- 20120113171059102.pdf (317.05 KB)
A depression diagnosis that warrants treatment or treatment change, needs at least one of the first two questions endorse as positive (little pleasure, feeling depressed) indicating the symptom has been present more than half the time in the past two weeks.
In addition the tenth question about difficulty at work or home or getting along with others should be answered at least "somewhat difficult".
When a depression diagnosis has been made patient preferences should be considered, especially when choosing between treatment recommendations of antidepressant treatment and psychotherapy.
A depression diagnosis that warrants treatment or treatment change, needs at least one of the first two questions endorse as positive (little pleasure, feeling depressed) indicating the symptom has been present more than half the time in the past two weeks.
In addition the tenth question about difficulty at work or home or getting along with others should be answered at least "somewhat difficult".
When a depression diagnosis has been made patient preferences should be considered, especially when choosing between treatment recommendations of antidepressant treatment and psychotherapy.
The PHQ-2 inquires about the frequency of depressed mood and anhedonia over the past two weeks. The PHQ-2 includes the first two items of the PHQ-9.
The purose of the PHQ-2 is not to establish a final diagnosis or to monitor depression severity, but rather to screen for depression in a "first step" approach.
Patients who screen positive should be further evaluated with the PHQ-9 to determine whether they meet criteria for a depressive disorder.
Crafting a policy-relevant research agenda for patient navigation in cancer care.
Journal: Cancer, 117: 3563–3572. doi: 10.1002/cncr.26269
Authors: B. Ashleigh Guadagnolo MD, MPH, Daniel Dohan PhD, Peter Raich MD
Article first published online: 20 JUL 2011
Abstract
BACKGROUND:
Racial and ethnic minorities as well as other vulnerable populations experience disparate cancer-related health outcomes. Patient navigation is an emerging health care delivery innovation that offers promise in improving quality of cancer care delivery to these patients who experience unique health-access barriers. Metrics are needed to evaluate whether patient navigation can improve quality of care delivery, health outcomes, and overall value in health care during diagnosis and treatment of cancer.
METHODS:
Information regarding the current state of the science examining patient navigation interventions was gathered via search of the published scientific literature. A focus group of providers, patient navigators, and health-policy experts was convened as part of the Patient Navigation Leadership Summit sponsored by the American Cancer Society. Key metrics were identified for assessing the efficacy of patient navigation in cancer diagnosis and treatment.
RESULTS:
Patient navigation data exist for all stages of cancer care; however, the literature is more robust for its implementation during prevention, screening, and early diagnostic workup of cancer. Relatively fewer data are reported for outcomes and efficacy of patient navigation during cancer treatment. Metrics are proposed for a policy-relevant research agenda to evaluate the efficacy of patient navigation in cancer diagnosis and treatment.
CONCLUSIONS:
Patient navigation is understudied with respect to its use in cancer diagnosis and treatment. Core metrics are defined to evaluate its efficacy in improving outcomes and mitigating health-access barriers.
- Contraceptive Injectable 12.07.doc (46.5 KB)
- 3B.1.30 Depo Provera Protocol.doc (24.5 KB)
La Vida Mia portrays the life of a Latina agricultural worker who is experiencing domestic violence in her personal life. The video depicts the reality that abuse victims face and the effect the abuse has on their life. Warning, this video may contain graphic scenarios as it displays abusive situations.
This photonovella accompanies the video "La Vida Mia"
Please contact Adrian Velasquez, Family Violence Initiative Coordinator at MCN if you would like to receive a DVD version of this educational video.
Asthma Action Plan for Adults and Children. An asthma action plan completion/instructions form is also included.
- Asthma+Action+plan+Annex+Adult.doc (99 KB)
- Asthma+Action+plan+Anna+Peds.doc (98.5 KB)
- ASTHMA+ACTION+PLAN+Completion+Instructions.doc (50 KB)
Three printable brochures on Asthma, Lead and Pesticides produced by Farmworker Justice.
- SpanishBrochures.pdf (4.88 MB)
- EnglishBrochures.pdf (4.88 MB)
This toolkit is intended to guide local public health agency staff in (1) developing, implementing, and evaluating emergency drills and exercises, and (2) facilitating the public health aspects of larger, multiagency emergency exercise events. The toolkit provides essential guidance including templates, checklists, and forms to assist with every stage of the exercise process. Emphasis is on identification of objectives during the planning phase, a critical step for ensuring a meaningful post-exercise evaluation.
- PHEmergencyExerciseToolkit.pdf (4.32 MB)
- Binational_TB.pdf (239.75 KB)
- SC_HepCprotocol.pdf (143.33 KB)
This flyer explains the importance of doctors visits. Developed by/Elaborado por Migrant Clinicians Network, 512-327-2017. Funding provided by Texas Department of State Health Services.
Este anuncio explica la importancia de visitar el medico. Financiado por el Programa de Diabetes del Departamento Estatal de Servicios de Salud de Texas
- Importance+of+Doctor+Visits.doc (898 KB)
A fotonovela about learning to live with diabetes. It is in English and Spanish. Originally produced by Stovall Medical Center and the North Carolina Farmworker Health Alliance. Original design by students in the Apples
Service Learning Program at UNC-Chapel Hill. Made possible with funding by the Texas Diabetes Council/Texas Department of State Health Services.
- FotonovelaChangeforlucyCambioparaLucia.pdf (465.81 KB)
Developed by Migrant Clinicians Network, 512-327-2017. www.migrantclinician.org Funding provided by Texas Department of State Health Services. This flyer shows sytomps of the diabetic eye. It is only in English.
- DiabEyeEngWord.doc (4.83 MB)
This brochure is a description of how to care for your feet. It is in English and Spanish.
- DailyFootCareColorEngSpn09.doc (855 KB)
This brochure was created by the Migrant Clinicians Network Diabetes Program with funding from the Texas Department of Health Diabetes Program / Council. This brochure has basic information about Acanthosis Nigricans and is in Spanish and English.
- AcanthosisNigricansbilingual.doc (4.86 MB)
To improve compliance with evidence-based guidelines for chronic disease care.
- HgBA1c.doc (26 KB)
Measurement of glycemic control, renal function and lipid levels in diabetic patients are important indicators of the quality of the medical treatment and are necessary to guide the treatment of diabetic patients. These tests are required at frequent intervals.
- Foot Care Protocol.doc (41 KB)
Outlines Dental Productivity Guidelines, benchmarks and relevant procedures.
- Dental Productivity Guidelines.pdf (24.9 KB)