International Healthcare Review (online)最新文献

{"title":"Opportunities and challenges in cross-border healthcare","authors":"Yimeng Wei","doi":"10.56226/65","DOIUrl":"https://doi.org/10.56226/65","url":null,"abstract":"Background The dynamic nature of healthcare delivery and patient mobility in the area has led to an increased focus on cross-border healthcare within the European Union (EU). Cross-border healthcare plans and strategies must take into account the EU's dedication to supporting the \"four freedoms\" of free movement of people, capital, goods, and services. To grasp the opportunities and problems present in this field, it is essential to comprehend how the four Freedoms interact with cross-border healthcare. With a focus on case studies based on the Court of Justice of the European Union (CJEU), this article seeks to examine the benefits and drawbacks of cross-border healthcare within the EU. Methods This article uses the content analysis method to collect all of the case information on the European High Court's website to date and determine the most popular topics. Following that, using case analysis, the typical cases of these dispute-prone locations will be examined to determine the key issues in the area. Results The statistical analysis demonstrates that social security, employee regulations, and freedom to provide services account for the three highest percentages of subject matters addressed by the CJEU. The analysis reveals existing gaps and inconsistencies in the interpretation and implementation of the legal framework. The case study of the CJEU highlights the challenges and complexities associated with harmonizing healthcare systems across member states. Main Contribution to Evidence-Based Practice The main contribution is the provision of evidence-based insights and knowledge that equip stakeholders in the healthcare sector with a holistic view of the field. It allows for informed decision-making, the formulation of effective policies, and the advancement of cross-border healthcare to benefit patients and healthcare systems across the EU.","PeriodicalId":492225,"journal":{"name":"International Healthcare Review (online)","volume":"41 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136376628","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}

{"title":"Nurses' knowledge of patients´' swallowing ability","authors":"Susana Marisa Loureiro Pais Batista, Ana Catarina Pereira Gaspar, Bárbara Madeira dos Santos, Filipa da Cunha Silva, Francisca Fonseca Marta, Isabel Pinto Pedrosa, Rosa Maria Lopes Martins, Carlos Manuel Sousa Albuquerque, Ana Isabel Nunes Pereira de Azevedo e Andrade, João Carvalho Duarte","doi":"10.56226/64","DOIUrl":"https://doi.org/10.56226/64","url":null,"abstract":"Background: oropharyngeal dysphagia is the result of a series of neuromuscular disorders that can impair swallowing. These alterations compromise adequate nutritional support and often endanger the safety of the person with dysphagia. The prevalence of dysphagia is known to increase with age, but it is still an underdiagnosed problem, which should be a concern for nurses. Objective: To identify nurses' knowledge of patients' swallowing ability in a Portuguese hospital. Methodology: Quantitative, descriptive-correlational, cross-sectional study using a non-probabilistic convenience sample of 62 nurses. The online survey includes sociodemographic/ professional indicators, an assessment of nurses' knowledge of swallowing ability, relevant data for dysphagia diagnosis and compensatory swallowing strategies. Results: 62 nurses were included, mostly female (80.6%), with an average age of 38.50 years, with a prevalence of those under 39 (53.2%), with a degree (71.0%) and who had been working in the profession for 14 years or less (54.8%), there was a higher percentage of men who had not had any training in dysphagia compared to women (66.7% vs. 52. 0%). The multiple linear regression showed as predictors of knowledge of swallowing ability: knowledge of relevant data to diagnose dysphagia, knowledge of compensatory strategies and inversely professional exercise (p<0.000). Conclusions: The higher the knowledge about compensatory swallowing strategies and the knowledge about the relevant data for diagnosing dysphagia, and the shorter the time spent in professional practice, the greater the nurses' knowledge about dysphagia. These results suggest the need of continuous education about dysphagia for more experienced professionals. What is the main contribution to evidence-based practice from this research? The article contributes to promote a a better Identification of nurses' knowledge about the signs of dysphagia and compensatory swallowing strategies in case of dysphagia.","PeriodicalId":492225,"journal":{"name":"International Healthcare Review (online)","volume":"43 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135219257","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}

{"title":"China after COVID-19","authors":"Chuanju Dong, Maoru Liu, Ke Zhang","doi":"10.56226/47","DOIUrl":"https://doi.org/10.56226/47","url":null,"abstract":"Background:&#x0D; The COVID-19 pandemic has seriously affected global public health security and economic development, and is a huge test for China and other countries around the world. Among the factors affecting the outbreak of the epidemic, human abuse of wildlife appears to be the most important. Under the influence of relevant factors, China has formulated and implemented policies, laws and regulations on a comprehensive ban on wildlife.&#x0D; Objectives:&#x0D; Through the integration and impact analysis of China's comprehensive wildlife fasting policy and relevant laws and regulations, this paper aims to provide reference for other countries in epidemic prevention and control and the improvement of public health governance.&#x0D; Methods:&#x0D; Through the integration of relevant policies and regulations and detailed introduction, the author studied from three aspects: policies and regulations related to people's life, health and safety, improvement of public health and safety risk prevention and promotion of environmental protection and human civilization development, and analyzed its impact on all aspects of human society, especially public health safety and emergency management system and management capacity, to remind people to change the habit of over eating wild animals.&#x0D; Results:&#x0D; The article is of reference and guiding significance in promoting the global implementation of comprehensive fasting for wild animals, and in the current epidemic prevention and control of other countries, maintaining social public health and security governance, and safeguarding human health.&#x0D; Main Contribution to Evidence-Based Practice:&#x0D; The article demonstrates that the relevant policies, laws and regulations of China's comprehensive prohibition of wildlife have reference and guiding significance for epidemic prevention, maintenance of social public health and safety management, and protection of human health. In addition, it has promoted the global implementation of a comprehensive ban on wildlife.","PeriodicalId":492225,"journal":{"name":"International Healthcare Review (online)","volume":"182 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135617550","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}

{"title":"Patient Satisfaction","authors":"Thi Le Ha Nguyen","doi":"10.56226/55","DOIUrl":"https://doi.org/10.56226/55","url":null,"abstract":"Background: Patient satisfaction is a tool assessing the service quality of the provider that evaluated based on the measurement of perceived quality by the customer on aspects of service. This study aims to examine the relationships between various factors in the integrated model which included total quality management, perceived service quality, patient satisfaction, and patient loyalty. Methods: A conducted questionnaire was distributed to inpatients who were treated at a tertiary-level hospital in Vietnam during April 2018. The data analysis was used the Statistical Package of Social Sciences version 25.0 and Amos 25.0 for structural equation modeling. Results: The findings showed that all hypotheses were supported. Total quality management has a positive influence on perceived service quality and patient satisfaction, perceived service quality on patient satisfaction, and patient satisfaction on patient loyalty. Practice implications: Our model was used to measure patient satisfaction and loyalty. Findings indicate that total quality management and perceived service quality are the main factors that directly influence on patient satisfaction. This study has implications for managers who should consider total quality management and perceived service quality as the main factors that directly influence on patient satisfaction and thus increase customer loyalty. What is the main contribution to Evidence-Based Practice from this article?Based on practice, the article supports the body of evidence on the relevance of Patient Satisfaction for health professionals’ continuous improvement in their activity.Our model was used to measure customer satisfaction and loyalty. This study has practice implications for managers who should consider total quality management and perceived service quality as the main factors that directly influence customer satisfaction and thus increase customer loyalty","PeriodicalId":492225,"journal":{"name":"International Healthcare Review (online)","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135617895","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}

{"title":"Differential effects of family and friend support in sexual minority aging adults: Analysis of MIDUS 3","authors":"Changhui Song, Ph.D., Shinye Kim, Bethany Canales, Hui Xie","doi":"10.56226/57","DOIUrl":"https://doi.org/10.56226/57","url":null,"abstract":"Background: Sexual minorities experience disproportionate stress from historical and current oppression and social discrimination/isolation compared to their heterosexual counterparts, leading to greater risks of adverse mental health. Although social support serves as a significant protector buffering stress on physical and mental health, little is known about its effect on psychological well-being among sexual minority aging adults.&#x0D; Study objective: We aimed to explore the effects of social support from family and family on three psychological outcomes: life satisfaction, self-esteem, and social well-being: between sexual minority and heterosexual aging adults using national representative data from the 2013-2014 Midlife Development in the United States (MIDUS 3) in the U.S.&#x0D; Methods: Key variables included: sexual orientation, family support, friend support, life satisfaction, self-esteem, and social well-being. We conducted adjusted, multiple linear regressions to examine life satisfaction/self-esteem/social well-being in relation to perceived discrimination, family support, friend support, and two-way interactions using backward stepwise regression.&#x0D; Results: Of the 2,596 U.S. participants (Mean[age]=64.19; SD=11.0), 3% identified as sexual minorities and 9.7 % were racial/ethnic minorities. Sexual minority participants were more likely to perceive discrimination and less likely to have family support compared to their heterosexual counterparts. Regarding to adjusted linear regression models, heterosexual participants with greater family support had greater psychological wellbeing compared to their sexual minority counterparts with greater family support. However, sexual minority participants with greater friend support experienced a steeper increase in psychological outcomes based on life satisfaction, self-esteem, and social well-being compared to heterosexual participants with greater friend support.&#x0D; Contribution to Evidence-Based Care: The findings suggest that sexual minority aging adults experience disproportionately more lifetime discrimination and lower family support compared to their heterosexual peers. Future studies and social programs should address the differential effects of family and friend support on physical and psychological indicators among sexual minority aging adults.","PeriodicalId":492225,"journal":{"name":"International Healthcare Review (online)","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135729628","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}

{"title":"Blood Glucose monitoring in pregnant women with gestational diabetes mellitus","authors":"Qingxiu Tian, Yuedong Xu, Jing Zhai, Xuechao Liu, Xiaofei Wang, Yunfeng Li","doi":"10.56226/32","DOIUrl":"https://doi.org/10.56226/32","url":null,"abstract":"Background: Women with gestational diabetes mellitus (GDM) are more likely to develop pre-eclampsia during pregnancy, and to have the birth induced, suffer trauma to the perineum during birth, or to give birth by caesarean section.Good blood glucose control throughout pregnancy will reduce the risk of fetal macrosomia, trauma during birth (for her and her baby), induction of labor and/or caesarean section, neonatal hypoglycemia, and perinatal death. Monitoring of blood glucose levels is an important way to maintain control of sugar concentrations in the blood.However, it is not clear which is best method or frequency for monitoring blood glucose for limiting health complications for women and their babies.The purpose of this rapid literature review is to identify the most recent evidence and knowledge concerning blood glucose monitoring in pregnant women with gestational diabetes mellitus. Methods: We undertook a Rapid Literature Review focusing on articles published from 2020 to 2022 thus offering the readers access to most up-to-date evidence concerning the topic. We searched the online databases of Pubmed, EMBASE, Cochrane Library, and BMJ from January 2020 till May 15, 2022. Inclusion criteria were studies of blood glucose monitoring for pregnant women with gestational diabetes mellitus. Results: Nine papers were included in the final review. Recent evidence on frequency of blood glucose monitoring, new glucose monitoring technologies, remote monitoring technologies and reminder systems in blood glucose monitoring were summarized. Main Contribution to Evidence-Based Practice: Recommendations for frequency of blood glucose monitoring should be tailored according to pregnant women’s blood glucose management plan. Continuous glucose monitoring (CGM) should be considered for pregnant women under some specific conditions. Remote monitoring technologies or reminder systems based on smartphones, computers and tablets could be considered to improve patient’s compliance toward blood glucose monitoring.","PeriodicalId":492225,"journal":{"name":"International Healthcare Review (online)","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135603474","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}