Does community size or commute time affect severity of illness at diagnosis or quality of care in a centralized care model of pulmonary hypertension?

2021 ◽  
Author(s):  
Nathan W. Brunner ◽  
Lena Legkaia ◽  
Fayez Al-Ahmadi ◽  
Lisa Lee ◽  
Monica Norena ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Quality Of Care ◽  
Severity Of Illness ◽  
Care Model ◽  
Community Size ◽  
Commute Time ◽  
Centralized Care

scholarly journals TESTING THE EFFECTIVENESS OF INTEGRATED ELDERLY CARE MODEL ON QUALITY OF CARE AND HEALTH OUTCOMES AMONG HOSPITALIZED ELDERLIES IN WEST BANK

2020 ◽  
Vol 20 (1) ◽  
pp. 82-89
Author(s):  
Atef H. Khatib ◽  
Ayman M. Hamdan- Mansour ◽  
Hamza F. Ratrout ◽  
Atallah Alenezi ◽  
Tala R. Chahien
Keyword(s):  
Time Series ◽  
Quality Of Care ◽  
Integrated Care ◽  
Older Patients ◽  
West Bank ◽  
Elderly Care ◽  
Multiple Time ◽  
Ageing Population ◽  
Care Model

The rapid increase in the ageing population and health conditions are imposing a higher challenge to the health care system that requires multidisciplinary teamwork utilizing coordinated care approach. This study examined the effects of integrated care model on quality of care received by older hospitalized patients in West Bank. A quantitative interrupted time series design (pretest and posttest multiple time series, quasi-experiment design) was used. The study examined the effects of integrated care model on admitted older patients (n=32) in the West Bank measuring ten dimensions of quality of care and four health indicators. There was a significant improvement in the dimensions of quality of care: dimensions: nurses’ communications with patients, physicians’ communications with patients, staff response to patients’ needs, pain management, explanations on medications, amount of information given on discharge plan, patients' area cleanliness, patients' area quietness, rating of the hospital, and willingness to recommend the hospital. Incidence of falls and incidence of pressure ulcer improved after implementing the model, while readmission rate and average length of stay did not improve. This study contributed to the limited body of knowledge related to the effect of integrated care model on hospitalized older patients’ quality of care in Palestine/ West Bank. Integrated care has the potential to improve care outcomes among hospitalized older patients.

scholarly journals Association of the Comprehensive End-Stage Renal Disease Care Model With Medicare Payments and Quality of Care for Beneficiaries With End-Stage Renal Disease

2020 ◽  
Vol 180 (6) ◽  
pp. 852 ◽  
Author(s):  
Grecia Marrufo ◽  
Erin Murphy Colligan ◽  
Brighita Negrusa ◽  
Darin Ullman ◽  
Joe Messana ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Care Model ◽  
Stage Renal Disease ◽  
End Stage

Evaluation of a Hospital-Based Utilization Management Program

1995 ◽  
Vol 8 (1) ◽  
pp. 38-45 ◽  
Author(s):  
Karen Cardiff ◽  
Geoffrey Anderson ◽  
Samuel Sheps
Keyword(s):  
Quality Of Care ◽  
Acute Care Hospital ◽  
Severity Of Illness ◽  
Management Program ◽  
Measurement Tool ◽  
Care Hospital ◽  
Readmission Rates ◽  
Utilization Management ◽  
The Impact

The objective of this study was to evaluate the impact of a utilization management (UM) program designed to decrease inappropriate use of acute care hospital beds while maintaining quality of care. The measure used to define appropriateness was the ISD-A, a diagnosis-independent measurement tool which relies on severity of illness and intensity of service criteria. The outcome measures for the study included appropriate admission to hospital and continued days of stay in hospital, 30-day readmission rates and physician perceptions of the impact of the intervention on quality of care, access to services and patient discharge patterns. The sample frame for the study included two control and two intervention community hospitals, involving 1,800 patient charts. Readmission rates were determined by analyzing all separations from medical services (N=42,014) in the two experimental and two control hospitals. All physicians with admitting privileges (N=312) at the intervention hospitals were surveyed; obstetricians, pediatricians, and psychiatrists were excluded from the survey. The results of the study demonstrated that the proportion of inappropriate admissions did not decrease significantly in any of the hospitals, but there were significant decreases in inappropriate continued stay in the intervention hospitals (p < 0.05). Both intervention and one of the control hospitals had lower 30-day readmission rates in the “after” period than in the “before” period (p < 0.05). Eighty-six percent believed that there had been no adverse impact on access to care and, although 25% thought the program may have led to premature discharge, this was not supported by the readmission data.

Donabedian’s structure-process-outcome quality of care model

2015 ◽  
Vol 78 (6) ◽  
pp. 1168-1175 ◽  
Author(s):  
Lynne Moore ◽  
André Lavoie ◽  
Gilles Bourgeois ◽  
Jean Lapointe
Keyword(s):  
Quality Of Care ◽  
Outcome Quality ◽  
Care Model

A Collaborative Accountable Care Model In Three Practices Showed Promising Early Results On Costs And Quality Of Care

2012 ◽  
Vol 31 (11) ◽  
pp. 2379-2387 ◽  
Author(s):  
Richard B. Salmon ◽  
Mark I. Sanderson ◽  
Barbara A. Walters ◽  
Karen Kennedy ◽  
Robert C. Flores ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Accountable Care ◽  
Care Model ◽  
Early Results

scholarly journals Severity of illness and adaptive functioning predict quality of care of children among parents with psychosis: A confirmatory factor analysis

2017 ◽  
Vol 52 (5) ◽  
pp. 435-445 ◽  
Author(s):  
Linda E Campbell ◽  
Mary-Claire Hanlon ◽  
Cherrie A Galletly ◽  
Carol Harvey ◽  
Helen Stain ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Factor Analysis ◽  
Quality Of Care ◽  
Psychotic Disorders ◽  
Adaptive Functioning ◽  
Psychosocial Support ◽  
Severity Of Illness ◽  
Confirmatory Factor ◽  
Parenting Role

Objective: Parenthood is central to the personal and social identity of many people. For individuals with psychotic disorders, parenthood is often associated with formidable challenges. We aimed to identify predictors of adequate parenting among parents with psychotic disorders. Methods: Data pertaining to 234 parents with psychotic disorders living with dependent children were extracted from a population-based prevalence study, the 2010 second Australian national survey of psychosis, and analysed using confirmatory factor analysis. Parenting outcome was defined as quality of care of children, based on participant report and interviewer enquiry/exploration, and included level of participation, interest and competence in childcare during the last 12 months. Results: Five hypothesis-driven latent variables were constructed and labelled psychosocial support, illness severity, substance abuse/dependence, adaptive functioning and parenting role. Importantly, 75% of participants were not identified to have any dysfunction in the quality of care provided to their child(ren). Severity of illness and adaptive functioning were reliably associated with quality of childcare. Psychosocial support, substance abuse/dependence and parenting role had an indirect relationship to the outcome variable via their association with either severity of illness and/or adaptive functioning. Conclusion: The majority of parents in the current sample provided adequate parenting. However, greater symptom severity and poorer adaptive functioning ultimately leave parents with significant difficulties and in need of assistance to manage their parenting obligations. As symptoms and functioning can change episodically for people with psychotic illness, provision of targeted and flexible support that can deliver temporary assistance during times of need is necessary. This would maximise the quality of care provided to vulnerable children, with potential long-term benefits.

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