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(coping ineffective community)
48 results
  • Cost Savings from a Navigator Intervention for Repeat Detoxification Clients. [Journal Article]
    J Ment Health Policy Econ 2019; 22(1):3-13Hodgkin D, Brolin MF, … Gewirtz A
  • CONCLUSIONS: While the results for total spending did not reach statistical significance, they suggest some potential for insurers to reduce the health care costs associated with repeat detox utilization by using a navigator-based intervention. Analyses reported elsewhere found that this intervention had favorable effects on rates of initiation of SUD treatment. Limitations of the study include the fact that neither subjects nor sites were randomized between study groups; lack of data on crime or productivity outcomes; low participant use of RSN services; and a policy change which altered the participant pool and truncated follow-up for some.These results suggest some potential for payers to reduce the health care costs associated with repeat detox by using a navigator-based intervention. To the extent that this results in shifting resources from repeat detox to actual treatment, the result should provide longer term benefit to the population coping with SUD.These results may encourage Medicaid and other payers to further experiment with similar interventions using navigators to decrease health care costs and improved the lives of SUD patients.It could be informative to test similar navigator interventions for detox patients in other settings where enrollment periods are longer.
  • Acute exacerbations of chronic obstructive pulmonary disease (COPD) experiences among COPD patients with comorbid gastrooesophageal reflux disease. [Journal Article]
    J Clin Nurs 2019; 28(9-10):1925-1935Lin YH, Tsai CL, … Jeng C
  • CONCLUSIONS: Patients with severe chronic obstructive pulmonary disease with comorbid gastrooesophageal reflux disease presented with some distinctly different atypical symptoms yet used common respiratory symptom management strategies. Patients and practitioners alike need to be more aware of the possibility of other symptoms such as nonspecific symptoms being clues of exacerbation onset for a more effective intervention.The medical community needs to educate patients to understand and manage not only chronic obstructive pulmonary disease but also gastrooesophageal reflux disease symptoms so that they are better able to identify the cause of their symptoms, treat them appropriately and seek out medical assistance when necessary.
  • Preference for cesarean section in young nulligravid women in eight OECD countries and implications for reproductive health education. [Journal Article]
    Reprod Health 2017; 14(1):116Stoll KH, Hauck YL, … International Childbirth Attitudes- Prior to Pregnancy (ICAPP) Study Team
  • CONCLUSIONS: Education sessions delivered online, through social media, and face-to-face using drama and stories told by peers (young women who have recently had babies) or celebrities could be designed to maximize young women's capacity to understand the physiology of labor and birth, and the range of methods available to support them in coping with labor pain and to minimize invasive procedures, therefore reducing fear of pain, bodily damage, and loss of control. The most efficacious designs and content for such education for young women and girls remains to be tested in future studies.
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