Articles tagged with Home Care
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Researchers found that patients who received more accessible primary care had better health-related quality of life and improvements comparable to eliminating early complications of diabetes. Women particularly benefited from doctors being more available, leading to stronger health improvements.
A new study by Simon Fraser University researchers suggests that Canada's consideration of activity-based funding for hospitals may lead to a 'sicker and quicker' discharge of patients, increased readmissions to hospital, and strain on post-acute care services. The study concludes that governments should exercise caution before impleme...
A new study by the University of California, San Francisco reveals that smoking in California costs $18.1 billion annually, with a majority of smokers being 'light' users who abstain on certain days. The study found that smoking-attributable deaths were 17 times higher than those from AIDS and five times higher than those from diabetes.
A demonstration project made progress in introducing a patient-centered medical home approach at safety net practices serving vulnerable populations. Nearly half of practices achieved substantial implementation of key features within four years.
A new study found that prehabilitation physical therapy before joint replacement surgery can significantly reduce the need for postoperative care. The research revealed a 29% reduction in postoperative care use among patients who received preoperative physical therapy, resulting in an adjusted cost savings of $1,215 per patient.
A virtual ward, which provides community-based care for high-risk patients after discharge, did not reduce hospital readmissions as hoped. Despite a large sample size and multiple sites, the study found no significant difference in readmission rates at various time points.
A new study published in JAMA found that the virtual ward model of care did not significantly reduce hospital readmissions or deaths among high-risk adult patients. Despite its conceptual appeal, the model failed to provide a significant benefit in reducing healthcare costs and improving patient outcomes.
A study published in Canadian Medical Association Journal found that care coordination strategies can significantly decrease hospital admissions and emergency department visits among older patients with chronic conditions. However, these approaches were less effective in reducing healthcare usage among individuals with mental illness.
The latest issue of Public Policy & Aging Report lays down a policy prescription for a sustainable system of long-term services and supports. The report provides groundwork for policymakers to build upon, with recommendations on financing, delivery, and workforce issues.
Patients living with COPD want to discuss their palliative care needs with healthcare professionals, but feel uncomfortable bringing it up due to fear of burdening others. Healthcare professionals should not be afraid to initiate conversations about palliative care, as patients understand the seriousness of their condition.
A new grant will test a suite of videos to enhance conversations about advance care planning in nursing homes, aiming to reduce hospitalizations among elderly residents with specific conditions. The study aims to establish a methodology for conducting large pragmatic trials in complex healthcare systems.
A new study by Brown University researchers found that nursing homes implementing extensive culture change efforts experienced improvements in quality of care, including reductions in restraints, feeding tubes, and pressure ulcers. In contrast, those with less implementation saw only slight improvements in Medicare/Medicaid deficiencies.
A nationwide study published in Health Affairs reveals that for-profit home health agencies are significantly more expensive for Medicare than nonprofit agencies, with operating costs accounting for $752 of the difference. Despite their higher costs, for-profits delivered lower-quality care, with patients experiencing more repeat hospi...
A study published in the Journal of the American College of Cardiology found that endurance runners are more likely to die from heat stroke than cardiac events during races. Researchers analyzed data from 14 long-distance races and found 21 serious cases of heat stroke, including two fatalities.
A study funded by the Wellcome Trust found that offering adults in Malawi optional home initiation of HIV care following self-testing increased ART uptake. The results show a significant increase in population-level ART initiations, highlighting the potential of home-based care to improve HIV prevention and treatment.
A cluster randomized trial in Malawi found that adults who received home HIV self-testing were more likely to report positive results and initiate antiretroviral therapy. The study's main finding is that population-level ART initiations increased significantly with the availability of home initiation of care.
A recent study in Iowa found that nearly all adolescents aged 11-16 had ridden an ATV, with most engaging in risky behaviors like riding daily or weekly and not wearing helmets. The authors conclude that prevention efforts should be prioritized to reduce the risk of pediatric ATV crashes.
A RAND Corporation study emphasizes the urgent need to improve long-term care services for people with dementia and their caregivers. The study offers 25 high-impact policy options to address this growing concern, including increasing public awareness, improving access to services, and reducing financial burdens.
Suicides among mental health patients treated at home by crisis resolution home treatment teams have more than doubled in recent years, with an average of 163 deaths in 2010-2011. In contrast, suicides on psychiatric wards fell by over half during the same period.
A Scripps Whittier study shows that text messages can help improve glycemic control in Latino patients with type 2 diabetes. The intervention used text messages to provide healthy nutrition tips, physical activity reminders, and medication adherence encouragement.
A study found that primary care physicians in team-based care models with electronic health records (EHRs) improved their quality of care more than those without EHRs. The patient-centered medical home (PCMH) model was associated with significant improvements in care, including better preventive screening and testing.
A population-based observational study found centenarians are more likely to die of pneumonia and frailty, while hospital deaths were higher in England compared to other European countries. The study suggests that better health care provision could enable people to remain in their usual residence and reduce hospital admission at the en...
A Columbia University School of Nursing study found that patients receiving home health care are vulnerable to serious infections due to poor hygiene practices. The research highlights the need for proper training and education for caregivers to prevent infections, particularly among patients with central venous catheters.
A recent study by King's College London found that centenarians in England are more likely to die from pneumonia, with many succumbing to infections. The researchers emphasize the need for tailored health services to address this growing demographic group's increasing frailty and vulnerability.
Colorectal cancer screening should continue beyond age 75 for previously unscreened patients, according to new guidelines. Practices that implement a patient-centered medical home model with electronic health records (EHRs) have shown improved quality of care compared to non-PCMH practices.
A study found that the quality of death for cancer patients in urban Canadian settings with ready access to palliative care was good to excellent in most cases. Factors such as social support, caregiver relationship length, and home death were linked to better scores on a scale measuring the dying experience.
A study led by Purdue University found that medication therapy management by phone reduced hospitalizations by 86% in low-risk Medicare patients, who were three times less likely to be hospitalized. However, the intervention had no significant impact on higher-risk patients, highlighting the need for tailored strategies.
As the US population ages, Alzheimer's disease is projected to increase from 3 million in 2011 to over 10 million by 2050, affecting broad-based national policies. The annual cost of care for people over 70 is estimated at $157-$215 billion, with costs expected to reach $1.2-$1.6 trillion by 2040.
A study by Johns Hopkins Bloomberg School of Public Health found that cognitive impairment affects seniors in both nursing homes and the community, with patients lacking advance directives receiving aggressive care. Advance care planning is essential to ensure desired treatments are followed.
A new study by the RAND Corporation finds that millions of Americans are caring for recently wounded veterans without a formal support network, putting their own well-being at risk. These caregivers often face substantial time demands and health problems, with lost productivity adding to financial strain.
A Baylor University study found that 40% of low-income pregnant women discharged after a false labor diagnosis did not want to leave the hospital. The main reasons were pain and distance from their homes. Receiving written instructions about comfort measures at home improved their satisfaction with care. Comfort is a major aspect of sa...
Researchers found a decline in absolute mortality from severe sepsis, decreasing from 35.0% to 18.4%, resulting in a relative risk reduction of 47.5%. The annual decrease in mortality was consistent across various diagnoses and hospital settings.
A review of 64 randomized controlled trials found no consistent evidence that home care visits improve the lives of elderly individuals. The studies, conducted over the last 20 years, involved nearly 29,000 people aged over 65 and examined various outcomes such as mortality rates, falls, hospitalization, and quality of life.
A framework for improved geriatric patient care is proposed based on lessons learned from managing complex care transitions. The framework emphasizes the importance of looking at community, system and regional factors in care transitions.
Research finds children with respiratory tract infections attending nursery may contribute to illness spread; parents consider work and care responsibilities when deciding.
A three-year pilot of medical homes showed few improvements in care quality and no reductions in hospital visits or costs. Despite adopting new capabilities, most practices did not see significant reductions in healthcare utilization or total costs.
A large-scale trial found that a patient-centered medical home program had limited impact on quality of care, but did not reduce hospital or emergency department use. The study measured outcomes in 32 participating primary care practices and compared them to 29 control practices.
A 18-month pilot program increased the time people with dementia lived successfully at home, with participants receiving in-home care coordination and education. The trial found significant improvements in quality of life, safety, and reduced need for nursing homes.
A recent study by Group Health Research Institute found that patients with treated hypertension had 27-28% fewer specialty visits after implementing a patient-centered medical home. In contrast, clinically complex patients with multiple diseases saw a 3-5% increase in specialty use during the first two years after implementation.
A new study found that seniors transitioning from nursing homes to home and community-based care (HCBS) face a 40% greater risk of preventable hospitalizations. The practice resulted in more hospitalizations among seniors dually eligible for Medicaid and Medicare due to inadequate medical support services in community settings.
The Kessler Foundation is conducting a 3-year research study to improve the health and quality of life of military personnel and civilians with spinal cord injury. The study aims to develop an assessment tool that evaluates individuals' ability to direct their care and their caregivers' skills in performing care tasks.
A new Duke study found that nurse home visiting programs can reduce healthcare costs by $3 for every $1 spent, while also improving health and parenting outcomes. Participating families had lower rates of maternal anxiety and safer home environments than non-participating families.
A new approach to palliative care has been shown to reduce emergency room visits and improve overall care for high-risk geriatric patients. The customized care model, matched to their changing needs at home, also reduces healthcare costs.
Penn Medicine researcher Ezekiel J. Emanuel recommends limiting US health care cost growth to match US economy's GDP growth for improved quality of care and transformed healthcare system. The proposal involves team-based care coordination, reduced hospitalizations, and more outpatient monitoring.
Researchers at Penn Medicine are studying health care disparities among people with disabilities through the Mrs. A and Mr. B Project, a collaborative effort with Virtual Ability, Inc. The project aims to provide patients with information to make informed decisions about their medical care.
Foreign-educated and foreign-born health professionals fill critical gaps in the US healthcare workforce, particularly in primary care physicians and nursing positions. However, relying on these workers may reduce incentives for addressing healthcare workforce shortages and lead to instability.
The American Thoracic Society expert panel recommends that patients work with their providers to develop individualized action plans to prevent 'dyspnea crisis' episodes. These plans can include alternative relaxation and breathing techniques, medications, and oxygen therapy to ease symptoms.
A new study published in Pediatrics found that patients with cystic fibrosis experience no rapid decline in pulmonary function or other significant health-related changes when transitioning from pediatric to adult care. The study's results contradict previous reports on negative health outcomes after transition for other chronic childh...
The program aims to inform the public about aging concerns such as palliative care, healthcare abuses, and retirement challenges. The selected fellows will develop a major aging-focused story or series during GSA's annual scientific meeting in New Orleans.
Residents enrolled in managed care had more nursing home-based primary care visits and nurse practitioner visits, reducing hospital transfers. Survival rates did not differ between groups, but intensive primary care services may improve end-of-life care affordability.
Researchers found Medicare heart attack expenses increased by 16.5% overall, with significant growth in post-hospital care costs, including skilled nursing facilities and outpatient care. Mortality rates declined from 36% to 31.7% during this period.
A new study suggests that managed-care residents with advanced dementia are more likely to have a do-not-hospitalize order in place and fewer hospital transfers for acute illness. This research found no appreciable difference in survival outcomes between the managed care and fee-for-service groups.
Researchers found that certain personality characteristics, such as neuroticism and openness to experience, are correlated with increased use of expensive health care services like emergency room visits and nursing home stays. By understanding these patterns, healthcare providers can develop targeted interventions to reduce costs and i...
The American College of Physicians outlines a team-based model of healthcare with 13 principles to encourage effective teamwork and collaboration. Highly-functioning teams assign responsibility based on patient needs, prioritize culture, communication, and mutual respect.
A new study found that Minnesota's Performance-based Incentive Payment Program improves critical areas of nursing home care, including falls, quality of life, and rehospitalizations. The program promotes local solutions to local problems and focuses on provider-initiated and evidence-based practices.
A study found that nursing homes serving predominantly black residents tend to struggle financially and provide lower quality care, with black residents relying on Medicaid for reimbursement. The researchers suggest addressing the issue through financial incentives and restructuring Medicaid to provide better reimbursement rates.
A study published in Health Affairs found that nursing home consumer satisfaction scores are a valuable tool for informing consumer choice and rewarding homes for quality care. The study also found correlations between higher satisfaction scores and better staffing levels, fewer citations, and improved care.
A study found that home blood pressure telemonitoring with pharmacist management improved BP control and maintained it for 6 months. The intervention group had a higher proportion of patients with controlled BP at both 6- and 12-month visits compared to the usual care group.
A systematic review of studies on long-term-stay patients' care found that interdisciplinary teams involving the patient's own physician and a pharmacist had better odds of improving nursing home care quality. The review, published in the Journal of the American Medical Directors Association, highlights the importance of team-based car...
Children exposed to maternal depression are nearly twice as likely to develop emotional problems and separation anxiety symptoms. However, regular group-based child care attendance is linked to a more positive outcome for these children, including reduced chances of developing emotional problems.