Journal of evaluation in clinical practice
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Parents' medicine-seeking behavior is often influenced by their own experiences with illness. The purpose of this study was to investigate parents' medicine-seeking behavior and their beliefs regarding the efficacy of medicines. ⋯ There was inadequate information among parents concerning the use of medicines, including side effects, proper utilization, and the importance of seeking medical assistance. Furthermore, parents have false beliefs about the efficacy of medicines.
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The article tests the hypothesis that we can draw practical knowledge from the experience of service providers operating in the past. The research questions were formulated: can the historical example of the organization of medical care in the Polish Children's Hospital named after Karol and Maria be used as a viable example today? Is it relevant for contemporary practitioners? And do we still use the knowledge of predecessors? The authors decided to use the interwar Hospital and an operating paediatric ward of the Child-Friendly Hospital for a comparative analysis. ⋯ It seems that while the technical aspects of integrated care initiated in the past are developing perfectly, the approach to the evidence-based medicine is waiting to be developed again.
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The Patient-Centred Medical Home (PCMH) is a model of team-based care that is patient centred, coordinated, accessible, and focused on quality and safety. To learn how this model of healthcare works in an Indigenous primary health care setting in Australia, we explored the experiences of health staff in an urban Aboriginal Community Controlled Health Service (ACCHS) transitioning to an adapted model of a PCMH. Normalisation Process Theory (NPT) was applied to better understand factors enabling and inhibiting implementation of the PCMH, and the work required to deliver it. ⋯ Applying NPT revealed the characteristics and practice norms of Indigenous community controlled health care as key enablers of implementing a PCMH in an urban ACCHS. Less than optimal resourcing and workforce development emerged as barriers needing to be resolved to strengthen implementation and delivery of a PCMH in this setting.
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Antibiotic overuse is highly reported among dentists worldwide. An antibiotic stewardship programme has been shown to be effective for decreasing the number of unappropriated antibiotic prescriptions. The goal of this survey was to assess dentists' awareness of antibiotic stewardship and their willingness to implement changes accordingly. ⋯ Awareness of antibiotic stewardship was low among dentists with different levels of experience. However, dentists were willing to change their antibiotic prescription habits if policies were implemented as part of a stewardship programme at the school.
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At-risk infants are predisposed to major and minor neurodevelopmental disorders due to various biological and environmental factors. ⋯ In the clinical follow-up of at-risk infants, those who scored low on AIMS should be monitored for future risk of DCD and minor disorders, even if major neurological issues such as cerebral palsy are not detected.