scholarly journals The determinants of C. difficile infection in long-term care facilities: a portrait of patient- and facility-level factors across 90 care regions in the veterans affairs health care system

2015 ◽  
Vol 4 (S1) ◽  
Author(s):  
KA Brown ◽  
M Jones ◽  
F Adler ◽  
M Leecaster ◽  
K Nechodom ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Long Term Care ◽  
Veterans Affairs ◽  
Term Care ◽  
Care Facilities ◽  
Facility Level ◽  
Care System

scholarly journals Health and Social Problems in Indonesian Elderly. How Can Health Care System To Overcome ?

2019 ◽  
Vol 1 (2) ◽  
pp. 86-89
Author(s):  
Iwan Rusdi
Keyword(s):  
Health Care ◽  
High Risk ◽  
Health Care System ◽  
Service Provider ◽  
Elderly Population ◽  
Long Term Care ◽  
Term Care ◽  
Geriatric Service ◽  
Care System

Increasing elderly population is a problem in Indonesia. Many problems faced in elderly.  Elderly are high risk to experience a disease or illness. As well as, long term care is needed for release the disease. A changing in biopsychosocial also important for service provider to control the effect. Collaboration and partnerships is useful to develop strengthening in creating health care system. Furthermore, policy maker and service provider are also better able to review and refine their existing measure, policies, product and geriatric service, which  target elderly population in Indonesia.

Survey of health care personnel's attitudes toward oral hygiene in long‐term care facilities in Finland

2019 ◽  
Vol 39 (6) ◽  
pp. 557-563
Author(s):  
Kaija Hiltunen ◽  
Nele Fogelholm ◽  
Riitta K. T. Saarela ◽  
Päivi Mäntylä
Keyword(s):  
Health Care ◽  
Oral Hygiene ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities

scholarly journals 1238. A National Comparison of Antibiograms Between Veterans Affairs Long-Term Care Facilities and Affiliated Hospitals

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S376-S377 ◽  
Author(s):  
Maria-Stephanie Tolg ◽  
Aisling Caffrey ◽  
Haley Appaneal ◽  
Robin Jump ◽  
Vrishali Lopes ◽  
...  
Keyword(s):  
Long Term Care ◽  
Veterans Affairs ◽  
Self Report ◽  
Chi Square ◽  
Term Care ◽  
E Coli ◽  
Care Facilities ◽  
National Comparison ◽  
Research Grant

Abstract Background Long-term care facilities (LTCFs) face several barriers to creating antibiograms. Here, we evaluate if LTCFs can use antibiograms from affiliated hospitals as their own antibiogram. Methods Facility-specific antibiograms were created for all Veterans Affairs (VA) LTCFs and VA Medical Centers (VAMCs) for 2017. LTCFs and affiliated VAMCs were paired and classified as being on the same campus or geographically distinct campuses based on self-report. For each pair, Escherichia coli susceptibility rates (%S) to cefazolin, ceftriaxone, cefepime, ciprofloxacin, nitrofurantoin, sulfamethoxazole/trimethoprim, ampicillin/sulbactam, piperacillin/tazobactam, and imipenem were compared. As guidelines discourage empiric use of antibiotics if susceptibility rates are <80%, we assessed clinical discordance between each LTCF and affiliated VAMC antibiogram at a threshold of 80% susceptible. The proportions of concordant susceptibilities between LTCFs and VAMCs on the same campus vs. geographically distinct campuses were compared using Chi-square tests. Results A total of 119 LTCFs and their affiliated VAMCs were included in this analysis, with 70.6% (n = 84) of facilities located on the same campus and 29.4% (n = 35) on geographically distinct campuses. The table below shows the overall clinical concordance (agreement) of LTCFs with their affiliated VAMC in regards to E. coli %S to the compared antibiotics. No significant differences were found when comparing LTCFs on the same campus vs. geographically distinct campuses. Conclusion Antibiograms between LTCFs and affiliated VAMCs had a high concordance, except for sulfamethoxazole/trimethoprim, cefazolin and ceftriaxone in regards to susceptibility rates of E. coli. Facilities on the same campus were found to have similar concordance rates to geographically distinct facilities. Future studies are needed to investigate how the various approaches to creating LTCF-specific antibiograms are associated with clinical outcomes. Disclosures M. S. Tolg, Veterans Affairs: Investigator, Research grant. A. Caffrey, Veterans Affairs: Investigator, Research grant. H. Appaneal, Veterans Affairs: Grant Investigator, Research grant. R. Jump, Veterans Affairs: Investigator, Research grant. V. Lopes, Veterans Affairs: Investigator, Research grant. D. Dosa, Veterans Affairs: Grant Investigator, Research grant. K. LaPlante, Veterans Affairs: Investigator, Research grant.

Reducing preventable patient transfers from long-term care facilities to emergency departments: a scoping review

CJEM ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. 844-856 ◽  
Author(s):  
Kiran L. Grant ◽  
Daniel Dongjoo Lee ◽  
Ivy Cheng ◽  
G. Ross Baker
Keyword(s):  
Health Care ◽  
Emergency Departments ◽  
Long Term Care ◽  
Term Care ◽  
Patient Transfers ◽  
Effective Interventions ◽  
Care Facilities ◽  
Ed Crowding ◽  
The Impact

ABSTRACTBackgroundIn Canada, there were over 60,000 long-term care facility patient transfers to emergency departments (EDs) in 2014, with up to a quarter of them being potentially preventable. Each preventable transfer exposes the patient to transport- and hospital-related complications, contributes to ED crowding, and adds significant costs to the health care system. There have been many proposed and studied interventions aimed at alleviating the issue, but few attempts to assess and evaluate different interventions across institutions.MethodsA systematic search of MEDLINE, CINAHL, and EMBASE for studies describing the impact of interventions aimed at reducing preventable transfers from long-term care facilities to EDs on ED transfer rate. Two independent reviewers screened the studies for inclusion and completed a quality assessment. A tabular and narrative synthesis was then completed. This study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR) guidelines.ResultsA total of 26 studies were included (Cohen's k = 0.68). One was of low quality (Cohen's k = 0.58). Studies were summarized into five themes based on intervention type: Telemedicine, Outreach Teams, Interdisciplinary Care, Integrated Approaches, and Other. Effective interventions reported reductions in ED transfer rates post intervention ranging from 10 to 70%. Interdisciplinary health care teams staffed within long-term care facilities were the most effective interventions.ConclusionThere are several promising interventions that have successfully reduced the number of preventable transfers from long-term care facilities to EDs in a variety of health care settings. Widespread implementation of these interventions has the potential to reduce ED crowding in Canada.

The Graying of America: Implications for Health Professionals

2005 ◽  
Vol 6 (4) ◽  
pp. 178-184 ◽  
Author(s):  
James D. Wright
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Professionals ◽  
Elderly Population ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Demographic Projections ◽  
Care Industry

Demographic projections confirm a dramatic increase in the size of America’s elderly population over the next several decades. The elderly now comprise 13% of the population; by 2045, they will comprise 22%. As the elderly population grows, so too will the elderly poor, the elderly homeless, and the elderly uninsured. The implications of the so-called graying of America for the health care system, particularly the long-term care industry, are staggering.

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