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Rationale and protocol for estimating the economic value of a multicomponent quality improvement strategy for diabetes care in South Asia

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Global Health research and policy 2019年第1期4卷 333-342页

作者： Kavita Singh Mohammed KAli Raji Devarajan Roopa Shivashankar Dimple Kondal Vamadevan S.Ajay VUsha Menon Premlata KVarthakavi Vijay Viswanathan Mala Dharmalingam Ganapati Bantwal Rakesh Kumar Sahay Muhammad Qamar Masood Rajesh Khadgawat Ankush Desai Dorairaj Prabhakaran K.M.Venkat Narayan Victoria LPhillips Nikhil Tandon On behalf of the CARRS Trial Group Public Health Foundation of India Center of Excellence-Center for CArdio-metabolic Risk Reduction in South Asia4th FloorPlot No.47Sector 44Institutional AreaGurgaonHaryana 122002India Rollins School of Public Health Emory University1518 Clifton RoadRm CNR 7041AtlantaGA 30322USA Department of Endocrinology&Diabetes Amrita Institute of Medical SciencesAmrita Vishwa VidyapeethamPonekkara P.O.KochiKerala 682041India Department of Endocrinology TNM College&BYL Nair Charity HospitalDr.A.L.Nair RoadMumbai CentralMumbaiMaharashtra 400008India MV Hospital for Diabetes&Diabetes research Centre No 4West Madha Church StreetRoyapuramChennaiTamil Nadu 600013India Bangalore Endocrinology&Diabetes research Centre #355th CrossMalleswaram CircleBangaloreKarnataka 560003India Department of Endocrinology St.John’s Medical College&HospitalSarjapur RoadKoramangalaBangaloreKarnataka 560034India Department of Endocrinology Osmania General Hospital2nd FloorGolden Jubilee BlockAfzalgunjHyderabadTelangana 500012India Department of Medicine Section of Endocrinology and DiabetesAga Khan UniversityStadium RoadKarachi 74800Pakistan Department of Endocrinology&Metabolism All India Institute of Medical SciencesBiotechnology Block3rd FloorAnsari NagarNew Delhi 110029India Endocrine Unit Department of MedicineGoa Medical CollegeBambolimGoa 403202India Public Health Foundation of India 4th FloorPlot No.47Sector 44Institutional AreaGurgaonHaryana 122002India Rollins School of Public Health Emory University1518 Clifton RoadRm CNR 7049AtlantaGA 30322USA Rollins School of Public Health Emory University1518 Clifton RoadAtlantaGA 30322USA Department of Endocrinology&Metabolism All India Institute of Medical SciencesBiotechnology Block3rd FloorRm#312Ansari NagarNew Delhi 110029India Centre for Chronic Disease Control C 1/52Second FloorSafdarjung Development AreaNew Delhi110016India London School of Hygiene and Tropical Medicine Keppel StBloomsburyLondon WC1E 7HTUK. 不详

Background:Economic dimensions of implementing quality improvement for diabetes care are understudied *** describe the economic evaluation protocol within a randomised controlled trial that tested a multicomponent quality improvement(QI)strategy for individuals with poorly-controlled type 2 diabetes in South ***/design:This economic evaluation of the Centre for Cardiometabolic Risk Reduction in South Asia(CARRS)randomised trial involved 1146 people with poorly-controlled type 2 diabetes receiving care at 10 diverse diabetes clinics across India and *** economic evaluation comprises both a within-trial cost-effectiveness analysis(mean 2.5 years follow up)and a microsimulation model-based cost-utility analysis(life-time horizon).Effectiveness measures include multiple risk factor control(achieving HbA1chealthcare system,and societal perspectives will be applied for *** cost and health effects will be discounted at 3%per year for within trial cost-effectiveness analysis over 2.5 years and decision modelling analysis over a lifetime *** will be reported as the incremental cost-effectiveness ratios(ICER)to achieve multiple risk factor control,avoid diabetes-related complications,or QALYs gained against varying levels of willingness to pay threshold *** analyses will be performed to assess uncertainties around ICER estimates by varying costs(95%CIs)across publ

关键词： Economic evaluation Diabetes care Multicomponent strategy Quality improvement South Asia

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Nursing ethics for prevention and control of major infectious disease outbreaks:Chinese expert consensus

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International Journal of Nursing Sciences 2022年第1期9卷 5-10,I0001页

作者： Yaling Wang Yuchen Li Biyu Shen Huiling Li Hongyu Sun Changrong Yuan Hongzhen Xie Xiaomei Li Yinglan Li Jian Guan Qi'ai Jia Xinqing Zhang School of Nursing Soochow UniversitySuzhouChina Department of Nursing Shanghai Children’s Medical CenterShanghaiChina School of Nursing Peking UniversityBeijingChina School of Nursing Fudan UniversityShanghaiChina Department of Nursing People’s Liberation Army General Hospital of Southern Theatre CommandGuangzhouChina Xi’an Jiaotong University Health Science Centre Xi’anChina Xiangya School of Nursing Central South UniversityChangshaChina Peking Union Medical College Hospital Chinese Academy of Medical Sciences&Peking Union Medical CollegeBeijingChina Jiangsu Nursing Vocational College Huai’anChina School of Humanities and Social Sciences Peking Union Medical CollegeBeijingChina

Background Major infectious disease has become a serious threat to people’s health *** the world’s largest healthcare workforce and the core forces fighting against the epidemic,nurses are on the frontline of this battle.A number of ethical issues have given rise to numerous concerns that have largely affected nurses in different ways as they respond to the *** addition,excessive expectations from people can exert undue pressure,which can easily lead to burnout in *** In this consensus,the expert panel method was used to develop and reach a *** members involved in the formation of the consensus included an expert discussion panel and a consensus writing expert group,a methodologist,and four *** 16 rounds of online expert consultation and two rounds of expert panel meetings,the writing team analyzed and reviewed the 78 amendments suggested by the experts to develop a consensus on nursing ethics for prevention and control of major infectious disease outbreaks based on the ethical vision of life *** This expert consensus focuses on five essential domains:the responsibilities and rights of nurses,the nurse-patient relationship,the doctor-nurse relationship,and the relationship between society and nurses throughout the *** We hope this consensus can help nurses better understand and respond to the ethical issues and challenges in public health emergencies,and raise reasonable public expectations of the roles and responsibilities of nurses in these situations.

关键词： Consensus Disease outbreaks Nurses Nursing ethics Public health

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Knowledge and awareness of infection control practices among nursing professionals:A cross-sectional survey from South Asia and the Middle East

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World Journal of Critical Care Medicine 2023年第3期12卷 176-187页

作者： Kanwalpreet Sodhi Gunjan Chanchalani Muktanjali Arya Gentle S Shrestha Juhi N Chandwani Manender Kumar Monika G Kansal Mohammad Ashrafuzzaman Anushka D Mudalige Ashraf Al Tayar Bassam Mansour Hasan M Saeed Madiha Hashmi Mitul Das Nehad N Al Shirawi Ranjan Mathias Wagih O Ahmed Amandeep Sharma Diptimala Agarwal Prashant Nasa Department of Critical Care Deep HospitalLudhiana 141001PunjabIndia Critical Care Medicine Somaiya Hospital and Research CentreMumbai 400001MaharashtraIndia Department of Microbiology and Infection Control Deep HospitalLudhiana 141001India Department of Critical Care Medicine Tribhuvan University Teaching HospitalKathmandu 44600Nepal Anaesthesia and Intensive Care Unit Royal HospitalMuscat 112Oman Department of Cardiac Anaesthesia Fortis HospitalLudhiana 141002PunjabIndia Intensive Care Medicine Ng Teng Fong General HospitalSingapore 609606Singapore Intensive Care Unit Bangabandhu Sheikh Mujib Medical UniversityDhaka 1000Bangladesh Intensive Care Unit Colombo North Teaching HospitalRagama 11010Sri Lanka Intensive Care Unit and Respiratory Therapy Department Security Forces HospitalDamman 34223Saudi Arabia Pulmonary and Critical Care Division Zahraa Hospital-University Medical CenterBeirut 1007Lebanon Pulmonary Division Faculty of Medical SciencesLebanese UniversityBeirut 1007Lebanon Department of Critical Care Salmaniyah Medical ComplexManama 323Bahrain Department of Critical Care Medicine Ziauddin UniversityKarachi 75530Pakistan Anaesthesia and Critical Care Swasti HospitalRangia 781354India Department of Critical Care Medicine Al Fujairah HospitalFujairah 0000United Arab Emirates Department of Anesthesia and Intensive Care Hamad Medical CorporationDoha 974Qatar Intensive Care Unit Sulaiman Al Habib Medical GroupBuraidah 52211Saudi Arabia Department of Nursing Deep HospitalLudhiana 141001India Anesthesia and Intensive Care Shantived Institute of Medical SciencesAgra 282007India Department of Critical Care Medicine NMC Specialty HospitalDubai 7832United Arab Emirates Internal Medicine College of Medicine and Health SciencesAl Ain 15551Abu DhabiUnited Arab Emirates

BACKGROUND The proficiency of nursing professionals in the infection prevention and control(IPC)practices is a core component of the strategy to mitigate the challenge of healthcare associated *** To test knowledge of nurses working in intensive care units(ICU)in South Asia and Middle East countries on IPC *** An online self-assessment questionnaire based on various aspects of IPC practices was conducted among nurses over three *** A total of 1333 nurses from 13 countries completed the *** average score was 72.8%and 36%of nurses were proficient(mean score>80%).43%and 68.3%of respondents were from government and teaching hospitals,respectively.79.2%of respondents worked in<25 bedded ICUs and 46.5%in closed ***,a significant association was found between the knowledge and expertise of nurses,the country’s per-capita income,type of hospitals,accreditation and teaching status of hospitals and type of *** in high-and upper-middleincome countries(β=4.89,95%CI:3.55 to 6.22)was positively associated,and the teaching status of the hospital(β=-4.58,95%CI:-6.81 to-2.36)was negatively associated with the knowledge score among *** There is considerable variation in knowledge among nurses working in *** like income status of countries,public vs private and teaching status of hospitals and experience are independently associated with nurses’knowledge of IPC practices.

关键词： Knowledge Attitude policy compliance Infection control Infection control practices Nurses

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