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Showing "Healthcare Shift Successfully Cost Care Spanish Long Term" PubMed Articles 1–25 of 32,000+

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Long-term healthcare cost reduction with Intensive Short-term Dynamic Psychotherapy in a tertiary psychiatric service.

To evaluate whether a mixed population of patients treated with Intensive Short-term Dynamic Psychotherapy (ISTDP) would exhibit reduced healthcare costs in long-term follow-up.

Using Video Capture to Investigate the Causes of Falls in Long-Term Care.

Falls and their associated injuries represent a significant cost and care burden in long-term care (LTC) settings. The evidence base for how and why falls occur in LTC, and for the design of effective interventions, is weakened by the absence of objective data collected on falls.

A Prescription for Lean Healthcare.

The adoption of Lean in the healthcare industry has been an important advancement, and not just for healthcare management. Evidence suggests that Lean can improve labour and capital efficiencies, reduce the throughput time for patients and enhance the quality of care. However, the adoption of Lean has generated large variations in results and even wider-ranging suggestions on how to implement Lean in a healthcare setting. In this article, the author examines three very similar hospitals that implemented Lea...

Collaborative care: models for treatment of patients with complex medical-psychiatric conditions.

Patients with co-morbidity and multi-morbidity have worse outcomes and greater healthcare needs. Co-morbid depression and other long-term conditions present health services with challenges in delivering effective care for patients. We provide some recent evidence from the literature to support the need for collaborative care, illustrated by practical examples of how to deliver a collaborative/integrated care continuum by presenting data collected between 2011 and 2012 from a London Borough clinical improvem...

Long-Term Care for Elder Women in Spain: Advances and Limitations.

In Spain, elder women are the largest group in need of long-term care. Significant improvements in this issue took place between 2007 and 2011, thanks to the Dependency Law (2006). But severe limitations showed the difficulty of overcoming the historical backwardness of Spanish social policy. This paper reveals the situation of Spanish people with dependency in activities of daily living. It analyzes changes driven by this law, especially in their impacts on elder women. It assesses the extent to which thos...

Improving patient safety in a UK dental hospital: long-term use of clinical audit.

The improvement of patient safety has been a long-term aim of healthcare organisations and following recent negative events within the UK, the focus on safety has rightly increased. For over twenty years, clinical audit has been the tool most frequently used to measure safety-related aspects of healthcare and when done so correctly, can lead to sustained improvements. This paper explains how clinical audit is used as a safety improvement tool in an English dental hospital and gives several examples of proje...

Healthcare-associated infections and antimicrobial use in long-term care facilities: the Irish experience with the HALT surveys.

In the context of an ageing European population, point prevalence surveys (PPS) of healthcare-associated infection and antimicrobial use in long-term care facilities (HALT) in Europe were commissioned by the European Centre for Disease Prevention and Control. Sixty-nine Irish long-term care facilities (LTCFs) took part in the first survey in 2010. A series of interventions to raise the profile of infection prevention and control and antimicrobial stewardship in Irish LTCFs followed. HALT was repeated in Ire...

Addressing the Needs of our Aging Population Through Managed Long-Term Care.

Children and Adolescents in Need of Long-Term Care. An Analysis of Data Obtained by the Medical Service of Compulsory Health Insurance Funds, MDK Bavaria.

Children and adolescents among those in need of long-term care differ significantly from older long-term care patients. The aim of this investigation was to characterise the features of this group. We analysed 6 141 records of children and adolescents produced in 2011 by the medical service of the statutory health insurance of Bavaria. The need for long-term care usually occurred before school age, initially mainly to care level 1. Typically, support for long-term care was initially applied for with the d...

Accountability in the City of Toronto's 10 Long-Term Care Homes.

Long-term care (LTC) residential homes provide a supportive environment for residents requiring nursing care and assistance with daily living activities. The LTC sector is highly regulated. We examine the approaches taken to ensure the delivery of quality and safe care in 10 LTC homes owned and operated by the City of Toronto, Ontario, focusing on mandatory accountability agreements with the Local Health Integration Networks (LHINs). Results are based on document review and seven interviews with LTC manager...

Nurses' Perception and Comfort Level with Diabetes Management Practices in Long-Term Care.

Increasing numbers of elderly people in long-term care have diabetes mellitus. We explored nurses' perceptions and level of comfort with current diabetes management of patients in long-term care.

Implementing Oral Care Practices and Policy Into Long-Term Care: The Brushing up on Mouth Care Project.

Optimal mouth care is integral to the health and quality of life of dependent older adults.Yet, a persistent lack of adequate oral care in long-term care (LTC) facilities exacerbates the burden of disease experienced by residents. The reasons for this are complex and create enormous challenges for care providers, clinicians, and administrators dedicated to comprehensive high quality care.

Samuel Hassenbusch Young Neurosurgeon Award 139 Anterior Cervical Diskectomy and Fusion in the Ambulatory Care Setting: Defining its Value Across the Acute and Post-Acute Care Episode.

In the era of current healthcare reforms, all stakeholders have adopted value-based purchasing strategies to shift care toward higher benefit and lower cost treatment approaches. Degenerative spine disease is highly prevalent and its surgical intervention costly. In this study, we set out to quantify the potential cost savings and patient-centered benefits associated with performing anterior cervical diskectomy and fusion (ACDF) in an ambulatory surgery center vs inpatient hospital setting.

Hospital Readmission Rates Following Skills Training for Nurses Employed in Long-term Care Facilities.

Reducing hospital readmissions is a priority for health care providers and affects Medicare reimbursement. The purpose of this study was to determine whether there is a significant difference in readmission rates from long-term care facilities to hospitals with the implementation of a training program for long-term care nurses. The main findings revealed that the training did not significantly affect hospital readmissions; however, the organization saw a significant decrease in hospital readmissions after 2...

Nursing care process for releasing psychiatric inpatients from long-term seclusion in Japan: Modified grounded theory approach.

Based on a modified grounded theory approach, in this study, we sought to elucidate the nursing care process used to guide psychiatric inpatients in long-term seclusion towards release from seclusion. Participant observations and interviews were conducted with a total of 18 nurses from three long-term psychiatric wards at two institutions from September 2011 to November 2012, to collect data on the nursing care they provided for psychiatric patients in long-term seclusion. Consequently, four categories and ...

Unmet needs in long-term care and their associated factors among the oldest old in China.

With a rapidly aging population and a decline in the availability of family caregivers, the number of elders in China who have unmet long-term care needs is increasing. Because unmet needs often have negative consequences, it is increasingly important to identify factors associated with unmet needs. Utilizing Andersen's behavioral model of health services use, this study examines the roles of predisposing factors (demographics), enabling factors (resources), and need (e.g., illness level) in long-term care ...

Use of a Mobile Device by Nursing Home Residents for Long-term Care Comprehensive Geriatric Self-assessment: A Feasibility Study.

Long-term-care comprehensive geriatric assessments, such as the Minimum Data Set 3.0, are used to evaluate the clinical, psychological, and personal status of residents in long-term-care nursing facilities. Nursing staff conducts assessment interviews, thereby increasing the workload of nurses and the cost of patient care. This study explored the ability of nursing home residents to use two different mobile devices for a geriatric self-assessment. Study participants were residents of long-term-care nursing ...

Critical Care Admissions, Charges, and Mortality: An Analysis of National Trends From 2001 to 2010.

Cost and Quality ImprovementSESSION TYPE: Original Investigation SlidePRESENTED ON: Tuesday, October 28, 2014 at 08:45 AM - 10:00 AMPURPOSE: Healthcare accounts for a large proportion of the US economy and has been the focus of numerous cost control efforts. Within healthcare, critical care medicine is resource and cost intensive. The objective of this study is to describe and analyze costs, mortality and patterns associated with critical care medicine in the US.METHODS: Admissions that involved critical ca...

Spanish validation of the Person-centered Care Assessment Tool (P-CAT).

Person-centered Care (PCC) is an innovative approach which seeks to improve the quality of care services given to the care-dependent elderly. At present there are no Spanish language instruments for the evaluation of PCC delivered by elderly care services. The aim of this work is the adaptation and validation of the Person-centered Care Assessment Tool (P-CAT) for a Spanish population.

Implications for multiple sclerosis in the era of the Affordable Care Act: the shifting managed care landscape.

Multiple sclerosis (MS) is a disorder of the central nervous system that is associated with disability, reduced quality of life, extensive medical and nonmedical costs, and lost productivity. Specialty medications that are crucial to effective disease management, helping to prevent debilitating episodes of relapse, account for a substantial portion of the medical expenditures associated with MS. Although these therapies are not considered cost-effective by conventional definitions, they are comparable to on...

Cost-Effectiveness of Ensuring Hepatitis B Protection for Previously Vaccinated Healthcare Personnel.

Objective. To examine the cost-effectiveness of pre- and postexposure approaches for ensuring hepatitis B protection among previously vaccinated healthcare personnel (HCP). Design. A decision-analytic model was developed for alternative strategies of ensuring hepatitis B protection under assumptions of 68% and 95% long-term protection after a primary vaccination series. Costs and quality-adjusted life years (QALYs) lost from infections were estimated, and incremental cost-effectiveness ratios (ICERs) we...

Outpatient Care of People with Dementia within Residential Communities in Germany - Care Potential and Cost.

Background: Since the 1980s dementia residential communities (DRC) have been established as part of the health-care landscape and as an alternative to inpatient long-term nursing care. Information about (a) the residents (b) the care potential and (c) the cost of DRCs are still lacking. Methods: A nation-wide postal questionnaire was sent to n=332 DRCs managed by n=151 organizations. The sample was based on an internet search with various combinations of search terms such as "outpatient" and "residential ca...

Musculoskeletal Health Disparities: Health Literacy, Cultural Competency, Informed Consent, and Shared Decision Making.

The factors that contribute to musculoskeletal healthcare disparities may influence the results of studies regarding the long-term outcome of orthopaedic implants. Patient decisions regarding their healthcare and their subsequent outcomes are influenced by health literacy. Providing patients with the information that they need to consent to treatment must be provided in a culturally competent manner. The influence of the physician or healthcare provider on the treatment choice varies depending on the type o...

Cost of lower-limb amputation in U.S. veterans with diabetes using health services data in fiscal years 2004 and 2010.

The purpose of this study was to estimate healthcare costs associated with diabetes-related lower-limb amputations (LLAs) within the Veterans Health Administration (VHA). We performed a cross-sectional comparative analysis of 3,381 VHA clinic users in fiscal year (FY) 2004 and 3,403 clinic users in FY2010 identified as having type 2 diabetes mellitus and nontraumatic LLA. LLA expenditures related to inpatient medical, inpatient surgical, and outpatient care were estimated using VHA Health Economics Resource...

The impact of age and sex on healthcare expenditure of households in Bangladesh.

The impact of age and sex on health care expenditure has recently become one of the major concerns in many developing countries like Bangladesh. Age and sex differences in the use of health care services can be substantial at several stages of life which are reflected in overall healthcare expenditure. We examined the impact of age and sex of the population on overall healthcare expenditure of households in Bangladesh. A total of 10,705 populations who spent for receiving any type of healthcare services wer...

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