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that can be customized to different ambulatory care settings.
The developed service blueprint can improve the patient's experience with CMM and facilitate communication with decision makers and other stakeholders. The model is proposed as a reference that can be customized to different ambulatory care settings.
Non-disclosure of conventional medicine use to complementary medicine health professionals may result in patient harm. Currently, no standardised validated instrument is available to measure reasons for conventional medicine disclosure or non-disclosure.
The aim of this study was to develop and evaluate a multidimensional index for identifying reasons for conventional medicine disclosure and non-disclosure by patients.
Drawing upon a sub-sample of the Complementary and Alternative Medicine Use Health Literacy Disclosure Study (N=520), a formative measurement approach was used to develop a Conventional Medicine Disclosure Index (CONMED-DI). Variance-based structural equation modelling employing partial least squares evaluated multicollinearity, significance and relevance of the formative indicators to their associated primary constructs.
The CONMED-DI demonstrated adequate construct validity suggesting the CONMED-DI is a pragmatic measure to determine the reasons why people choose to disclose (or not) their conventional medicine use. The CONMED-DI contains 2second-order measurement models, both with three sub-domains.
The CONMED-DI serves as a preliminary instrument primarily of value to researchers interested in exploring the complementary medicine clinical encounter. The development of targeted interventions that promote disclosure of conventional medicine can be facilitated through understanding patients' reasons for disclosure and non-disclosure and optimise patients' safe use of medicines.
The CONMED-DI serves as a preliminary instrument primarily of value to researchers interested in exploring the complementary medicine clinical encounter. The development of targeted interventions that promote disclosure of conventional medicine can be facilitated through understanding patients' reasons for disclosure and non-disclosure and optimise patients' safe use of medicines.
Patient contributions (co-payments) for one months' supply of a publicly-subsidised medicine in Australia were increased by 21% in January 2005 (US$2.73-$3.31 for social security recipients and $17.05-$20.58 for others). This study investigates the relationship between patients' use of statin medication and hospitalisation for acute coronary syndrome and stroke, following this large increase in co-payments.
We designed a retrospective cohort study of all patients in Western Australia who were dispensed statin medication between 2004 and 05. Data for the cohort was obtained from State and Federal linked databases. We divided the cohort into those who discontinued, reduced or continued statin therapy in the first six months after the co-payment increase. The primary outcome was two-year hospitalisation for acute coronary syndrome or stroke-related event. https://www.selleckchem.com/products/azd1080.html Analysis was conducted using Fine and Gray competing risk methods, with death as the competing risk.
There were 207,066 patients using statins prior to ts (such as cost) can possibly have negative consequences particularly for younger men.
Discontinuing statin medication after a large increase patient cost contribution was associated with higher rates of acute coronary syndrome and stroke-related hospitalisation in men under 70 years. The findings highlight the importance of continued adherence to prescribed statin medication, and that discontinuing therapy for non-clinical reasons (such as cost) can possibly have negative consequences particularly for younger men.
Prior U.S. Food and Drug Administration (FDA) surveys with healthcare providers (HCPs) have focused on attitudes toward direct-to-consumer advertising and have not specifically examined professionally-targeted prescription drug promotion. Similarly, there are no recent national surveys of HCPs examining their interactions with the pharmaceutical industry.
The goal of this study was to use a national sample of HCPs to examine exposure to professionally-targeted prescription drug promotions and interactions with industry, and knowledge, attitudes and practices related to FDA approval of prescription drugs.
An online national survey was conducted with 2000 HCPs representing primary care physicians (PCPs), specialists (SPs), physician assistants (PAs), and nurse practitioners (NPs). The sample was randomly drawn from WebMD's Medscape subscriber network, stratified by HCP group, and designed to yield target numbers of completed surveys in each group. Weights were computed to correct for unequal selection proate pharmaceutical promotions directed at HCPs occur in many forms and are disseminated through multiple channels. By using a nationally representative sample of HCPs, this study provides population-level estimates for exposure and attention to prescription drug promotion and contact with industry and evidence for their influence on prescriber decisions. Findings from this study will help to inform FDA of HCP responses to and impacts of prescription drug promotion.
The emergence of a new pandemic caused by a novel coronavirus (COVID-19) is a unique challenge for public health (all age and sex groups).
This study aimed to explore the adolescents' perceptions of preventive behaviors to avoid COVID-19 disease based on the health belief model (HBM).
This cross-sectional study was conducted on 797adolescents (aged between 12 and 18 years old), who were 7th-12th -grade students of 24 randomly selected schools from 28th May to June 28, 2020 in Isfahan, Iran. An online self-administered questionnaire was adapted to measure the adolescents' perceived threats, barriers, benefits, self-efficacy, and cues to action toward protective behaviors.
Findings indicated that the adolescents' mean age was 14.7 (SD=1.7) and 53.7% of them were female. Regardless of gender difference, there was a significant positive correlation between the adolescents' protective behaviors and their self-efficacy (r=0.62, P<0.001), perceived benefit (r=29, P<0.001), and perceived severity (r=0.15, P<0.