Clinical practice guidelines attempt to bridge the gap between the generation of scientific evidence and its application. For cardiovascular risk reduction, the implementation of knowledge into practice, both with respect to lifestyle change and pharmacological treatment, has been shown to be poor. There are several reasons for this ‘guidelines gap’, with physician factors including insufficien...

Objective. To develop a systematic and reproducible way to identify patients at increased risk for higher healthcare costs. Methods. Medical records were analyzed for 9,581 adults who were primary care patients in the University of Missouri Health System and who were enrolled in Medicare or Medicaid. Patients were categorized into one of four risk tiers as of October 1, 2013, and the four tiers...

This paper aims to analyze the potential, limits and challenges of regional governance in the implementation process of health care networks in three Brazilian regions: Alto Solimões (Amazonas), Belém (Pará) and an interstate region comprising Tocantins, Pará and Maranhão states (Topama). The study is based on the evaluation study on the implementation of the Quality Health Care Network Develop...

The study is a phenomenological analysis of 10 focus groups with Israeli women who were hospitalized because of high-risk pregnancy. The goal of this study was to understand the lived experience of hospitalization due to high-risk pregnancy. Five themes were recognized: (1) the desire to nurture and the social pressure to do so; (2) the personal and social meaning of a family; (3) loss of norma...

Introduction Getting the right preventive services to the right people at the right time is an enduring challenge in U.S. primary health care. Many people, especially the poor and ethnic or racial minorities, aren’t getting the services they need. At the same time, other people get services that have no benefit or even cause harm. Primary care practices struggle with providing preventive servic...

The use of videogame interventions is becoming an increasingly popular and effective strategy in disease prevention and health promotion; however, few health videogame interventions have been scientifically rigorously evaluated for their efficacy. Moreover, few examples of the formative process used to develop and evaluate evidence-based health videogame interventions exist in the scientific li...

The report “Health in Germany” provides a profound overview of the status and development of human health in our country in 2015 in 11 chapters. It is the third comprehensive report of this kind in the Federal Health Reporting. A broad database was included in order to represent the disease spectrum, the distribution of risk factors, the use of prevention and health care. Overall, it can be obs...

Background: Despite the multitude of available resources, family caregivers of those with chronic disease continually underutilize support services to cope with the demands of caregiving. Several studies have linked self-identification as a caregiver to the increased likelihood of support service use. Purpose: The present study reviewed the literature related to the development of family caregi...

The detection and prevention of Risks Against Patient Safety (RAPS) are ever-increasing issues in health care. One aspect of the many measures taken against RAPS is the comparison of the actual care practice against descriptions of best practice given in clinical guidelines and protocols (CGPs). In order to perform such comparisons automatically, CGPs need to be modelled in a computer-executabl...

Welfare assessment methods and techniques developed as a result of great interest of scientific and consumer populations regarding the welfare of animals housed in farms. In view of the fact that welfare by definition includes both physical and mental health, the welfare quality assessment includes an extensive number of measures. Welfare assessment was performed in two stables in which cows ar...