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18:52 EDT 15th September 2019 | BioPortfolio

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Showing "level Stroke Centers Quality Care Stake" PubMed Articles 1–25 of 33,000+

Circadian activity rhythm and fragmentation are associated with sleep-wake patterns and sleep quality in patients with stroke.

BACKGROUNDActivity levels and disturbances of the sleep-wake pattern affect health and quality of life and need to be further explored in patients with stroke.OBJECTIVETo evaluate activity levels and their association with sleep-wake patterns in patients with stroke.METHODSTen adults with (51±6 years) and 10 without stroke (52±7 years) participated in the study; they were matched on age, sex and educational level. Neurological status, motor function, sleep quality, and activity levels were measured. The g...

Functional Recovery of Stroke Patients with Post-Acute Care: A Retrospective Study in a Northern Medical Center.

Taiwan's NHI Administration proposed a nationwide Post-Acute Care-Cerebral Vascular Disease (PAC-CVD) program which transfers stroke patients at post-acute phase in medical centers to community hospitals. Its aim is mainly to prevent a prolonged stay in medical centers, which usually result in higher medical costs. The present study evaluated the 3-month functional outcomes of stroke patients receiving PAC-CVD.

Validity of four measures of child care quality in a national sample of centers in Ecuador.

This paper assesses the psychometric properties of four child care quality instruments administered in 404 child care centers in Ecuador: the Classroom Assessment Scoring System for Toddlers, the Infant/Toddler Environment Rating Scale-Revised Edition, the Child Care Infant/Toddler Home Observation for Measurement of the Environment, and the Missouri Infant/Toddler Responsive Caregiving Checklist. We examined their internal consistency, tested the underlying subscale structure by means of confirmatory facto...

Regional Disparities in Access to Verified Burn Center Care in the United States.

Burn injuries result in 50,000 annual admissions. Despite joint referral criteria from the American College of Surgeons (ACS) and American Burn Association (ABA), many severely injured patients are not treated at verified centers with specialized care. Only one prior study explores regional variation in access to burn centers, focusing on flight or driving distance without considering the size of the population accessing that center. We hypothesize that disparities exist in access to verified centers, measu...

Post-acute care regains quality of life among middle-aged and older stroke patients in Taiwan.

This study aims to evaluate health-related quality of life (HRQoL) of middle-aged and older stroke patients receiving the stroke post care (PAC) program and to identify possible predictors.

Secondary prevention after stroke/transient ischemic attack, a randomized audit&feedback trial.

The clinical benefits of use of secondary preventive pharmacotherapy in ischemic stroke/TIA have been previously demonstrated. A potential target for facilitating use of recommended medication is primary care physicians. Therefore, we carried out an audit&feedback intervention aimed at primary care centers. The aim was to improve the use of secondary preventive stroke medications and diagnosis recording in ischemic stroke/TIA.

The Advanced Practice Nurse Will See You Now: Impact of a Transitional Care Clinic on Hospital Readmissions in Stroke Survivors.

There is a paucity of evidence-based, posthospital stroke care in the United States proven to reduce preventable hospital readmissions.

Etiologic Evaluation of Ischemic Stroke in Young Adults: A Comparative Study between Two European Centers.

Identifying the cause of ischemic stroke in young adults is often difficult. Our objective was to compare the etiologic diagnostic strategy for ischemic stroke in young adults between 2 European centers and investigate the influence of workup variations in the diagnosed etiologies.

Sleep and cognitive function in chronic stroke: A comparative cross-sectional study.

Poor sleep is common following stroke, limits stroke recovery, and can contribute to further cognitive decline post-stroke. However, it is unclear what aspects of sleep are different in older adults with stroke compared to those without, and whether the relationship between sleep and cognitive function differs by stroke history. We investigated whether older adults with stroke experience poorer sleep quality than older adults without stroke, and whether poor sleep quality attenuates cognitive performance am...

Are community health centers' chief executive officers' compensation related to clinical performance?

Most research of chief executive officer (CEO) compensation in the health care industry has been limited to hospitals. This study expands our knowledge of CEO compensation into the nonhospital areas of the industry, specifically community health centers (CHCs). CHCs are safety-net providers that are an integral part of the U.S. health delivery system for medically underserved populations. Since the passage of the Patient Protection and Affordable Care Act, the federal government has created financial incent...

Differential item functioning of the CAHPS® In-Center Hemodialysis Survey.

End-stage renal disease patients' experience of care is an integral part of the assessment of the quality of the care provided at hemodialysis centers and is needed to promote patient choice, quality improvement, and accountability. The purpose of this study is to evaluate the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH-CAHPS®) survey and its equivalence in different age, gender, race, and education subgroups.

Much More than a Clinic: Chicago's Free Health Centers 1968-1972.

Drawing on archival evidence, I document the emergence and florescence of three free health clinics in Chicago in the late 1960s. I trace the centers' forceful removal by the city's Board of Health, and their subsequent replacement by Federally Qualified Health Centers (FHQCs). I argue that the demise of the free centers is exemplary of a broader trend in US health policy of regulating and diminishing the health care options of poor Americans. By highlighting the stark contrast between Chicago's free health...

Medicare Shared Savings ACOs and Hospice Care for Ischemic Stroke Patients.

Palliative care services have the potential to improve the quality of end-of-life care and reduce cost. Services such as the Medicare hospice benefit, however, are often underutilized among stroke patients with a poor prognosis. We tested the hypothesis that the Medicare Shared Savings Program (MSSP) is associated with increased hospice enrollment and inpatient comfort measures only among incident ischemic stroke patients with a high mortality risk.

Scheduling models and primary health care quality: a multilevel and cross-sectional study.

To evaluate whether the scheduling model influences the perception of the user about the quality of primary health care centers.

Patient safety culture in Polish Primary Healthcare Centers.

To examine patient safety culture in primary healthcare centers in Poland.

Physician Use of Health Care Teams for Improving Quality in Primary Care.

Health care teams may be used to improve quality in the primary care setting. Absent in the extant literature on health care teams is knowledge of how physicians seek to deploy this innovation on an everyday basis to improve care quality. This study's aim was to explore how physicians use teams in practice to deliver higher-quality care.

Assessment of need for lower level acuity critical care services at a tertiary acute care hospital in Canada: A prospective cohort study.

Critical care beds are commonly described in three levels (highest level 3, lowest level 1). We aimed to describe the actual level of care for patients assigned to level 2 in a tertiary hospital with inadequate level 1 bed capacity.

4G versus 3G-enabled telemedicine in prehospital acute stroke care.

Time to reperfusion treatment is closely related to outcome in ischemic stroke. Prehospital stroke work-up in CT-equipped mobile stroke units is effective in reducing time to thrombolytic treatment. Current evidence predominantly comes from mobile stroke units staffed with neurologists but telemedicine-guided management may be acceptable for providing neurological expertise in ambulances. With unsatisfactory experiences in third-generation (3G)-based approaches, fourth-generation (4G) networks may provide a...

Physician Assistant and Nurse Practitioner Utilization in Academic Medical Centers.

The purpose of this study was to collect information on the utilization of physician assistants (PAs) and nurse practitioners (NPs) in academic health centers. Data were gathered from a national sample of University HealthSystem Consortium member academic medical centers (AMCs). PAs and NPs have been integrated into most services of respondent AMCs, where they are positively rated for the value they bring to these organizations. The primary reason cited by most AMCs for employing PAs and NPs was Accreditati...

Are we there yet? Exploring the journey to quality stroke care for Aboriginal and Torres Strait Islander peoples in rural and remote Queensland.

The burden of stroke for Aboriginal and Torres Strait Islander peoples in Australia is significant. The National Stroke Foundation has identified that Aboriginal and Torres Strait Islander people are more likely to have a stroke at a younger age than the non-Indigenous population and are twice as likely for stroke to result in death, and that those Aboriginal and Torres Strait Islander people living in rural and remote areas are less likely to have access to an acute stroke unit. The only acute stroke unit ...

"This is our life now. Our new normal": A qualitative study of the unmet needs of carers of stroke survivors.

Many stroke survivors require care from informal carers such as family members and friends who may experience adverse impacts. This study aimed to qualitatively explore the unmet needs of carers of stroke survivors, and their preferences for interventions and support services. We conducted 24 semi-structured, qualitative interviews with carers of stroke survivors from the Hunter region, Australia. Inductive thematic analysis was used in the context of a needs-led framework to identify key themes of their un...

Association between caregiver engagement and patient-reported healthcare utilization after stroke: a mixed-methods study.

: Caregivers (CGs) are critical in helping stroke survivors (SSs) retain function and receive adequate healthcare. We aimed to identify the activities that CGs are engaged in over the course of stroke care from open-ended SS interviews and explore the association between CG engagement and SS healthcare utilization post-stroke. : We qualitatively analyzed 9-month post-stroke interviews with 118 SSs about their experiences before, during and following acute care from the Caring for Adults Recovering from the...

Association between continuity of care and long-term mortality in Taiwanese first-ever stroke survivors: An 8-year cohort study.

Continuity of care is considered to be an important principle of stroke care; however, few analyses of empirically related outcomes have been reported.

Using the Quality Maternal and Newborn Care Framework to evaluate women's experiences of different models of care: A qualitative study.

There is evidence that continuity of care - increasingly a focus of maternity care policy in the UK - contributes to improved outcomes. However, uncertainty remains about which models of care are most effective in which circumstances, and why this is. A plausible explanation is grounded in the idea that the continuity elements of care contribute to and reinforce best quality care. The Quality Maternal and Newborn Care Framework describes the components and characteristics of quality care. As a first step in...

ICARUSS: An effective model for risk factor management in stroke survivors.

After an initial stroke, the risk of recurrent stroke is high. Models that implement best-practice recommendations for risk factor management in stroke survivors to prevent stroke recurrence remain elusive. We examined a model which focuses on vascular risk factor management to prevent stroke recurrence in survivors returning to their primary care physicians. This model is coordinated from the stroke unit, integrates specialist stroke services with primary care physicians, and directly involves patients and...

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