Trends in short term and long term care admissions to a hospital of the mentally handicapped and the influence of socio-economic, familial and clinical factors

1987 ◽  
Vol 22 (2) ◽  
pp. 118-122 ◽  
Author(s):  
J. Murti Rao
Keyword(s):  
Long Term Care ◽  
Clinical Factors ◽  
Short Term ◽  
Mentally Handicapped ◽  
Term Care

scholarly journals Why are the mentally handicapped still admitted to hospital?

1992 ◽  
Vol 16 (10) ◽  
pp. 609-611 ◽  
Author(s):  
Leila B. Cooke
Keyword(s):  
Long Term Care ◽  
White Paper ◽  
Short Term ◽  
Mentally Handicapped ◽  
Pattern Of Care ◽  
Term Care ◽  
Handicapped People ◽  
Hospital Group ◽  
Park Hospital

The Stoke Park Hospital Group in Bristol has been providing a service to mentally handicapped people and their families since 1909. The nature and extent of the service has changed significantly between then and now, largely due to changes in Government policy, first laid out in the 1971 white paper Better Services for the Mentally Handicapped. The changing nature of the service was highlighted in Carter's paper in 1984, in which he examined all admissions to the Group over ten years. He found an increasing use of the hospitals for short-term care, particularly for those patients with a superimposed psychiatric disorder, and a continuing, albeit reducing, demand for long-term care for some patients. He concluded that the hospital would continue to have an important role to play in the evolving pattern of care.

scholarly journals Predicting Incidence of Long-term Care Insurance Certification in Japan with the Kihon Checklist for Frailty Screening Tool: Analysis of Local Government Survey Data

2020 ◽  
Author(s):  
Kumiko Ito ◽  
Hisashi Kawai ◽  
Harukazu Tsuruta ◽  
Shuichi Obuchi
Keyword(s):  
Logistic Regression ◽  
Local Government ◽  
Long Term Care ◽  
Multiple Logistic Regression ◽  
Short Term ◽  
Term Care ◽  
Specificity And Sensitivity ◽  
Long Term Care Insurance ◽  
Level 1

Abstract Background: Predicting incidence of long-term care insurance (LTCI) certification in the short term is of increasing importance in Japan. The present study examined whether the Kihon Checklist (KCL) can be used to predict incidence of LTCI certification (care level 1 or higher) in the short term among older Japanese persons.Methods: In 2015, the local government in Tokyo, Japan, distributed the KCL to all individuals older than 65 years who had not been certified as having a disability or who had already been certified as requiring support level 1–2 according to LTCI system. We also collected LTCI certification data within the 3 months after collecting the KCL data. The data of 17785 respondents were analyzed. First, we selected KCL items strongly associated with incidence of LTCI certification, using stepwise forward-selection multiple logistic regression. Second, we conducted receiver operating characteristic (ROC) analyses for three conditions (1: Selected KCL items, 2: The main 20 KCL items (nos. 1–20), 3: All 25 KCL items). Third, we estimated specificity and sensitivity for each condition.Results: During a 3-month follow-up, 81 (0.5%) individuals required new LTCI certification. Eight KCL items were selected by multiple logistic regression as predictive of certification. The area under the ROC curve in the three conditions was 0.92–0.93, and specificity and sensitivity for all conditions were greater than 80%.Conclusions: Three KCL conditions predicted short-term incidence of LTCI certification. This suggests that KCL items may be used to screen for the risk of incident LTCI certification.

Long Term Care With Short Term Workers: An Examination Of Nursing Home Nurse Aide Turnover

1984 ◽  
Vol 3 (1) ◽  
pp. 50-58 ◽  
Author(s):  
Robert W. Wallace ◽  
Timothy H. Brubaker
Keyword(s):  
Nursing Home ◽  
Long Term Care ◽  
Short Term ◽  
Term Care ◽  
Nurse Aide ◽  
Home Nurse

Cross-cultural comparison of long-term care in the United States and Finland: Research done through a short-term study-abroad experience

2016 ◽  
Vol 38 (1) ◽  
pp. 104-118 ◽  
Author(s):  
Tina M. Kruger ◽  
Sarah Gilland ◽  
Jacquelyn B. Frank ◽  
Bridget C. Murphy ◽  
Courtney English ◽  
...  
Keyword(s):  
Long Term Care ◽  
The United States ◽  
Cross Cultural ◽  
Cultural Comparison ◽  
Short Term ◽  
Term Study ◽  
Term Care ◽  
Cross Cultural Comparison ◽  
Short Term Study

Providing a community mental handicap service

1992 ◽  
Vol 16 (01) ◽  
pp. 20-21 ◽  
Author(s):  
D. J. Hall ◽  
L. F. Pieri
Keyword(s):  
Royal College ◽  
Consumer Satisfaction ◽  
Long Term Care ◽  
Community Care ◽  
Medical Audit ◽  
Mentally Handicapped ◽  
Term Care ◽  
Mental Handicap

It is acknowledged that assessing ‘consumer satisfaction’ is an important part of medical audit (The Royal College of Psychiatrists, 1991). For the mentally handicapped, it can be argued that ‘carer satisfaction’ is particularly relevant. This is particularly so at a time when the ‘community’ is being advocated as the preferred setting for the long-term care of the mentally handicapped, the families and neighbours of the handicapped being the main providers of this ‘community care’ (Griffiths, 1988).

Medicaid Threats on the Horizon

2020 ◽  
Vol 35 (3) ◽  
pp. 145-145
Author(s):  
Paul Baldwin
Keyword(s):  
United States ◽  
Long Term Care ◽  
Acute Care Hospital ◽  
The United States ◽  
Care Hospital ◽  
Short Term ◽  
Term Care ◽  
Episodes Of Care ◽  
Primary Payer

Those of you who have been around for a while understand that Medicaid is the primary payer for long-term care in the United States. While Medicare pays for the short-term episodes of care associated with rehabilitation following a three-day stay in an acute-care hospital, it?s Medicaid that foots the bill for live-in residents who are unable to afford it themselves.

Epidemiology of Methicillin-ResistantStaphylococcus aureusand Vancomycin-ResistantEnterococcusin a Rural State

2006 ◽  
Vol 27 (3) ◽  
pp. 252-256 ◽  
Author(s):  
Philip M. Polgreen ◽  
Susan E. Beekmann ◽  
Yi Yi Chen ◽  
Gary V. Doern ◽  
Michael A. Pfaller ◽  
...  
Keyword(s):  
Risk Factors ◽  
Long Term Care ◽  
Control Strategies ◽  
Care Facility ◽  
Short Term ◽  
Term Care ◽  
Long Term Care Facility ◽  
Mrsa Infection ◽  
Independent Risk Factors

Background.Most data on methicillin-resistantStaphylococcus aureus(MRSA) and vancomycin-resistant Enterococcus (VRE) isolates come from large tertiary care centers. Infection control personnel need to understand the epidemiology of MRSA and VRE across the continuum of care, including small rural hospitals, to develop effective control strategies.Objective.To describe the epidemiology of MRSA and VRE in Iowa.Setting.Fifteen hospitals in Iowa.Methods.Between July 1998 and June 2001, a total of 1,968S. aureusisolates and 1,845Enterococcusisolates from patients infected with these pathogens were examined. Multivariate models were developed to evaluate patient and institutional risk factors for MRSA infection and VRE infection.Results.The proportion ofS. aureusisolates resistant to methicillin was 31%, and the proportion ofEnterococcusisolates resistant to vancomycin was 6%. Independent risk factors for MRSA infection included residence in a long-term care facility, age of more than 60 years, hospitalization in a hospital with less than 200 short-term care beds, and acquiring the infection in the hospital. Independent risk factors for VRE infection included use of a central venous catheter, residence in a long-term care facility, acquisition of infection in the hospital, and hospitalization in a hospital with more than 200 short-term care beds.Conclusions.In Iowa, the epidemiology of MRSA differ from those of VRE. MRSA has become established in small rural hospitals. Effective MRSA control strategies may require inclusion of all hospitals in a state or region.

scholarly journals Factors Associated With Discharge to Short-term Care, Long-term Care, and Death Among Patients With a Hospital Diagnosis of Sepsis

CHEST Journal ◽  
2016 ◽  
Vol 150 (4) ◽  
pp. 362A
Author(s):  
Sarah Elfeky ◽  
Pegah Golabi ◽  
Munkhzul Otgonsuren ◽  
Svetolik Djurkovic ◽  
Mary Schmidt ◽  
...  
Keyword(s):  
Long Term Care ◽  
Short Term ◽  
Term Care ◽  
Factors Associated
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