scholarly journals Effectiveness of intervention programs in primary care for the robust elderly

2015 ◽  
Vol 57 (3) ◽  
pp. 265 ◽  
Author(s):  
Célia Pereira Caldas ◽  
Kenio Costa-de Lima ◽  
Renato Peixoto-Veras ◽  
Luciana Branco da Motta ◽  
Diego Bonfada ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Management ◽  
Elderly Care ◽  
Cost Effective ◽  
The Elderly ◽  
Educational Interventions ◽  
Risk Prevention ◽  
Intervention Programs ◽  
Multidisciplinary Intervention ◽  
Effective Interventions

Objective. This study aimed to search the literature for intervention programs in primary care with a multiprofessional character, specifically directed at the robust elderly, and with viable and cost-effective interventions. Materials and methods. The search strategies were applied in Cochrane, Lilacs, Pubmed, Scopus, WHOLIS, Embase, Medcarib, Scielo, Web of Science, and PAHO databases. Results. 3 665 articles were found and 32 remained for analysis, grouped into four categories: care management; multidisciplinary intervention;interventions on the basis of risk; and educational interventions with health professionals. Conclusion. Strategies such as domestic interventions can promote health and functionality of elderlies, as well as reduce mortality, use of the health system and costs. Besides that, the use of hard and light-hard technologies are important for risk prevention and care management for the elderly. There is a need to create programs for risk prevention and effective management of elderly care at the primary level.

scholarly journals Educated Choices Program: An Impact Evaluation of a Classroom Intervention to Reduce Animal Product Consumption

2020 ◽  
Author(s):  
Christopher John Bryant ◽  
Courtney Dillard
Keyword(s):  
Educational Intervention ◽  
Student Attitudes ◽  
Large Scale ◽  
Comprehensive Evaluation ◽  
Cost Effective ◽  
Educational Interventions ◽  
Student Survey ◽  
Strong Basis ◽  
Effective Interventions ◽  
Survey Responses

In this comprehensive evaluation of Educated Choices Program’s educational intervention, we report on our analysis of 95,241 student survey responses. We are excited to share these findings for a number of reasons. First and foremost, our analysis clearly demonstrates the effectiveness of this educational intervention in positively impacting student attitudes, behavioral intentions and self-reported behaviors in regard to their food choices. The scale of the dataset and the comprehensive nature of the analyses conducted provides a strong basis for funding considerations for educational interventions. This is particularly heartening because similar impacts have been difficult to find in other consumer-facing advocacy interventions. As will be highlighted later in the report, ECP’s model of intervention is both high quality and cost effective, allaying some fears about the feasibility of deploying effective interventions of this nature on a large scale.

Cost-effectiveness of targeted screening for hepatitis C in The Netherlands

2011 ◽  
Vol 140 (1) ◽  
pp. 58-69 ◽  
Author(s):  
C. W. HELSPER ◽  
B. A. BORKENT-RAVEN ◽  
N. J. DE WIT ◽  
G. A. VAN ESSEN ◽  
M. J. M. BONTEN ◽  
...  
Keyword(s):  
Primary Care ◽  
Cost Effectiveness ◽  
Hepatitis C ◽  
The Netherlands ◽  
Drug Users ◽  
Cost Effective ◽  
Case Finding ◽  
Hard Drug ◽  
Effective Interventions ◽  
Additional Support

SUMMARYOn account of the serious complications of hepatitis C virus (HCV) infection and the improved treatment possibilities, the need to improve HCV awareness and case-finding is increasingly recognized. To optimize a future national campaign with this objective, three pilot campaigns were executed in three regions in The Netherlands. One campaign was aimed at the general population, a second (similar) campaign was extended with a support programme for primary care and a third campaign was specifically aimed at hard-drug users. Data from the pilot campaigns were used to build a mathematical model to estimate the incremental cost-effectiveness ratio of the different campaigns. The campaign aimed at the general public without support for primary care did not improve case-finding and was therefore not cost-effective. The similar campaign accompanied by additional support for primary care and the campaign aimed at hard-drug users emerged as cost-effective interventions for identification of HCV carriers.

scholarly journals Caring Senior: A Brazilian health model with emphasis at light care levels

2018 ◽  
Vol 21 (3) ◽  
pp. 360-366 ◽  
Author(s):  
Renato Veras
Keyword(s):  
Population Aging ◽  
Elderly Care ◽  
International Health ◽  
Cost Effective ◽  
The Elderly ◽  
Models Of Care ◽  
Coordinated Care ◽  
Care Model ◽  
Levels Of Care ◽  
Epidemiological Changes

Abstract The present article discusses the creation of an elderly care model entitled Caring Senior. Population aging caused by demographic and epidemiological changes in Brazil, a relatively recent phenomenon, requires an efficient response. Based on a critical analysis of healthcare models for the elderly, the text presents a proposal for the healthcare of this age group, with emphasis on low intensity levels of care, focusing on health promotion and prevention, in order to avoid overload in the system. Integrated care models aim to solve the problem of fragmented and poorly coordinated care in current health systems. The more health professionals know about the history of their patients, the better the results. This is how the contemporary and resolutive models of care recommended by most major national and international health agencies should function. A higher quality, more resolutive and cost-effective care model is the focus of the present study.

scholarly journals Attitude of Medical Sciences Students toward Older Adults in Iran, 2017

2019 ◽  
Vol 12 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Yadollah Abolfathi Momtaz ◽  
Fatemeh Mousavi-Shirazi ◽  
Parisa Mollaei ◽  
Ahmad Delbari
Keyword(s):  
Older Adults ◽  
Health Care Services ◽  
Elderly Care ◽  
The Elderly ◽  
Medical Sciences ◽  
Field Of Study ◽  
Research Activity ◽  
Cross Sectional ◽  
Effective Interventions ◽  
The Mean

Background: Studies show as people age, demand for health care services rises. One of the most important factors that significantly affect the quality of elderly care is the attitude towards older adults. Objective: The current study aimed to assess the attitude of medical sciences students towards older adults in Iran. Methods: A cross-sectional design study using a multistage proportional random sampling method was employed to obtain a sample of 583 Iranian medical sciences students in 2017. The data were measured using the Kogan's Attitudes Towards Older People Scale (KAOPS). The SPSS 23.0 for Windows (IBM SPSS Statistics 23.0) was used to analyze the data. Results: Out of the 583 respondents, around 44% were female and a little more than one-fourth was medical students. The mean age was 21.98 (SD=3.63) years. The mean score of the attitude towards the elderly was found to be 56.90 (SD=8.04). Aging health students scored a more positive attitude towards elderly people than other medical sciences students. Results of the bivariate analyses revealed that field of study (F (7, 575) = 2.66, P<0.01), participating in gerontology and geriatrics research (t (581) =2.80, p<0.01), and attending in gerontology and geriatrics congress (t (581) =1.96, p<0.05) significantly associated with attitude toward older adults. Conclusions: The findings from the current study show that Iranian medical sciences students have moderate positive attitudes towards older adults and vary by students’ field of study and their research activity in gerontology and geriatrics field. Therefore, effective interventions for enhancing the attitudes of medical sciences students towards older adults should be developed and implemented.

Merciful yet effective elderly care performance management practices

2015 ◽  
Vol 19 (1) ◽  
pp. 61-69 ◽  
Author(s):  
Jannis Angelis ◽  
Henrik Jordahl
Keyword(s):  
Staff Development ◽  
Performance Management ◽  
Management Practices ◽  
Management Practice ◽  
Elderly Care ◽  
Cost Effective ◽  
The Elderly ◽  
Care Homes ◽  
Content Type ◽  
Private Homes

Purpose – The study aims to compare management practices in private and publicly owned elderly care homes. The demands for cost-effective care combined with emphasis on client experience highlights the importance of appropriate management practices. Design/methodology/approach – The study utilises a survey of 500 homes covering management practices on monitoring, performance management and staff development. These are highly correlated, allowing for treating the practices both in aggregate and individually in the analysis. Additional questions capture information on site and management conditions. Findings – Management practices employed at the elderly care homes vary greatly, with high and low individual scores found in most homes. But private homes consistently score higher than public homes, especially when it comes to incentive practices. Also, elderly care homes of both ownership forms score at the top and bottom of each management practice. But looking at the average management score, there are fewer private homes that score really low and more private homes that score really high. Practical implications – The results identify given characteristics and maturity of the various management practices employed to plan and control operations in the elderly care homes and provides managerial and staff insights into their use. Originality/value – The application and impact of standard management practices has previously been limited in publicly funded services. Little is known about management practices in elderly care and whether the practices are associated with better performance.

scholarly journals Training the trainers and disseminating information: a strategy to educate health professionals on epilepsy

2007 ◽  
Vol 65 (suppl 1) ◽  
pp. 14-22 ◽  
Author(s):  
Paula T. Fernandes ◽  
Ana L.A. Noronha ◽  
Josemir W. Sander ◽  
Gail S. Bell ◽  
Li M. Li
Keyword(s):  
Primary Care ◽  
Standard Deviation ◽  
Health Professionals ◽  
Knowledge Score ◽  
Cost Effective ◽  
Educational Interventions ◽  
T Test ◽  
Test Results ◽  
Post Test ◽  
Training Courses

PURPOSE: To evaluate the knowledge, attitudes and perceptions of epilepsy in primary care system health professionals prior to and after an educational intervention. METHODS: Educational interventions were delivered to three groups of people with an interest in epilepsy: 1. Information courses for physicians (241 subjects); 2. Social re-integration course for health professionals and community leaders (631 subjects); 3. "Training the Trainers" Course for physicians (11 subjects). The whole program is flexible and can be tailored for local or regional needs. For the evaluation of this process, health professionals completed a quantitative and qualitative questionnaire to assess their knowledge, attitudes and perception (KAP) of epilepsy prior to the training (pre-test) and 6 months after it (post-test). RESULTS: Comparison of knowledge scores prior to (mean=55.8, standard deviation=14.0) and after (mean=71.5, standard deviation=12.0) the intervention showed that physicians had improved knowledge after the training (t-test=7.8, p<0.001). The same pattern occurred with the health professionals: the knowledge score prior to (mean=22.3, standard deviation=12.5) and after (mean=36.6, standard deviation=12.5) the intervention showed that health professionals had improved knowledge after the training (t-test=12.4, p<0.001). Improvements in attitudes and perception also occurred after the courses. DISCUSSION: Training courses can promote increased knowledge, attitude and perception in a cost effective way in the primary care setting. However, a continuous education program is required to correct oversights and to improve the management of people with epilepsy.

scholarly journals Physical activity promotion in primary care: a Utopian quest?

2018 ◽  
Vol 34 (4) ◽  
pp. 877-886 ◽  
Author(s):  
Alexis Lion ◽  
Anne Vuillemin ◽  
Jane S Thornton ◽  
Daniel Theisen ◽  
Saverio Stranges ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Physical Inactivity ◽  
Physical Activity Promotion ◽  
Cost Effective ◽  
Effective Interventions ◽  
Activity Promotion ◽  
Increased Risk ◽  
Primary Care Professionals ◽  
Exercise Referral

Abstract The health benefits of physical activity (PA) are acknowledged and promoted by the scientific community, especially within primary care. However, there is little evidence that such promotion is provided in any consistent or comprehensive format. Brief interventions (i.e. discussion, negotiation or encouragement) and exercise referral schemes (i.e. patients being formally referred to a PA professional) are the two dominant approaches within primary care. These cost-effective interventions can generate positive changes in health outcomes and PA levels in inactive patients who are at increased risk for non-communicable diseases. Their success relies on the acceptability and efficiency of primary care professionals to deliver PA counselling. To this end, appropriate training and financial support are crucial. Similarly, human resourcing and synergy between the different stakeholders must be addressed. To obtain maximum adherence, specific populations should be targeted and interventions adapted to their needs. Key enablers include motivational interviewing, social support and multi-disciplinary approaches. Leadership and lines of accountability must be clearly delineated to ensure the success of the initiatives promoting PA in primary care. The synergic and multisectoral action of several stakeholders, especially healthcare professionals, will help overcome physical inactivity in a sustainable way.

Development of an intelligent e-healthcare system for the domestic care industry

2017 ◽  
Vol 117 (7) ◽  
pp. 1426-1445 ◽  
Author(s):  
Bennie Wong ◽  
G.T.S. Ho ◽  
Eric Tsui
Keyword(s):  
Healthcare System ◽  
Healthcare Service ◽  
Care Management ◽  
Elderly Care ◽  
The Elderly ◽  
Knowledge Discovery In Databases ◽  
Content Type ◽  
Care Industry ◽  
Elderly Healthcare ◽  
Domestic Care

Purpose In view of the elderly caregiving service being in high demand nowadays, the purpose of this paper is to develop an intelligent e-healthcare system for the domestic care industry by using the Internet of Things (IoTs) and Fuzzy Association Rule Mining (FARM) approach. Design/methodology/approach The IoTs connected with the e-healthcare system collect real-time vital sign monitoring data for the e-healthcare system. The FARM approach helps to identify the hidden relationships between the data records in the e-healthcare system to support the elderly care management tasks. Findings To evaluate the proposed system and approach, a case study was carried out to identify the association between the specific collected demographic data, behavior data and the health measurements data in the e-healthcare system. It is found that the discovered rules are useful for the care management tasks in the elderly healthcare service. Originality/value Knowledge discovery in databases uses various data mining techniques and rule-based artificial intelligence algorithms. This paper demonstrates complete processes on how an e-healthcare system connected with IoTs can support the elderly care services via a data collection phase, data analysis phase and data reporting phase by using the FARM to evaluate the fuzzy sets of the data attributes. The caregivers can use the discovered rules for proactive decision support of healthcare services and to improve the overall service quality by enhancing the elderly healthcare service responsiveness.

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