Articles tagged with Home Care
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The development of mobile-presence medical devices can help fill the void of limited healthcare infrastructure and access to medical professionals in remote locations. Pilot tests have successfully connected obstetricians with pregnant women in Bolivia, enabling real-time monitoring and diagnostic imaging.
A study of over 146,000 Dutch women found planned home births were associated with lower rates of severe maternal complications among parous women. However, first-time mothers showed no significant difference in risk.
A study by UCLA Center for Health Policy Research found that Californians with chronic conditions who have a regular doctor coordinating their care are more likely to get flu shots and receive preventive treatment. This 'medical home' model can help prevent chronic health conditions and reduce healthcare spending.
The AHRQ-funded journal supplement provides insights from 14 natural experiments on transforming primary care practice. Key findings highlight the importance of a strong foundation, visionary leadership, and contextual factors in achieving successful transformation towards the patient-centered medical home model.
Patients with blood clot-related strokes received better care at Get With The Guidelines-Stroke participating hospitals, which saw reduced 30-day and one-year mortality rates and re-hospitalizations compared to non-participating facilities.
A cluster randomized trial in Vietnam found community groups reduced neonatal mortality by half after three years, while also increasing antenatal care attendance. The study showed that community-based activities can be implemented at low cost and are effective in reducing neonatal mortality.
A study by Uppsala University researchers found that community-based activities in rural Vietnam reduced neonatal mortality rates to half those in control communes, with a significant increase in antenatal care attendance. The interventions were implemented over three years and showed promising results for reducing neonatal deaths.
A large randomised controlled trial found that exercise had no effect on reducing depression among frail elderly care home residents. Despite being well-received by residents and staff, the intervention failed to improve mental health or quality of life.
A new study introduces an automated decision-support system that enables care coordinators to track the health of older adults' brains and provide personalized care plans. The software captures and monitors various symptoms and provides evidence-based non-pharmacological protocols.
A small study of 20 people with Parkinson's disease found virtual house calls provide clinical benefits comparable to in-person physician office visits, saving patients and caregivers time and travel. The study also found no difference in quality-of-life changes between the two groups.
A new RAND Corporation report highlights the challenges faced by military caregivers, who often toil long hours with little support. The study identifies broad areas where future work is needed to ensure these 'hidden heroes' receive recognition and addressed.
A new study reveals that small physician practices serving children are unprepared to become recognized as 'medical homes', which prioritize quality improvement and comprehensive care. This limitation may hinder efforts to improve healthcare for children, particularly those with higher medical needs.
A study analyzing Medicare claims data found a decrease in hospital deaths, but increased ICU stays and healthcare transitions in the last months of life. Hospice use increased from 21.6% to 42.2%, while short hospice stays grew, suggesting that increasing hospice use may not lead to reduced resource utilization.
A recent study found that while more seniors are dying with hospice care than a decade ago, they are increasingly doing so for very few days right after being in intensive care. This suggests that palliative care often happens as an afterthought, and patients may not receive the full measure of comfort and psychological support they need.
Researchers at UCLA's Pediatric Medical Home will study ways to reduce preventable hospital admissions and emergency room use among children with medically complex illness, aiming to decrease healthcare expenditures. The study will analyze root causes of preventable hospitalizations and design cost-saving strategies.
A study published in the Journal of General Internal Medicine found that patients receiving Guided Care rated their care quality higher than those in regular primary care, with 66% more likely to access telephone advice as excellent or very good.
The US healthcare system is a $2.5 trillion industry heavily reliant on the internet, making it a target for cyberterrorism. Experts predict a wave-like attack that could leave staff untrusting of electronic data and demoralize IT teams. To protect itself, the healthcare system must remain vigilant and implement better security measures.
A study published in Medical Care finds that negative news coverage of nursing homes outweighs positive stories by five to one. Negative articles often focus on negligence, fraud, or industry issues, while positive stories discuss quality of care and community impact.
A Brown University analysis found that states spending more on home-delivered meals under the Older Americans Act have fewer low-care nursing home residents. Home-based meals emerged as a statistically significant factor affecting state-to-state differences in low-care nursing home population.
A study of 1,268 elderly patients receiving home healthcare found that social environmental factors, particularly informal care provided by family members or caregivers, contribute to the risk of repeated hospital admissions. Patients with good social support are more likely to maintain their functional ability and remain at home.
A recent University of Michigan poll reveals that one-third of parents with young children in child care are worried about losing their job or pay due to missing work to care for sick kids. Finding alternative or back-up care is also difficult for nearly two-thirds of these parents.
A special supplement to Medical Care presents a progress report on the Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys, which capture patients' perspectives on healthcare. The CAHPS project aims to move beyond simple patient satisfaction surveys by asking patients about their experiences with health care services.
A study published in Archives of Internal Medicine found that nearly one-third of older adults used the Medicare posthospitalization skilled nursing facility benefit in their last six months of life. This high use of the SNF benefit for end-of-life care highlights the need to improve palliative care services in nursing homes.
A home delivery of stroke rehabilitation program has resulted in improved cognition, communication, and physical function for people with stroke. The program has virtually eliminated waiting lists and saved approximately $1 million annually.
A new study finds that only 42% of patients with advanced non-malignant conditions prefer to die at home, while living alone reduces the chance of home death. Providing professional home care support can increase the chances of dying at home, according to researchers.
A randomized controlled trial found that combining healing touch and guided imagery significantly improved PTSD symptoms in returning active-duty Marines. The study reported substantial clinical reductions in depression and cynicism, with scores decreasing by 14 points below the clinical cutoffs for PTSD diagnosis.
Hospital-initiated transitional care strategies reduce unnecessary health services use and improve patient outcomes for adults with acute stroke or myocardial infarction. Electronic record use, medication reconciliation, and shared follow-up planning also enhance patient transition from hospital to primary care.
A new study by the University of Chicago shows that 60 percent of grandparents provided some care for their grandchildren during a 10-year period. Grandparents with less income and less education are more likely to take on care for their grandchildren, highlighting the diversity in grandparent care.
A new study finds that out-of-pocket spending on healthcare in the last five years of life can account for a significant proportion of an individual's household assets. More than three-quarters of households spent at least $10,000 on healthcare costs, with some individuals contributing as much as their total household assets.
A new study reports that Medicare payment reforms mandated in the Affordable Care Act have great potential to lower costs without harming patients. The researchers found that previous payment reforms caused a steep downtick in postacute care costs immediately after implementation, but expenses quickly resumed their upward trend.
A survey of 3,800 home healthcare providers found that many agencies lack written policies on handling infection control for antibiotic-resistant infections. The study highlights the need for simple and quick actions like hand washing, vaccinations, and patient isolation to decrease infections in home care settings.
Experts say lack of privacy, safety fears and ageism deny elderly care home residents the right to consensual sex. Formal policies are needed to address this, despite research showing residents want their sexual expression acknowledged.
A study published in JAMA found that community health centers with higher patient-centered medical home ratings had higher operating costs. The study analyzed data from 1,009 federally funded health centers and found that a 10-point higher total PCMH score was associated with a $2.26 higher operating cost per patient per month.
A new study finds that patient-centered medical homes (PCMHs) have higher per-patient operating costs, with additional expenses for personnel, technology, and quality improvement measures. The PCMH model aims to improve care quality and reduce wasteful spending, but its financial sustainability is threatened by these increased costs.
A study found that nursing home staff cohesion improves care quality, leading to reduced incidence of incontinence and pressure ulcers. The research used data from over 45,000 residents in 162 facilities across New York State, revealing a significant association between staff cohesion and better health outcomes.
The Johns Hopkins-developed program provides acute hospital-level care within a patient's home, resulting in lower costs and equal or better outcomes compared to traditional hospital inpatients. The study found Hospital at Home patients had slightly lower hospital readmission and mortality rates and higher satisfaction scores.
The university's School of Medicine will train and place additional psychiatrists, primary care physicians, advance practice nurses, dentists, and other practitioners to serve Medicaid beneficiaries. The program aims to expand healthcare workforce focused on Medicaid patients' needs.
A multicenter study led by Johns Hopkins researcher Bruce Leff found that six geriatric health care delivery models improved quality of care while reducing medical costs. The study, published in Health Affairs, highlights the effectiveness of models such as NICHE and Pall. Care in improving patient-centered care and reducing costs.
Researchers developed STeleR, a home telerehabilitation program that improves lower body physical functioning after a stroke. Participating in STeleR also enhances money management skills and improves daily living abilities.
Researchers found that primary care-based management was comparable to specialist care in terms of ESS scores, FOSQ scores, and CPAP compliance. Home auto-titrating CPAP usage was also similar between the two groups. The study suggests a lower-cost alternative for OSA treatment, particularly beneficial for rural and remote regions.
A Bluetooth enabled fetal heart rate monitoring system has been developed for accurate long-term home care, showing a high level of accuracy compared to ultrasound-based Doppler shift technique, with 98% accuracy. The system is non-invasive, portable, and low power consumption, making it suitable for mothers-to-be.
Research presented at the American Heart Association's Quality of Care and Outcomes Research Scientific Sessions 2012 found that home telemonitoring with pharmacist-led support improved blood pressure control in patients with uncontrolled high blood pressure. The study, which involved 450 patients, showed a significant reduction in blo...
The 'From Clinic to Community' project aims to improve health outcomes for at-risk populations in Southeastern US counties. It combines modern technology with community-based healthcare professionals to address the triple aim of better outcomes, better care, and lower cost.
A family life study reveals that transitional events such as school transition, relationship changes, and home moves can trigger eating disorders in young people. Participants reported feeling lonely, unsupported, and lacking emotional support during these transitions, leading to the development of conditions like anorexia and bulimia.
Community health plans have broken down silos of care to coordinate among providers and directly engage with patients, leading to successful transitions. The Avalere report highlights five practices that facilitate care transition programs, including using data to tailor programs to patients' needs.
A new study by Queen's University Belfast reveals women face a higher risk of care home admission due to their partner's age. The research found that on average, women have partners who are approximately 5 years older, and those with limiting long-term illnesses were more likely to be admitted to care homes.
New research reveals women are 40% more likely to be admitted to care homes than men, primarily due to their partners' age-related frailty. The study highlights the importance of considering age differences in future health planning as life expectancy gaps between men and women narrow.
A new study suggests creating quality measures for end-of-life care in nursing homes to inform consumers and incentivize improvements. The study proposes two quality measures: hospital transfer rates and hospice care usage, which can be calculated from existing data.
A new study by Brown University researchers reveals that Medicare spends significantly more on hospitalizations before patients enter a nursing home, with an average cost of $29,743 per patient. Once the patient becomes a permanent resident, costs drop to under $19,000. The study suggests that reducing hospitalizations before nursing h...
A statewide survey of Missouri nursing homes found nearly 90% of residents and family members satisfied with care facilities. The survey highlighted improvements made by administrators to deliver homelike care, leading to excellent ratings for quality of life, care, and service.
A study found that seven out of eight people who contacted a telenurse helpline followed their self-care advice, with satisfaction and confidence playing key roles. The researchers believe this confirms nurse triage helplines as a cost-effective method for addressing self-care needs.
A new UCLA study found that a widely used assessment tool for community health centers may not accurately measure the quality of diabetes care. The study examined 30 Los Angeles County health centers and found no correlation between the tool's scores and the actual quality of care.
A new study from VCU researchers found that a managed care plan can reduce the cost of caring for the uninsured population who gain coverage through the Affordable Care Act. The study showed that emergency department visits and inpatient admissions declined, while primary care visits increased during the seven-year period.
A recent study found that the number of deaths at home in the UK has increased significantly since 2004, with more than one-fifth of total deaths occurring at home. The trend reversal is particularly notable among those aged 85 and over, who are now dying at home more often than ever before.
As the US healthcare system faces significant challenges with multimorbidity, research articles and policy briefs offer solutions to improve care for patients with multiple chronic conditions. A study found that primary care attributes like comprehensiveness and patient-centeredness are associated with lower mortality rates.
A new study published in the Journal of the American College of Surgeons found that African-Americans, Hispanics, and uninsured patients use fewer post-hospitalization services after traumatic injury. Notably, Hispanic patients were far less likely to utilize post-hospitalization facilities and services regardless of insurance status.
A new study published in Age and Ageing found that timely acute care immediately after a stroke can significantly reduce the level of disability in survivors, as well as the need for long-term care. The study estimated the total cost of stroke and TIA in Ireland to be €500-€816 million in 2007.
The study found that the nation's largest for-profit chains operate with significantly lower staffing levels than non-profit and government-owned nursing homes, leading to poorer quality of care. The top 10 chains have a strategy of keeping labor costs low to increase profits, resulting in more deficiencies and serious deficiencies.
A Johns Hopkins study found that mobile clinics and home visits had minimal effects on improving disease outcomes among low-income, inner-city children with asthma. The programs showed some improvement in symptom-free days, but these benefits were short-lived and not sustained over time.
A new study reveals that nearly 40% of seniors receiving home health care are taking potentially inappropriate medications, often due to inadequate communication between physicians. The study highlights the need for improved medication coordination and enhanced physician communication in home health care settings.