811 results on '"Mobile Health Units organization & administration"'
Search Results
352. Who benefits from Intensive Care in the field?
- Author
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Birch K
- Subjects
- Decision Making, Delivery of Health Care organization & administration, Humans, Military Personnel, Triage, United Kingdom, Critical Care, Intensive Care Units organization & administration, Military Medicine organization & administration, Mobile Health Units organization & administration
- Abstract
The limited capacity and resources of a Field Hospital Intensive Care Unit may necessitate the triage or prioritisation of critically ill patients requiring admission. The use of critical care resources by members of the local population in certain Areas of Operation, who can not be discharged or transferred to equivalent care in their local health service, impacts significantly on bed occupancy. Therefore available resources must be distributed efficiently and equitably with decisions guided by the principles of advocacy for the patient. Patients must be admitted only on the concept of potential benefit and reasonable chance of recovery, which would not be available elsewhere. Discriminating between seriously ill patients before admission and decision making regarding withdrawal of care is very difficult. Senior clinicians working regularly in a critical care setting demonstrate a better level of discrimination in assessing outcome of seriously ill patients and are best placed to make decisions regarding admission, continuation and withdrawal of treatment. more...
- Published
- 2009
- Full Text
- View/download PDF
353. Paediatric intensive care in the field hospital.
- Author
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Harris CC and McNicholas JJ
- Subjects
- Adolescent, Afghan Campaign 2001-, Afghanistan, Child, Child, Preschool, Humans, Infant, Infant, Newborn, United Kingdom, Critical Care, Hospitals, Military organization & administration, Intensive Care Units organization & administration, Mobile Health Units organization & administration, Pediatrics organization & administration
- Abstract
Our recent experience of paediatric critical care during UK military operations in Afghanistan is discussed alongside consideration of the background to the paediatric critical care service on deployment. We describe the intensive care unit's capabilities, details of recent paediatric critical care admissions during July to September 2008 and some of the ethical issues arising. Some desirable future developments will be suggested. more...
- Published
- 2009
- Full Text
- View/download PDF
354. CVD risk. License to screen: a new mobile intervention program.
- Author
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Hamel L and Harris DE
- Subjects
- Aftercare organization & administration, Agriculture, Cardiovascular Diseases epidemiology, Cardiovascular Diseases etiology, Holidays, Humans, Hypertension complications, Hypertension diagnosis, Hypertension epidemiology, Maine epidemiology, Medically Underserved Area, Needs Assessment, Nursing Evaluation Research, Patient Acceptance of Health Care statistics & numerical data, Prediabetic State complications, Prediabetic State diagnosis, Prediabetic State epidemiology, Program Evaluation, Rural Health Services organization & administration, Cardiovascular Diseases prevention & control, Mass Screening organization & administration, Mobile Health Units organization & administration, Nurse Practitioners organization & administration, Risk Assessment organization & administration
- Published
- 2009
- Full Text
- View/download PDF
355. Health in the occupied Palestinian territories.
- Author
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Stalnikowicz R
- Subjects
- Attitude of Health Personnel, Hospitals, Community, Humans, Israel, Medical Assistance organization & administration, Middle East, Mobile Health Units organization & administration, Health Status, Human Rights, International Cooperation, Medical Staff, Hospital psychology, Physician's Role psychology
- Published
- 2009
- Full Text
- View/download PDF
356. Hitting the road to alleviate India's rural doctor shortage.
- Author
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Alcoba N
- Subjects
- Career Choice, Humans, India, Workforce, Mobile Health Units organization & administration, Rural Health Services
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- 2009
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357. Evaluating short-term missions: how can we improve?
- Author
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Bajkiewicz C
- Subjects
- Community-Institutional Relations, Global Health, Humans, International Educational Exchange, Medical Missions organization & administration, Mobile Health Units organization & administration, Needs Assessment, North America, Nurse's Role, Program Evaluation, Relief Work organization & administration, Specialties, Nursing education, Total Quality Management organization & administration, Transcultural Nursing education, Transcultural Nursing organization & administration, Benchmarking organization & administration, Christianity, Religious Missions organization & administration, Specialties, Nursing organization & administration
- Published
- 2009
- Full Text
- View/download PDF
358. From donor to patient in 20 minutes: emergency resuscitation with whole blood during operation Iraqi Freedom.
- Author
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Cassella D, Appenzeller G, and Stich J
- Subjects
- Blood Donors, Emergencies, Fatal Outcome, Hemorrhage etiology, Hemorrhage prevention & control, Hospitals, Packaged organization & administration, Humans, Iraq War, 2003-2011, Mobile Health Units organization & administration, Operating Rooms organization & administration, Patient Care Team organization & administration, Refrigeration methods, Time Factors, Blood Banks organization & administration, Blood Transfusion methods, Military Medicine organization & administration, Military Personnel, Resuscitation methods, Wounds, Gunshot complications, Wounds, Gunshot surgery
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- 2009
- Full Text
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359. The power of occupational health nursing.
- Author
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Hawkins B
- Subjects
- Georgia, Humans, Interinstitutional Relations, Kentucky, Disasters, Electric Power Supplies, Mobile Health Units organization & administration, Occupational Health Nursing organization & administration
- Published
- 2009
360. Community-based delivery of maternal care in conflict-affected areas of eastern Burma: perspectives from lay maternal health workers.
- Author
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Teela KC, Mullany LC, Lee CI, Poh E, Paw P, Masenior N, Maung C, Beyrer C, and Lee TJ
- Subjects
- Adult, Emergency Medical Services organization & administration, Family Planning Services, Female, Humans, Midwifery, Myanmar, Obstetrics, Pregnancy, Pregnancy Complications therapy, Security Measures, Violence, Community Networks organization & administration, Health Services Accessibility organization & administration, Maternal Health Services organization & administration, Mobile Health Units organization & administration
- Abstract
In settings where active conflict, resource scarcity, and logistical constraints prevail, provision of maternal health services within health centers and hospitals is unfeasible and alternative community-based strategies are needed. In eastern Burma, such conditions necessitated implementation of the "Mobile Obstetric Maternal Health Worker" (MOM) project, which has employed a community-based approach to increase access to essential maternal health services including emergency obstetric care. Lay Maternal Health Workers (MHWs) are central to the MOM service delivery model and, because they are accessible to both the communities inside Burma and to outside project managers, they serve as key informants for the project. Their insights can facilitate program and policy efforts to overcome critical delays and insufficient management of maternal complications linked to maternal mortality. Focus group discussions (n=9), in-depth interviews (n=18), and detailed case studies (n=14) were collected from MHWs during centralized project management meetings in February and October of 2007. Five case studies are presented to characterize and interpret the realities of reproductive health work in a conflict-affected setting. Findings highlight the process of building supportive networks and staff ownership of the MOM project, accessing and gaining community trust and participation to achieve timely delivery of care, and overcoming challenges to manage and appropriately deliver essential health services. They suggest that some emergency obstetric care services that are conventionally delivered only within healthcare settings might be feasible in community or home-based settings when alternatives are not available. This paper provides an opportunity to hear directly from community-based workers in a conflict setting, perspectives seldom documented in the scientific literature. A rights-based approach to service delivery and its suitability in settings where human rights violations are widespread is highlighted. more...
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- 2009
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361. Surgery in expeditionary strike group.
- Author
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Lin H, Ancheta A, Uzcategui L, and Plurad D
- Subjects
- Humans, Triage, United States, Clinical Competence, Hospitals, Military organization & administration, Military Medicine, Military Personnel, Mobile Health Units organization & administration, Warfare
- Abstract
Unlabelled: There is little published data that quantifies the types of surgical and medical cases encountered during a 6-month West Pacific (WestPac) deployment with naval and marine assets., Methods: We report our fleet surgical team case series during a greater than 6-month 2006 WestPac deployment onboard a casualty receiving-and-treatment ship (CRTS) of an expeditionary strike group (ESG), previously known as an amphibious ready group (ARG)-marine expeditionary unit (MEU)., Results: One hundred twenty surgical cases were performed but only 37 cases (31%) were urgent; the remaining 82 cases were elective. Of the urgent surgical cases, only 8 cases (6.7%) required the skills of a general surgeon and none were emergent., Conclusion: the role of a surgical team on an ARG-MEU mission must be re-evaluated during the decreasing availability of surgical assets during Operation Iraqi Freedom and Operation Enduring Freedom. more...
- Published
- 2009
- Full Text
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362. 911.
- Author
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Bebarta VS
- Subjects
- Emergency Medicine, Military Medicine, Texas, Triage, United States, Emergency Service, Hospital organization & administration, Hospitals, Military organization & administration, Iraq War, 2003-2011, Mobile Health Units organization & administration
- Published
- 2009
- Full Text
- View/download PDF
363. Forward medical care and the military emergency medicine workforce: too much demand and not enough supply?
- Author
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Suter RE
- Subjects
- Emergency Medical Services organization & administration, Hospitals, Military organization & administration, Humans, Mobile Health Units organization & administration, Mobile Health Units statistics & numerical data, Physicians supply & distribution, United States, Workforce, Wounds and Injuries epidemiology, Emergency Medicine organization & administration, Iraq War, 2003-2011, Military Medicine organization & administration, Military Personnel statistics & numerical data
- Published
- 2009
- Full Text
- View/download PDF
364. Out-of-hospital combat casualty care in the current war in Iraq.
- Author
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Gerhardt RT, De Lorenzo RA, Oliver J, Holcomb JB, and Pfaff JA
- Subjects
- Adult, Blast Injuries epidemiology, Emergency Medicine statistics & numerical data, Female, Humans, Male, Mobile Health Units organization & administration, Retrospective Studies, Severity of Illness Index, Treatment Outcome, Workforce, Wounds and Injuries therapy, Wounds, Gunshot epidemiology, Young Adult, Emergency Medical Services organization & administration, Hospitals, Military organization & administration, Iraq War, 2003-2011, Military Personnel statistics & numerical data, Mobile Health Units statistics & numerical data, Wounds and Injuries epidemiology
- Abstract
Study Objective: We describe outcomes for battle casualties receiving initial treatment at a US Army consolidated battalion aid station augmented with emergency medicine practitioners, advanced medic treatment protocols, and active medical direction. Battalion aid stations are mobile facilities integral to combat units, providing initial phases of advanced trauma life support and then evacuation. The setting was a forward base in central Iraq, with units engaged in urban combat operations., Methods: This was a retrospective observational study. Rates of battle casualties, mechanism, evacuations, and outcome were calculated. Corresponding Iraqi theater-wide US casualty rates were also calculated for indirect comparison., Results: The study population consisted of 1.1% of the total US military population in the Iraqi theater. Data were available for all battle casualties. The study facility's battle casualty rate was 22.2%. The case fatality rate was 7.14%, and the out-of-theater evacuation rate was 27%. Analysis of evacuated patients revealed a study average Injury Severity Score of 10 (95% confidence interval [CI] 8 to 12). Concurrent theater aggregate US casualty rates are provided for contextual reference and include battle casualty rate of 6.7%, case fatality rate of 10.45%, out-of-theater evacuation rate of 18%, and average out-of-theater evacuation casualty Injury Severity Score of 10 (95% CI 9.5 to 10.5)., Conclusion: The study battalion aid station experienced high casualty and evacuation rates while also demonstrating relatively low case fatality rates. A relatively high proportion of patients were evacuated out of the combat zone, reflecting both the battle casualty rate and number of patients surviving. Future effort should focus on improving out-of-hospital combat casualty data collection and prospective validation of emergency medicine-based out-of-hospital battlefield care and medical direction. more...
- Published
- 2009
- Full Text
- View/download PDF
365. The development of integration mobile-based home care support systems: MDS-HC as an example.
- Author
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Hsiao FY, Kuo YY, Chang P, and Chiehwen EH
- Subjects
- Systems Integration, Taiwan, Home Care Services classification, Home Care Services organization & administration, Mobile Health Units classification, Mobile Health Units organization & administration, Program Evaluation methods, Quality Assurance, Health Care methods
- Abstract
The MDS-HC (Minimum Data Set for Home Care Assessment Instrument) has been an effective home care evaluation instrument. However it was not yet accepted in Taiwan because it is too long for our over-burdened home care nurses. We developed integrated mobile-based home care support system using MDS-HC. The results showed that an integration mobile-based system can increase efficiency and reduce manual work. more...
- Published
- 2008
366. Facilitating risk reduction among homeless and street-involved youth.
- Author
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Busen NH and Engebretson JC
- Subjects
- Adolescent, Child Abuse prevention & control, Child Abuse psychology, Child Abuse statistics & numerical data, Female, Health Behavior, Health Status Disparities, Health Status Indicators, Healthcare Disparities, Humans, Male, Medically Underserved Area, Nursing Audit, Nursing Evaluation Research, Program Evaluation, Residence Characteristics, Retrospective Studies, Texas, Young Adult, Health Promotion organization & administration, Homeless Youth education, Homeless Youth psychology, Homeless Youth statistics & numerical data, Mobile Health Units organization & administration, Nurse Practitioners organization & administration, Risk Reduction Behavior
- Abstract
Purpose: The purposes of this evaluation project were to describe a group of homeless adolescents and street-involved youth who utilized a mobile unit that provided medical and mental healthcare services and to assess the efficacy of the services provided in reducing their health risk behaviors., Data Sources: The records of 95 youth aged 15-25 years who used the medical mobile unit for an average of 14 months were examined and evaluated according to the national health indicators related to risk reduction. Current literature related to health risk behavior among homeless youth was reviewed, synthesized, and provided the background for this article., Conclusions: Data were obtained from the records of mostly heterosexual youth with a mean age of 20.5 years. Approximately one third of the participants were high school graduates and most were without health insurance. Living situations were transient including friends, shelters, crash pads, or the streets. Abuse accounted for the majority leaving home. Psychiatric conditions and substance abuse were common. Medical conditions were related to transient living situations, substance abuse, and sexual activity. Success of the program was associated with sustained counseling, stabilizing youth on psychotropic medications, decreasing substance use, providing birth control and immunizations, and treating medical conditions., Implications for Practice: Homeless youth are one of the most underserved vulnerable populations in the United States with limited access and utilization of appropriate healthcare services. Nurse practitioners often serve as care providers but are also in a position to effectively lobby to improve health care for homeless youth through professional organizations and community activism. Furthermore, when designing and evaluating healthcare services, multidisciplinary teams need to consider risk reduction for homeless youth in the context of their environment. more...
- Published
- 2008
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367. The impact of a modular HIV/AIDS palliative care education programme in rural Uganda.
- Author
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Downing J and Kawuma E
- Subjects
- Attitude of Health Personnel, Attitude to Health, Clinical Competence, Curriculum, Focus Groups, HIV Infections epidemiology, HIV Infections therapy, Health Knowledge, Attitudes, Practice, Health Services Accessibility, Humans, Mobile Health Units organization & administration, Needs Assessment, Nursing Education Research, Program Evaluation, Stereotyping, Surveys and Questionnaires, Uganda epidemiology, HIV Infections psychology, Health Personnel education, Health Personnel psychology, Inservice Training organization & administration, Palliative Care organization & administration, Rural Health Services organization & administration
- Abstract
Over 1 million people are living with HIV/AIDS in Uganda and there is a need for the provision of comprehensive palliative care. There is minimal literature with regard to the provision of palliative care in Uganda and there is no evaluation literature on the quality of palliative care education programmes. The aim of the study was to conduct an evaluation of a modular HIV/AIDS palliative care education programme undertaken in rural Uganda by the Mildmay Centre. The evaluation was based on a case study design where the researcher worked alongside the training team. It was undertaken in Rukungiri district and participants on the programme were drawn from four different health facilities within the district. The evaluation took place between January 2004 and December 2005 and multiple sources of data were used. Forty interviews and twenty focus group discussions were held, the work of the mobile training team was observed, documents reviewed and a research diary maintained by the researcher. A perceived and reported impact was seen at the patient and community level, participant level, health facility and district levels. An increase in access to care by people living with HIV/AIDS was seen as stigma was reduced and the attitudes of health workers towards people living with HIV/AIDS improved. Strengths and weaknesses of the programme were identified along with recommendations for future programmes. more...
- Published
- 2008
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368. Effectiveness of a mobile smoking cessation service in reaching elderly smokers and predictors of quitting.
- Author
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Abdullah AS, Lam TH, Chan SK, Leung GM, Chi I, Ho WW, and Chan SS
- Subjects
- Age Factors, Aged, Aged, 80 and over, China, Female, Geriatric Assessment, Humans, Logistic Models, Male, Multivariate Analysis, Pilot Projects, Program Development, Program Evaluation, Reference Values, Risk Assessment, Sex Factors, Smoking epidemiology, Time Factors, Treatment Outcome, Health Promotion organization & administration, Mobile Health Units organization & administration, Patient Compliance statistics & numerical data, Smoking Cessation methods, Smoking Prevention
- Abstract
Background: Different smoking cessation programmes have been developed in the last decade but utilization by the elderly is low. We evaluated a pilot mobile smoking cessation service for the Chinese elderly in Hong Kong and identified predictors of quitting., Methods: The Mobile Smoking Cessation Programme (MSCP) targeted elderly smokers (aged 60 or above) and provided service in a place that was convenient to the elderly. Trained counsellors provided individual counselling and 4 week's free supply of nicotine replacement therapy (NRT). Follow up was arranged at 1 month by face-to-face and at 3 and 6 months by telephone plus urinary cotinine validation. A structured record sheet was used for data collection. The service was evaluated in terms of process, outcome and cost., Results: 102 governmental and non-governmental social service units and private residential homes for the elderly participated in the MSCP. We held 90 health talks with 3266 elderly (1140 smokers and 2126 non-smokers) attended. Of the 1140 smokers, 365 (32%) received intensive smoking cessation service. By intention-to-treat, the validated 7 day point prevalence quit rate was 20.3% (95% confidence interval: 16.2%-24.8%). Smoking less than 11 cigarettes per day and being adherent to NRT for 4 weeks or more were significant predictors of quitting. The average cost per contact was US$54 (smokers only); per smoker with counselling: US$168; per self-reported quitter: US$594; and per cotinine validated quitter: US$827., Conclusion: This mobile smoking cessation programme was acceptable to elderly Chinese smokers, with quit rate comparable to other comprehensive programmes in the West. A mobile clinic is a promising model to reach the elderly and probably other hard to reach smokers. more...
- Published
- 2008
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369. The Northern Alberta Renal Program dialysis bus.
- Author
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Johnstone L
- Subjects
- Alberta, Cold Climate adverse effects, Humans, Kidney Failure, Chronic therapy, Personnel Staffing and Scheduling organization & administration, Renal Dialysis nursing, Mobile Health Units organization & administration, Renal Dialysis methods
- Published
- 2008
370. A model for community representation and participation in HIV prevention trials among women who engage in transactional sex in Africa.
- Author
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Shagi C, Vallely A, Kasindi S, Chiduo B, Desmond N, Soteli S, Kavit N, Vallely L, Lees S, Hayes R, and Ross D
- Subjects
- Adolescent, Adult, Clinical Trials, Phase III as Topic, Communication, Community Participation, Feasibility Studies, Female, HIV Infections transmission, HIV-1, Health Knowledge, Attitudes, Practice, Health Promotion methods, Humans, Mobile Health Units organization & administration, Researcher-Subject Relations, Sex Work ethnology, Tanzania, Anti-Infective Agents, Local therapeutic use, HIV Infections prevention & control, Sex Work psychology, Sexually Transmitted Diseases prevention & control
- Abstract
Actively engaging communities in effective partnerships for the design and implementation of HIV prevention research is vital to the successful conduct of ethically robust, locally-appropriate clinical trials in developing countries. This is especially true in vulnerable at-risk sub-populations, where definitions of "community", "participation" and "representation" can be difficult to apply. This study was conducted to investigate the feasibility of a participatory model of community liaison among an occupational cohort of women at high-risk of HIV and sexually-transmitted infections in Mwanza City, northwest Tanzania in preparation for a Phase III vaginal microbicide trial. This approach was rooted in participatory action-orientated research and used tools adapted from participatory learning and action techniques. During the feasibility study, a mobile community-based sexual and reproductive health service for women working as informal food vendors or in traditional and modern bars, restaurants, hotels and guesthouses was established in 10 city wards. Participatory mapping was carried out by project fieldworkers and wards divided into 78 geographical clusters of facilities in consultation with community members and study participants. Representatives at cluster and ward level were elected in a process facilitated by the site Community Liaison Officer and a site-level Community Advisory Committee established. A logical framework was used to guide the implementation, monitoring and evaluation of the community liaison system (CLS) within the broader feasibility study. The CLS was essential to the successful conduct of the feasibility study and has now been consolidated and expanded as part of the on-going MDP301 Phase III microbicide trial in Mwanza. The participatory model presented in this paper is likely to be generalisable to other vulnerable, stigmatised, at-risk study populations in resource-limited settings. more...
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- 2008
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371. UMDNJ school of nursing mobile healthcare project: a component of the New Jersey Children's Health Project.
- Author
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McNeal GJ
- Subjects
- Community Participation, Disease Management, Health Promotion organization & administration, Humans, Mass Screening organization & administration, Medically Underserved Area, New Jersey, Nursing Education Research, Nursing Evaluation Research, Organizational Objectives, Patient Education as Topic, Program Development, Program Evaluation, Referral and Consultation organization & administration, Community Health Nursing education, Community Health Nursing organization & administration, Mobile Health Units organization & administration, Nursing Faculty Practice organization & administration, Schools, Nursing organization & administration
- Abstract
This article describes a mobile ambulatory care nurse-managed center on wheels designed to address the healthcare needs of at-risk inner city residents. A grant-funded initiative, the Project uniquely joins nursing academe with community-based organizations in a partnership that brings healthcare services directly to those communities most in need. In addition to providing healthcare services, the Project serves as a site for faculty practice and community clinical rotations for nursing and medical students. The broad objectives of this nurse-faculty managed mobile healthcare project are: (1) to screen, identify and provide health promotion/disease management services for at-risk populations, (2) to foster community involvement in the health assessment and referral process; and, (3) to provide culturally and linguistically sensitive health promotion/disease management health education. more...
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- 2008
372. [Mobile team specializing in psychiatric care: precarious situation].
- Author
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Danyaud T
- Subjects
- France, Humans, Mental Health Services organization & administration, Mobile Health Units organization & administration, Psychiatric Nursing organization & administration
- Published
- 2008
373. [Palliative care hospital units].
- Author
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Rautureau P
- Subjects
- France, Health Services Needs and Demand, Humans, Mobile Health Units organization & administration, Hospital Units organization & administration, Palliative Care organization & administration, Patient Care Team organization & administration
- Published
- 2008
374. [A night spent with psychosocial mobile team].
- Author
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Raboin R
- Subjects
- France, Humans, Mental Disorders therapy, Mental Health Services organization & administration, Mobile Health Units organization & administration
- Published
- 2008
375. Mobile units let ED reopen after flood.
- Subjects
- Humans, Indiana, Planning Techniques, Disaster Planning, Disasters, Emergency Service, Hospital organization & administration, Mobile Health Units organization & administration
- Abstract
When Columbus (IN) Regional Hospital flooded, staff continued to offer emergency services through a mobile unit named the Carolinas Mobile Emergency Department (MED)-1. To take advantage of this and other similar options as quickly and smoothly as possible: Have contact information handy for the various governmental agencies whose approval will be required. Discuss with the provider of the mobile service the type of equipment you have in your ED, so that staff orientation will be conducted properly. Recommend to administration that in such situations, the entire staff should be kept on salary, to ensure full staffing of the mobile unit. more...
- Published
- 2008
376. [Analysis of the implementation of a mobile pre-hospital treatment system in five Brazilian state capitals].
- Author
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Minayo MC and Deslandes SF
- Subjects
- Administrative Personnel, Brazil epidemiology, Emergency Medical Services economics, Health Policy, Humans, Mobile Health Units economics, Accidents statistics & numerical data, Emergency Medical Services organization & administration, Health Plan Implementation, Mobile Health Units organization & administration, Violence statistics & numerical data
- Abstract
The article presents a description and analysis of the implementation of a pre-hospital treatment system (SAMU) as part of the research project Diagnostic Analysis of the Implementation of a National Policy for the Reduction of Violence and Accidents. Implementation and organization of the SAMU service, together with the related materials, human resources, and equipment, was studied in five Brazilian State capitals with high morbidity and mortality rates from external causes: Curitiba (Paraná), Recife (Pernambuco), Brasília (Federal District), Rio de Janeiro, and Manaus (Amazonas). The study involved four phases, each developing exploratory and analytical cycles, combined with fieldwork, triangulating quantitative and qualitative data. Implementation of the pre-hospital treatment system is now a key health sector asset. Further necessary steps include: comprehensive legislation covering vehicles, personnel, and equipment; closer networking between mobile units and healthcare facilities; focus on information generated in this sub-system, thus facilitating planning; and maintaining and upgrading high qualifications for SAMU crews. The service is officially establishing, standardizing, and regulating a sub-system that is crucial for saving lives. more...
- Published
- 2008
- Full Text
- View/download PDF
377. An introduction to portable field hospitals.
- Author
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McLaughlin E and Papadopoulou A
- Subjects
- Humans, Disasters, Facility Design and Construction, Mobile Health Units organization & administration
- Abstract
Recent international situations have prompted a resurgence of interest in the use of portable field hospitals for post-disaster relief scenarios. This article aims to evaluate and so consolidate information about the multitude of portable field hospitals manufactured and used today. By evaluating the field hospitals according to their architectural methods and comparing each to its ancient predecessors, the applications, limitations and benefits of each individual design type and model are clear. Data were collected by literature review and interviews of the users, manufacturers and designers. Recommendations for selection of a portable hospital for use in remote medical scenarios are discussed and compared, including: the degree of modularity; ability to intercomplex; and ease of transportability. more...
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- 2008
378. Organizational characteristics of the austere intensive care unit: the evolution of military trauma and critical care medicine; applications for civilian medical care systems.
- Author
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Grathwohl KW and Venticinque SG
- Subjects
- Afghanistan, Benchmarking, Disaster Planning, Health Planning Guidelines, Health Services Needs and Demand, Hospitals, Military organization & administration, Hospitals, Packaged organization & administration, Humans, Intensive Care Units organization & administration, Iraq, Iraq War, 2003-2011, Length of Stay statistics & numerical data, Mass Casualty Incidents prevention & control, Mobile Health Units organization & administration, Models, Organizational, Multiple Trauma diagnosis, Multiple Trauma mortality, Organizational Innovation, Organizational Objectives, Outcome Assessment, Health Care organization & administration, Transportation of Patients organization & administration, United States, Critical Care organization & administration, Military Medicine organization & administration, Multiple Trauma therapy, Patient Care Team organization & administration
- Abstract
Critical care in the U.S. military has significantly evolved in the last decade. More recently, the U.S. military has implemented organizational changes, including the use of multidisciplinary teams in austere environments to improve outcomes in severely injured polytrauma combat patients. Specifically, organizational changes in combat support hospitals located in combat zones during Operation Iraqi Freedom have led to decreased intensive care unit mortality and length of stay as well as resource use. These changes were implemented without increases in logistic support or the addition of highly technologic equipment. The mechanism for improvement in mortality is likely attributable to the adherence of basic critical care medicine fundamentals. This intensivist-directed team model provides sophisticated critical care even in the most austere environments. To optimize critically injured patients' outcomes, intensive care organizational models similar to the U.S. military, described in this article, can possibly be adapted to those of civilian care during disaster management to meet the challenges of emergency mass critical care. more...
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- 2008
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379. Critical care in the austere environment: providing exceptional care in unusual places.
- Author
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Venticinque SG and Grathwohl KW
- Subjects
- Afghanistan, Disaster Planning organization & administration, Humans, Iraq, Iraq War, 2003-2011, Mass Casualty Incidents prevention & control, Mobile Health Units organization & administration, Occupational Diseases prevention & control, Oxygen Inhalation Therapy methods, Patient Care Team organization & administration, Point-of-Care Systems organization & administration, Quality Assurance, Health Care organization & administration, Resource Allocation organization & administration, Resuscitation methods, Stress Disorders, Post-Traumatic prevention & control, Transportation of Patients organization & administration, Triage organization & administration, United States, Critical Care organization & administration, Health Facility Environment organization & administration, Hospitals, Packaged organization & administration, Medically Underserved Area, Military Medicine organization & administration
- Abstract
Background: War and other disasters are inexorably linked to illness and injury. As a consequence of this, healthcare providers will be challenged to provide advanced physiological support to preserve human life. Given the mobility and modularity of modern medical systems, the ability to provide critical care outside of the confines of traditional hospitals under such circumstances has become not only a reality and periodic necessity, but an expectation. Austerity amplifies the complexity of providing high-level critical care, because resources are frequently limited, providers are asked to fill unexpected roles determined by necessity, security may be threatened, and the population at risk and their afflictions can be highly diverse., Discussion: Our current deployed military medical experience and a review of published literature pertaining to civilian medical disaster response efforts support these stated challenges. The fundamentals of successful critical care practice in unusual settings include proper planning with an emphasis on attention to detail, the careful management of all resources, using the proper equipment, leveraging aeromedical evacuation assets, and employing the right people with the right skills., Summary: Adherence to sound, evidence-based, routine practice, within bounds of the circumstances, must underscore everything. more...
- Published
- 2008
- Full Text
- View/download PDF
380. Pre-triage procedures in mobile rural health clinics in Ethiopia.
- Author
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Stillman PC and Strong PC
- Subjects
- Community-Institutional Relations, Cultural Competency, Ethiopia, Humans, Patient Participation, Professional-Patient Relations, Medically Underserved Area, Mobile Health Units organization & administration, Relief Work organization & administration, Rural Health Services organization & administration, Triage methods
- Abstract
Context: Our medical team of 12 people conducted a series of mobile health clinics sponsored by an indigenous relief organization in rural Ethiopia. Coordinating with local health authorities, the purpose of these clinics was to provide acute care medical treatment and public health teaching., Issue: Initially, we used a 'pre-triage' process that had evolved over a series of previous rural mobile clinic trips. This process involved the lead physician and a nurse-translator moving through the crowd selecting prospective patients based on appearance and responses to simple questions. A significant problem arose when a large crowd of people, desperate to be seen, disrupted the process and jeopardized the safety of our team. We subsequently developed a process that used an introductory session, introducing the team and describing the process of patient selection. We also modified the pre-triage process by involving more people in patient selection. In subsequent clinics, this new process was well accepted and contributed to increased efficiency and an overall improved community outreach., Lessons Learned: After experiencing an adverse situation, we developed a system for patient selection that was well accepted and efficient. We found that it was essential to set expectations regarding the purpose of the mobile clinic and the scope of problems that could be treated. This was best done at the outset of the clinic in coordination with local health authorities. In actual patient selection, or pre-triage, we found it advantageous to enlist the participation of the crowd and to send several clinicians among those wishing to be seen for medical care. This new approach to patient selection became an essential element in the success of our mobile health outreach. more...
- Published
- 2008
381. A school of nursing's experience with providing health care for Hurricane Katrina evacuees.
- Author
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Rami JS, Singleton EK, Spurlock W, and Eaglin AR
- Subjects
- Adult, Black or African American statistics & numerical data, Aged, Child, Community Health Nursing education, Community Health Nursing organization & administration, Faculty, Nursing organization & administration, Family Nursing organization & administration, Female, Humans, Louisiana epidemiology, Male, Models, Nursing, Morbidity, Needs Assessment, Nurse Practitioners organization & administration, Public Assistance, Public Housing, Refugees statistics & numerical data, Students, Nursing, Disaster Planning organization & administration, Disasters, Mobile Health Units organization & administration, Primary Health Care organization & administration, Relief Work organization & administration, Schools, Nursing organization & administration
- Abstract
This article describes how Southern University School of Nursing (SUSON) participated in meeting the immediate health care needs of evacuees from New Orleans and environs that were victims of Hurricane Katrina. It describes how SUSON's advanced practice nurses use a mobile health unit (the Jag Mobile) to continue to serve evacuees that now live in Renaissance Village, a transitional housing trailer park. Ideas are presented that can help schools of nursing create a disaster response plan. more...
- Published
- 2008
382. [Cancer pain, a palliative care team approach].
- Author
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Triol I
- Subjects
- Analgesics, Opioid adverse effects, Analgesics, Opioid therapeutic use, France, Holistic Health, Humans, Morphine adverse effects, Morphine therapeutic use, Nurse's Role, Nursing Assessment, Oncology Nursing, Pain diagnosis, Pain etiology, Pain Measurement, Patient Care Planning organization & administration, Mobile Health Units organization & administration, Neoplasms complications, Pain prevention & control, Palliative Care organization & administration, Patient Care Team organization & administration
- Published
- 2008
383. Bringing emergency services to the event: the Champ Car experience.
- Author
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Pinderski C and Dunham SF
- Subjects
- Automobile Driving, Equipment and Supplies, Humans, Sports Medicine, Workforce, Emergency Medical Services organization & administration, Mobile Health Units organization & administration
- Abstract
Delivering emergency medical services at sporting events requires unique planning, equipment, personnel, and training. The Champ Car World Series is a top-level, open wheel racing series that uses both street and open terrain road courses for events held in several different countries. Medical services are available to both drivers and support staff through the use of on site medical personnel, specialized rescue vehicles, and a traveling medical center. This article describes the process of delivering high-quality, consistent medical care in a difficult racing environment. more...
- Published
- 2008
- Full Text
- View/download PDF
384. Orthopaedic care aboard the USNS Mercy during Operation Unified Assistance after the 2004 Asian tsunami. A case series.
- Author
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Sechriest VF 2nd and Lhowe DW
- Subjects
- Adult, Altruism, Asia, Southeastern, Fractures, Bone surgery, Humans, Indian Ocean Islands, Interprofessional Relations, Male, Orthopedic Procedures statistics & numerical data, Remote Consultation, Volunteers, Disasters, Mobile Health Units organization & administration, Naval Medicine organization & administration, Orthopedics, Relief Work organization & administration
- Published
- 2008
- Full Text
- View/download PDF
385. Home-visiting key to successful nursing model. Interview by Anne Manchester.
- Author
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George G
- Subjects
- Career Choice, Humans, Job Satisfaction, Models, Nursing, New Zealand, Nurse's Role psychology, Primary Health Care organization & administration, Attitude of Health Personnel, Community Health Nursing organization & administration, House Calls, Mobile Health Units organization & administration, Nursing Staff psychology
- Published
- 2008
386. Foreign field hospitals in the recent sudden-onset disasters in Iran, Haiti, Indonesia, and Pakistan.
- Author
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von Schreeb J, Riddez L, Samnegård H, and Rosling H
- Subjects
- Emergency Medical Services supply & distribution, Haiti, Humans, Indonesia, Iran, Pakistan, Disasters, Emergency Medical Services methods, Mobile Health Units organization & administration
- Abstract
Introduction: Foreign field hospitals (FFHs) may provide care for the injured and substitute for destroyed hospitals in the aftermath of sudden-onset disasters., Problem: In the aftermath of sudden-onset disasters, FFHs have been focused on providing emergency trauma care for the initial 48 hours following the sudden-onset disasters, while they tend to be operational much later. In addition, many have remained operational even later. The aim of this study was to assess the timing, activities, and capacities of the FFHs deployed after four recent sudden-onset disasters, and also to assess their adherence to the essential criteria for FFH deployment of the World Health Organization (WHO)., Methods: Secondary information on the sudden-onset disasters in Bam, Iran in 2003, Haiti in 2004, Aceh, Indonesia in 2004, and Kashmir, Pakistan in 2005, including the number of FFHs deployed, their date of arrival, country of origin, length of stay, activities, and costs was retrieved by searching the Internet. Additional information was collected on-site in Iran, Indonesia, and Pakistan through direct observation and key informant interviews., Results: Basic information was found for 43 FFHs in the four disasters. The first FFH was operational on Day 3 in Bam and Kashmir, and on Day 8 in Aceh. The first FFHs were all from the militaries of neighboring countries. The daily cost of a bed was estimated to be US$2,000. The bed occupancy rate generally was < 50%. None of the 43 FFHs met the first WHO/Pan-American Health Organization (PAHO) essential requirement if the aim is to provide emergency trauma care, while 15% followed the essential requirement if follow-up trauma and medical care is the aim of deployment., Discussion: A striking finding was the lack of detailed information on FFH activities. None of the 43 FFHs arrived early enough to provide emergency medical trauma care. The deployment of FFHs following sudden-onset disasters should be better adapted to the main needs and the context and more oriented toward substituting for pre-existing hospitals, rather than on providing immediate trauma care. more...
- Published
- 2008
- Full Text
- View/download PDF
387. [Living at home with the nursing services of a nursing home].
- Author
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Christen D
- Subjects
- Aged, Humans, Pilot Projects, Switzerland, Geriatric Nursing organization & administration, Home Care Services organization & administration, Homes for the Aged, Mobile Health Units organization & administration, Nursing Homes
- Published
- 2008
388. Backpack needle exchange: background, design, and pilot testing of a program in Rhode Island.
- Author
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Hebert MR, Caviness CM, Bowman SE, Chowdhury SP, Loberti PG, and Stein MD
- Subjects
- Adult, Female, Health Services Accessibility statistics & numerical data, Humans, Male, Mobile Health Units statistics & numerical data, Needle-Exchange Programs statistics & numerical data, Referral and Consultation organization & administration, Referral and Consultation statistics & numerical data, Rhode Island, Risk Factors, Safe Sex statistics & numerical data, Utilization Review statistics & numerical data, HIV Infections prevention & control, Health Services Accessibility organization & administration, Mobile Health Units organization & administration, Needle-Exchange Programs organization & administration
- Abstract
Many individuals who inject drugs do not access existing needle and syringe exchange programs. The ability to obtain clean needles from needle exchanges is limited by operational difficulties, the hours of operation, the location of the programs, and a lack of transportation. Providing multiple points of access to clean needles, including mobile exchange sites, may be necessary to prevent the transmission of the human immunodeficiency virus and other blood-borne viruses. A novel backpack needle exchange outreach model was implemented in Providence, Rhode Island. Backpack exchange participants completed surveys similar to those done by clients of Providence's storefront needle exchange. Backpack exchangers were significantly more likely to be Hispanic and inject more frequently than those who utilized the fixed site. Backpack exchange is a feasible method for providing needle exchange services and referrals to hard-to-reach injectors. more...
- Published
- 2008
- Full Text
- View/download PDF
389. The critical factors influencing the successful implementation of mobile nursing stations: a case study in Taiwan.
- Author
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Hsiao JL, Chen RF, and Hwang HG
- Subjects
- Community Participation, Education, Nursing, Continuing methods, Education, Nursing, Continuing organization & administration, Health Plan Implementation methods, Humans, Information Dissemination methods, Inservice Training methods, Nursing Informatics methods, Nursing Informatics organization & administration, Organizational Case Studies, Organizational Innovation, Program Development methods, Taiwan, Workforce, Mobile Health Units organization & administration, Nursing Services organization & administration
- Abstract
The purpose of this study is to conduct a comprehensive review of the factors affecting the successful implementation of Mobile Nursing Stations (MNS) by case study. A thorough validation process was used to identify the nine critical factors which influence the implementation of MNS, including the degree of peer competition, governmental and insurance policies, the Information Technology (IT) infrastructure, vendor selection, a clinical champion, top management support, task communications, user participation and training issues. The results of this study can enhance managements' understanding of the complete possibilities for the utilisation of MNS. more...
- Published
- 2008
- Full Text
- View/download PDF
390. Cross-border collaboration between Greece and FYROM: mobile healthcare provision.
- Author
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Spyrou S, Vartzopoulos D, Bamidis P, and Maglaveras N
- Subjects
- Computer Systems, Greece, Humans, Medical Records Systems, Computerized organization & administration, Patient Education as Topic, Remote Consultation organization & administration, Vital Capacity, Asthma rehabilitation, Community Networks organization & administration, Computer Communication Networks organization & administration, Cooperative Behavior, Mobile Health Units organization & administration, Pulmonary Disease, Chronic Obstructive rehabilitation, Telemedicine organization & administration, Telemetry
- Abstract
Introduction of eHealth tools and applications denotes the new era in health care sector and especially in health care networks. The telemedicine applications in cross-border areas, referred as a Cross-Border Health network, serve the improvement of the quality of life for the population in cross-border areas. In this work a framework for such a network concerning the collaboration between Greece and FYROM is described. The network is in the first phase of design and is expected to be implemented within the next year. The requirements, the restrictions and the design of the network has been defined by the healthcare professionals and it staff that participate in the project. The results, so far, reveal the acceptance of the system from the staff of the healthcare organizations, while detailed results for the performance of the system will be available in the first quarter of the next year. The work denotes the successful efforts for the development of Cross-border Health Networks. more...
- Published
- 2008
391. [Nursing in a mobile health unit].
- Author
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Bucher A, Zani S, Roche-Elmi F, Steiner O, and Arnau F
- Subjects
- France, Humans, Motivation, Mobile Health Units organization & administration, Nursing Care
- Published
- 2007
392. UCLA mobile clinic project.
- Author
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Hastings J, Zulman D, and Wali S
- Subjects
- Clinical Clerkship, Health Services Accessibility, Hospitals, University, Humans, Los Angeles, Male, Mental Health Services supply & distribution, Middle Aged, Workforce, Charities, Ill-Housed Persons psychology, Mobile Health Units organization & administration, Students, Health Occupations psychology, Volunteers, Vulnerable Populations psychology
- Abstract
We report on a man seeking care at the UCLA mobile clinic, illustrating and then discussing the challenges of caring for people who are homeless (especially mental illness and potential distrust of providers). Student-run free clinics can be beneficial but further research must examine how well such clinics meet homeless patients' needs. more...
- Published
- 2007
- Full Text
- View/download PDF
393. The Governor's Wellmobile program.
- Author
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Wiseman R
- Subjects
- Community-Institutional Relations, Humans, Maryland, Nurse Administrators organization & administration, Nurse Practitioners organization & administration, Organizational Objectives, Schools, Nursing organization & administration, Medically Uninsured statistics & numerical data, Mobile Health Units organization & administration, Nurse's Role, Primary Health Care organization & administration
- Published
- 2007
- Full Text
- View/download PDF
394. Designing a better place for patients: professional struggles surrounding satellite and mobile dialysis units.
- Author
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Lehoux P, Daudelin G, Poland B, Andrews GJ, and Holmes D
- Subjects
- Cooperative Behavior, Health Services Research, Humans, Internal Medicine, Models, Organizational, Physician-Nurse Relations, Point-of-Care Systems, Quebec, Regional Medical Programs, Health Services Accessibility organization & administration, Hemodialysis Units, Hospital organization & administration, Hospitals, Satellite organization & administration, Interprofessional Relations, Kidney Failure, Chronic therapy, Mobile Health Units organization & administration, Renal Dialysis, Sociology, Medical, Telemedicine
- Abstract
The professional claims and struggles involved in the design of non-traditional health care places are rarely problematized in applied health research, perhaps because they tend to fade away once the new design is implemented. This paper offers insights into such professional tensions and their impact on health care delivery by examining the design of two dialysis service delivery models in Quebec, Canada. The satellite units were hosted in two small hospitals and staffed by recently trained nurses. The mobile unit was a bus fitted to accommodate five dialysis stations. It was staffed by experienced nurses and travelled back and forth between a university teaching hospital and two sites. In both projects, nephrologists supervised from a distance via a videoconferencing system. In this paper, we draw mainly from interviews with managers (mostly nurses) and physicians (n=18), and from on-site observations. Nephrologists, medical internists, and managers all supported the goal of providing "closer-to-patient" services. However, they held varying opinions on how to best materialize this goal. By comparing two models involving different clinical and spatial logics, we underscore the ways in which the design of non-traditional health care places opens up space for the re-negotiation of clinical norms. Instead of relatively straightforward conflicts between professions, we observed subtle but inexorable tensions within and beyond professional groups, who sought to measure up to "ideal standards" while acknowledging the contingencies of health care places. more...
- Published
- 2007
- Full Text
- View/download PDF
395. A mobile care system with alert mechanism.
- Author
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Lee RG, Chen KC, Hsiao CC, and Tseng CL
- Subjects
- Diagnosis, Computer-Assisted instrumentation, Electrocardiography, Ambulatory instrumentation, Feasibility Studies, Humans, Pilot Projects, Remote Consultation instrumentation, Taiwan, Cell Phone, Diagnosis, Computer-Assisted methods, Electrocardiography, Ambulatory methods, Heart Diseases diagnosis, Mobile Health Units organization & administration, Remote Consultation methods, Remote Consultation organization & administration
- Abstract
Hypertension and arrhythmia are chronic diseases, which can be effectively prevented and controlled only if the physiological parameters of the patient are constantly monitored, along with the full support of the health education and professional medical care. In this paper, a role-based intelligent mobile care system with alert mechanism in chronic care environment is proposed and implemented. The roles in our system include patients, physicians, nurses, and healthcare providers. Each of the roles represents a person that uses a mobile device such as a mobile phone to communicate with the server setup in the care center such that he or she can go around without restrictions. For commercial mobile phones with Bluetooth communication capability attached to chronic patients, we have developed physiological signal recognition algorithms that were implemented and built-in in the mobile phone without affecting its original communication functions. It is thus possible to integrate several front-end mobile care devices with Bluetooth communication capability to extract patients' various physiological parameters [such as blood pressure, pulse, saturation of haemoglobin (SpO2), and electrocardiogram (ECG)], to monitor multiple physiological signals without space limit, and to upload important or abnormal physiological information to healthcare center for storage and analysis or transmit the information to physicians and healthcare providers for further processing. Thus, the physiological signal extraction devices only have to deal with signal extraction and wireless transmission. Since they do not have to do signal processing, their form factor can be further reduced to reach the goal of microminiaturization and power saving. An alert management mechanism has been included in back-end healthcare center to initiate various strategies for automatic emergency alerts after receiving emergency messages or after automatically recognizing emergency messages. Within the time intervals in system setting, according to the medical history of a specific patient, our prototype system can inform various healthcare providers in sequence to provide healthcare service with their reply to ensure the accuracy of alert information and the completeness of early warning notification to further improve the healthcare quality. In the end, with the testing results and performance evaluation of our implemented system prototype, we conclude that it is possible to set up a complete intelligent healt care chain with mobile monitoring and healthcare service via the assistance of our system. more...
- Published
- 2007
- Full Text
- View/download PDF
396. Mobilizing mobile medical units for hurricane relief: the United States Public Health Service and Broward County Health Department response to hurricane Wilma, Broward County, Florida.
- Author
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Taylor MM, Stokes WS, Bajuscak R, Serdula M, Siegel KL, Griffin B, Keiser J, Agate L, Kite-Powell A, Roach D, Humbert N, Brusuelas K, and Shekar SS
- Subjects
- Disaster Planning organization & administration, Disasters, Florida, Humans, Interinstitutional Relations, Relief Work organization & administration, Rescue Work organization & administration, United States, Emergency Medical Services organization & administration, Local Government, Mobile Health Units organization & administration, Public Health Practice, United States Public Health Service organization & administration
- Abstract
Objectives: To describe the outcomes of a collaborative response of federal, state, county, and local agencies in conducting syndromic surveillance and delivering medical care to persons affected by the storm through the use of mobile medical units., Methods: Nine mobile medical vans were staffed with medical personnel to deliver care in communities affected by the storm. Individual patient encounter information was collected., Results: A total of 14,033 housing units were approached and checked for occupants. Of residents with whom contact was made, approximately 10 percent required medical assessment in their homes; 3,218 clients were medically evaluated on the mobile medical vans. Sixty-two percent of clients were female. The most common presenting complaints included normal health maintenance (59%), upper respiratory tract illness (10%), and other illness (10%). Injuries occurred in 9 percent. A total of 1,531 doses of medications were dispensed from the mobile medical units during the response., Conclusion: Mobile medical units provided an efficient means to conduct syndromic surveillance and to reach populations in need of medical care who were unable to access fixed local medical facilities. more...
- Published
- 2007
- Full Text
- View/download PDF
397. Post-Katrina provision of health care to veterans in a mobile clinic: providers' perspectives.
- Author
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Lafuente CR, Eichaker V, Chee VE, and Chapital E
- Subjects
- Adaptation, Psychological, Communication Barriers, Continuity of Patient Care, Health Status, Humans, Louisiana, Medical Staff psychology, Mental Health, Nursing Methodology Research, Nursing Staff psychology, Patient Care Team, Pharmacists psychology, Professional Role, Social Isolation, Social Work, Surveys and Questionnaires, Survivors psychology, Survivors statistics & numerical data, Uncertainty, United States, United States Department of Veterans Affairs, Attitude of Health Personnel, Disasters, Mobile Health Units organization & administration, Needs Assessment, Veterans psychology, Veterans statistics & numerical data
- Abstract
Purpose: To describe the challenges faced by healthcare providers in the aftermath of one of the worst natural disasters in the United States., Data Sources: Eight healthcare providers describe their perceptions of the care they provided to veterans at a mobile clinic in the aftermath of Hurricane Katrina. This informal report used Giorgi's phenomenological approach to gathering and analyzing information provided in written response to eight specific questions., Conclusions: Four broad categories of challenges and concerns are discussed in this article: (a) What was important in the provision of care for the veterans, (b) the hindrances encountered, (c) factors that facilitated the care given, and (d) the perceived effects of the care they provided. Three key themes characterized the lived experience of the eight participants: uncertainty, deprivation, and stabilization. Although this was not a formal research study, the authors and participants were able to use their research backgrounds and understandings to organize and make sense of their experiences during this chaotic period., Implications for Practice: As hurricane season in the United States and the anniversary of Hurricane Katrina (August 2005) approach, it is hoped that this report on the experiences and recommendations of healthcare providers will benefit other providers in similar situations. more...
- Published
- 2007
- Full Text
- View/download PDF
398. [An innovative experience in clinical care management of chronic wounds: the wound and healing mobile unit of Centre Alsace].
- Author
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Mitschler A, Roth B, Michel JM, and Guillaume JC
- Subjects
- Aged, Chronic Disease, Frail Elderly, France, Health Policy, Health Services for the Aged economics, Health Services for the Aged organization & administration, Humans, Skin Ulcer economics, Skin Ulcer prevention & control, Wound Healing physiology, Mobile Health Units economics, Mobile Health Units organization & administration, Skin Ulcer therapy
- Published
- 2007
- Full Text
- View/download PDF
399. The benefits of participatory methodologies to develop effective community dialogue in the context of a microbicide trial feasibility study in Mwanza, Tanzania.
- Author
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Vallely A, Shagi C, Kasindi S, Desmond N, Lees S, Chiduo B, Hayes R, Allen C, and Ross D
- Subjects
- Communication, Community-Institutional Relations, Feasibility Studies, Female, HIV Infections prevention & control, Health Knowledge, Attitudes, Practice, Humans, Program Development, Researcher-Subject Relations, Tanzania, Anti-Infective Agents, Local therapeutic use, Community Participation, Mobile Health Units organization & administration, Reproductive Health Services organization & administration, Residence Characteristics, Sexually Transmitted Diseases prevention & control
- Abstract
Background: As part of a microbicide trial feasibility study among women at high-risk of HIV and sexually transmitted infections in Mwanza City, northern Tanzania we used participatory research tools to facilitate open dialogue and partnership between researchers and study participants., Methods: A mobile community-based sexual & reproductive health service was established in ten city wards. Wards were divided into seventy-eight geographical clusters and representatives at cluster and ward level elected in a process facilitated by the projects Community Liaison Officer. A city-level Community Advisory Committee (CAC) with representatives from each ward was established. Workshops and community meetings at ward and city-level were conducted to explore project-related concerns using tools adapted from participatory learning and action techniques such as listing, scoring, ranking, chapatti diagrams and pair-wise matrices., Results: Key issues identified included beliefs that blood specimens were being sold for witchcraft purposes; worries about specula not being clean; inadequacy of transport allowances; and delays in reporting laboratory test results to participants. To date, the project has responded by inviting members of the CAC to visit the laboratory to observe how blood and genital specimens are prepared; demonstrated the use of the autoclave to community representatives; raised reimbursement levels; introduced HIV rapid testing in the clinic; and streamlined laboratory reporting procedures., Conclusions: Participatory techniques were instrumental in promoting meaningful dialogue between the research team, study participants and community representatives in Mwanza, allowing researchers and community representatives to gain a shared understanding of project-related priority areas for intervention. more...
- Published
- 2007
- Full Text
- View/download PDF
400. Men's health innovation a winner at HESTA awards.
- Author
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Whale A
- Subjects
- Awards and Prizes, Humans, Nurse Administrators psychology, Nurses, Male psychology, Community Health Nursing organization & administration, Health Education organization & administration, Men education, Men psychology, Mobile Health Units organization & administration, Rural Health Services organization & administration
- Published
- 2007
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