Articles tagged with Home Care
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.
The study found that newly qualified nurses, midwives, and AHPs reported increased clinical skills development and confidence after completing the online course. However, mentors needed more training and time to provide support, with many respondents reporting a lack of time for both students and mentors.
A new study published in The Lancet found that children treated at home for severe pneumonia by Pakistan's Lady Health Workers were more likely to recover than those referred to health facilities. Treatment failures occurred 50% less often in the experimental group, resulting in significant reductions in child mortality rates.
A new international health survey found that chronically ill US adults who received care from a medical home were less likely to report medical errors and had better relationships with their doctors. In contrast, the US stood out for having the highest rates of cost-related access problems and medical bill burdens.
A recent study found that home nursing visits are as safe and effective as office-based care for initial post-delivery well-baby check-ups, reducing the risk of missed appointments. Home visits also provide modest benefits, including increased breastfeeding rates and maternal confidence in parenting skills.
A new study by St. Michael's Hospital and ICES found that nearly half of Ontario seniors do not see dentists regularly, increasing their risk of chronic diseases and a reduced quality of life. The researchers highlight the importance of prevention and health promotion to help older women remain active and independent as they age.
A recent study found that teenage girls and senior students suffered high levels of post-traumatic stress disorder (PTSD) after a major earthquake. The research suggests that young people, particularly those aged 16+, require prompt psychological support to avoid long-term mental health problems.
A recent study reveals that nearly half of physician practices in the US do not meet national standards for 'medical homes', a model of care that aims to provide higher quality and cost-efficient care. The lack of access to these medical homes disproportionately affects vulnerable populations, including those living below the poverty l...
A study found that whistleblowing can lead to overwhelming distress, nightmares, and loss of confidence among nurses. The research highlights the need for healthcare organizations to provide ongoing care and support for whistleblowers.
Research at children's hospitals found high compliance with asthma care measures but not associated with lower emergency department usage or readmissions. The CAC-3 measure set evaluates home management plans, which may need refinement for better outcomes.
A study found that almost 60% of people who have a stroke experience one or more falls afterwards, with most occurring in their own homes. To address this risk, experts recommend proactive measures such as assessments to create fall-proof homes and post-stroke rehabilitation to test balance and learn exercises to prevent falls.
A new study reveals that nursing homes often prioritize treating residents with private insurance over those with Medicaid, resulting in higher hospitalization rates and unnecessary care. Medicaid residents are 27% more likely to be hospitalized than private-pay residents, highlighting the financial incentives driving these decisions.
A national study found that Medicare patients discharged to skilled nursing facilities are at high risk of needing long-term care. The study suggests that programs aimed at helping older patients recover at home could improve their health outcomes and reduce healthcare costs.
A study of two small group living care homes in the Netherlands found that residents felt at home, maintained their identity, and benefited from family involvement. The domestic environment and normal daily activities provided stability and clarity.
The study finds wide variation in state performance on long-term services and supports, with top-performing states still facing challenges. States can improve by adopting policies shown to provide better outcomes, and all states need to vastly improve areas such as home care and support for family caregivers.
Chronic pain affects an estimated 500,000 Canadians aged 12-44 and 38% of seniors living at home, highlighting the need for better care strategies. Experts recommend a broad approach to increase pain management expertise through education, technology, and supported self-care.
People with Parkinson's disease who see a neurologist are more likely to live longer, less likely to be placed in a nursing home, and have fewer hip fractures. The study also found disparities in access to care based on gender and ethnicity.
Research from the University of Michigan Medical School found that children with public health insurance are 22% less likely to have a medical home, a model for pediatric primary care. Despite this, over 90% of publicly-insured children reported having a usual source of medical care.
A new patient-centered medical home (PCMH) model has shown significant improvement in diabetes management, increasing adherence to evidence-based care guidelines and clinical outcomes. The study found a notable increase in patients receiving essential services such as yearly exams and vaccinations, leading to better health outcomes.
A new study by Brown University finds that minorities are gaining access to nursing home care, but often due to lack of alternative options. The research suggests a racial disparity in elder care, with whites more likely to use desirable alternatives.
A literature review published by the American Academy of Orthopaedic Surgeons found that many fall prevention initiatives used in healthcare facilities are ineffective in preventing hospital falls. The study suggests that hospitals may not be able to prevent most falls due to various risk factors beyond their control.
A Dutch study published in CMAJ found that multidisciplinary integrated care in residential care facilities resulted in better quality of care for seniors with complex health needs. The study showed improved functional ability, reduced hospital admissions, and enhanced health-related quality of life among participants.
A Canadian study suggests doctors may be overprescribing antibiotics for home-care patients, with younger and sicker individuals being at a higher risk of misuse. The most common class of antibiotics prescribed was fluoroquinolones, which could weaken their efficacy against emerging infections.
Researchers found that nurse-led transitional care programs can improve health outcomes and reduce hospital readmissions for chronically ill patients. Successful programs rely on nurses, often master's prepared, to prevent medical errors and ensure continuity of care.
The study found a significant rise in US home births between 2004 and 2008, driven primarily by an increase in non-Hispanic white women's choices. Home birth rates for other groups remained low or showed little change.
Parents with limited English proficiency have a longer hospital stay and fewer home health care referrals compared to those who speak fluent English. The study found that 39 out of 1,257 pediatric patients had LEP, resulting in median hospital stays of 6.1 days vs 4.0 days for proficient patients.
A lack of national pharmacare in Canada leads to inconsistent coverage and prevents people from accessing necessary medications. The country could save billions by implementing a national formulary and addressing rising drug costs.
The ESHRE Guide aims to ensure equitable and safe assisted reproduction treatment for local and foreign patients. Key principles include patient-centeredness, timeliness, and effectiveness, with recommendations on translator costs, donor compensation, and recruitment criteria.
A study of Medicare beneficiaries found that the length of hospital stay after hip replacement surgery decreased over time, while the proportion of patients discharged home declined and those sent to skilled care facilities increased. Readmission rates also rose after hip replacement surgery.
Implementing ACOs effectively has the potential to achieve better care, population health, and lower costs. The Commission's recommendations for ACOs include strong primary care foundation, accountability for quality, informed patients, commitment to serving the community, and innovative payment methods.
A study comparing US and UK ICU admissions found that UK patients were sicker upon admission, while US patients required more continuing care after discharge. Hospital mortality rates varied between the countries due to differences in healthcare systems and discharge practices.
A reformed Medicaid program must prioritize coordinated primary care to ensure access and sustainability. The American College of Physicians recommends various improvements, including increased payment rates, reduced administrative burdens, and expanded long-term care options.
A University of Missouri nursing expert emphasizes the complexity of hospital discharge processes for older adults, citing stress, fear, and lack of understanding as common complications. Effective care requires open communication among families, patients, and healthcare providers.
A recent study found that nearly 20% of children's hospital admissions were attributed to patients with frequent recurrent admissions, accounting for significant inpatient expenditures. Patients with complex chronic conditions and technology assistance were among those at higher risk for repeat readmissions.
A study found that nearly 20% of hospital admissions were accounted for by patients who were readmitted four or more times within a year. Improved inpatient and outpatient care coordination may prevent these avoidable readmissions, particularly among children with complex chronic conditions.
A recent study published in BMJ Quality and Safety found that care home residents are more than four times as likely to get the wrong dose of medicine when it is in liquid form as they are when given pills/capsules. The study highlights the need for better training and systems to address this issue.
A new study finds that children from difficult home and lower-quality child care experience more social-emotional problems. However, high-quality child care may help make up for these challenges by providing a safe emotional space to grow and learn.
The myVitali system enables healthcare professionals to monitor and communicate with larger numbers of people, maintaining independence and quality of life for seniors. It also reduces doctor visits and provides personalized health records.
Researchers recommend six key points for alternative-to-dismissal strategies to protect patient safety and encourage treatment. ATD programmes provide non-judgemental support and treatment that enables nurses to seek help and improve their chances of staying in the profession.
In Pakistan, community health workers known as Lady Health Workers (LHWs) reduced stillbirths by 21% and newborn deaths by 15%, despite low coverage. The LHWs delivered a package of preventive and promotive maternal and newborn care interventions, including antenatal care promotion and clean delivery kits.
The study found that nursing home closures were concentrated in minority and poor communities between 1999 and 2008, with a net loss of over 5% of beds. This clustering is particularly concerning given the lack of alternative long-term care services in these areas.
A new study by Brown University researchers finds that nursing home closures are concentrated in poor, urban areas, leaving millions without choices for long-term care. The closures have been attributed to changing Medicare payment policies and the increasing bifurcation of society into rich and poor.
A UCLA-led study found nearly two-thirds of Medicare beneficiaries hospitalized for acute ischemic stroke died or were rehospitalized within a year. Hospital mortality and readmission rates varied widely nationwide, indicating opportunities to improve stroke care.
A RAND Corporation study finds that home health care technology can empower patients to self-manage their conditions, improve health outcomes, and reduce costs. Despite its promise, adoption faces obstacles such as restrictive insurance coverage, limited patient readiness, and concerns about product design.
A study of 1,238 families found that children in large group child care facilities developed more respiratory and ear infections before age 2 ½, but fewer later in elementary school. The researchers suggest that early exposure to mild infections may provide protection against future illnesses.
A national survey found that palliative care for patients with dementia has increased, but gaps in coverage and inadequate insurance coverage remain. Interdisciplinary teams, community partnerships, and education are critical strategies for successful palliative care and reducing caregiver burden.
A study by the University of Michigan Health System found that specialists spend over 650,000 work weeks on routine follow-up care for patients with common chronic conditions. Delegating a proportion of this care could create system-wide efficiencies and free up specialists to focus on new patients and complex cases.
The Merck Childhood Asthma Network is investing $4 million in four high-risk cities to manage childhood asthma through evidence-based science, case management, and asthma trigger removal plans. Programs aim to reduce missed school days, symptom days, and improve access to quality healthcare.
A geriatrician calls for improvements to primary care to meet the needs of older adults with multiple chronic conditions. Four processes and three models were identified as effective in providing comprehensive support, improving health outcomes, and patient satisfaction.
A recent study found that 66% of preschool-age children in the US exceed the recommended daily screen time limit. The study analyzed data from nearly 9,000 children and found that children spent an average of 4 hours per day on screens, with those in home-based child care exceeding the limit even more.
Research reveals that immigrant Latino mothers in rural areas need culturally sensitive, affordable, and flexible child care options. Many struggle to communicate with English-speaking providers due to language barriers, hindering their ability to work outside the home.
Two companion studies found that 72% of patients were misdiagnosed with pneumonia upon readmission, leading to overuse of antibiotics and increased healthcare costs. The misdiagnoses were more common among African-Americans and those with lung disease or smoking history.
Research reveals overseas nurses face negative experiences, discrimination, and racism in the UK NHS. The study suggests improving job satisfaction and valuing their skills is crucial for retaining international nurses.
Implementing Medical Home practice model at a federally qualified health center in Connecticut improved patients' compliance with doctors' recommendations, reducing emergency room visits and hospital admissions. The clinic achieved a 95% immunization rate and established processes to increase efficiency.
Briefings will present practical, clinical case studies encountered by callers to PAL-MED CONNECT, focusing on topics such as pain management, opioid safety, and neuropathic pain symptoms. The collaboration aims to provide valuable resources for healthcare professionals seeking expertise in palliative care.
A telemedicine-based depression care protocol was successfully implemented in home health care, with high patient satisfaction and significant improvement in depression severity. The pilot study's findings offer encouragement for expanding this program to reach elderly individuals who can experience a better quality of life.
Researchers at Boston University School of Medicine are investigating how expanded insurance coverage in Massachusetts affects cardiovascular care and outcomes, with a focus on vulnerable populations. The center aims to understand the impact of health reform on access to care and clinical outcomes.