com/index.php?rid=5654799&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00752.x Discussion  Young people’s experiences demonstrate the importance of moving beyond viewing health choices as technical or rational decisions. How each young person framed their decision was important. Recognizing this diversity and the importance of emerging themes, such as living a normal life, independence, fear of decisions viewed as ‘irreversible’ and the role of parents and peers in decision making highlights that, there are clear practice implications including, active practitioner listening, sensitivity and continued holistic family working. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5654799 Thu, 01 Dec 2011 05:00:00 +0100 5654799 http://www.medworm.com/index.php?rid=5567142&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00763.x Conclusions  Participants’ priorities reflect an interest in a holistic approach to mental health research that examines the influences of everyday life and psychosocial influences both on the development and on the management of these disorders. Their focus was on research that explores individualized care and the active role that consumers can play in their own care and recovery. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5567142 Thu, 01 Dec 2011 05:00:00 +0100 5567142 http://www.medworm.com/index.php?rid=5499920&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00754.x Conclusion  To influence the latter and to encourage a systematic approach to the delivery of health care it seems likely that contractual arrangements – specifying tasks to be undertaken and methods for monitoring and reporting on activity – are required. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5499920 Thu, 01 Dec 2011 05:00:00 +0100 5499920 http://www.medworm.com/index.php?rid=5415756&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00756.x (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5415756 Thu, 17 Nov 2011 17:56:16 +0100 5415756 http://www.medworm.com/index.php?rid=5394665&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00738.x Conclusions  Sleep apnoea was the comorbidity that most influenced the acceptance in dichotomous choice for bariatric surgery, probably due to the deleterious effects on daily activities induced by sleep disturbances. Our findings also suggest that the frequency of surgical procedures is below the preference of the obese population in Brazil. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5394665 Thu, 10 Nov 2011 05:00:00 +0100 5394665 http://www.medworm.com/index.php?rid=5394664&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00741.x Conclusion  We believe this way of involving users by exposing them to qualitative research findings about lay experiences of living with OA effectively facilitated the users’ contributions to the needs of those who have to live with OA, and we believe it has wider applications. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5394664 Thu, 10 Nov 2011 05:00:00 +0100 5394664 http://www.medworm.com/index.php?rid=5394663&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00743.x Discussion and conclusions  There are three main problems in the literature concerning patient involvement. First, there is a proliferation of conceptualizations of the topic, leading to conceptual vagueness. Furthermore, there is a lack of quantitative data, and some aspects of involvement remain underexposed, such as the involvement of specific target groups and practical ways to shape the involvement processes. Involvement processes should be tailored to the specific target group and context. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5394663 Thu, 10 Nov 2011 05:00:00 +0100 5394663 http://www.medworm.com/index.php?rid=5394662&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00744.x Conclusion  Successful management of chronic illness requires recognition that the driving forces behind motivation are interconnected. In particular, the significance of family as an external source of motivation suggests a need for increased investment in the knowledge and skill building of family members who contribute to care. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5394662 Thu, 10 Nov 2011 05:00:00 +0100 5394662 http://www.medworm.com/index.php?rid=5394661&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00737.x Conclusions  The results of this study could be used on a policy level for the development of guidelines and on a practice level for individual GDPs to adjust practice management to the preferences of patients. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5394661 Thu, 10 Nov 2011 05:00:00 +0100 5394661 http://www.medworm.com/index.php?rid=5394666&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00729.x Conclusions  Higher self‐reported technical quality of care in diabetes appears to be frequently but not always associated with better experiences and ratings. It is possible that the former leads to the latter and/or that both share a common cause within providers. Both care aspects do not seem interchangeable during performance assessment. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5394666 Tue, 08 Nov 2011 05:00:00 +0100 5394666 http://www.medworm.com/index.php?rid=5372321&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00740.x Conclusion  We found that some of the central concepts underlying the presenting probabilities domain were not defined. We also found gaps in the empirical evidence and theoretical support for this domain and criteria within this domain. Finally, we offer suggestions for steps that should be undertaken for further development and refinement of quality standards for DAs in the future. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5372321 Thu, 03 Nov 2011 04:00:00 +0100 5372321 http://www.medworm.com/index.php?rid=5372323&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00735.x Conclusion  Despite these variations, we suggest that parental participation within neonatal services remains an example of a weak public because the parent representatives had limited participation with little influence on decision making. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5372323 Tue, 01 Nov 2011 04:00:00 +0100 5372323 http://www.medworm.com/index.php?rid=5372322&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00736.x Conclusions  The results of the study further support the value of the aid and also provide important indications for improving it and refining indications for use. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5372322 Tue, 01 Nov 2011 04:00:00 +0100 5372322 http://www.medworm.com/index.php?rid=5372327&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00727.x Conclusion  Methods need to be found to ensure consensus around balance and editorial control, such that audio‐visual materials can be used. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5372327 Fri, 28 Oct 2011 04:00:00 +0100 5372327 http://www.medworm.com/index.php?rid=5372326&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00732.x Conclusions  While the DA was acceptable, feasibility was limited by late‐life illness challenges. Future trials of this DA should be performed on patients earlier in their illness trajectory and should include additional outcome measures such as self‐efficacy and confidence. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5372326 Fri, 28 Oct 2011 04:00:00 +0100 5372326 http://www.medworm.com/index.php?rid=5372325&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00733.x Conclusions  Self‐testers often perform tests for reassurance, without considering the disadvantages, such as the absence of professional counselling and the risk of false‐positive or false‐negative results. Consumer information should promote more informed and deliberate choices for self‐testing. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5372325 Fri, 28 Oct 2011 04:00:00 +0100 5372325 http://www.medworm.com/index.php?rid=5372324&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00734.x Conclusions  This study suggests that decision makers should be more explicit in describing the dilemma of resource limitations in a publicly funded healthcare system. Openness enables citizens to gain the insight to make informed decisions, i.e. to use public services or to ‘opt out’ of the public sector solution if they consider rationing decisions unacceptable. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5372324 Fri, 28 Oct 2011 04:00:00 +0100 5372324 http://www.medworm.com/index.php?rid=5231417&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00711.x Conclusions  Patient and resident characteristics and structural and systems‐related foodservice variables were more important for influencing foodservice satisfaction than characteristics of food quality. The results suggest modifications to current menu planning and foodservice delivery methods: reducing the time‐lapse between meal choice and consumption, augmenting the number of meals at which choice is offered, and revising food production and delivery systems.It is important that residents in poorer health who are a high risk of under‐nutrition are provided with sufficient high protein/high energy therapeutic diets. Diets that restrict macro‐ and micro‐nutrients should be minimized for all patients and residents. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5231417 Fri, 16 Sep 2011 04:00:00 +0100 5231417 http://www.medworm.com/index.php?rid=5202335&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00728.x Discussion  The case studies suggest that centrally organized PPI can have ‘diagnostic’ and remedial functions in studies that are struggling to recruit and serve as reinforcement for study‐level PPI in the complex and sensitive research topics that are typical in neurodegenerative diseases research. PPI may be actively sought by researchers, but the infrastructure of PPI is not yet so widespread in the research community that lay researchers are easy to find; a centrally organized PPI resource can assist in this situation. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5202335 Thu, 08 Sep 2011 04:00:00 +0100 5202335 http://www.medworm.com/index.php?rid=5202334&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00731.x Conclusion  Without more uniformed mechanisms and incentives for municipalities to work towards the national goal of equitable involvement in the development process, the achievements will be fragmented and will depend on the individual stakeholder’s good will. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5202334 Thu, 08 Sep 2011 04:00:00 +0100 5202334 http://www.medworm.com/index.php?rid=5202333&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00730.x Conclusion  Decision aids for CRC screening can improve the quality and efficiency of SDM from the provider perspective but future use is likely to depend on the extent to which barriers to implementation can be addressed. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5202333 Thu, 08 Sep 2011 04:00:00 +0100 5202333 http://www.medworm.com/index.php?rid=5202332&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00720.x Conclusion  The specific nature of patient preference‐sensitive decision making does not seem to resemble environments in which the TTB and tallying heuristics have proven successful. Encouraging patients to consider less rather than more relevant information potentially even deteriorates their values clarification process. Values clarification methods promoting the use of more intuitive decision strategies may sometimes be more effective. Nevertheless, we strongly recommend further theoretical thinking about the expected value of such heuristics and of other more intuitive decision strategies in this context, as well as empirical assessments of the mechanisms by which inducing such decision strategies may impact the quality and outcome of values clarification. (Source: Health Expectat... Health Expectations journals http://www.medworm.com/rss/comments.php?id=5202332 Thu, 08 Sep 2011 04:00:00 +0100 5202332 http://www.medworm.com/index.php?rid=5202337&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00721.x Conclusions  Newspaper articles printed in the Appalachia region lacked vital information that could help promote uptake of the HPV vaccine. Health educators and healthcare providers should be aware that women from underserved geographic regions like Appalachia may have greater information needs regarding their risk of cervical cancer and the potential benefits of the HPV vaccine as compared to the general patient population. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5202337 Tue, 06 Sep 2011 04:00:00 +0100 5202337 http://www.medworm.com/index.php?rid=5202336&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00723.x Conclusion  This project was able to identify priority Cochrane review topics for users of health care in 19 of the 50 areas of health care covered by The Cochrane Collaboration. Reviews addressing lifestyle and non‐medical interventions were strongly represented in the prioritized review titles. These findings highlight the importance of developing readable, informative lay summaries to support evidence‐based decision making by healthcare users. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5202336 Tue, 06 Sep 2011 04:00:00 +0100 5202336 http://www.medworm.com/index.php?rid=5394660&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00739.x Conclusion  The factors patients say are important in their medical decisions reflect a subjective weighing of benefits and costs and predict action/inaction although they do not necessarily indicate that patients are well informed. The greater the difference between the importance attached to benefits and costs, the greater patients’ confidence in their decision. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5394660 Thu, 01 Sep 2011 04:00:00 +0100 5394660 http://www.medworm.com/index.php?rid=5372320&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00742.x Discussion and conclusions  In general, the participants who were interviewed held the programme, and the health educator conducted the programme in high regard. The suggestions that were received can be used to further improve the acceptability and feasibility of the programme. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5372320 Thu, 01 Sep 2011 04:00:00 +0100 5372320 http://www.medworm.com/index.php?rid=5231416&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00712.x Conclusions  Women with ESBC and cancer physicians shared some views of how physicians involve patients in TDM, although there were important differences. Physicians may underestimate the importance that women’s place on understanding the rationale for their involvement in TDM and on feeling comfortable during the consultation. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5231416 Thu, 01 Sep 2011 04:00:00 +0100 5231416 http://www.medworm.com/index.php?rid=5202331&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00724.x Conclusions  In addition to formal evidence, patients use other sources of informal or ‘non‐evidentiary’ knowledge to support their decisions about treatment after TIA or recovered stroke. To enable evidence‐based patient choice, health professionals need to appreciate the diverse types of evidence which patients use, to help them to access relevant and high‐quality evidence, to balance evidence from different sources and to make choices which are congruent with their values and expectations. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5202331 Thu, 01 Sep 2011 04:00:00 +0100 5202331 http://www.medworm.com/index.php?rid=5123670&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00710.x This study has been undertaken to explore perceptions and attitudes of parents and future parents to an expanded newborn screening programme in the United Kingdom and the necessary information provision and consent processes.Design and participants  A mixed methods study involving focus groups (n = 29) and a web‐survey (n = 142) undertaken with parents and future parents.Results and conclusions  Parents want guaranteed information provision with clear decision‐making powers and an awareness of the choices available to them. The difference between existing screening provision and expanded screening was not considered to be significant enough by participants to warrant formal written, informed consent for expanded screening. It is argued that the ethical review processes need... Health Expectations journals http://www.medworm.com/rss/comments.php?id=5123670 Sat, 13 Aug 2011 05:41:28 +0100 5123670 http://www.medworm.com/index.php?rid=5123675&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00717.x Discussion  When faced with the task of communicating scientific uncertainty about medical tests and treatments, physicians’ perce‐ptions of their patients’ ambiguity aversion may be related to their attitudes towards communicating uncertainty. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5123675 Thu, 11 Aug 2011 23:00:00 +0100 5123675 http://www.medworm.com/index.php?rid=5123674&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00714.x Conclusions  Despite significant policy recommendations and research in this area, many problems with the management of medicines during hospital discharge were shown, and a lack of partnership was evident between hospital staff and patients/family carers regarding the use of medicines post‐discharge. Improved medicines management during hospital discharge is required to ensure older people take their medications as prescribed and to protect them from the adverse effects of medicines not being taken correctly. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5123674 Thu, 11 Aug 2011 23:00:00 +0100 5123674 http://www.medworm.com/index.php?rid=5123673&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00713.x Conclusions  Users and providers need to consider that although they have a common definition of involvement in health care, they assign different values to its aspects. Increasing and improving patient and public involvement therefore requires knowledge on and dialogue between the parties about these differences. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5123673 Thu, 11 Aug 2011 23:00:00 +0100 5123673 http://www.medworm.com/index.php?rid=5123672&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00715.x Conclusion  Medicine need, efficacy and safety are viewed as paramount for most patients, irrespective of insurance status. While patients report the importance of participation in treatment decisions, delegation of decision making to the doctor was common in practice. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5123672 Thu, 11 Aug 2011 23:00:00 +0100 5123672 http://www.medworm.com/index.php?rid=5123671&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00716.x Conclusion  We successfully piloted a simple, half‐day, easily replicable multi‐stakeholder engagement process based on the results of a recent SER. We recommend a number of potential improvements in future endeavours to replicate this process. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5123671 Thu, 11 Aug 2011 23:00:00 +0100 5123671 http://www.medworm.com/index.php?rid=5115674&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00726.x (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5115674 Thu, 11 Aug 2011 15:52:14 +0100 5115674 http://www.medworm.com/index.php?rid=5046643&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00709.x Conclusions  Physicians and patients have similar perceptions of the importance of various goals of communicating bad news, but inaccurate perceptions of the importance of particular goals to the other party. These findings raise important questions for future research and clinical practice. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5046643 Tue, 19 Jul 2011 23:00:00 +0100 5046643 http://www.medworm.com/index.php?rid=5046642&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00718.x Conclusions  Patient issues cover a broad domain, including fundamental values, quality of life, quality of care and personal development. Quite a few issues do not find its reflection in the scientific literature in spite of their clear and obvious appearance from tertiary sources. This may indicate a gap between the scientific research community and patient networks. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5046642 Tue, 19 Jul 2011 23:00:00 +0100 5046642 http://www.medworm.com/index.php?rid=5004769&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00680.x Conclusion  These results suggest preferences are relatively stable, even where there are changes in health, and provide further evidence of the utility (in particular, reliability) of the PPQA. However, this stability in scores did mask some movement in scale scores and in patients’ first‐ranked treatment choices, showing changing preferences largely from angioplasty to CABG and vice versa, indicating the complexity of preferences. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5004769 Sun, 03 Jul 2011 23:00:00 +0100 5004769 http://www.medworm.com/index.php?rid=4981283&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00708.x (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4981283 Tue, 28 Jun 2011 23:00:00 +0100 4981283 http://www.medworm.com/index.php?rid=4943448&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00698.x Conclusions  Our results support a comprehensive approach of care and argue in favour of care reorganization following the patient‐centred model. To promote organizational care reforms through the prism of the doctor–patient relationship could thus be a fruitful way to insure a better quality of care and the social acceptability of the reforms. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4943448 Thu, 16 Jun 2011 23:00:00 +0100 4943448 http://www.medworm.com/index.php?rid=4930593&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00705.x Conclusions  Service providers’ avoidance attitudes towards PLH were negatively associated with general patients’ satisfaction with service providers at the hospital level. The relationship was strong and significant whether or not adjustments were made for background characteristics. Medical care providers’ stigmatizing attitudes towards PLH could be a reflection of the providers’ general outlook with all patients. This study underscores a broader focus for HIV‐related stigma reduction interventions in medical settings at both individual and institutional levels, targeting attitudes towards both patients with HIV/AIDS and the general patient population. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4930593 Mon, 13 Jun 2011 23:00:00 +0100 4930593 http://www.medworm.com/index.php?rid=4909416&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00692.x Conclusions  The commissioning and provision of mental health advocacy needs to recognize the distinct experiences of African and Caribbean men and develop capacity in the range of organizations to ensure equitable access. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4909416 Mon, 06 Jun 2011 23:00:00 +0100 4909416 http://www.medworm.com/index.php?rid=4909415&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00699.x Conclusion  Obesity is a stigmatized condition that impacts negatively on the relationship between patients and health‐care providers. Given the increasing prevalence of obesity and the range of therapeutic options available, further work is necessary to understand how the presence of obesity affects health‐care interactions and decision making. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4909415 Mon, 06 Jun 2011 23:00:00 +0100 4909415 http://www.medworm.com/index.php?rid=4909414&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00700.x Discussion and conclusions  Respecting a patient’s autonomy and delivering high‐quality diabetes care are important to providers. At times it may not be possible to do both, so a careful balance is required. Involving patients in decision‐making may be a means to this end, rather than an end in itself. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4909414 Mon, 06 Jun 2011 23:00:00 +0100 4909414 http://www.medworm.com/index.php?rid=4909413&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00701.x Conclusions:  Public deliberations can achieve design ideals and influence (ethics‐based) public health policy. The representation of ‘hard to reach’ citizens and their views needs further consideration, particularly as this relates to the procedural legitimacy of ethical analyses and the just inclusion of deliberative citizen advice within the broader policy‐making process. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4909413 Mon, 06 Jun 2011 23:00:00 +0100 4909413 http://www.medworm.com/index.php?rid=4909412&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00702.x Conclusions  There were some evidence of positive relationship between stages of change of physical activity and fruit and vegetable intake with SF‐12 scores. Further studies need to be conducted to confirm this association. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4909412 Mon, 06 Jun 2011 23:00:00 +0100 4909412 http://www.medworm.com/index.php?rid=5046641&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00719.x Conclusions  Those promoting incentive schemes for people who might be regarded as ‘undeserving’ should plan a media strategy that anticipates their public reception. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5046641 Tue, 31 May 2011 23:00:00 +0100 5046641 http://www.medworm.com/index.php?rid=5004768&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00707.x Conclusion  Australian women want to be involved in decision making for cervical cancer screening and require information on the risks and benefits of Pap testing prior to undergoing any screening. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5004768 Tue, 31 May 2011 23:00:00 +0100 5004768 http://www.medworm.com/index.php?rid=4981282&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00695.x AbstractThere has been considerable momentum within the NHS over the last 10 years to develop greater patient and public involvement (PPI). This commitment has been reflected in numerous policy initiatives. In patient safety, the drive to increase involvement has increasingly been seen as an important way of building a safety culture. Evidence suggests, however, that progress has been slow and even more variable than in health care generally. Given this context, the paper analyses some of the key underlying drivers for involvement in the wider context of health and social care and makes some suggestions on what lessons can be learned for developing the PPI agenda in patient safety. To develop PPI further, it is argued that a greater understanding is needed of the contested nature of invo... Health Expectations journals http://www.medworm.com/rss/comments.php?id=4981282 Tue, 31 May 2011 23:00:00 +0100 4981282 http://www.medworm.com/index.php?rid=4943447&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00706.x Conclusion  The newly developed model takes into account several important dynamics that might be key elements for more successful back pain consultation in primary care, mainly the importance of matching patients’ and doctors’ expectations as well as the importance of addressing unmet expectations. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4943447 Tue, 31 May 2011 23:00:00 +0100 4943447 http://www.medworm.com/index.php?rid=4930592&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00704.x Conclusions  While there is an overall concordance between patients’ and psychiatrists’ valuation, significantly different valuations on specific goals can be identified. Here, psychiatrists tend to focus on ‘textbook’ outcomes, while patients are more concerned with functioning and living a normal life. This study also demonstrates the importance of comparing the concordance in treatment goals and the importance of preference‐based methods, such as the self‐explicated method, in the study of concordance. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4930592 Tue, 31 May 2011 23:00:00 +0100 4930592 http://www.medworm.com/index.php?rid=4909411&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00703.x Conclusions  Health‐care providers need to recognize the DMP pathways in which ICD candidacy and SCD risk are understood. The factors that influence a patient’s decision warrant discussion pre‐implant. It is imperative that patients comprehend the meaning of ICD candidacy to make an informed decision. Participants did not recall alternatives to receiving ICD therapy. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4909411 Tue, 31 May 2011 23:00:00 +0100 4909411 http://www.medworm.com/index.php?rid=4890401&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00677.x Conclusions  The fact that the experience of financial barriers considerably lowers confidence indicates that financial incentives, such as private co‐payments, have a negative effect on overall public support and therefore on the legitimacy of health‐care systems. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4890401 Tue, 31 May 2011 23:00:00 +0100 4890401 http://www.medworm.com/index.php?rid=4882220&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00674.x Conclusions  The review suggests that fathers’ involvement in children’s health care can positively impact on fathers’, mothers’ and children’s well‐being and family functioning. A range of strategies are identified to inform the promotion of fathers’ contributions and future research investigating their input. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4882220 Tue, 31 May 2011 21:45:47 +0100 4882220 http://www.medworm.com/index.php?rid=5046644&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00672.x Discussion  Prospective parents may find it helpful to discuss their existing knowledge of their unborn baby’s condition with health professionals who are aware of the influence this might have on parents’ decisions. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=5046644 Sun, 29 May 2011 23:00:00 +0100 5046644 http://www.medworm.com/index.php?rid=4882225&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00693.x Conclusions  The decoupling of practice and management allows patient education as equal collaboration between users and professionals to thrive as an idea, not subjugated by practical challenges. Thus, it can exist as a guiding star that both management and practitioners can attune to, but this situation might now be threatened by the demand for quality assurance in the field. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4882225 Sun, 29 May 2011 23:00:00 +0100 4882225 http://www.medworm.com/index.php?rid=4882224&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00682.x Discussion and conclusions  Physicians are generally quite open towards active patient behaviour in the consultation. They, however, do consider it as less helpful and become more annoyed if patients insist on their preferences and doubt their doctors’ recommendations. Physicians must realize that SDM implies giving up decisional power and try to be more flexible in their interactions with patients. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4882224 Sun, 29 May 2011 23:00:00 +0100 4882224 http://www.medworm.com/index.php?rid=4882223&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00685.x Conclusions  Consumers seem acutely aware of care processes they believe pose risks to safety. Perceptual measures of patient safety and quality may help to identify areas where there are higher risks of preventable adverse events. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4882223 Sun, 29 May 2011 23:00:00 +0100 4882223 http://www.medworm.com/index.php?rid=4882222&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00683.x Conclusions  It is important for health‐care professionals to ensure that their practice is relevant to patients and families. The review identified three stroke‐specific patient‐centred outcome measures, key elements of patient‐centred interventions, and informed the development of a definition of patient‐centred care. These review‐derived outputs represent a useful starting point for health‐care professionals, whatever their specialty, who are working to reconcile tensions between priorities of health‐care professionals and those of patients and their families, to ensure delivery of patient‐centred care. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4882222 Sun, 29 May 2011 23:00:00 +0100 4882222 http://www.medworm.com/index.php?rid=4882221&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00672.x Discussion  Prospective parents may find it helpful to discuss their existing knowledge of their unborn baby’s condition with health professionals who are aware of the influence this might have on parents’ decisions. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4882221 Sun, 29 May 2011 23:00:00 +0100 4882221 http://www.medworm.com/index.php?rid=4860096&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00691.x This article focuses on findings relating to referral, subsequent outpatient appointments and cessation of outpatient follow‐up.Methods  Issues were explored in a qualitative study using face‐to‐face interviews with a purposive sample of 54 people affected by cancer. Data were analysed concurrently with data collection, using qualitative analysis software.Findings  The study gave rise to a number of salient themes. Links were identified between three of these: choice and responsiveness during referral; the flexibility and responsiveness of outpatient appointment systems; and negotiating cessation of follow‐up. It appeared that policy on urgent referrals might be adversely affecting practice relating to appointment systems and the continuance of follow‐up.Discussion and conclu... Health Expectations journals http://www.medworm.com/rss/comments.php?id=4860096 Wed, 25 May 2011 21:40:38 +0100 4860096 http://www.medworm.com/index.php?rid=4860101&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00671.x Conclusions  Comparative information on the quality of home care is complex for consumers. Although our findings derive from an experimental situation, they provide several suggestions for optimizing the information on the Internet. More research is needed to further unravel the effects of presentation formats on consumer decision making in health care. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4860101 Tue, 24 May 2011 23:00:00 +0100 4860101 http://www.medworm.com/index.php?rid=4860100&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00687.x Conclusions  Where patients are called upon to donate money for the newest, and hence perceived best, equipment, practitioners were of the opinion that unnecessary pressure may be placed on the public to support campaigns, the value of which may be unclear. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4860100 Tue, 24 May 2011 23:00:00 +0100 4860100 http://www.medworm.com/index.php?rid=4860099&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00688.x Conclusion  We reflect on the extent to which the programme aided the development of ‘critical consciousness’ among the volunteers: a key factor in successful peer education programmes. More research is needed about the impact on uptake of ACP in communities. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4860099 Tue, 24 May 2011 23:00:00 +0100 4860099 http://www.medworm.com/index.php?rid=4860098&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00684.x Conclusion  In women from socioeconomically deprived areas, access may be a less useful indicator than engagement when assessing antenatal service quality. As engagement levels may be one method by which to predict and improve health outcomes, a more equitable antenatal service may need to be developed through the early identification of those women at risk of non‐engagement. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4860098 Tue, 24 May 2011 23:00:00 +0100 4860098 http://www.medworm.com/index.php?rid=4860097&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00681.x Conclusion  The authors demonstrate the scientific, ethical and pragmatic benefits of involving service users in every phase of translational research. The authors’ reconceptualized model of translational research contributes to theoretical and policy debates regarding both translational research and service user involvement. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4860097 Tue, 24 May 2011 23:00:00 +0100 4860097 http://www.medworm.com/index.php?rid=4838221&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00697.x (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4838221 Thu, 19 May 2011 18:15:41 +0100 4838221 http://www.medworm.com/index.php?rid=4838220&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00694.x AbstractShared decision‐making approaches, by recognizing the autonomy and responsibility of both health professionals and patients, aim for an ethical ‘middle way’ between ‘paternalistic’ and ‘consumerist’ models of clinical decision making. Shared decision making has been understood in various ways. In this paper, we distinguish narrow and broader conceptions of shared decision making and explore their relative strengths and weaknesses. In the first part of the paper, we construct a summary characterization of an archetypal narrow conception of shared decision making (a conception that does not coincide with any specific published model but which reflects features of a variety of models). We show the shortcomings of such a conception and highlight the need to broaden out ou... Health Expectations journals http://www.medworm.com/rss/comments.php?id=4838220 Thu, 19 May 2011 18:15:40 +0100 4838220 http://www.medworm.com/index.php?rid=4838219&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00690.x (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4838219 Thu, 19 May 2011 18:15:38 +0100 4838219 http://www.medworm.com/index.php?rid=4838217&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00696.x (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4838217 Thu, 19 May 2011 18:15:34 +0100 4838217 http://www.medworm.com/index.php?rid=4757798&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00673.x Conclusion  There are many situations in which final responsibility for treatment choice should rest with health care professionals who are not doctors and with patients. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4757798 Tue, 26 Apr 2011 23:00:00 +0100 4757798 http://www.medworm.com/index.php?rid=4757797&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00678.x Discussion and conclusions  The intervention, built within a developed working partnership between tele‐carer and patient, operated at two levels: health literacy, enhancing knowledge, developing personal skills and enabling self‐control; and socio‐psychological behavioural change, tailored to individuals within their socio‐economic environments, enabling increased motivation and supportive problem‐solving. Both approaches find reflection in the findings and provide powerful explanatory lenses to interrogate the data. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4757797 Tue, 26 Apr 2011 23:00:00 +0100 4757797 http://www.medworm.com/index.php?rid=4757796&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00686.x Conclusions  Usability testing using the ‘think aloud’ approach worked well and identified areas of the Yellow Card reporting system which could be improved. Whilst the three methods of reporting available to the public are all reasonably ‘fit for purpose’, there were many suggestions identified for improving ease of completion and data quality, especially for the internet system. When systems for reporting of ADRs are designed, they should be tested by potential users before they are launched, so that potential problems are identified in advance. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4757796 Tue, 26 Apr 2011 23:00:00 +0100 4757796 http://www.medworm.com/index.php?rid=4730860&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00679.x Conclusions  Given the restricted time the doctor can usually spend with the patient, it is important to know that more emphasis on the information regarding medication is important. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4730860 Sat, 16 Apr 2011 23:00:00 +0100 4730860 http://www.medworm.com/index.php?rid=4543915&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00667.x Conclusion  The public is focused on life domains that are negatively influenced by the described health state whereas patients are focused on both the positive and negative aspects of their lives. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4543915 Thu, 03 Mar 2011 00:00:00 +0100 4543915 http://www.medworm.com/index.php?rid=4543914&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00669.x Conclusions  Women were generally positive about being offered screening in primary care at the first visit to confirm pregnancy. To this extent it was acceptable to them, although this was largely informed by assumptions associated with being a ‘good mother’ rather than a straightforward enactment of informed choice, assumed by health‐care policy. This represents the context in which women participate in decisions about their health care. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4543914 Thu, 03 Mar 2011 00:00:00 +0100 4543914 http://www.medworm.com/index.php?rid=4757795&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00689.x Conclusions  The German version of the OPTION scale is reliable at total score level. Some items need further revision in the direction of more concrete, observable behaviour. We were only able to perform a quasi‐validation of the scale. Validity issues need further research efforts. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4757795 Tue, 01 Mar 2011 00:00:00 +0100 4757795 http://www.medworm.com/index.php?rid=4730859&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00675.x Conclusion  Deconstructing FOBt‐based screening pointed to specific benefits and barriers which can advance research into public preferences of screening and educational materials. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4730859 Tue, 01 Mar 2011 00:00:00 +0100 4730859 http://www.medworm.com/index.php?rid=4651100&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00676.x Conclusions  Consumer workshops in parallel and feeding into guideline development can be a feasible and effective approach for active consumer contribution. This process can inform the development of both consumer‐focused guidelines for clinicians and specific versions for consumers. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4651100 Tue, 01 Mar 2011 00:00:00 +0100 4651100 http://www.medworm.com/index.php?rid=4543913&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00666.x Conclusion  It is possible to work towards harmonizing the right to health, and State particularism, by maximizing the thickness with which individual States recognize this right and progressively implement it. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4543913 Tue, 01 Mar 2011 00:00:00 +0100 4543913 http://www.medworm.com/index.php?rid=4511079&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00668.x Conclusions  The effect of telerehabilitation on healthcare strongly depends on patients’ willingness to use. Our study showed that chronic pain patients valued the benefits of telerehabilitation but hesitate to use it as an autonomous treatment. Therefore, future initiatives should maintain traditional care to some degree and focus on patients’ attitudes as well. Either by giving information to increase patients’ confidence in telerehabilitation or by addressing reported drawbacks into the future design of these services. Further quantitative studies are needed to explore patients’ intentions to use telerehabilitation. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4511079 Wed, 23 Feb 2011 23:01:49 +0100 4511079 http://www.medworm.com/index.php?rid=4511080&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00664.x Conclusion  While incentive schemes may engage these problems on occasion, there is no good reason to think that they do so inherently and of necessity. We need better behavioural science evidence to understand how incentives work, in order to evaluate their moral effects in practice. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4511080 Wed, 23 Feb 2011 00:00:00 +0100 4511080 http://www.medworm.com/index.php?rid=4493859&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00665.x Conclusions  The tripartite model of communicative effectiveness is a patient‐centred framework for evaluating PILs. It may assist the field in moving beyond readability to broader indicators of the quality and appropriateness of printed information provided to patients. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4493859 Fri, 18 Feb 2011 23:11:10 +0100 4493859 http://www.medworm.com/index.php?rid=4493860&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00662.x Conclusion  The systematic appraisal highlights important areas for future research and the need for more effective dissemination of study findings to wider audiences, including service users. This study also indicates the need for further research to enhance the generalizability and/or significance of findings. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4493860 Fri, 18 Feb 2011 00:00:00 +0100 4493860 http://www.medworm.com/index.php?rid=4488083&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00640.x Conclusions  Community breast cancer providers, both physicians and non‐physicians, express a high interest in using PtDAs with their patients. About a quarter of sites report sustained use of the PtDAs in routine care. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4488083 Thu, 17 Feb 2011 23:44:02 +0100 4488083 http://www.medworm.com/index.php?rid=4488082&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00670.x Conclusions  When communicating risks to immigrants with limited non‐native language proficiency, we should move beyond the simple, direct translation of health messages that are already being used with the indigenous population to messages that are more appropriate. The use of materials that include visual aids is an effective method of communicating medical risk information to immigrant populations. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4488082 Thu, 17 Feb 2011 23:44:00 +0100 4488082 http://www.medworm.com/index.php?rid=4488081&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00632.x Conclusion  Kendall tau‐b statistics indicate a high concordance between LS scores, implying that the interposing engaging TT exercise had no significant effects on the LS2 strength‐of‐preference scores. Future investigators attempting to characterize the distributions of strength‐of‐preference scores for EOL care from a large, diverse community could use non‐engaging elicitation methods. The potential limitations of this study require that further investigation be conducted into this methodological issue. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4488081 Thu, 17 Feb 2011 23:43:59 +0100 4488081 http://www.medworm.com/index.php?rid=4488080&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00641.x (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4488080 Thu, 17 Feb 2011 23:43:58 +0100 4488080 http://www.medworm.com/index.php?rid=4488076&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00660.x Conclusions  This study found consensus among panellists that it is feasible to evaluate the impact of public involvement on some research processes, outcomes and on key stakeholders. The value of public involvement and the importance of evaluating its impact were endorsed. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4488076 Thu, 17 Feb 2011 23:43:37 +0100 4488076 http://www.medworm.com/index.php?rid=4493862&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00661.x Conclusion and discussion  The active involvement of patients as research partners can add value to a research strategy, especially when research partners and professional researchers engage in a dialogue that is open, inclusive and deliberative. Issues for discussion include the possibility of ‘over‐involvement’, the research profile and training of research partners and whether participation of patients is restricted to certain types of research. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4493862 Thu, 17 Feb 2011 00:00:00 +0100 4493862 http://www.medworm.com/index.php?rid=4493861&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00663.x Conclusions  Support groups should be seen only as additional to the support offered by health and social care professionals. An increased understanding of the role of support groups in assisting families with genetic conditions has been highlighted, but further work is needed to explore more fully how this may be made more sustainable and far‐reaching. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4493861 Thu, 17 Feb 2011 00:00:00 +0100 4493861 http://www.medworm.com/index.php?rid=4488079&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00653.x Conclusion  There is a misalignment between the goals of practice nurses and the rhetoric regarding patient empowerment. Shared decision making may therefore only be embraced if it improves patient outcomes. This study indicates attitudinal shifts and improvements in knowledge of ‘shared decision‐making’ are needed if policy dictates are to be realised. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4488079 Wed, 16 Feb 2011 00:00:00 +0100 4488079 http://www.medworm.com/index.php?rid=4488078&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2011.00657.x AbstractShared decision making (SDM) is being increasingly challenged for promoting an innovative role model while adhering to an archaic approach to patient‐clinician communication, both in clinical practice and the research field. Too often, SDM has been studied at the individual level, which ignores the interpersonal system between patients and physicians. We aimed to encourage debate by reflecting on the essentials of SDM in terms of epistemology. We operationalized the SDM core concept of information exchange in terms of social systems theory. An epistemological analysis of the term information refers to its inherent process character. Exchange of information thereby becomes synonymous with social sense construction, indicating that, rather than just being a vehicle, the act of comm... Health Expectations journals http://www.medworm.com/rss/comments.php?id=4488078 Wed, 16 Feb 2011 00:00:00 +0100 4488078 http://www.medworm.com/index.php?rid=4488077&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00658.x Discussion and conclusions  When sharing decisions with patients, physicians should be aware that their advice might influence patients’ decisions away from their preferred treatment option. They should encourage their patients to identify their own preferences and help to find the treatment option most consistent with them. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4488077 Wed, 16 Feb 2011 00:00:00 +0100 4488077 http://www.medworm.com/index.php?rid=4423037&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00659.x Conclusions  This is the first study to describe patients’ experiences and views of the emergency and urgent care system. The majority of patients experienced a system of care rather than single service care. There was an indication that longer pathways resulted in lower levels of patient satisfaction. Health care organisations can undertake similar surveys to identify problems with their system or to assess the impact of changes made to their system. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4423037 Mon, 31 Jan 2011 00:00:00 +0100 4423037 http://www.medworm.com/index.php?rid=4423036&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00650.x This study investigated the WHOQOL‐BREF (UK), with this use in mind.Design  Cross sectional with nested repeated measures.Setting and participants  Twenty‐seven disease groups or health conditions and healthy people were recruited at 38 UK sites, in a wide range of settings (n = 4628).Interventions  ‘Treatment as usual’; new and alternative interventions.Outcome measures  WHOQOL‐BREF (UK); SF‐36.Results  Respondent burden was low, as acceptability and feasibility were high. Internal consistency was excellent (0.92) and test–retest reliability good. Distinctive QoL profiles were found for diverse conditions. Musculoskeletal, psychiatric and cardiovascular patients reported the poorest QoL and also improved most during treatment. Overall, QoL was good, and best fo... Health Expectations journals http://www.medworm.com/rss/comments.php?id=4423036 Mon, 31 Jan 2011 00:00:00 +0100 4423036 http://www.medworm.com/index.php?rid=4359741&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00651.x Conclusion  Theoretical approaches based on fast and frugal heuristics can be used to develop deliberation tools that provide helpful support to patients facing real‐world decisions about amniocentesis. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4359741 Tue, 18 Jan 2011 00:00:00 +0100 4359741 http://www.medworm.com/index.php?rid=4336199&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00654.x Discussion and conclusions  The Clinicians’ Cultural Sensitivity Survey can be used to assess the quality of care of older Latino patients. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4336199 Tue, 11 Jan 2011 00:00:00 +0100 4336199 http://www.medworm.com/index.php?rid=4280183&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00648.x Conclusion  A sizeable literature is available to inform priorities for research and the methods for setting research agendas with patients and clinicians. We recommend that research funders and researchers draw on this literature to provide relevant research for health service decision‐makers. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4280183 Wed, 22 Dec 2010 00:00:00 +0100 4280183 http://www.medworm.com/index.php?rid=4223553&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00646.x AbstractThe English health‐care system is moving towards increasing consumers’ choice. Following economic thinking, it is assumed that such a policy will improve quality, enhance patient satisfaction and reduce health disparities. Indeed, the English health‐care system has already built the necessary infrastructure to increase patients’ choice. Before expanding the range of choices further, however, it is important that policy makers be aware of the limitations and hurdles that such a policy contains. Here, we highlight these limitations by drawing on the influential work of Kenneth Arrow, who has argued that we cannot treat the health‐care market as if it was just another market, and the ideas of Herbert Simon, who questioned whether people had sufficient cognitive abilities to ... Health Expectations journals http://www.medworm.com/rss/comments.php?id=4223553 Thu, 02 Dec 2010 00:00:00 +0100 4223553 http://www.medworm.com/index.php?rid=4223552&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00645.x Conclusions  The new scale comprehensively covers the concept of hope is significantly shorter than previous scales and shows satisfactory reliability and validity. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4223552 Thu, 02 Dec 2010 00:00:00 +0100 4223552 http://www.medworm.com/index.php?rid=4423035&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00656.x Discussion  The NHA was successful in bringing together various actors and sectors involved in the social production of health, including groups often marginalized in policy making. It provides an innovative model of how governments may be able to increase public participation and intersectoral collaboration that could be adapted in other contexts. Significant challenges remain in ensuring full participation of interested groups and in implementing, and monitoring the impact of, the resolutions passed. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4423035 Wed, 01 Dec 2010 00:00:00 +0100 4423035 http://www.medworm.com/index.php?rid=4359740&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00652.x Conclusions  Involvement of parents helped design a trial which was acceptable to families and addressed outcomes that mattered to them. By consulting parents about the design of the research, the subsequent trial achieved excellent recruitment and retention rates. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4359740 Wed, 01 Dec 2010 00:00:00 +0100 4359740 http://www.medworm.com/index.php?rid=4336198&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00655.x Conclusion  The DA was perceived as acceptable and useful for most women. The DA effectiveness is currently being evaluated using a randomized controlled trial. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4336198 Wed, 01 Dec 2010 00:00:00 +0100 4336198 http://www.medworm.com/index.php?rid=4299949&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00643.x Discussion and conclusions  The systematic Q‐methodological approach yielded valuable insights into how pharmacy clients construct their expectations for service encounters. They hold differentiating normative expectations for pharmacy services. Understanding these varying viewpoints may be important for developing and prioritizing among efficient pharmacy services. Clients’ expectations do not correspond with trends that guide current pharmacy practice development. This might be a challenge for promoting or implementing services based on such trends. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4299949 Wed, 01 Dec 2010 00:00:00 +0100 4299949 http://www.medworm.com/index.php?rid=4298084&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00644.x Conclusions  The Internet provides a convenient source of support and information for obese individuals. However, many turn to the same unsuccessful solutions online (e.g. fad dieting) they turn to in the community. Government and community organisations could draw upon some lessons learned in other consumer‐driven online spaces (e.g. the Fatosphere) to provide supportive environments for obese individuals that resonate with their health and social experiences, and address their needs. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4298084 Wed, 01 Dec 2010 00:00:00 +0100 4298084 http://www.medworm.com/index.php?rid=4280182&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00647.x Conclusion  This case study reveals that exclusion of patients’ perspective occurred during a dialogue meeting with experts, despite the fact that inclusion strategies were used and patients experienced the dialogue meeting as inclusive. To realize a more effective patient–expert partnership, more attention should be paid to the application of some additional inclusion strategies. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4280182 Wed, 01 Dec 2010 00:00:00 +0100 4280182 http://www.medworm.com/index.php?rid=4223551&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00649.x Conclusions  This research provides insight into issues that may affect consumers’ appropriate use of medicines and self‐efficacy. Initiatives to improve public health literacy are warranted. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4223551 Wed, 01 Dec 2010 00:00:00 +0100 4223551 http://www.medworm.com/index.php?rid=4131288&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00606.x (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4131288 Thu, 04 Nov 2010 17:54:35 +0100 4131288 http://www.medworm.com/index.php?rid=4131287&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00642_2.x (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4131287 Thu, 04 Nov 2010 17:54:31 +0100 4131287 http://www.medworm.com/index.php?rid=4131286&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00642_1.x (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4131286 Thu, 04 Nov 2010 17:54:30 +0100 4131286 http://www.medworm.com/index.php?rid=4115379&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00618.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4115379 Thu, 30 Sep 2010 23:00:00 +0100 4115379 http://www.medworm.com/index.php?rid=4115378&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00622.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4115378 Thu, 30 Sep 2010 23:00:00 +0100 4115378 http://www.medworm.com/index.php?rid=4115377&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00627.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4115377 Thu, 30 Sep 2010 23:00:00 +0100 4115377 http://www.medworm.com/index.php?rid=4115376&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00628.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4115376 Thu, 30 Sep 2010 23:00:00 +0100 4115376 http://www.medworm.com/index.php?rid=4115375&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00631.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4115375 Thu, 30 Sep 2010 23:00:00 +0100 4115375 http://www.medworm.com/index.php?rid=4115374&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00633.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4115374 Thu, 30 Sep 2010 23:00:00 +0100 4115374 http://www.medworm.com/index.php?rid=4115373&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00636.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4115373 Thu, 30 Sep 2010 23:00:00 +0100 4115373 http://www.medworm.com/index.php?rid=4115372&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00637.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4115372 Thu, 30 Sep 2010 23:00:00 +0100 4115372 http://www.medworm.com/index.php?rid=4115371&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00638.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4115371 Thu, 30 Sep 2010 23:00:00 +0100 4115371 http://www.medworm.com/index.php?rid=4115370&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00639.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4115370 Tue, 31 Aug 2010 23:00:00 +0100 4115370 http://www.medworm.com/index.php?rid=4094522&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00619.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=4094522 Tue, 31 Aug 2010 23:00:00 +0100 4094522 http://www.medworm.com/index.php?rid=3997070&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00619.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3997070 Tue, 31 Aug 2010 23:00:00 +0100 3997070 http://www.medworm.com/index.php?rid=3997069&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00621.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3997069 Tue, 31 Aug 2010 23:00:00 +0100 3997069 http://www.medworm.com/index.php?rid=3997068&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00623.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3997068 Tue, 31 Aug 2010 23:00:00 +0100 3997068 http://www.medworm.com/index.php?rid=3997067&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00624.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3997067 Tue, 31 Aug 2010 23:00:00 +0100 3997067 http://www.medworm.com/index.php?rid=3997066&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00625.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3997066 Tue, 31 Aug 2010 23:00:00 +0100 3997066 http://www.medworm.com/index.php?rid=3997065&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00626.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3997065 Tue, 31 Aug 2010 23:00:00 +0100 3997065 http://www.medworm.com/index.php?rid=3997064&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00629.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3997064 Tue, 31 Aug 2010 23:00:00 +0100 3997064 http://www.medworm.com/index.php?rid=3997063&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00630.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3997063 Tue, 31 Aug 2010 23:00:00 +0100 3997063 http://www.medworm.com/index.php?rid=3997062&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00634.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3997062 Tue, 31 Aug 2010 23:00:00 +0100 3997062 http://www.medworm.com/index.php?rid=3997061&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00635.x Abstract (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3997061 Tue, 31 Aug 2010 23:00:00 +0100 3997061 http://www.medworm.com/index.php?rid=3797577&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00620.x Background Service user involvement in health and social care is a key policy driver in the UK. In cancer care it is central to developing services which are effective, responsive and accessible to patients. Cancer network partnership groups are set up to enable joint working between service users and health care professionals and to drive service improvements.Aims and objectives The aim of this study was to explore the influence of the cancer network partnership groups' service user involvement activities on cancer care.Design This was a qualitative study involving documentary analysis and in-depth case studies of a sample of partnership groups.Setting and participants Five partnership groups were purposively selected as case studies from Macmillan regions across the UK; documents were co... Health Expectations journals http://www.medworm.com/rss/comments.php?id=3797577 Wed, 28 Jul 2010 23:00:00 +0100 3797577 http://www.medworm.com/index.php?rid=3797579&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00614.x Conclusions Disagreements about clinical discussions and decision making may be common. Future work is needed to determine: how widespread such agreements are; whether they impact clinical outcomes; and the relative importance of the subjective experience versus objective steps of shared decision making. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3797579 Mon, 26 Jul 2010 23:00:00 +0100 3797579 http://www.medworm.com/index.php?rid=3797578&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00617.x Conclusions The benefits of drugs are highlighted, frequently using sensationalist language, without equal consideration of uncertainty or risks. Health-care purchasers should express decisions in opportunity cost terms; journalists should give fairer coverage to such arguments. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3797578 Mon, 26 Jul 2010 23:00:00 +0100 3797578 http://www.medworm.com/index.php?rid=3742043&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00616.x Discussion and conclusions DECISION+ was developed successfully and appears to reduce the use of antibiotics for ARIs without affecting patients' outcomes. A larger trial is needed to confirm this observation. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3742043 Sat, 10 Jul 2010 23:00:00 +0100 3742043 http://www.medworm.com/index.php?rid=3742048&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2009.00589.x Conclusions Reorganization of care to offer a primary angioplasty service was acceptable to patients and their carers. Satisfaction levels were high regardless of the type of care received, with the exception of discharge and aftercare. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3742048 Thu, 08 Jul 2010 23:00:00 +0100 3742048 http://www.medworm.com/index.php?rid=3742047&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00593.x Conclusion Patient-held health files provide an opportunity for patients to access their health information. Such files have the potential to improve health outcomes for patients who adopt both active and passive roles in relation to their own health and engaging with their health information. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3742047 Thu, 08 Jul 2010 23:00:00 +0100 3742047 http://www.medworm.com/index.php?rid=3742046&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00607.x Conclusion Generating and applying guidelines is vital if the impact of user involvement agenda in health research is to be understood. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3742046 Thu, 08 Jul 2010 23:00:00 +0100 3742046 http://www.medworm.com/index.php?rid=3742045&cid=s_31299_51_f&fid=31299&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1369-7625.2010.00613.x Conclusions We have developed a reliable and valid coding system for identifying and rating the quality of SDM in breast cancer consultations. (Source: Health Expectations) Health Expectations journals http://www.medworm.com/rss/comments.php?id=3742045 Thu, 08 Jul 2010 23:00:00 +0100 3742045