scholarly journals Care Model and Effectiveness of Dementia Special Care Units-- a Cross-sectional Survey in China

2021 ◽  
Author(s):  
Xiaoxin Dong ◽  
Tongda Sun ◽  
Rangcheng Jia ◽  
Lingbo Zhao ◽  
Ning Sun
Keyword(s):  
Technical Efficiency ◽  
Qualitative Data ◽  
The Elderly ◽  
Special Care ◽  
Scale Efficiency ◽  
Special Care Unit ◽  
Care Model ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Facilities

Abstract Background: Dementia special care unit (D-SCU) is a main care mode for the elderly with dementia, and has increased steadily internationally. However, little is known about the D-SCUs of China. The present study aimed to analyze and summarize the types and standards of D-SCUs in China, and evaluate the care efficiency of the D-SCU care model.Methods: A cross-sectional survey was conducted between June 2018 and July 2019 in 6 cities of China. Quantitative data about the basic information and the care satisfaction were collected from 25 care facilities in the 6 cities. Qualitative data about the care status of the elderly with dementia, the standards, the management and the operation of the D-SCUs were collected among the 25 care facilities and the 3 cities that had issued standards for setting D-SCUs. Grounded theory method was used to analyze the qualitative data, and data envelopment analysis (DEA) method was applied to evaluate the care efficiency of the D-SCU care model.Results: The technical efficiency, pure technical efficiency and scale efficiency of care facilities with D-SCUs were higher than those of care facilities without D-SCUs (P=0.016, P=0.022, and P=0.021, respectively). The types of D-SCUs could be divided into independent, semi- independent, semi-dependent and dependent according to the architecture, physical space, and management mode. The standards for the area, environment, beds, service items of the D-SCUs were various among the 3 cities that had issued standards for setting D-SCUs.Conclusions: The care model of D-SCUs is effective and professional, and can be further promoted in China. The exploration and standard research on the D-SCUs should be strengthened in future.

scholarly journals Care Effectiveness and Standards of Dementia Special Care Units for Older Adults with Dementiain Pension Industry

CONVERTER ◽  
2021 ◽  
pp. 707-715
Author(s):  
Xiaoxin Dong, Et al.
Keyword(s):  
Older Adults ◽  
Qualitative Data ◽  
Special Care ◽  
Scale Efficiency ◽  
Data Envelopment ◽  
Main Mode ◽  
Special Care Units ◽  
Care Facilities ◽  
Care Satisfaction ◽  
Depth Interviews

Dementia special care units (D-SCUs) is increasingly becoming the main mode of care for older adults internationally. As little is known about D-SCUs in China, this study aimed to analyze care efficiency and summarize the standards of Chinese D-SCUs.A questionnaire survey and in-depth interviews were conducted between June 2018 and July 2019 in six cities in China. Quantitative data about basic information and care satisfaction were collected from 25 care facilities. Qualitative data about the standards of the D-SCUs were collected fromthree cities that had issued such standards. Data envelopment analysis (DEA) was used to evaluate the care efficiency of D-SCUs, and grounded theory was used to analyze qualitative data.Among the 25 surveyed facilities, 12 had established D-SCUs, of which eight(66.67%) were effective facilities. Thirteen facilities did not establish D-SCUs, of which two(15.38%) were effective facilities.Technical efficiency, pure technical efficiency, and scale efficiency of care facilities with D-SCUs were higher than those of without (P=0.016, P=0.022, and P=0.021, respectively). Standards regarding location, environment, beds, and service items varied among the three cities that had issued standards for D-SCUs.The D-SCU care mode is effective and professional, and can be further promoted in the development of pension industry in China. Further investigation into D-SCUs and related standard is needed.

Influenza Vaccination in Long-Term–Care Facilities: Structuring Programs for Success

1999 ◽  
Vol 20 (7) ◽  
pp. 499-503 ◽  
Author(s):  
Margaret A. McArthur ◽  
Andrew E. Simor ◽  
Beverly Campbell ◽  
Allison McGeer
Keyword(s):  
Influenza Vaccination ◽  
Long Term Care ◽  
The Elderly ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Term Care ◽  
Vaccination Programs ◽  
Vaccination Rates ◽  
Care Facilities

Objectives:To determine which influenza vaccination program characteristics were associated with high resident vaccination rates in Canadian long-term–care facilities (LTCFs).Design:A cross-sectional survey consisting of a mailed questionnaire conducted in spring 1991.Participants:All 1,520 Canadian LTCFs for the elderly with at least 25 beds.Results:The mean overall influenza vaccination rate in the 1,270 (84%) responding facilities was 79%. In multivariate analysis, the variables significantly associated with increased vaccination rates were: a single nonphysician staff person organizing the program, having more program aspects covered by written policies, the offering of vaccine to all residents, a policy of obtaining consent on admission that was durable for future years rather than repeating consent annually, and automatically administering vaccine to residents whose guardians could not be contacted for consent. Any encouragement to staff to be vaccinated had a significant impact on staff vaccination rates.Conclusion:Well-organized influenza vaccination programs increase the influenza vaccination rates of residents in Canadian LTCFs. Facilities need to develop resident vaccination programs further and to focus on vaccinating staff.

Uncertainty about cellulitis and unmet patient information needs: a mixed methods study

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697349
Author(s):  
Anna Lalonde ◽  
Emma Teasdale ◽  
Ingrid Muller ◽  
Joanne Chalmers ◽  
Peter Smart ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Information Needs ◽  
Qualitative Data ◽  
Information Provision ◽  
Mixed Methods Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Face To Face ◽  
Patient Information Needs ◽  
History Of

BackgroundCellulitis is a common painful infection of the skin and underlying tissues that recurs in approximately a third of cases. Patients’ ability to recover from cellulitis or prevent recurrence is likely to be influenced by their understanding of the condition.AimTo explore patients’ perceptions of cellulitis and their information needs.MethodMixed methods study comprising semi-structured, face-to-face interviews and cross-sectional survey, recruiting through primary care, secondary care and advertising. Adults aged 18 or over with a history of cellulitis (first or recurrent) were invited to complete a survey, take part in an interview or both. Qualitative data was analysed thematically.ResultsThirty interviews were conducted between August 2016 and July 2017. Qualitative data revealed low prior awareness of cellulitis, uncertainty around diagnosis, concern/surprise at the severity of cellulitis, and perceived insufficient information provision. People were surprised they had never heard of the condition and that they had not received advice or leaflets giving self-care information. Some sought information from the internet and found this bewildering. Two hundred and forty surveys were completed (response rate 17%). These showed that, while most people received information on the treatment of cellulitis (60.0%, n = 144), they reported receiving no information about causes (60.8%, n = 146) or prevention of recurrence (73.3%, n = 176).ConclusionThere is a need for provision of basic information for people with cellulitis, particularly being informed of the name of their condition, how to manage acute episodes, and how to reduce risk of recurrence.

scholarly journals Factors associated with SARS-CoV-2 infection and outbreaks in long-term care facilities in England: a national cross-sectional survey

2021 ◽  
Vol 2 (3) ◽  
pp. e129-e142 ◽  
Author(s):  
Laura Shallcross ◽  
Danielle Burke ◽  
Owen Abbott ◽  
Alasdair Donaldson ◽  
Gemma Hallatt ◽  
...  
Keyword(s):  
Long Term Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Term Care ◽  
Factors Associated ◽  
Care Facilities

Ambulatory Care: Medication Use Characteristics in an Ambulatory Elderly Population in Taiwan

1997 ◽  
Vol 31 (3) ◽  
pp. 308-314 ◽  
Author(s):  
Rou-Yee Chen Hsu ◽  
Min-Shung Lin ◽  
Mei-Huei Chou ◽  
Ming-Fang Lin
Keyword(s):  
Hormone Replacement ◽  
The Elderly ◽  
Nonsteroidal Antiinflammatory Drugs ◽  
Prescribing Patterns ◽  
Cross Sectional Survey ◽  
Antiinflammatory Drugs ◽  
Cross Sectional ◽  
Therapeutic Category ◽  
Prescribing Trends ◽  
Drug Expenditures

Objective To compare prescribing patterns between the elderly and nonelderly in 1994, to disclose prescribing trends in the elderly between 1992 and 1994, to explore whether drug utilization is in agreement with disease prevalence, and to identify suboptimal prescribing by drug category for ambulatory elderly patients. Design Cross-sectional survey at two separate time intervals. Setting All public group practice centers (GPCs) in Taiwan. Patients Ambulatory adults who visited GPCs during 1 random week. Those 65 years or over were classified as the elderly group, and those 20-64 years were the nonelderly group. Main Outcome Measures Mean diagnosis, drug use, and expenditure; frequency of diagnosis; and prescribing by therapeutic category. Results Data on 30 777 elderly and 38 184 nonelderly patients were collected in 1994. There was widespread use of antacids. Compared with nonelderly adults, the elderly were diagnosed with more diseases (1.3 vs. 1.2, respectively; p < 0.01), received more medications (4.7 vs. 4.1, respectively; p < 0.01), and had higher drug expenditures (5.4 vs. 4.6, respectively; p < 0.01). Chronic illness was more prevalent in the elderly, which accounted for the extensive use of cardiovascular drugs (32.1%), nonsteroidal antiinflammatory drugs (25.9%), and anxiolytics (15.9%). The upward trend in the elderly from 1992 to 1994 with hypertension (18.6% vs. 20.0%) or diabetes (9.2% vs. 10.9%) did not result in more cases of cerebrovascular disease (7.1% vs. 4.9%). There was a substantial increase in use of antispasmodic and gastroprokinetic agents (4.5% to 10.7%); the use of antacids decreased (73.6% to 63.4%) in the elderly. Conclusions Compared with the prevalence of disease, there was extensive nonspecific use of anxiolytics and antacids. However, lessened use of antidepressants and postmenopausal hormone replacement may have an impact on morbidity and mortality and deserves particular attention.

scholarly journals Clinic outcomes of the Pathway to Care Model: A cross-sectional survey of adolescent depression in Malawi

2017 ◽  
Vol 29 (2) ◽  
pp. 97 ◽  
Author(s):  
Stanley Kutcher ◽  
Michael Udedi ◽  
Heather Gilberds ◽  
Adena Brown ◽  
Rex Chapota ◽  
...  
Keyword(s):  
Adolescent Depression ◽  
Care Model ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Pathway To Care

scholarly journals A study of students’ attitudes towards using ICT in a social constructivist environment

2016 ◽  
Author(s):  
Yang Silin ◽  
David Kwok
Keyword(s):  
Technology Acceptance ◽  
Qualitative Data ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Survey Study ◽  
Learning Tools ◽  
Perceived Ease Of Use ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Students Attitudes

This study aims to examine the factors that support or hinder students’ attitudes towards using information and communication technology (ICT) in problem-based learning (PBL) using the technology acceptance model (TAM) (Davis, 1989) among polytechnic students. A total of 737 first-year polytechnic students in Singapore participated in the cross-sectional survey study by completing a questionnaire (The assessment of attitude and intention to use ICT tools among polytechnic students), which gathered both quantitative and qualitative data. Based on the analysis of the quantitative data, perceived usefulness and perceived ease of use are found to be significantly and positively correlated with attitudes towards using ICT. Results from the analysis of the qualitative data suggest five major themes (engagement, communication, information gathering, collaboration and efficiency) on what students enjoyed most about using ICT. On the other hand, Internet connectivity, usability, technical issues and ICT competency are the four other themes that categorised the difficulties students faced using ICT. An important implication is to develop polytechnic lecturers’ competency in the use of ICT-enabled learning tools as a priority to enable them to successfully integrate ICT in their PBL lessons. 

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