Articles tagged with Home Care
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In Ontario, primary care home visits for adults aged 65 years and older decreased by nearly 30% after a 2019 policy change and the COVID-19 pandemic. Nonpalliative visits declined more than palliative ones, which showed growth after 2020.
Researchers analyzed electronic health record data from 1,207 patients in Barcelona, Spain, and found that those with higher continuity of care had fewer emergency department visits and hospital admissions. Patients who saw their assigned clinician more often were less likely to use home ambulance services.
A study found that witnessing terminal lucidity in children is a profoundly spiritual experience, influencing caregivers' belief systems and sparking personal growth. Caregivers reported disclosing what they witnessed to others, receiving mixed reactions from healthcare professionals and colleagues.
A study found that one-third of patients in an at-home hypertension management program could not complete weekly readings, highlighting the need for more convenient and less burdensome monitoring tools. The researchers suggest innovative wearable devices that can passively collect blood pressure readings to reduce patient burden.
Studies show that patients with advanced ovarian and metastatic breast cancer dedicate approximately 7 hours per week to cancer-related tasks. Most participants report performing these tasks daily, impacting their time burden. The use of a mobile app facilitated the collection of detailed time-use data.
The study found that behavioral health care accounted for $41.8 billion of overall health spending in 2022, with families paying an average of $2.9 billion out-of-pocket. The costs have grown more than twice as fast as other types of medical care, with telehealth visits increasing by 99% per year.
A new machine learning model developed at the University of Michigan uses data from wearable sensors to predict how physical therapists would assess balance training performance. The model was trained with sensor data combined with analysis from physical therapists and predicted patients' balance ratings with nearly 90% accuracy.
A recent study found that more adolescents and young adults (AYAs) with cancer received palliative care between 2018 and 2022 compared to previous studies. However, the researchers also noted challenges in providing quality palliative care, including stigma and high-intensity end-of-life care.
The Home Health Focus dataset provides insights into Medicare home health use from 2016 to 2019, including demographic data and patient function indicators. The analysis shows a rise in home health stays among beneficiaries while a decrease in active agencies during the same period.
A UCSF study found that a combination of outreach methods, including texts and live phone calls, significantly improves follow-up care for hard-to-reach patients. The integrated approach increased engagement among African American patients to 76.4% and improved overall reach rate by 3.5%, supporting their recovery and treatment outcomes.
Despite national policy, palliative care is often not equally accessible to all, with most people dying in hospitals or nursing homes rather than at home. The researchers emphasize the need for systematic implementation and integration of person-centred palliative care across different care settings.
A survey of 4,890 participants found that people are open to using home-care robots as long as they view them beneficially. Collaboration between users and developers is crucial for adoption, with emphasis on ethical considerations. Robots may play a significant role in addressing Japan's aging population and social healthcare challenges.
A study published in Alzheimer's & Dementia found that specially qualified nurses with extended roles can measurably improve the care of people with dementia living at home. The approach reduced unmet needs more effectively than standard care and improved the quality of life for affected individuals.
Poor sleep quality affects over 1 in 5 residents in long-term care facilities, leading to increased medication use, falls, and delirium. Modifiable risk factors like pain management, medication review, and improved sleep routines can help mitigate these issues.
A University of East Anglia study found that treating patients at home with IV antibiotics can save the NHS over £3,500 per patient and potentially free-up vital hospital beds. The treatment involves having antibiotics prepared at home and continuously delivered into the bloodstream by an elastomeric pump.
Automated external defibrillators (AEDs) in private homes show effectiveness in improving patient outcomes for those with shockable rhythms during cardiac arrest. However, considering the rarity of cardiac arrest at home and current AED pricing, general purchase is not deemed cost-effective.
A new RNA-based therapy targeting Marfan syndrome shows promise in treating the genetic disorder, which can lead to aortic aneurysms and be fatal. The therapy, developed by Mizzou researcher Dunpeng Cai, aims to correct mutated RNA for those with Marfan syndrome.
A University of Kansas program called Resilience Alliance has been found effective in reducing secondary traumatic stress and improving resilience among child care workers. The 12-week remote intervention helped lower stress levels and boost resilience, leading to better family outcomes.
In a first-of-its-kind study, researchers found that unplanned, premature births outside hospitals in Austria posed significant challenges for emergency teams. The study identified key findings on how to improve outcomes for mothers and newborns, including the importance of standardised protocols, training, and equipment availability.
A significant risk factor for in-home firearm homicide is domestic violence and child abuse, highlighting the need for improved safe storage laws and extreme risk protection orders. Young children are disproportionately affected, emphasizing the importance of preventing these deaths through stricter regulations.
A recent study at UC San Diego Health found that virtual transition of care clinics lower hospital readmissions for high-risk patients by 14.9%. The clinic provides immediate post-hospital care, reducing no-show rates and improving patient outcomes.
A portable device using machine learning can detect signs of concussions in real-time, providing a more objective way to assess injuries. The Mizzou Point-of-Care Assessment System combines a force plate, depth camera and interface board to track movement, balance and reaction times.
Home high-intensity aerobic training outperforms home balance training in improving ataxia symptoms, fatigue, and aerobic fitness among those with cerebellar ataxias. Regular training maintained benefits at 1 year.
A new article by Dr. Leonard Berry of Texas A&M University argues that values-driven listening can improve care and heal the healthcare system. The authors identify six types of listening, including proximate, curious, earning trust, aided by design, empowering, and fostering resilience, which contribute to better care.
Washington State University researchers developed an AI model that can accurately identify everyday activities from smartwatch data, achieving an accuracy rate of 78%. This breakthrough has potential applications in assessing cognitive health, rehabilitation, disease management, and surgical recovery.
A new book written by an international team from Carnegie Mellon University and the University of Oxford argues that data-driven decision-making can improve healthcare outcomes. The authors explain how analytics can be used to optimize hospital operations, manage bed allocation, and improve treatment efficiency.
Home care cooperatives have identified key drivers of improved care quality, including worker input, motivation, selective hiring, and high-quality training. These findings have the potential to significantly improve care quality across the home care sector.
A new poll reveals significant variation in older adults' preparations to age in place, with 46% having taken steps to make their home more age-friendly. However, differences persist based on health, disability, and home ownership status, highlighting opportunities for policymakers and families.
A study explores how technology can be used to support home care workers, rather than just surveil them. The WeClock app collected data on workers' experiences, identifying wage discrepancies and helping advocates build stronger cases for policy change.
Researchers analyzed trends in healthcare utilization among Japan's oldest-old population aged 75 years and above during the extended COVID-19 pandemic. The analysis revealed a modest drop in medical services and outpatient visits, while healthcare costs remained stable despite decreased patient volumes.
A new UC lab-on-a-chip device developed by engineers measures the stress hormone cortisol from a patient's saliva, helping doctors diagnose depression and anxiety. The device provides objective evidence for clinicians to supplement traditional screenings, raising red flags about patients' levels of stress.
A new poll by Michigan Medicine reveals that nearly two-thirds of Americans over 50 believe Medicare will cover their nursing home costs, despite it not currently paying for this type. Only half have taken key actions to prepare for long-term care needs. The poll also shows that 70% of people who survive to age 65 will need long-term c...
A new study conducted by Medical University of South Carolina shows that long-acting injectable antiretroviral therapy for persons living with HIV can be administered safely and effectively at home. Patient satisfaction scores were high for both groups, and no serious safety issues were observed.
A recent study found that telehealth visits in pediatric primary care significantly reduced antibiotic prescriptions for acute respiratory tract infections. The research analyzed over 540,000 visits and showed that children treated with telehealth were less likely to receive antibiotics than those examined in person.
A new study from the University of Missouri highlights how 'smoothed' graphs can help doctors better manage patients with hypertension. The findings suggest that these graphs can reduce errors in assessing blood pressure control, potentially alleviating pressure on the healthcare system.
A new study finds that a remote patient monitoring program reduced hospitalizations by 59% among high-risk patients, even after they mailed back their devices. The program uses digital health devices and clinician support to monitor vital signs and symptoms.
A recent study found that ischemic stroke mortality rates have increased in the US over the past two decades, particularly among racial minorities and rural residents. The majority of these deaths now occur at home, rather than in hospitals or medical facilities.
Rebecca Conant, MD, a pioneering leader in home-based geriatric care, has been honored by the American Geriatrics Society (AGS) as Clinician of the Year for her transformative impact on geriatric medicine. Her leadership and innovations have expanded access to high-quality, person-centered care for older adults.
Home care cooperatives have achieved half the turnover rates of traditional agencies, thanks to factors like respect, control, job support, and compensation. These cooperative businesses are owned and operated by caregivers themselves, fostering a more collaborative experience.
A new Electronic Frailty Index 2 (eFI2) system will improve the accuracy of identifying older people's frailty by integrating data on 36 health problems. This will enable GPs to provide personalized treatments to prevent costly loss of independence and falls in older age.
People with heart failure who can travel outside their home without assistance are less likely to be hospitalized or die within a year. Life-space mobility, a measure of how far patients move in their communities, is a reliable marker of risk for adverse outcomes in chronic diseases.
Adult patients with congenital heart disease have poor exercise capacity due to increased sedentary behavior. Increasing moderate-to-vigorous physical activity for 10 minutes daily can boost peak oxygen uptake by up to 0.454 mL/min/kg, suggesting a positive impact on prognosis and mobility.
A wearable t-shirt with sensors monitors vital signs and detects complications, allowing patients to be discharged 24-36 hours earlier than control group. The device also improved patient satisfaction and quality of life.
A Northwestern University study found significant disparities in glaucoma monitoring, with rural and economically distressed communities facing barriers to care. The study identified strategies to improve access, including expanding tele-ophthalmology services, home monitoring technology, and financial support.
A new study suggests that hospital rehabilitation for older adults might only be the beginning of a longer journey. While therapy is crucial in mitigating functional decline, only a small minority of patients receiving intensive therapy (14+ hours/week) had a greater likelihood of home discharge.
Researchers found that older adults with traumatic brain injury face disparities in rehabilitation care due to contextual social determinants of health. Contextual SDoH factors have complex effects on use of community-based rehabilitation services after TBI, beyond those linked to individual-level SDoH.
A comprehensive meta-analysis of 39 studies from 21 countries reveals that group arts interventions can significantly reduce symptoms of depression and anxiety among older adults. The benefits were consistent across different types of art and diverse populations, suggesting a synergistic effect.
A new study found that one-third of Canadian adults aged 55 or older are nutritionally at risk, potentially leading to increased hospital stays and emergency visits. The SCREEN-8 tool was used to measure an individual's nutrition risk, and those with higher scores had significantly lower odds of reporting healthcare issues.
The project aims to improve the quality of life for patients with end-stage heart failure and their caregivers through a nurse-led intervention. The study will also track hospitalization rates, patient well-being, and gain a better understanding of end-of-life care.
A new home-based intervention has been shown to reduce unplanned hospital admissions among older adults with mild frailty by 35%. The service, which includes personalized visits and tailored support, also leads to small improvements in wellbeing and reduces hospital costs.
A new remotely-delivered support programme, NIDUS-Family, has been shown to improve the lives of people with dementia while reducing healthcare costs. The programme uses goal setting and personalized care to help individuals live well at home for longer, resulting in cost savings of £8934 per person over one year.
Huntsman Cancer Institute is expanding its services through a new federal contract, introducing a mobile medical vehicle that brings advanced cancer care to rural communities. The program aims to enhance patient access to specialized care and increase participation in clinical trials.
A recent study found that electric fans provide little cooling relief for older adults indoors during extreme heat due to their limited sweat production. Dr. Fergus O'Connor from Griffith University suggests using air conditioning at a higher temperature in conjunction with a fan to provide effective cooling and reduce operating costs.
A University of Michigan study finds that 85% of Mexican Americans with dementia are unaware of their diagnosis, surpassing the overall rate for US Hispanics and Latinos. The lack of awareness is attributed to physicians' reluctance to diagnose dementia due to cultural and communication barriers.
A recent study by Mizzou researchers found that nursing home residents with Alzheimer's disease or related dementias are more likely to experience avoidable hospital transfers due to a mismatch between care provided and personal preferences. Increasing staff support, training, and resources can help improve outcomes for these residents.
The study highlights the need for targeted incentives to expand hospital-at-home programs to smaller, rural, and non-teaching hospitals. The research found that adoption of these programs remains concentrated among larger, urban, not-for-profit, and academic hospitals.
A new study reveals music therapy can deliver an immediate reduction in agitation and anxiety, as well as improvements in attention, engagement, and mood. Music helps individuals feel safer and more orientated, lowering levels of distress and improving wellbeing.
A study found that user participation and perspective are crucial in developing home-care technology. Common factors across countries include familiarity with robots and a positive impression of them. Japan values convenience, Ireland prioritizes notifying family members, and Finland emphasizes design. These findings highlight the impo...
This study reveals regional disparities in home healthcare use for older adults, with higher rates in areas with high population densities. Urban areas tend to have more enhanced clinics, leading to increased home visit rates, while less populated areas rely on conventional clinics and lower home visit rates.
A recent study published in the Journal of Aggression, Maltreatment & Trauma found that intensive outpatient programs (IOPs) are as effective as inpatient treatment for PTSD patients, with better completion rates and lower drop-out levels. The study compared IOPs to traditional inpatient treatment programs and residential care.