Due to upsurge of non-communicable disease (NCD) burden, there is accentuated emphasis on task sharing and shifting NCDs-related health care delivery to non-physician healthcare workers especially nursing personnel and grass root level health professionals. This narrative review summates role of non-physician health workers, highlights various enablers and challenges while engaging them in delivery of NCD services so as to prevent and control various NCDs in India. Pubmed, Google scholar databases were searched using various keywords and Mesh terminologies. In addition, reference lists of selected articles were also screened. It is concluded that with regular update of knowledge, training, and supervision, these workers can efficiently deliver promotive, preventive, curative, and rehabilitative NCD-related healthcare services to needy. While engagement of this workforce in NCDs mitigation is a transforming concept, it also has its own challenges and issues which need to be explored and addressed in order to utilize this human resource to their maximum potential.
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http://dx.doi.org/10.4103/jfmpc.jfmpc_1516_20 | DOI Listing |
The imperative to improve the well-being of graduate medical education (GME) trainees has been well documented. While existing interventions have largely centered on increasing individual trainee resilience, less focus has been on the role of national health policy, economics, and the overall U.S.
View Article and Find Full Text PDFFront Artif Intell
December 2024
Switchboard MD, Inc., Atlanta, GA, United States.
Introduction: The electronic health record (EHR) has greatly expanded healthcare communication between patients and health workers. However, the volume and complexity of EHR messages have increased health workers' cognitive load, impeding effective care delivery and contributing to burnout.
Methods: To understand these potential detriments resulting from EHR communication, we analyzed EHR messages sent between patients and health workers at Emory Healthcare, a large academic healthcare system in Atlanta, Georgia.
Prehosp Emerg Care
January 2025
Department of Healthcare Delivery and Population Sciences and Department of Medicine, University of Massachusetts Chan Medical School-Baystate, Springfield, Massachusetts.
Objectives: Despite early evidence of effectiveness, cost-savings, and resource optimization, mobile integrated health (MIH) programs have not been widely implemented in the United States. System, community, and organizational-level barriers often hinder evidence-based public health interventions, such as MIH programs, from being broadly adopted into real-world clinical practice. The objective of this study is to identify solutions to the barriers impeding the implementation of MIH through interviews with multilevel stakeholders.
View Article and Find Full Text PDFFront Pediatr
November 2024
Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Introduction: Early caregiving interactions and experiences profoundly shape a child's brain development. The American Academy of Pediatrics (AAP) recently advocated for a public-health approach to promoting safe, stable, nurturing relationships that is "founded on universal primary preventions", including consistent messaging on fostering family resilience, nurturing connections, and positive childhood experiences. Hospitals have unique access to families with children ages 0-5 and therefore play a key role in supporting these early experiences.
View Article and Find Full Text PDFLakartidningen
November 2024
docent, specialistläkare, plastikkirurgi, Karolinska universitetssjukhuset, Solna; institutionen för molekylär medicin och kirurgi, Karolinska institutet, Solna.
The global shortage of surgical and anesthesiologic specialists is partly overbridged by task sharing to unspecialized physicians (often called "medical officers" and non-physician staff (often called »associate clinicians"). Task sharing is defined as the delegation of specific tasks from those who traditionally carry them out, to someone with shorter training. There is ample evidence for good patient outcomes after surgeries carried out through task sharing to associate clinicians, especially for hernia repairs, acute laparotomies, orthopaedic surgeries, and caesarean sections.
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