scholarly journals Evaluation of the quality of care of a multi-disciplinary Risk Factor Assessment and Management Programme for Hypertension (RAMP-HT)

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Esther Yee Tak Yu ◽  
Eric Yuk Fai Wan ◽  
Karina Hiu Yen Chan ◽  
Carlos King Ho Wong ◽  
Ruby Lai Ping Kwok ◽  
...  
Keyword(s):  
Risk Factor ◽  
Quality Of Care ◽  
Management Programme ◽  
Risk Factor Assessment

Evaluation of preventive cardiology

2017 ◽  
Author(s):  
Kornelia Kotseva ◽  
Neil Oldridge ◽  
Massimo F. Piepoli
Keyword(s):  
Risk Factor ◽  
Quality Of Care ◽  
Cardiovascular Risk ◽  
Professional Associations ◽  
The United States ◽  
Atherosclerotic Disease ◽  
Vascular Events ◽  
Preventive Cardiology ◽  
Cvd Prevention

The Joint European Societies guidelines on cardiovascular disease (CVD) prevention define lifestyle and risk factor targets for patients with coronary or other atherosclerotic disease and people at high risk of developing CVD. However, several surveys in Europe and the United States showed inadequate lifestyle and risk factor management and under-use of prophylactic drug therapies in primary and secondary CVD prevention. Various professional associations have developed core components, standards, and outcome measures to evaluate quality of care and provide guidelines for identifying opportunities for improvements. Optimal control of cardiovascular risk factors is one of the most effective methods for reducing vascular events in patients with atherosclerotic disease or high cardiovascular risk. Improving treatment adherence is also very important. Health-related quality of life (HRQL) is considered as an outcome measure in research studies and in clinical practice. HRQL measures can help in improving patient-clinician communication, screening, monitoring, and continuous assessment of quality of care.

Evaluation of preventive cardiology

2015 ◽  
Author(s):  
Kornelia Kotseva ◽  
Neil Oldridge ◽  
Massimo F. Piepoli
Keyword(s):  
Risk Factor ◽  
Quality Of Care ◽  
Cardiovascular Risk ◽  
Professional Associations ◽  
The United States ◽  
Atherosclerotic Disease ◽  
Vascular Events ◽  
Preventive Cardiology ◽  
Cvd Prevention

The Joint European Societies guidelines on cardiovascular disease (CVD) prevention define lifestyle and risk factor targets for patients with coronary or other atherosclerotic disease and people at high risk of developing CVD. However, several surveys in Europe and the United States showed inadequate lifestyle and risk factor management and under-use of prophylactic drug therapies in primary and secondary CVD prevention. Various professional associations have developed core components, standards, and outcome measures to evaluate quality of care and provide guidelines for identifying opportunities for improvements. Optimal control of cardiovascular risk factors is one of the most effective methods for reducing vascular events in patients with atherosclerotic disease or high cardiovascular risk. Improving treatment adherence is also very important. Health-related quality of life (HRQL) is considered as an outcome measure in research studies and in clinical practice. HRQL measures can help in improving patient-clinician communication, screening, monitoring, and continuous assessment of quality of care.

scholarly journals Eveningness and its possibility of predicting burnout symptoms among physicians and nurses – preliminary results

2018 ◽  
Vol 19 (1) ◽  
pp. 23-29 ◽  
Author(s):  
Łukasz Mokros ◽  
Jacek Koprowicz ◽  
Katarzyna Nowakowska-Domagała ◽  
Juliusz Rodak ◽  
Tadeusz Pietras
Keyword(s):  
Risk Factor ◽  
Quality Of Care ◽  
Sleep Quality ◽  
District Hospital ◽  
Well Being ◽  
Study Group ◽  
Behavioural Interventions ◽  
Starting Point ◽  
Burnout Risk

Abstract Introduction. A sense of burnout may seriously impair one’s functioning and well-being. It may also hamper the quality of care over a patient. The present study therefore assesses sleep quality and chronotype as predictors of a sense of burnout in physicians and nurses of a district hospital. Material and methods. The study group comprised 16 physicians and 31 nurses of a district hospital in Central Poland. The participants completed the Link Burnout Questionnaire (LBQ), Chronotype Questionnaire, and Pittsburgh Sleep Quality Inventory. A linear regression model was constructed for each LBQ dimension by means of stepwise elimination. Each model was adjusted to empirical data (p<0.05). Results. A rise in Psychophysical exhaustion was predicted by greater scores for Morningness-Eveningness (ME) and Distinctness (DI) of the rhythm. A higher ME score was associated with higher scores in Relationship deterioration and Sense of professional ineffectiveness, with the latter also associated with presence in the nurses group. The nurses group also demonstrated higher Disillusionment and Psychophysical exhaustion scores than the physicians group. Conclusions. Eveningness predicted greater burnout in the studied sample. Thus, chronotype should be considered an important burnout risk factor and it can act as a starting point for devising behavioural interventions.

scholarly journals Variability of risk factors and diabetes complications

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Antonio Ceriello ◽  
Francesco Prattichizzo
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Quality Of Care ◽  
Diabetes Complications ◽  
Plasma Lipids ◽  
Glucose Variability ◽  
The Other ◽  
Additive Effects ◽  
Normal Range

AbstractSeveral studies suggest that, together with glucose variability, the variability of other risk factors, as blood pressure, plasma lipids, heart rate, body weight, and serum uric acid, might play a role in the development of diabetes complications. Moreover, the variability of each risk factor, when contemporarily present, may have additive effects. However, the question is whether variability is causal or a marker. Evidence shows that the quality of care and the attainment of the target impact on the variability of all risk factors. On the other hand, for some of them causality may be considered. Although specific studies are still lacking, it should be useful checking the variability of a risk factor, together with its magnitude out of the normal range, in clinical practice. This can lead to an improvement of the quality of care, which, in turn, could further hesitate in an improvement of risk factors variability.

Hospital Readmission within 30 Days: A New Benchmark for Quality Care among Children with Sickle Cell Disease.

Blood ◽  
2007 ◽  
Vol 110 (11) ◽  
pp. 3403-3403
Author(s):  
Melissa J. Frei-Jones ◽  
Michael R. DeBaun
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Quality Of Care ◽  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Hospital Readmission ◽  
Cell Disease ◽  
First Admission

Abstract The National Association of Children’s Hospitals and Related Institutions (NACHRI) has established benchmarks for measuring quality of care in children that are hospitalized. Readmission within 30 days of discharge is the benchmark chosen to assess the quality of care for patients with Sickle Cell Disease (SCD). Limited data exist to determine risk factors for re-admission and whether such risk factors are modifiable. We performed a retrospective case-control study to identify risk factors for hospital readmission in children with SCD. All hospital admissions of patients with SCD for one year were reviewed. Cases were defined as children with SCD who were readmitted within 30 days of their first admission during the 12 month study period. Controls were defined as children with SCD who were not readmitted within 30 days of their first admission. A total of 30 cases and 70 controls were identified. The average time between admissions was 10.7 days with 50% readmitted within 8 days and 77% readmitted within 21 days. No difference in demographic data was found between cases and controls. The most common admission and readmission diagnosis was pain, 78% and 70%, respectively. The greatest risk factor for readmission was no follow-up appointment within 30 days after discharge in the SCD clinic (OR 7.7, 95% CI 2.4–24.4). The second highest risk factor was severity of disease, defined as patients with ≥ 3 hospitalizations in the previous 12 months versus patients with ≤ 2 hospitalizations in the previous 12 months (OR 7.3, 95% CI 2.8–18.9). A diagnosis of asthma was also a risk factor for readmission (OR 2.9, 95% CI 1.2–7.3). Patients who initially required supplemental oxygen to maintain their oxygen saturation in the normal range and were subsequently on room air for ≤ 24 hours at discharge were also more likely to be readmitted (OR 3.3, 95% CI 1.1–9.7). Steroid administration was not a risk factor for readmission (OR 1.2, 95% CT 0.5–3.2). Potential modifiable risk factors exist to decrease the rate of readmission. Specifically, strategies targeted at the modification of disease severity, aggressive management of asthma, and outpatient follow-up after hospitalization may decrease the 30 day readmission rate.

A disease management programme for patients with diabetes mellitus is associated with improved quality of care within existing budgets

2007 ◽  
Vol 24 (10) ◽  
pp. 1112-1120 ◽  
Author(s):  
L. M. G. Steuten ◽  
H. J. M. Vrijhoef ◽  
S. Landewé-Cleuren ◽  
N. Schaper ◽  
G. G. Van Merode ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Quality Of Care ◽  
Disease Management ◽  
Disease Management Programme ◽  
Management Programme ◽  
Patients With Diabetes
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