Outcomes in older patients requiring comprehensive allied health care prior to discharge from the emergency department

2013 ◽  
Vol 25 (2) ◽  
pp. 127-131 ◽  
Author(s):  
Glenn Arendts ◽  
Sarah Fitzhardinge ◽  
Karren Pronk ◽  
Marani Hutton
Author(s):  
Kerry Ellis-Jacobs

The purpose of the quantitative, ex post facto, correlational research study was to describe a relationship between rural allied health care mean customer satisfaction scores and allied health care departments’ generation of revenue for a hospital. The research method for the study was appropriate because it identified a relationship between two variables: the customer service skills of allied health care practitioners and a hospital’s gross revenue. The study involved analyzing historical patient satisfaction surveys and corresponding hospital revenue statements from a rural hospital in northeastern Oklahoma for a 25-month period. The study revealed a correlation and impact of the allied health care practitioner on hospital survival. Revenue was positively significantly correlated with three of the satisfaction ratings from the Emergency Department. These correlations were for STD tests (r = .41, p < .05), courtesy of the person drawing blood (r = .40, p = .05), and concern of radiology personnel (r = .45, p < .05). None of the correlations between revenue and Inpatient ratings achieved significance. The trend tended to be in the same direction as the Emergency Department ratings, such that all of the correlations were positive with the exception of the Waiting rating (r = -.14, p > .05). The correlation was negative, but was rather small and insignificant.


Geriatrics ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 46
Author(s):  
Tina Hansen ◽  
Rikke Lundsgaard Nielsen ◽  
Morten Baltzer Houlind ◽  
Juliette Tavenier ◽  
Line Jee Hartmann Rasmussen ◽  
...  

There is evolving evidence for an association between dysphagia and sarcopenia in older adults. For optimizing the acute health care initiative across health care settings, this study investigated prevalence and time-course of dysphagia in older patients admitted to an emergency department (ED) as well as its association with parameters for probable sarcopenia, inactivity, malnutrition, disease status, and systemic inflammation. A secondary analysis of data from the FAM-CPH cohort study on acutely admitted older medical patients (n = 125). Data were collected upon ED admission as well as four and 56 weeks after discharge. Using the Eating Assessment Tool cut-off score ≥ 2, signs of dysphagia were present in 34% of the patients at ED admission and persisted in 25% of the patients 56 weeks after discharge. Signs of dysphagia at 56-week follow-up were significantly (p < 0.05) associated with probable sarcopenia (low handgrip strength (OR = 3.79), low leg muscle strength (OR = 8.14), and low physical performance (OR = 5.68)) and with baseline swallowing inactivity (OR = 5.61), malnutrition (OR = 4.35), and systemic inflammation (OR = 1.33). Signs of dysphagia in older patients admitted to an ED was prevalent, persisted 56 weeks after discharge, and was associated with probable sarcopenia and related conditions; all modifiable targets for management of dysphagia in older patients.


1985 ◽  
Vol 11 (2) ◽  
pp. 195-225
Author(s):  
Karla Kelly

AbstractUntil recently, physicians have been the primary health care providers in the United States. In response to the rising health care costs and public demand of the past decade, allied health care providers have challenged this orthodox structure of health care delivery. Among these allied health care providers are nurse practitioners, who have attempted to expand traditional roles of the registered nurse.This article focuses on the legal issues raised by several major obstacles to the expansion of nurse practitioner services: licensing restrictions, third party reimbursement policies, and denial of access to medical facilities and physician back-up services. The successful judicial challenges to discriminatory practices against other allied health care providers will be explored as a solution to the nurse practitioners’ dilemma.


2004 ◽  
Vol 9 (1) ◽  
pp. 7-9 ◽  
Author(s):  
Jeff Stewart ◽  
Vivian H. Wright

Author(s):  
Matthew Kutz

Why should educational programs teach leadership, and why should universities and colleges who offer allied health care programs be concerned with training future clinicians to be leaders? Leadership development is a topic wrought with passion among business professionals and educators alike. Leadership is something everybody needs and it remains vague and ambiguous. Leadership is a mystical, almost ethereal, quality that you cannot define, yet know when you see. Advancing the allied health care professions and the members of the allied health care community is proving to be difficult without the necessary leadership skills.


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