Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research

Author: Kleinman, A.; Eisenberg, L.; Good, B. Description: Major health care problems such as patient dissatisfaction, inequity of access to care, and spiraling costs no longer seem amenable to traditional biomedical solutions. Concepts derived from anthropologic and cross-cultural research may provide an alternative framework for identifying issues that require resolution. A limited set of such concepts is described as illustrated, including a fundamental distinction between disease and illness, and the notion of the cultural construction of clinical reality. These social science concepts can be developed into clinical strategies with direct…

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Environmental Impact and Cost Savings of Operating Room Quality Improvement Initiatives: A Scoping Review

Author: Sullivan, Gwyneth A.; Petit, Hayley J.; Reiter, Audra J.; Westrick, Jennifer C.; Hu, Andrew; Dunn, Jennifer B.; Gulack, Brian C.; Shah, Ami N.; Dsida, Richard; Raval, Mehul V. Description: BACKGROUND: Operating rooms are major contributors to a hospital’s carbon footprint due to the large volumes of resources consumed and waste produced. The objective of this study was to identify quality improvement initiatives that aimed to reduce the environmental impact of the operating room while decreasing costs. STUDY DESIGN: A literature search was performed using PubMed, Scopus, CINAHL, and Google…

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Impact of Transportation Interventions on Health Care Outcomes: A Systematic Review

Author: Solomon, Eli M.; Wing, Holly; Steiner, John F.; Gottlieb, Laura M. Description: INTRODUCTION: Lack of reliable transportation can be a barrier to keeping appointments or accessing other health care services. Increasingly, insurers and health care delivery systems subsidize transportation services for patients. This systematic review synthesizes existing research on nonemergency medical transportation interventions. METHODS: We searched 3 databases (Embase, PubMed, Google) for studies of health care sector-sponsored programs that provided patients assistance with nonemergency transportation and directly assessed the impact of transportation assistance on health and health care utilization…

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