Academic Articles Related to Health Policy

  • Educational Strategies to Improve Herpes Zoster Vaccination in Older Adults

Abstract

Herpes zoster (HZ), also known as shingles, is a painful clustered rash that develops along one or two dermatomes, and is most common on the face, trunk, or extremities. One of every three individuals in the United States who contract HZ is also at risk for developing post-herpetic neuralgia (PHN). The HZ incidence increases with age but typically affects people over the age of 60. Several studies have found that HZ affects the physical and mental well-being of already diseasestricken elderly. To prevent the occurrence of HZ and its complications, Centers for Disease Control and Prevention (CDC) recommended that individual over the age of 50 receive the recombinant zoster vaccine (RZV), Shingrix over the zoster vaccine live (ZVL) or Zostavax. This partly due to ZVL’s waning efficacy. As one way to increase vaccination rates among people 60 years and older, educational strategies were implemented to gauge HZ awareness and the willingness to receive the vaccine. The educational program was implemented at a senior center with 20 participants. Post survey results at that site showed 80% were very and somewhat likely to receive the vaccine. A pre and post survey study was conducted among 25 adults over the age of 60, in a Midwest urgent care clinic. The pre and post survey results suggest 100% awareness of HZ disease. Participants were very and somewhat likely to seek more information from their health care provider about the HZ vaccine, and likely to accept and schedule to receive the vaccine. Efficacy was one notable barrier and the participant’s readiness denoted not now because most participants came in with an acute illness. The survey suggests the importance of health care provider’s effort to improve vaccination rates through education.

To read the whole article please see the link below:

http://healthcare-communications.imedpub.com/educational-strategies-to-improve-herpeszoster-vaccination-in-older-adults.php?aid=23237

  • The Certainty of Uncertainty in Genomic Medicine: Managing the Challenge

Abstract

While uncertainty has long been a hallmark of the practice of medicine, the need for attention to its management is gaining focus with the movement of genomic testing from the specialist genetics service into mainstream health care. Uncertainty management first requires an understanding of all of the dimensions of uncertainty including recognition of the sources (probability or risk, ambiguity and complexity), the issues (scientific, personal and practical) and the loci (patients/family/research participants, laboratory personnel, clinicians, research investigators and policy makers). At the same time, it is also important to recognise that uncertainty is not always problematic, and therefore needs to be avoided or eradicated or that its psychological impact is necessarily negative. This means that management strategies that foster resilience, welfare, autonomy and solidarity when offering genomic testing may assist in ensuring those receiving and offering genomic health care are prepared for the inevitable uncertainties generated and present results with positive framing. The genetic counseling interventions currently proposed as management strategies are underpinned by, first, pre-test counseling that addresses potential uncertainty as part of the informed consent process. Secondly, a care relationship developed at result delivery fosters trust. This may assist in continued engagement and re-contact with services to facilitate possible future resolution of the interpretation of the genomic result. Nevertheless, it is essential that any intervention is evaluated so that it can be promoted with assurance of rigor.

To read the whole article please see the link below:

http://healthcare-communications.imedpub.com/the-certainty-of-uncertainty-in-genomicmedicine-managing-the-challenge.php?aid=23071

  • Assessment of Health Status and Monitoring of Healthcare Systems in Rural Areas of Gwalior District, Madhya Pradesh, India

Abstract

The present study was conducted in village Nayagaon of Gwalior district with the emphasis on to assess the health status and family history of the people residing in the village. Nayagaon village is rural with majority of the population relying on labour and small-scale business. On general observation and interviews it was observed that the people of the village are exposed to various health diseases and disorders. About 19.3% of people were working as labourers in the stone crushers, where they are exposed to various occupational hazards. Health condition of the people in the village was found not unsatisfactory as evident from the prevalence of various ailments like Buccal cavity infection (18.2% males; 2.6% females), allergy (13.1% males; 5.6% females), asthma (8.1% males; 2.6% females), low vision (12.1% males; 10.4% females) Acidity (6.1% males; 3.9% females) etc. On comparing with the standard weight for various height groups it was clearly observed that all the males and females have weights lower than the standard. The village does not have any primary health centre. Therefore, village people have to cover a distance of 9 km for obtaining medical facility. Majority of the people are still using traditional medicines to cure various diseases. Maximum percentage of the population does not have any sort of knowledge regarding the family planning programmes and their benefits. Majority of the people in the village use dung cakes and fuel wood for cooking. Thus, most of the women population are exposed to a number of indoor air pollutants, emitted from these fuels.

To read the whole article please see the link below:

http://www.imedpub.com/articles/assessment-of-health-status-and-monitoring-of-healthcare-systems-in-rural-areas-of-gwalior-district-madhya-pradesh-india.php?aid=22745

  • The Role of Digital Medicine on the Improvement of the Healthcare beyond the Hospitals

Abstract

In modern settings, health care is essential as it accommodates the current intellectual evolution as well as the changes that have occurred in the societal settings. As such no single individual can deny the essence of modern medical integration to technology so as to offer better solutions oriented to the specific problems that are being faced by the modern generation. It is a digital medicine which integrates technology as well as the products have eased the whole process of offering medical services to the patients. As a broad area of digital health, it is as well essential to understand the surroundings to the crucial topic of modern times. In this paper as such digital medicine will be covered with a concentration on the elements that surround the central theme of discussion. Digital health will be as such being introduced since it provides the factors that surround the essential topic of digital medicine.

To read the whole article please see the link below:

http://www.hsj.gr/medicine/the-role-of-digital-medicine-on-the-improvement-of-the-healthcare-beyond-the-hospitals.php?aid=22582