Alaska psychiatric institute services fact sheet: New facilities increases quality of API treatment programs & community-based services

2005 ◽  
Keyword(s):  
Treatment Programs ◽  
Psychiatric Institute ◽  
Community Based ◽  
Fact Sheet ◽  
Community Based Services ◽  
New Facilities

scholarly journals Persistence of symptoms and quality of life at 35 days after hospitalization for COVID-19 infection

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243882
Author(s):  
Laurie G. Jacobs ◽  
Elli Gourna Paleoudis ◽  
Dineen Lesky-Di Bari ◽  
Themba Nyirenda ◽  
Tamara Friedman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Active Role ◽  
Mental Function ◽  
Clinical Services ◽  
Community Based ◽  
Lower Odds ◽  
Persistent Symptoms ◽  
Muscular Pain ◽  
Community Based Services

Background Characterizing the prevalence and persistence of symptoms associated with COVID-19 infection following hospitalization and their impact is essential to planning post-acute community-based clinical services. This study seeks to identify persistent COVID-19 symptoms in patients 35 days post-hospitalization and their impact on quality of life, health, physical, mental, and psychosocial function. Methods and findings This prospective cohort study used the PROMIS® Instruments to identify symptoms and quality of life parameters in consecutively enrolled patients between March 22 and April 16, 2020, in New Jersey. The 183 patients (median age 57 years; 61.5% male, 54.1% white) reported persistent symptoms at 35 days, including fatigue (55.0%), dyspnea (45.3%), muscular pain (51%), associated with a lower odds rating general health (41.5%, OR 0.093 [95% CI: 0.026, 0.329], p = 0.0002), quality of life (39.8%; OR 0.116 [95% CI: 0.038, 0.364], p = 0.0002), physical health (38.7%, OR 0.055 [95% CI: 0.016, 0.193], p <0.0001), mental health (43.7%, OR 0.093 [95% CI: 0.021, 0.418], p = 0.0019) and social active role (38.7%, OR 0.095 [95% CI: 0.031, 0.291], p<0.0001), as very good/excellent, particularly adults aged 65 to 75 years (OR 8·666 [95% CI: 2·216, 33·884], p = 0·0019). Conclusions COVID-19 symptoms commonly persist to 35 days, impacting quality of life, health, physical and mental function. Early post-acute evaluation of symptoms and their impact on function is necessary to plan community-based services.

Towards a comprehensive telecardiology monitoring centre for community-based services

1997 ◽  
Vol 3 (1_suppl) ◽  
pp. 60-62 ◽  
Author(s):  
D Shanit ◽  
R A Greenbaum
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Primary Care ◽  
General Practitioner ◽  
Pilot Study ◽  
Community Based ◽  
Monitoring Centre ◽  
Accident And Emergency ◽  
Community Based Services

In a pilot study of primary-care telecardiology, 2563 consultations were carried out over 18 months. Following teleconsultation, 2076 patients (81%) were found to be suitable for management entirely by the general practitioner, without the need for referral to hospital. The system identified 487 patients (19%) with cardiac problems who required either admission to hospital or outpatient assessment. There was a resultant saving of referrals to hospital accident and emergency departments. Extension of the telecardiology service to include tele-echocardiography may result in faster access to diagnosis and better management of patients in heart failure, improving patients’ quality of life and reducing hospitalization.

scholarly journals P3-390: The importance of home-and community-based services to quality of life in persons with dementia

2011 ◽  
Vol 7 ◽  
pp. S640-S640
Author(s):  
Lindsay Schwartz ◽  
Judith Kasper ◽  
Betty Black ◽  
Peter Rabins
Keyword(s):  
Quality Of Life ◽  
Community Based ◽  
Community Based Services

scholarly journals Association Between Source of Treatment and Quality of Childhood Diarrhea Management Among Under-Five Children in Nigeria

2021 ◽  
Vol 5 (2) ◽  
pp. 173-182
Author(s):  
Comfort Z. Olorunsaiye ◽  
Hannah M. Degge ◽  
Jiana Saigh
Keyword(s):  
Zinc Supplementation ◽  
Public Hospitals ◽  
Health Centers ◽  
Community Based ◽  
Private Hospitals ◽  
Under Five ◽  
Oral Fluids ◽  
Receive Treatment ◽  
Community Based Services

Background and Objective: Despite the availability of low-cost and effective interventions, diarrhea remains one of the leading causes of under-five morbidity and mortality in Nigeria. We assessed the relationships between the source and quality of treatment for children with diarrhea in Nigeria. Methods: We analyzed cross-sectional data on 3,956 under-five children with a recent diarrheal episode, from the 2018 Nigeria Demographic and Health Survey. The outcome was quality of diarrhea management based on the administration of the following treatment recommendations: oral rehydration salt (ORS), zinc supplementation, increased oral fluids, and continued feeding. The exposure was the source of treatment (none; traditional/informal; public hospitals/health centers; private hospitals/clinics; and community-based services). Using adjusted, multivariable logistic regression, we estimated the odds ratio (OR) and 95% confidence intervals (CI) to predict the factors related to the quality of diarrhea management. Results: In all, only 1 in 5 children received all the four recommended diarrhea interventions. The odds of good quality diarrhea management were higher among children who received treatment in public hospitals/health centers, private hospitals/clinics, and community-based services compared to those of children who did not receive treatment (OR=2.52, 95% CI=1.89-3.34; OR=2.46, 95% CI=1.90-3.16; and OR=1.91, 95% CI=1.40-2.59, respectively). Compared to children whose parents did not seek treatment, the odds of receiving ORS ranged from 2.1 times (OR: 2.11, 95% CI=1.44-3.11) for seeking care in traditional/informal sources to 12.3 times (95% CI=8.81-17.15) in public hospitals/health centers. We observed similar trends for zinc supplementation. The odds of increased oral fluids were higher in public and private hospitals/clinics (OR=1.44, 95% CI=1.03-2.01 and OR=2.08, 95% CI=1.57-2.76, respectively). Across all settings, the odds of continued feeding were significantly lower among children who received treatment compared to children who did not receive treatment. Conclusion and Implications for Translation: Our findings indicate poor quality diarrhea management across various treatment settings. Policies and programs that encourage caregivers to seek treatment and improve the quality of care may contribute to reducing childhood diarrhea-related morbidity and mortality in Nigeria.   Copyright © 2021 Olorunsaiye et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

scholarly journals Psychiatry in the future

2004 ◽  
Vol 28 (9) ◽  
pp. 315-316 ◽  
Author(s):  
Stefan Priebe
Keyword(s):  
Mental Health ◽  
Western Europe ◽  
Community Based ◽  
Routine Service ◽  
Mental Health Reforms ◽  
History Of ◽  
The 19Th Century ◽  
Community Based Services

European nations – including Britain – have a common pattern in their history of mental health care. Most western and central European countries established large asylums in the 19th century and engaged in some form of de-institutionalisation during the second half of the 20th century. Since the 1950s, major mental health reforms have significantly improved the quality of care. Although time of onset, pace, fashion and outcomes of reforms varied greatly between countries, throughout western Europe community-based services have been established and become part of routine service provision (Becker & Vázquez-Barquero, 2001). Compared with the heyday of the reform spirit in the 1970s, we now appear to be experiencing a relatively calm period. Developments currently seem to be dominated by fragmented pragmatism rather than by dreamy visions. This may reflect a wider trend in politics: throughout Europe, ambitious long-term visions appear less relevant as drivers for political change than was the case a few decades ago.

scholarly journals Exploring the Relationship Between Day-to-Day Care and Caregiver Vigilance

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 639-639
Author(s):  
Brandy Renee McCann ◽  
Karen Roberto ◽  
Rosemary Blieszner ◽  
Tina Savla ◽  
Emily Hoyt ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Service Use ◽  
Care Facility ◽  
Well Being ◽  
Community Based ◽  
Term Care ◽  
Long Term Care Facility ◽  
Formal Services ◽  
Community Based Services

Abstract A demanding aspect of caregiving for a relative with dementia is need for constant vigilance of their behavior and well-being. Vigilance is associated with higher quality of care, but can take a toll on caregivers who have few opportunities for respite. Home- and community-based services have the potential to offer caregivers relief from constant vigilance. Using in-depth interviews with 30 rural caregivers, we found that service use did not necessarily provide relief from constant vigilance. Caregivers typically needed to monitor aspects of home- and community-based services and care facilities such as scheduling and quality of care from CNAs. In contrast, some caregivers found respite from constant vigilance when they used formal services—typically in extreme situations such as when a husband with dementia became violent and moved temporarily to a long-term care facility. Findings connect caregiver needs and concerns related to vigilance with availability, quality, and use of formal services.

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