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Process engineering for primary care:Quality improvement and population health

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Family Medicine and Community health 2016年第2期4卷 29-35页

作者： William Riley Science health Care Delivery Arizona State University6930 East Bighorn CourtSuperstition MtAZ 85118USA

A fundamental paradox of the health care delivery systems in many industrialized nations is that desired population health metrics are often not achieved despite large expenditures in the health care delivery *** example,the United States commits nearly 18%of its GDP to the health care delivery system,the largest amount of any nation,yet is 37th in achieving health or health care delivery *** article addresses how general practice can be an important driver of population health in the Chinese health care delivery system through the application of quality improvement *** article shows examples of how the cause-and-effect diagram,the process map,and the plan,do,study,act(PDSA)cycle are important techniques to assist primary care practitioners for improving population health.

关键词： population health general practice primary care quality improvement techniques

Awareness of initiative practice for health in the Chinese population:A questionnaire survey based on a network platform

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World Journal of Clinical Cases 2022年第16期10卷 5241-5252页

作者： Yi-Qiang Zhang Ming-Yue Zhou Meng-Yang Jiang Xiao-Yu Zhang Xin Wang Bao-Guo Wang Department of Anesthesiology Sanbo Brain HospitalCapital Medical UniversityBeijing 100095China Department of Subject Development Sanbo Brain HospitalCapital Medical UniversityBeijing 100095China Beijing Key Laboratory of Clinical Epidemiology School of Public HealthCapital Medical UniversityBeijing 100069China Department of Administrative Office Sanbo Brain HospitalCapital Medical UniversityBeijing 100095China

BACKGROUND In 2016,the Chinese government issued the healthy China 2030 plan,which also produced the initiative practice for health(IPFH)***,people’s knowledge and awareness of the IPFH are *** To investigate awareness of IPFH in the Chinese population and explore the relevant influential *** An internet-based self-designed questionnaire survey was used to collect respondents’demographic characteristics and awareness of health and the IPFH from March 26 to April 18,*** consciousness was assessed by the scores for different related *** Student’s t test,the Chi-square test,and multiple logistic regression analysis were performed to analyze the differences and influencing *** A total of 2678 valid questionnaires were *** the respondents,973(36.3%)had heard of the IPFH *** addition,89.5% of participants agreed with the view that the IPFH is beneficial to improving quality of life,and over half thought that a regular schedule,a reasonable diet,tobacco and alcohol control,a cheerful mood,specific life goals and plans,taking the initiative to accept health-related education and implement health knowledge,good interpersonal relationships,and regular physical examinations were closely related to the *** majority of respondents paid attention to their health and usually obtained health-related knowledge via social media and were also willing to promote the *** of the participants underestimated the role of hospitals,family doctors,and health managers in promoting the ***,monthly income,and medical-related work experience were the influencing factors for IPFH *** The Chinese population has limited knowledge of the *** with strong IPFH awareness are older,earn more,and have medical-related work experience.

关键词： population health health knowledge Attitudes Practice Awareness Chinese population Initiative practice for health

Risk factors for major gastrointestinal bleeding in the general population in Finland

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World Journal of Gastroenterology 2022年第18期28卷 2008-2020页

作者： Pareen Vora Ronald Herrera Arto Pietila Ulrich Mansmann Gunnar Brobert Markku Peltonen Veikko Salomaa Integrated Evidence Generation Bayer AGBerlin 13353Germany Institute for Medical Information Processing Biometryand EpidemiologyLudwig Maximilians UniversitätMunich 81337Germany Pettenkofer School of Public health Ludwig Maximilians UniversitätMunich 81337Germany Department of Public health and Welfare National Institute for Health and Welfare(THL)Helsinki FI-00271Finland Medical Affairs Bayer ABSolna 17165Sweden

BACKGROUND Data on non-drug related risk-factors for gastrointestinal bleeding(GIB)in the general population are limited,especially for life-style factors,clinical measurements and laboratory *** To identify and investigate non-drug risk factors for major GIB in the general population of *** We performed a retrospective cohort study using data from the FINRISK health examination surveys,which have been conducted every 5 years across Finland from 1987 to *** were adults aged 25 years to 74 years,excluding those with a previous hospitalization for ***-up from enrollment was performed through linkage to national electronic health registers and ended at an event of GIB that led to hospitalization/death,death due to any other cause,or after 10 *** included demographics,socioeconomic and lifestyle factors,clinical measurements,laboratory parameters and *** selection was undertaken using Least Absolute Shrinkage and Selection Operator(LASSO)and factors associated with GIB were identified using Cox *** Among 33,508 participants,403(1.2%)experienced GIB[256 men(63.5%);mean age,56.0 years(standard deviation(SD)±12.1)]and 33105 who did not experience GIB[15768 men(47.6%);mean age,46.8(SD±13)years],within 10 years of *** associated with a significantly increased risk of GIB were baseline age[per 10-year increase;hazard ratio(HR)1.62,95%confidence interval(CI):1.42-1.86],unemployment(HR:1.70,95%CI:1.11-2.59),body mass index(BMI)(HR:1.15,95%CI:1.01-1.32),gamma-glutamyl transferase(GGT)(HR:1.05,95%CI:1.02-1.09),precursors of GIB(HR:1.90,95%CI:1.37-2.63),cancer(HR:1.47,95%CI:1.10-1.97),psychiatric disorders(HR:1.32,95%CI:1.01-1.71),heart failure(HR:1.46,95%CI:1.04-2.05),and liver disorders(HR:3.20,95%CI:2.06-4.97).Factors associated with a significantly decreased risk of GIB were systolic blood pressure(SBP)(HR:0.78,95%CI:0.64-0.96),6-10 cups of coffee a day(HR:0.67,95%CI:0.46-0

关键词： Risk factors Gastrointestinal hemorrhage General population Finland Life style population health

A population-based approach to the management of depression in a patient-centered medical home

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Family Medicine and Community health 2015年第1期3卷 47-52页

作者： Kenneth Kushner Gwynneth Schell Department of Family Medicine University of Wisconsin and Wingra Access Family Medical CenterMadisonWisconsinUSA Department of Counseling Psychology University of Wisconsin and Access Community Health CentersMadisonWisconsinUSA

Objective:This article describes the implementation of a population-based strategy to man-age depression in a patient-centered medical ***:Review of English language articles;description of specific protocols utilized in one medical ***:Depression is a global concern estimated to affect 350 million people *** for depression vary between the United States and the Peoples’Republic of China,possibly due to significant factors in under diagnosis of this often hidden *** the comorbidity of depres-sion with other health factors and the need for ongoing monitoring and care of this chronic illness,primary care has become a significant part of treatment *** electronic health records(EHR),our strategy included the creation of a patient registry;selection of evidence-based treatment guidelines and protocols for point of care procedures;patient outreach and ***:The population-based program we outline is highly dependent on the EHR and the flexibility of roles and responsibilities of clinical *** investigation is warranted into improved patient outcomes.

关键词： Depression patient-centered medical home population health

Role of traditional Chinese medicine in the initiative practice for health

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World Journal of Clinical Cases 2022年第27期10卷 9961-9963页

作者： Yun Li Shi-Ying Li Yi Zhong Department of Oncology Shanghai Traditional Chinese Medicine-Integrated Hospital Affiled to Shanghai University of Traditional Chinese MedicineShanghai 200082China Graduate School Shanghai University of Traditional Chinese MedicineShanghai 201203China

To achieve awareness of the initiative practice for health concept in the Chinese population,traditional Chinese medicine(TCM)doctors should popularize TCM culture and knowledge among young people,people with a low le... 详细信息

关键词： Traditional Chinese medicine population health health knowledge Attitudes Practice Awareness Chinese population Initiative practice for health

Achieving herd immunity in South America

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Global health Research and Policy 2023年第1期8卷 541-547页

作者： Don Eliseo Lucero-Prisno III Deborah Oluwaseun Shomuyiwa Creuza Rachel Vicente María JoséGonzález Méndez Shohra Qaderi Jaifred Christian Lopez Yidnekachew Girma Mogessie Jason Alacapa Lila Chamlagai Remy Ndayizeye Pelin Kinay Department of Global health and Development London School of Hygiene and Tropical MedicineLondonUK Faculty of Management and Development Studies University of the Philippines Open UniversityLos BanosLagunaPhilippines Faculty of Public health Mahidol UniversityBangkokThailand Faculty of Pharmacy University of LagosLagosNigeria Department of Social Medicine Federal University of Espírito SantoVitóriaBrazil Postgraduate Program in Infectious Diseases Federal University of Espírito SantoVitóriaBrazil Global health Focus South America SantiagoChile Maternal Fetal Care Center Boston Children’s HospitalHarvard Medical SchoolBostonMAUSA Department of population health Sciences School of MedicineDuke UniversityDurhamNCUSA Johns Hopkins Bloomberg School of Public health BaltimoreMDUSA Johns Hopkins Carey Business School BaltimoreMDUSA School of Public health Brown UniversityProvidenceRIUSA George Washington University WashingtonDCUSA School of Climate Change and Adaptation University of Prince Edward IslandCharlottetownCanada

South America,once an epicenter of COVID-19,has stayed on the road of continued management of the *** region initially struggled to cope with the pandemic as it experienced spiraling numbers of infections and overwhelmed public health *** America has risen in its pandemic response to be the region with the highest global vaccination *** region posed a strong vaccination drive,with over 76%of its population fully vaccinated with the initial *** America leveraged its deeply rooted vaccination culture and public health confidence among its *** immunity is an integral concept in population infectious disease *** herd immunity is presently not feasible with available vaccines,but the high vaccination rate in the region depicts the acceptance of vaccination as a strategy for population *** availability of effective transmission-blocking vaccines,the continuous implementation of strategies that will enable the undisrupted supply of the vaccines,equity in access to the vaccines,improved vaccine acceptance,and trust in the vaccination and public health systems will help shepherd the region towards herd *** vaccine production backed with investment in infrastructure and international collaboration for research and knowledge development will also drive population safety.

关键词： Herd immunity COVID-19 Vaccination population health South America Pandemic

Climate change,24-hour movement behaviors,and health:a mini umbrella review

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Global health Research and Policy 2021年第1期6卷 350-363页

作者： Evaline Zisis Shawn Hakimi Eun-Young Lee School of Kinesiology and health Studies Queen’s UniversityKHS 30728 Division StKingstonON K7L3N6Canada Department of Gender Studies Queen’s UniversityKingstonONCanada

Background:The worsening climate change and alarming prevalence of communicable and non-communicable diseases continue to threat human life and *** evidence suggests that favorable patterns of 24-h movement behaviors,high physical activity,low sedentary behavior,and adequate sleep,may positively contribute to achieving dual benefits of climate change mitigation and disease *** purposes of this mini umbrella review were to summarize the most up-to-date,high-level evidence exploring the relationships between climate change,24-h movement behaviors,and health and elaborate on the mechanisms linking the three variables of ***:A systematic search of electronic databases was performed in PubMed and Google Scholar during March–October *** criteria were:(1)systematic review;(2)reviewed relationships between climate change and movement behaviors and/or health in any directions;(3)written in English;(4)published in 2010–*** synthesis was conducted to highlight the main relationships observed and address the current state of knowledge and priorities for future *** order to illustrate the potential mechanisms between climate change,movement behaviors,and health,the main results from included systematic reviews were summarized and a conceptual framework was developed for future ***:Based on the evidence from eight systematic reviews published in the past decade,multi-directional(i.e.,uni-,bi-,or U-shaped)links were observed between climate change and varying human health ***,little is understood about the association between climate change and 24-h movement *** reviews suggested the negative impact of climate change on sleep and bi-directional relationships between climate change and physical activity/*** review included two studies suggesting the unfavorable impact of climate change on sedentary behavior;however,the evidence was ***,no reviews examined t

关键词： population health Chronic disease Global warming Natural disaster Physical activity

Geographic and health system correlates of interprofessional oral health practice

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Family Medicine and Community health 2018年第2期6卷 77-84页

作者： Sean G.Boynes Abigail Lauer Amy Martin Office of Interprofessional Practice The DentaQuest InstituteWestboroughMAUSA Department of Public health Services Medical University of South CarolinaCharlestonSCUSA Division of population Oral health Medical University of South CarolinaCharlestonSCUSA

Objective:This study explores geographic,system,and organizational constructs that predict medical care teams’willingness to administer fluoride varnish and conduct oral health risk ***:A cross-sectional survey of voluntary health professionals attending trainings on interprofessional oral health practice was completed at ten meetings across the United States from April through September,*** and multivariate analyses were used to examine un-known correlates of oral health prevention and intervention at geographic,organizational,and sys-tem levels relating to the impact of referral mechanisms and systems as well as health information technology on fluoride varnish administration and risk-based oral ***:A convenience cohort(n=560)from 44 states was ***(68.7%,n=385)agreed with the dependent variable“medical providers at our site,or part of our network,are admin-istering fluoride varnish and identifying oral health risk factors in the majority of patients seen.”In bivariate analysis,organization type(P=0.0067),having successful referral systems(Phealth record(EHR)utility(P<0.0001)were associated with the dependent *** geographic indicators were *** referral system indicators were significant in multivariate *** referrals(P<0.0001),EHR utility(P=0.0054),and type of re-ferral(P=0.0009)were predictors of the dependent *** odds of those reporting a depend-able referral system and dependent variable agreement were 4.5 times greater than for those who lacked dependable referral systems(odds ratio 4.54,confidence interval 2.79-7.39).The odds of those who had dependable EHRs and dependent variable agreement were 2.4 times greater than for those who lacked useful EHRs(odds ratio 2.4,confidence interval 1.29-4.37).Conclusion:The dependability of medical-to-dental referral systems and processes impacts the administration of fluoride varnish and identification

关键词： Oral health referral management risk-based care population health coordinated care

SHARE-ENV:A Data Set to Advance Our Knowledge of the Environment−Wellbeing Relationship

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Environment & health 2024年第2期2卷 95-104页

作者： Catarina Midões Enrica De Cian Giacomo Pasini Sara Pesenti Malcolm N.Mistry Department of Economics Ca’Foscari University of Venice30121 VeneziaItaly Institute of Environmental Science and Technology of Universitat Autònoma de Barcelona 08193 Cerdanyola del VallèsBarcelonaSpain European Central Bank 60314 Frankfurt am MainGermany Environment and health Modelling(EHM)Lab Department of Public HealthEnvironments and SocietyLondon School of Hygiene and Tropical Medicine(LSHTM)London WC1E 7HTUnited Kingdom

Climate change interacts with other environmental stressors and vulnerability *** places and,owing to socioeconomic conditions,some people,are far more at *** data behind current assessments of the environment−wellbeing nexus is coarse and regionally aggregated,when considering multiple regions/groups;or,when granular,comes from ad hoc samples with few *** assess the impacts of climate change,we require data that are granular and comprehensive,both in the variables and population *** build a publicly accessible data set,the SHARE-ENV data set,which fulfills these *** expand on EU representative,individual-level,longitudinal data(the SHARE survey),with environmental exposure information about temperature,radiation,precipitation,pollution,and flood *** illustrate through four simplified multilevel linear regressions,cross-sectional and longitudinal,how full-fledged studies can use SHARE-ENV to contribute to the *** studies would help assess climate impacts and estimate the effectiveness and fairness of several climate adaptation *** surveys can be expanded with environmental information to unlock different research avenues.

关键词： climate change risk environmental impacts climate adaptation population health longitudinal data