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  1. Article ; Online: Invisibility and modern medicine.

    Jain, Sachin H

    Healthcare (Amsterdam, Netherlands)

    2019  Volume 7, Issue 3, Page(s) 100368

    MeSH term(s) Burnout, Professional/epidemiology ; Humans ; Physicians/psychology ; Self Concept ; United States ; Workforce
    Language English
    Publishing date 2019-07-26
    Publishing country Netherlands
    Document type Editorial
    ZDB-ID 2724773-9
    ISSN 2213-0772 ; 2213-0764 ; 2213-0772
    ISSN (online) 2213-0772 ; 2213-0764
    ISSN 2213-0772
    DOI 10.1016/j.hjdsi.2019.100368
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: ANXIETY SYNDROMES IN ADOLESCENTS WITH OPERATIONAL RESPIRATORY CONDITIONS: A PROSPECTIVE STUDY.

    Gupta, M / Jain, Sh / Chandani, P / Patel J, D / Asha, K / Kumar, B

    Georgian medical news

    2024  , Issue 345, Page(s) 166–171

    Abstract: Aim - determining the prevalence of anxiety disorders and their effect on disease progression and quality of life in adults with organic illnesses and functional disorders of the respiratory system treated in a pulmonology environment. A total of 135 ... ...

    Abstract Aim - determining the prevalence of anxiety disorders and their effect on disease progression and quality of life in adults with organic illnesses and functional disorders of the respiratory system treated in a pulmonology environment. A total of 135 young adults between the ages of 13 and 17 were analyzed. There were a total of 46 adolescents diagnosed with somatoform respiratory disorders (SRD), 45 adolescents diagnosed with bronchial asthma (BA), and 44 adolescents diagnosed with pneumonia. The Spielberger-Khanin anxiety questionnaire and the Nijmegen hyperventilation syndrome (HVS) scale were used for the research and diagnosis, respectively. The quality of life was measured using the asthma quality of life questionnaire (AQLQ). In comparison to adults with asthma (33.2%) and pneumonia (32.3%), adults with SRD (34.5%). There were mild immediate associations between the Spielberger scale and the Nijmegen HVS questionnaire for both trait and state anxiety, and mild inverse correlations between the Spielberger scale and the AQLQ for both state and trait anxiety. Adolescents with anxiety had a higher prevalence of trauma, pain, and social issues than their non-anxious counterparts who were referred to psychiatry. In adolescents, 5.1% had severe trait anxiety, and 19.3% had severe condition anxiety. Adolescents with SRD were twice as likely to suffer from extreme state and trait anxiety as the general population. It is hypothesized that anxiety problems are at the root of HVS and contribute to adults' dissatisfaction with their quality of life due to lung ailments. Although certain adolescents with anxiety disorders were referred for anxiety, this data nevertheless lends credence to the idea that using standardized and structured instruments regularly might help increase accuracy and detection rates in the clinic, regardless of the reason for referral. Complete evaluations are essential for this patient population due to the intricacy of their symptoms.
    MeSH term(s) Young Adult ; Humans ; Adolescent ; Prospective Studies ; Quality of Life ; Anxiety/diagnosis ; Anxiety/epidemiology ; Anxiety Disorders/diagnosis ; Anxiety Disorders/epidemiology ; Asthma ; Hyperventilation/diagnosis ; Hyperventilation/epidemiology ; Syndrome ; Surveys and Questionnaires ; Pneumonia
    Language English
    Publishing date 2024-01-26
    Publishing country Georgia (Republic)
    Document type Journal Article
    ZDB-ID 2443648-3
    ISSN 1512-0112
    ISSN 1512-0112
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The health care innovation bubble.

    Jain, Sachin H

    Healthcare (Amsterdam, Netherlands)

    2017  Volume 5, Issue 4, Page(s) 231–232

    MeSH term(s) Delivery of Health Care/methods ; Delivery of Health Care/standards ; Humans ; Information Technology/trends ; Organizational Innovation
    Language English
    Publishing date 2017-09-08
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2724773-9
    ISSN 2213-0772 ; 2213-0764 ; 2213-0772
    ISSN (online) 2213-0772 ; 2213-0764
    ISSN 2213-0772
    DOI 10.1016/j.hjdsi.2017.08.002
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  4. Article ; Online: Addressing Patient Bias and Discrimination Against Clinicians of Diverse Backgrounds.

    Chandrashekar, Pooja / Jain, Sachin H

    Academic medicine : journal of the Association of American Medical Colleges

    2020  Volume 95, Issue 12S Addressing Harmful Bias and Eliminating Discrimination in Health Professions Learning Environments, Page(s) S33–S43

    Abstract: The duty to care for all patients is central to the health professions, but what happens when clinicians encounter patients who exhibit biased or discriminatory behaviors? While significant attention has focused on addressing clinician bias toward ... ...

    Abstract The duty to care for all patients is central to the health professions, but what happens when clinicians encounter patients who exhibit biased or discriminatory behaviors? While significant attention has focused on addressing clinician bias toward patients, incidents of patient bias toward clinicians also occur and are difficult to navigate.Clinicians anecdotally describe their experiences with patient bias, prejudice, and discrimination as profoundly painful and degrading. Though this phenomenon has not been rigorously studied, it is not unreasonable to postulate that the moral distress caused by patient bias may ultimately contribute to clinician burnout. Because women and minority clinicians are more likely to be targets of patient bias, this may worsen existing disparities for these groups and increase their risk for burnout. Biased behavior may also affect patient outcomes.Although some degree of ignoring derogatory comments is necessary to maintain professionalism and workflow, clinicians also have the right to a workplace free of mistreatment and abuse. How should clinicians reconcile the expectation to always "put patients first" with their basic right to be treated with dignity and respect? And how can health care organizations develop policies and training to mitigate the effects of these experiences?The authors discuss the ethical dilemmas associated with responding to prejudiced patients and then present a framework for clinicians to use when directly facing or witnessing biased behavior from patients. Finally, they describe strategies to address patient bias at the institutional level.
    MeSH term(s) Bias ; Dissent and Disputes ; Health Personnel/psychology ; Health Personnel/trends ; Humans ; Organizational Policy ; Professional-Patient Relations ; Professionalism ; Racism/prevention & control ; Racism/psychology ; Workplace/psychology ; Workplace/standards
    Language English
    Publishing date 2020-09-03
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 96192-9
    ISSN 1938-808X ; 1040-2446
    ISSN (online) 1938-808X
    ISSN 1040-2446
    DOI 10.1097/ACM.0000000000003682
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 112: Show issues Location:
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  5. Article ; Online: Implementing a targeted approach to social determinants of health interventions.

    Jain, Sachin H / Chandrashekar, Pooja

    The American journal of managed care

    2020  Volume 26, Issue 12, Page(s) 502–504

    Abstract: The scale of the coronavirus disease 2019 pandemic and its disproportionate impact on vulnerable populations has spurred unprecedented focus on and investment in social determinants of health (SDOH). Although the greater focus on social determinants is ... ...

    Abstract The scale of the coronavirus disease 2019 pandemic and its disproportionate impact on vulnerable populations has spurred unprecedented focus on and investment in social determinants of health (SDOH). Although the greater focus on social determinants is laudable and necessary, there is a tendency for health care organizations to implement SDOH programs at scale without rigorous evidence of effect, rather than targeting interventions to specific patients and assessing their impact. This broad, and sometimes blind, application of SDOH interventions can be costly and wasteful. We argue for rejecting the "more is better" mindset and specifically targeting patients who truly need and would substantially benefit from SDOH interventions. Matching interventions to the most appropriate patients involves screening for social needs, developing rigorous evidence of effect, and accompanying policy reform.
    MeSH term(s) COVID-19/epidemiology ; Community Health Services/economics ; Community Health Services/organization & administration ; Community Health Services/standards ; Comprehensive Health Care/organization & administration ; Health Policy ; Health Promotion/economics ; Health Promotion/organization & administration ; Health Promotion/standards ; Health Status Disparities ; Humans ; SARS-CoV-2 ; Social Determinants of Health/trends
    Language English
    Publishing date 2020-12-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2035781-3
    ISSN 1936-2692 ; 1088-0224 ; 1096-1860
    ISSN (online) 1936-2692
    ISSN 1088-0224 ; 1096-1860
    DOI 10.37765/ajmc.2020.88537
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5353: Show issues Location:
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  6. Article ; Online: Eliminating barriers to virtual care: implementing portable medical licensure.

    Chandrashekar, Pooja / Jain, Sachin H

    The American journal of managed care

    2020  Volume 26, Issue 1, Page(s) 20–22

    Abstract: Telemedicine offers a promising solution to the growing physician shortage, but state-based medical licensing poses a significant barrier to the widespread adoption of telemedicine services. We thus recommend a mutual recognition scheme whereby states ... ...

    Abstract Telemedicine offers a promising solution to the growing physician shortage, but state-based medical licensing poses a significant barrier to the widespread adoption of telemedicine services. We thus recommend a mutual recognition scheme whereby states honor each other's medical licenses. Successfully implementing mutual recognition requires policy, technological, and administrative changes, including a federal mandate for states to participate in mutual recognition, consistent standards for using and regulating telemedicine, a mechanism to enable interstate data sharing, financial support for states, and a "state of principal license" requirement for physicians. Reforming the United States' outdated system of state-based medical licensure can help meet patient demand for virtual care services and improve access to care in rural and medically underserved areas.
    MeSH term(s) Health Services Accessibility/standards ; Humans ; Licensure, Medical/legislation & jurisprudence ; Policy ; Telemedicine/legislation & jurisprudence ; United States
    Language English
    Publishing date 2020-01-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2035781-3
    ISSN 1936-2692 ; 1088-0224 ; 1096-1860
    ISSN (online) 1936-2692
    ISSN 1088-0224 ; 1096-1860
    DOI 10.37765/ajmc.2020.41223
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    Zs.A 5353: Show issues Location:
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  7. Article: Analysis of Prophylactic Salpingo-oophorectomy at the Time of Hysterectomy for Benign Lesions.

    Jain, Sheela Hemant / Somalwar, Savita Ashutosh

    Journal of mid-life health

    2019  Volume 10, Issue 1, Page(s) 29–32

    Abstract: Background: Prophylactic salpingo-oophorectomy refers to the removal of clinically normal ovaries at the time of hysterectomy for benign lesions, to reduce the risk of ovarian and breast cancer in future. This risk reduction holds true for high-risk ... ...

    Abstract Background: Prophylactic salpingo-oophorectomy refers to the removal of clinically normal ovaries at the time of hysterectomy for benign lesions, to reduce the risk of ovarian and breast cancer in future. This risk reduction holds true for high-risk women, i.e., those with strong family history of breast or/and ovarian cancer and those who carry germline mutations (BRCA-1 and BRCA-2). However, it is still one of the commonly performed surgeries in low-risk women and has fallen into controversy. It is said that the number needed to treat is 300.
    Aims and objectives: The aim of the study was to analyze and understand the reasons behind women opting for prophylactic oophorectomy in spite of the available evidence. We also aimed to study the histopathology reports of the ovaries and tubes removed prophylactically.
    Material and methods: This was a prospective study carried out at a tertiary care center which serves both rural and urban population. Of the 252 patients counseled, 86 patients who opted for prophylactic salpingo-oophorectomy were included in the study. A detailed history, clinical examination, relevant investigations (ultrasonography and CA 125 levels), indications for hysterectomy, reasons for prophylactic oophorectomy, intraoperative findings, and the histopathology findings were noted.
    Results: Main reasons for opting for prophylactic oophorectomy were lack of understanding and thus dependent on their treating doctor for the decision-making, fear of ovarian malignancy in future, inability to follow-up, and previous one or more abdominal surgeries.
    Conclusion: We as gynecologists need to reconsider the age at which we recommend prophylactic oophorectomy. Too much negative counseling should be deferred.
    Language English
    Publishing date 2019-03-28
    Publishing country India
    Document type Journal Article
    ZDB-ID 2595412-X
    ISSN 0976-7819 ; 0976-7800
    ISSN (online) 0976-7819
    ISSN 0976-7800
    DOI 10.4103/jmh.JMH_70_18
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  8. Article ; Online: The Case for Mobile "Street Medicine" for Patients Experiencing Homelessness.

    Lynch, Kimberly A / Harris, Taylor / Jain, Sachin H / Hochman, Michael

    Journal of general internal medicine

    2022  Volume 37, Issue 15, Page(s) 3999–4001

    MeSH term(s) Humans ; Ill-Housed Persons ; Housing ; Illicit Drugs
    Chemical Substances Illicit Drugs
    Language English
    Publishing date 2022-06-09
    Publishing country United States
    Document type Editorial ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-022-07689-w
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  9. Article ; Online: The De-adoption of Low-Value Health Care-Reply.

    Powers, Brian W / Jain, Sachin H / Shrank, William H

    JAMA

    2021  Volume 325, Issue 9, Page(s) 888

    MeSH term(s) Delivery of Health Care ; Quality of Health Care
    Language English
    Publishing date 2021-03-02
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2020.25518
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  10. Article ; Online: Improving High-Risk Patient Care through Chronic Disease Prevention and Management.

    Chandrashekar, Pooja / Jain, Sachin H

    The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics

    2018  Volume 46, Issue 3, Page(s) 773–775

    MeSH term(s) Chronic Disease/prevention & control ; Disease Management ; Humans ; Insurance Coverage ; Insurance Pools ; Insurance, Health ; Primary Prevention ; United States
    Language English
    Publishing date 2018-10-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1168812-9
    ISSN 1748-720X ; 1073-1105 ; 0277-8459
    ISSN (online) 1748-720X
    ISSN 1073-1105 ; 0277-8459
    DOI 10.1177/1073110518804240
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    Zs.A 2075: Show issues Location:
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