Journal of health and human services administration最新文献_第9页

IMPACT OF A SERIOUS GAME FOR HEALTH ON CHRONIC DISEASE SELF-MANAGEMENT: PRELIMINARY EFFICACY AMONG COMMUNITY DWELLING ADULTS WITH HYPERTENSION. 一种严肃的健康游戏对慢性疾病自我管理的影响:对社区居住的高血压成年人的初步疗效

Journal of health and human services administration Pub Date : 2015-01-01

Ronald L Hickman, John M Clochesy, Melissa D Pinto, Christopher Burant, Grant Pignatiello

{"title":"IMPACT OF A SERIOUS GAME FOR HEALTH ON CHRONIC DISEASE SELF-MANAGEMENT: PRELIMINARY EFFICACY AMONG COMMUNITY DWELLING ADULTS WITH HYPERTENSION.","authors":"Ronald L Hickman, John M Clochesy, Melissa D Pinto, Christopher Burant, Grant Pignatiello","doi":"","DOIUrl":"","url":null,"abstract":"Most Americans will acquire a chronic disease during their lifetime. One of the most prevalent chronic diseases that affect Americans is hypertension (HTN). Despite the known comorbidities and increased mortality rate associated with uncontrolled HTN, most community dwelling adults with HTN do not have sufficient blood pressure control Therefore, the aim of this article is to report the preliminary efficacy of a serious game for health to enhance blood pressure control among community dwelling adults with HTN. A nonprobability sample of 116 community dwelling adults with HTN participated in this nonblinded, randomized controlled trial. Participants were randomly assigned to: (1) an intervention arm that consisted of four exposures to a serious game for health known as eSMART-HD; or (2) an attentional control arm that compromised of four exposures to screen-based HTN education. The primary outcome measure for this trial was blood pressure reduction over a four month observational period. In this study, baseline characteristics and blood pressure measurements were similar between participants in each study arm. There was no significant between-group difference in blood pressure reduction over time. However, there were significant within-group reductions in systolic and diastolic blood pressures across time among favoring participants exposed to eSMART-HD. This study establishes the preliminary efficacy of eSMART-HD that can be easily administered to community dwelling adults and facilitate clinically significant reductions in systolic and diastolic blood pressures. Future studies should assess the influential components of this promising serious game for health (eSMART-HD) combined with medication management in larger and more diverse samples of community dwelling adults with HTN.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"38 2","pages":"253-75"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34066324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PAYER SOURCE FOR SINGLE, ELDERLY WOMEN IN NURSING HOMES. 养老院里单身老年妇女的付款人来源。

Journal of health and human services administration Pub Date : 2015-01-01

Sage Nakagawa, Henry O'Lawrence

引用次数: 0

AFFORDABLE HOUSING, HOMELESSNESS, AND MENTAL HEALTH: WHAT HEATH CARE POLICY NEEDS TO ADDRESS. 经济适用房、无家可归者和心理健康:医疗保健政策需要解决的问题。

Journal of health and human services administration Pub Date : 2015-01-01

Edward J Martin

引用次数: 0

MEDICAL BRIGADES, GLOBAL HEALTH AND THE UNITED NATIONS: MILLENNIUM DEVELOPMENT GOALS AND DEVELOPING NATIONS. 医疗队、全球卫生与联合国:千年发展目标与发展中国家。

Journal of health and human services administration Pub Date : 2015-01-01

Mark T Portman, Edward J Martin

{"title":"MEDICAL BRIGADES, GLOBAL HEALTH AND THE UNITED NATIONS: MILLENNIUM DEVELOPMENT GOALS AND DEVELOPING NATIONS.","authors":"Mark T Portman, Edward J Martin","doi":"","DOIUrl":"","url":null,"abstract":"Recently, recommendations have been made that global health initiatives change their focus from disease specific intervention to bolstering health systems and general health care. The aim of this is to ultimately increase access to primary care, clean water, education, hygiene, and prevent malnutrition, among other goals. While many major global health initiatives have followed this trend, so have many smaller scale programs including short-term medical brigades. Despite a trending increase in the number of privately run short-term medical brigades, until recently, little research has been done on the potential positive and negative effects that can arise from such programs. Now, guidelines have been initiated to create well-structured programs. When followed, these smaller scale initiatives can be successful in helping increase access to healthcare, sustainably strengthening communities in terms of general health. While recent legislation in the United States has addressed domestic policy in the Patient Protection Affordable Care Act of 2010 (ACA), the ACA should also consider some of the basic \"sustainable\" policies being implemented by international health care providers.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"38 1","pages":"90-107"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34174637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SERIOUS GAMES FOR HEALTH: AN INTRODUCTION TO THE SYMPOSIUM. 严肃游戏对健康的影响:研讨会简介。

Journal of health and human services administration Pub Date : 2015-01-01

John M Clochesy

引用次数: 0

BE HEARD: HEALTHCARE PERSPECTIVES FROM MEDICALLY AND SOCIALLY DISENFRANCHISED COMMUNITIES. 被倾听:来自医学和社会权利被剥夺社区的医疗保健观点。

Journal of health and human services administration Pub Date : 2015-01-01

Lisaann S Gittner, John M Clochesy, J Omar Gutierrez, Jaime L Robinson

引用次数: 0

CALIFORNIA STATE UNIVERSITY CATASTROPHIC (CAT) LEAVE DONATION PROGRAM: DEMOGRAPHICS, ECONOMIC SECURITY, AND SOCIAL EQUITY. 加州州立大学灾难性(cat)休假捐赠计划:人口统计，经济安全和社会公平。

Journal of health and human services administration Pub Date : 2015-01-01

Christina Muller

引用次数: 0

WAIT, WON'T! WANT: BARRIERS TO HEALTH CARE AS PERCEIVED BY MEDICALLY AND SOCIALLY DISENFRANCHISED COMMUNITIES. 等等,不会!需求:医学和社会上被剥夺权利的社区所认为的保健障碍。

Journal of health and human services administration Pub Date : 2015-01-01

John M Clochesy, Lisaann S Gittner, Ronald L Hickman, Jerry E Floersch, Carla L Carten

{"title":"WAIT, WON'T! WANT: BARRIERS TO HEALTH CARE AS PERCEIVED BY MEDICALLY AND SOCIALLY DISENFRANCHISED COMMUNITIES.","authors":"John M Clochesy, Lisaann S Gittner, Ronald L Hickman, Jerry E Floersch, Carla L Carten","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: We explored barriers to healthcare as perceived by members of medically and socially disenfranchised communities.Methods: We conducted focus groups with 28 women and 32 men from Northeast Ohio who identified themselves as African-American, Hispanic/Latino, lesbian/gay/bisexual/transgendered, and/or Russian immigrant.Results: Participants described their experiences of waiting, things they won't tolerate, when they won't participate, and what they want from providers. They described behaviors, actions and relationship characteristics that they want from their providers and characteristics that they prefer in health systems.Conclusions: The themes of Wait, Won't, and Want have healthcare practice and policy implications. Patient-provider interactions are known to be significant determinants of healthcare outcomes and these exploratory findings suggest that they might also affect patient self-management strategies. Future efforts should focus on developing and testing patient-centered strategies that address the themes identified to increase engagement to increase self-management of health.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"38 2","pages":"174-214"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34066321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ARABIC TRANSLATION AND ADAPTATION OF THE HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) PATIENT SATISFACTION SURVEY INSTRUMENT. 阿拉伯语翻译和改编的医院消费者评估医疗服务提供者和系统(hcahps)患者满意度调查工具。

Journal of health and human services administration Pub Date : 2015-01-01

James Dockins, Ramzi Abuzahrieh, Martin Stack

{"title":"ARABIC TRANSLATION AND ADAPTATION OF THE HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) PATIENT SATISFACTION SURVEY INSTRUMENT.","authors":"James Dockins, Ramzi Abuzahrieh, Martin Stack","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To translate and adapt an effective, validated, benchmarked, and widely used patient satisfaction measurement tool for use with an Arabic-speaking population.Design: Translation of survey's items, survey administration process development, evaluation of reliability, and international benchmarkingSetting: Three hundred-bed tertiary care hospital in Jeddah, Saudi Arabia.Participants: 645 patients discharged during 2011 from the hospital's inpatient care units. INTERVENTIONS; The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) instrument was translated into Arabic, a randomized weekly sample of patients was selected, and the survey was administered via telephone during 2011 to patients or their relatives.Main outcome measures: Scores were compiled for each of the HCAHPS questions and then for each of the six HCAHPS clinical composites, two non-clinical items, and two global items.Results: Clinical composite scores, as well as the two non-clinical and two global items were analyzed for the 645 respondents. Clinical composites were analyzed using Spearman's correlation coefficient and Cronbach's alpha to demonstrate acceptable internal consistency for these items and scales demonstrated acceptable internal consistency for the clinical composites. (Spearman's correlation coefficient = 0.327 - 0.750, P < 0.01; Cronbach's alpha = 0.516 - 0.851) All ten HCAHPS measures were compared quarterly to US national averages with results that closely paralleled the US benchmarks.Conclusion: . The Arabic translation and adaptation of the HCAHPS is a valid, reliable, and feasible tool for evaluation and benchmarking of inpatient satisfaction in Arabic speaking populations.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"37 4","pages":"518-36"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34522614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Equal Treatment under the Law: A Cost-Benefit Analysis of Same-Sex Benefits Post-Windsor 法律下的平等待遇:后温莎案同性福利的成本效益分析

Journal of health and human services administration Pub Date : 2014-09-22 DOI: 10.13016/M23R0PW3J

L. Naylor, J. Haulsee

引用次数: 2