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PubMed Journals Articles About "Healthcare Shift Successfully Cost Care Spanish Long Term" RSS

09:39 EDT 24th April 2014 | BioPortfolio

Healthcare Shift Successfully Cost Care Spanish Long Term PubMed articles on BioPortfolio. Our PubMed references draw on over 21 million records from the medical literature. Here you can see the latest Healthcare Shift Successfully Cost Care Spanish Long Term articles that have been published worldwide.

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Showing "Healthcare Shift Successfully Cost Care Spanish Long Term" PubMed Articles 1–25 of 21,000+

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International long-term care reform: A demographic, economic, and policy overview.

Advanced industrial countries around the world are making or contemplating major reforms of their systems for financing and organizing long-term care for the elderly. The paper describes major reform efforts including: the pursuit of cost efficiencies from further differentiation of the acute and long-term care delivery systems, promotion of home and community-based care alternatives to traditional institutions, and 'systems integration' involving consolidation of responsibility for long-term care at one le...

Advance care planning discussions among residents of long term care and designated assisted living: experience from Calgary, Alberta.

Patients, physicians and the healthcare system are faced with the challenge of determining, and respecting, the medical wishes of an aging population. Our study sought to describe who participates in advance care planning (ACP) and decision-making for patients in long-term care and designated assisted living.

Addressing staffing shortages in an era of reform.

Health system leaders should understand that physician and nursing shortages threaten a hospital's ability to offer high-quality care. Integrated delivery systems should project their workforce needs for both the near term and long term. Catholic Health Initiatives (CHI) is using two new models of care that deploy staff in new ways.

The patient-centered medical home solution to the cost-quality conundrum.

The U.S. healthcare system has been plagued by rising costs while achieving relatively poor-quality outcomes, and the situation continues to worsen. One solution is the patient-centered medical home (PCMH) model of primary care. This model focuses on care coordination and development of long-term physician-patient relationships that are expected to lead to better quality care and higher rates of patient satisfaction than have previously been achieved. Although the PCMH features a number of core principles,...

Long-term care for the elderly in Kyoto, Japan.

This is a descriptive study based on interviews and personal experiences of the author in Kyoto, Japan. The study examines long-term care in the Japanese context and government efforts to support home and institutional care.Because of cultural values and the prevailing health care system, Japan today maintains a tradition of providing long-term care at home. Medical and social supports for home care presently fall far short of need in Kyoto. Those who cannot afford home care or have no one at home to provid...

Quality of care and long-term care administrators' education: Does it make a difference?

Long-term care administrators (administrators) can influence the care nursing home residents receive. However, little research has examined what factors of administrators are associated with how they influence care.

Year in review 2012: Critical Care -management.

Outcomes research plays a key role in defining the effects of medical care in critical care. Last year Critical Care published a number of papers that evaluated patient-centered and policy-relevant outcomes. We present this review article focusing on key reported outcomes associated with severe community-acquired pneumonia, mortality associated with decisions regarding triage to the ICU, and both short-term and long-term mortality associated with ICU admissions. We further analyze the literature, assessing...

Give more attention to work participation.

As a result of an ageing work force and the continuing economic crisis, the coming decades will demand a long-term active role on the part of the Dutch in participating in paid and voluntary work as well as volunteer aid. This will provide a significant stimulus for so-called work-related healthcare: care that incorporates prevention and treatment of work-related symptoms and diseases, thereby enabling timely and sustainable work participation. Both patients and an increasing number of doctors are willing t...

Dying in hospital: a study of incidence and factors related to hospital death using death certificate data.

Background: Most people prefer not to die in a hospital, and for those with palliative care needs, doing so may result in inappropriate care and poor outcomes. We examined place of death and factors associated with hospital death in a population eligible for palliative care. Methods: We used death certificate data to identify deaths from conditions eligible for palliative care and to examine place of death and demographic, socioeconomic and environmental characteristics associated with hospital death in Bel...

Sexuality and physical intimacy in long-term care.

ABSTRACT Sexuality and sexual needs in older adults remains a neglected area of clinical intervention, particularly so in long-term care settings. Because older adults in medical rehabilitation and long-term care beds present with significant frailties, and often significant neurocognitive disorders, it makes it difficult for occupational therapists and other staff to evaluate the capacity of an older adult resident to participate in sexual relationships. The current paper reviews the current literature on...

Empathy against disgust: an interpretive phenomenological analysis of healthcare professionals' experiences of caring for palliative patients with disgusting symptoms.

Disgusting symptoms are common in healthcare settings. Previous research has identified that healthcare professionals systematically avoid contact with patients with disgusting symptoms (Kray, 2004) potentially compromising patient care. Furthermore, Whitby and Gracias (2013) highlighted disgust in healthcare professionals as a possible contributory factor to dehumanization, and the abuses documented in the recent Francis report (Francis, 2013). Disgust may also have a detrimental effect on the wellbeing of...

The economic impact of acute kidney injury in England.

Acute kidney injury (AKI) is one of the most common complications affecting hospital inpatients around the world. It is associated with high mortality and adverse long-term outcomes, but there is uncertainty regarding its prevalence and cost. We estimate the prevalence of AKI in hospital inpatients in a universal health-care system, and the immediate and long-term impacts on survival, quality of life and health-care costs.

An incidence model of the cost of advanced prostate cancer in Spain.

Abstract Background: Prostate cancer (PCa) is the second leading cancer diagnosed among men. In Spain the incidence of PCa was 70.75 cases per 100,000 males. Advanced PCa has spread outside of the prostate capsule and may involve other parts of the body. The aim of this study was to estimate the lifetime costs of a cohort of advanced PCa patients diagnosed in Spain in 2012. Methods: A partitioned economic model was developed in EXCEL incorporating Spanish incidence, mortality and cost data supplemented with...

Long-Term Survival and Dialysis Dependency Following Acute Kidney Injury in Intensive Care: Extended Follow-up of a Randomized Controlled Trial.

The incidence of acute kidney injury (AKI) is increasing globally and it is much more common than end-stage kidney disease. AKI is associated with high mortality and cost of hospitalisation. Studies of treatments to reduce this high mortality have used differing renal replacement therapy (RRT) modalities and have not shown improvement in the short term. The reported long-term outcomes of AKI are variable and the effect of differing RRT modalities upon them is not clear. We used the prolonged follow-up of a...

Home care services in Israel-implications of the expansion of home care following implementation of the Community Long-Term Care Insurance Law.

In 1986 the Israeli Parliament enacted the Community Long-Term Care Insurance (CLTCI) Law, in response to concern over the growing need for long-term care. The principal aims of this study were to examine the extent to which the law has improved the appropriateness of care, reduced unmet needs, and lessened the burden on families of disabled elderly living in the community; and to assess the degree to which the expansion of formal services has supplemented, or substituted for, informal assistance. The findi...

Follow-Up Care Experiences and Perceived Quality of Care Among Long-Term Survivors of Breast, Prostate, Colorectal, and Gynecologic Cancers.

Post-treatment follow-up represents a crucial aspect of quality cancer care; however, data are lacking regarding follow-up care experiences, perception of provider involvement in care, and perceived quality of care from diverse samples of long-term survivors diagnosed as adults.

The Context of Religious and Spiritual Care at the End of Life in Long-term Care Facilities.

Despite the increasing numbers of Americans who die in nursing homes (NHs) and residential care/assisted living (RC/AL) facilities, and the importance of religious and spiritual needs as one approaches death, little is known about how these needs are met for dying individuals in long-term care (LTC) institutional settings. This study compared receipt of religious and spiritual help in four types of LTC settings: NHs, smaller (

Comparative efficacy of two interventions to discontinue long-term benzodiazepine use: cluster randomised controlled trial in primary care.

Benzodiazepines are extensively used in primary care, but their long-term use is associated with adverse health outcomes and dependence.

Music therapy for patients who have undergone hematopoietic stem cell transplant.

Objectives. This study examines the short- and long-term QOL benefits of a music therapy intervention for patients recovering from hematopoietic stem cell transplantation (HSCT). Methods. Ninety allogeneic HSCT patients, after transplant, were randomized to receive ISO-principle (i.e., mood matching) based music therapy (MT; n = 29), unstructured music (UM; n = 30), or usual care (UC; n = 31) for four weeks. The ISO principle posits that patients may shift their mood from one state to another by listening t...

The significance of introducing permanent assignments for nursing assistants at a long-term care setting on the incidence rate of facility-acquired pressure ulcers among elderly patients.

Pressure ulcer prevalence remains a major health concern in long-term care facilities. The treatment of these pressure ulcers causes a financial drain on health care resources and adds potential costs for the family of the institutionalized elderly, according to the Agency for Healthcare Research and Quality. The prevention of pressure ulcer development continues to be an essential objective of caregivers for elderly people. This study demonstrated a correlation between the permanent assignment of nursing a...

Investigating the cost-effectiveness of health information technologies: a systematic review protocol.

There is a need to develop new, more cost-effective models of healthcare and in this vein there is a considerable international interest in exploiting the potential offered by major developments in health information technologies (HITs). Very substantial investments are, as a result, now being made globally, but these still probably only represent a fraction of the investments needed if healthcare is to make the transition from the paper to the digital era. Investing greater resources is, however, inherentl...

Prevalence and potential determinants of musculoskeletal disease symptoms among care workers in long-term care facilities in South Korea.

The purpose of this study was to investigate the degree and influencing factors of musculoskeletal disease symptoms among care workers in long-term care facilities in South Korea.

Health status and health resource use among long-term survivors of breast, colorectal and prostate cancer.

The growing number of long-term cancer survivors poses a new challenge to health care systems. In Spain, follow-up is usually carried out in oncology services, but knowledge of cancer survivors' health care needs in this context is limited. The purpose of this study was to ascertain the health status of long-term survivors of breast, prostate, and colorectal cancer and to characterize their use of health care services.

Long-Term Mortality After Pneumonia in Cardiac Surgery Patients: A Propensity-Matched Analysis.

The role that intensive care unit (ICU)-acquired pneumonia plays in the long-term outcomes of cardiac surgery patients is not well known. This study examined the association of pneumonia with in-hospital mortality and long-term mortality after adult cardiac surgery.

Socioeconomic deprivation and provision of acute and long-term care after stroke: the South London Stroke Register cohort study.

Socioeconomic deprivation (SED) is associated with increased mortality after stroke, however, its associations with stroke care remains uncertain. We assessed the SED impacts on acute and long-term stroke care, and examined their ethnic differences and secular trends.

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