Literature Collection | Integration Academy

13061

Why a proven tool to combat opioid abuse is underutilized by healthcare professionals

Type: Journal Article

Authors: S. R. Johnson

Year: 2016

Publication Place: United States

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13062

Why a shared care record is an official medical record

Type: Journal Article

Authors: Y. Gu, M. Orr, J. Warren, G. Humphrey, K. Day, S. Tibby, J. Fitzpatrick

Year: 2013

Publication Place: New Zealand

Abstract: The literature describes three categories of health records: the Official Medical Records held by healthcare providers, Personal Health Records owned by patients, and--a possible in between case--the Shared Care Record. New complications and challenges arise with electronic storage of this latter class of record; for instance, an electronic shared care record may have multiple authors, which presents challenges regarding the roles and responsibilities for record-keeping. This article discusses the definitions and implementations of official medical records, personal health records and shared care records. We also consider the case of a New Zealand pilot of developing and implementing a shared care record in the National Shared Care Planning Programme. The nature and purpose of an official medical record remains the same whether in paper or electronic form. We maintain that a shared care record is an official medical record; it is not a personal health record that is owned and controlled by patients, although it is able to be viewed and interacted with by patients. A shared care record needs to meet the same criteria for medico-legal and ethical duties in the delivery of shared care as pertain to any official medical record.

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13063

Why are some people who have received overdose education and naloxone reticent to call Emergency Medical Services in the event of overdose?

Type: Journal Article

Authors: S. Koester, S. R. Mueller, L. Raville, S. Langegger, I. A. Binswanger

Year: 2017

Publication Place: Netherlands

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13064

Why aren't physicians prescribing more buprenorphine?

Type: Journal Article

Authors: A. S. Huhn, K. E. Dunn

Year: 2017

Publication Place: United States

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13065

Why Do Adults Misuse Prescription Drugs?

Type: Government Report

Authors: Rachel N. Lipari, Matthew Williams, Struther L. Van Horn

Year: 2017

Publication Place: Rockville, MD

Topic(s):

, ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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13066

Why do general practitioners not refer patients to behaviour-change programmes after preventive health checks? A mixed-method study

Type: Journal Article

Authors: Nina Kamstrup-Larsen, Marie Broholm-Jørgensen, Susanne O. Dalton, Lars B. Larsen, Janus L. Thomsen, Janne S. Tolstrup

Year: 2019

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13067

Why do Patients Stay in Opioid Maintenance Treatment?

Type: Journal Article

Authors: Stefan Gutwinski, Lena Karoline Bald, Jurgen Gallinat, Andreas Heinz, Felix Bermpohl

Year: 2014

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13068

Why do primary care physicians propose medical care to patients with medically unexplained symptoms? A new method of sequence analysis to test theories of patient pressure

Type: Journal Article

Authors: P. Salmon, G. M. Humphris, A. Ring, J. C. Davies, C. F. Dowrick

Year: 2006

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13069

Why do you need to move beyond first-line therapy for major depression?

Type: Journal Article

Authors: L. Culpepper

Year: 2010

Publication Place: United States

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13070

Why Guidelines for Primary Care Providers?

Type: Government Report

Authors: Centers for Disease Control and Prevention

Year: 2016

Publication Place: Atlanta, GA

Topic(s):

,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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13071

Why is buprenorphine coformulated with naloxone?

Type: Journal Article

Authors: Eric Urnoski

Year: 2017

Publication Place: United States

Abstract:

Combination buprenorphine-naloxone is a cornerstone of outpatient treatment for substance use disorder, and is more widely accessible in primary care. Because oral buprenorphine has been diverted and abused for its euphoric properties, a combination formulation was developed and will trigger withdrawal symptoms if injected IV.

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13072

Why is it so hard to implement change? A qualitative examination of barriers and facilitators to distribution of naloxone for overdose prevention in a safety net environment

Type: Journal Article

Authors: M. L. Drainoni, E. A. Koppelman, J. A. Feldman, A . Y. Walley, P. M. Mitchell, J. Ellison, E. Bernstein

Year: 2016

Publication Place: England

Abstract: BACKGROUND: The increase in opioid overdose deaths has become a national public health crisis. Naloxone is an important tool in opioid overdose prevention. Distribution of nasal naloxone has been found to be a feasible, and effective intervention in community settings and may have potential high applicability in the emergency department, which is often the initial point of care for persons at high risk of overdose. One safety net hospital introduced an innovative policy to offer take-home nasal naloxone via a standing order to ensure distribution to patients at risk for overdose. The aims of this study were to examine acceptance and uptake of the policy and assess facilitators and barriers to implementation. METHODS: After obtaining pre-post data on naloxone distribution, we conducted a qualitative study. The PARiHS framework steered development of the qualitative guide. We used theoretical sampling in order to include the range of types of emergency department staff (50 total). The constant comparative method was initially used to code the transcripts and identify themes; the themes that emerged from the coding were then mapped back to the evidence, context and facilitation constructs of the PARiHS framework. RESULTS: Acceptance of the policy was good but uptake was low. Primary themes related to facilitators included: real-world driven intervention with philosophical, clinician and leadership support; basic education and training efforts; availability of resources; and ability to leave the ED with the naloxone kit in hand. Barriers fell into five general categories: protocol and policy; workflow and logistical; patient-related; staff roles and responsibilities; and education and training. CONCLUSIONS: The actual implementation of a new innovation in healthcare delivery is largely driven by factors beyond acceptance. Despite support and resources, implementation was challenging, with low uptake. While the potential of this innovation is unknown, understanding the experience is important to improve uptake in this setting and offer possible solutions for other facilities to address the opioid overdose crisis. Use of the PARiHS framework allowed us to recognize and understand key evidence, contextual and facilitation barriers to the successful implementation of the policy and to identify areas for improvement.

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13073

Why is this patient here today?

Type: Journal Article

Authors: F. Sullivan, J. C. Wyatt

Year: 2005

Publication Place: England

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13074

Why It's Inappropriate Not to Treat Incarcerated Patients with Opioid Agonist Therapy

Type: Journal Article

Authors: S. E. Wakeman

Year: 2017

Publication Place: United States

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13075

Why More Practices Are Merging Behavioral Health and Primary Care [Podcast]

Type: Web Resource

Authors: Sandy Hausman

Year: 2015

Abstract: The Affordable Care Act creates new opportunities to integrate behavioral health and primary care. This episode looks at the challenges and benefits of coordinating physical and mental health care through interviews with The University of Washington's Jurgen Unutzer, M.D., The Commonwealth Fund's Pamela Riley, M.D., and Deborah Bachrach, a partner with Manatt, Phelps and Phillips.

Topic(s):

,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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13076

Why Primary Care Practitioners Aren’t Joining Value-Based Payment Models: Reasons and Potential Solutions

Type: Report

Authors: Ann S. O'Malley, Rumin Sarwar, Cindy Alvarez, Eugene C. Rich

Year: 2024

Publication Place: New York, NY

Topic(s):

, , ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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13077

Why the U.S. Healthcare System Is So Much Worse Than Its Peers

Type: Report

Authors: David Blumenthal, Evan D. Gumas, Reginald D. Williams II

Year: 2024

Publication Place: Brighton, MA

Topic(s):

, ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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13078

Why there must be room for mental health in the medical home

Type: Journal Article

Authors: S. M. Petterson, R. L. Phillips, A. W. Bazemore, M. S. Dodoo, X. Zhang, L. A. Green

Year: 2008

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13079

Wide Variation and Overprescription of Opioids After Elective Surgery

Type: Journal Article

Authors: C. A. Thiels, S. S. Anderson, D. S. Ubl, K. T. Hanson, W. J. Bergguist, R. J. Gray, H. M. Gazelka, R. R. Cima, E. B. Habermann

Year: 2017

Abstract: OBJECTIVE: We aimed to identify opioid prescribing practices across surgical specialties and institutions. BACKGROUND: In an effort to minimize the contribution of prescription narcotics to the nationwide opioid epidemic, reductions in postoperative opioid prescribing have been proposed. It has been suggested that a maximum of 7 days, or 200?mg oral morphine equivalents (OME), should be prescribed at discharge in opioid-na�ve patients. METHODS: Adults undergoing 25 common elective procedures from 2013 to 2015 were identified from American College of Surgeons National Surgical Quality Improvement Program data from 3 academic centers in Minnesota, Arizona, and Florida. Opioids prescribed at discharge were abstracted from pharmacy data and converted into OME. Wilcoxon Rank-Sum and Kruskal-Wallis tests assessed variations. RESULTS: Of 7651 patients, 93.9% received opioid prescriptions at discharge. Of 7181 patients who received opioid prescriptions, a median of 375 OME (interquartile range 225-750) were prescribed. Median OME varied by sex (375 men vs 390 women, P = 0.002) and increased with age (375 age 18-39 to 425 age 80+, P < 0.001). Patients with obesity and patients with non-cancer diagnoses received more opioids (both P < 0.001). Subset analysis of the 5756 (75.2%) opioid-na�ve patients showed the majority received >200 OME (80.9%). Significant variations in opioid prescribing practices were seen within each procedure and between the 3 medical centers. CONCLUSIONS: The majority of patients were overprescribed opioids. Significant prescribing variation exists that was not explained by patient factors. These data will guide practices to optimize opioid prescribing after surgery.

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13080

Wide Variation Found in Care of Opioid-Exposed Newborns

Type: Journal Article

Authors: Debra L. Bogen, Bonny L. Whalen, Laura R. Kair, Mark Vining, Beth A. King

Year: 2017

Publication Place: United States

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