New Models in Managing Out-of-Hospital Care of Chronic Patients and Aging Population

2019 ◽  
pp. 23-33
Author(s):  
Ilir Qose ◽  
Raffaele Conte ◽  
Francesco Sansone ◽  
Alessandro Tonacci
Keyword(s):  
Hospital Care ◽  
Aging Population ◽  
Chronic Patients ◽  
New Models

Feasibility of Discharge of Chronic Psychiatric Patients

1984 ◽  
Vol 18 (4) ◽  
pp. 364-372 ◽  
Author(s):  
Jerzy Krupinski ◽  
Alan Mackenzie ◽  
Norman Carson
Keyword(s):  
Mental Health ◽  
Nursing Care ◽  
Hospital Care ◽  
Psychiatric Patients ◽  
Care Homes ◽  
Behavioural Problems ◽  
Chronic Patients ◽  
Charge Nurses ◽  
Therapeutic Activities ◽  
Chronic Psychiatric Patients

In a survey of all (2795) chronic psychiatric patients resident in Victorian Mental Health Division hospitals, charge nurses were asked to assess patients' levels of physical and psychological dependence on nursing care, aggressive and difficult behaviour and their preferred future placement. The vast majority were ‘old’ chronic patients and nurses considered the present placement as the most appropriate for two-thirds of the surveyed population. We adopted our own criteria of placement needs, such as level of physical and psychological dependence, behavioural problems and treatment received. Of the 2795 patients, one-quarter (682) would require continuing hospital care. The remainder could be transferred, depending on their characteristics, to intensive or general nursing care homes, hostels or special accommodation houses, provided that such facilities are available and the participation of patients in various therapeutic activities was ensured.

scholarly journals Use of primary and hospital care health services by chronic patients according to risk level by adjusted morbidity groups

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jaime Barrio-Cortes ◽  
María Soria-Ruiz-Ogarrio ◽  
María Martínez-Cuevas ◽  
Almudena Castaño-Reguillo ◽  
Mariana Bandeira-de Oliveira ◽  
...  
Keyword(s):  
Palliative Care ◽  
High Risk ◽  
Health Services ◽  
Chronic Diseases ◽  
Service Utilization ◽  
Hospital Care ◽  
Chronically Ill ◽  
Predisposing Factors ◽  
Risk Level ◽  
Chronic Patients

Abstract Background Patients with chronic diseases have increased needs for assistance and care. The objective of this study was to describe the characteristics and use of primary care (PC) and hospital care (HC) health services by chronic patients according to risk level based on adjusted morbidity groups (AMG) and to analyze the associated factors. Methods Cross-sectional descriptive observational study. Patients from a basic health area classified as chronically ill by the AMG classification system of the Madrid PC electronic medical record were included. Sociodemographic, clinical-care characteristics (classified as predisposing factors or need factors) and service utilization variables were collected. Univariate, bivariate and simple linear regression analyses were performed. Results The sample consisted of 9866 chronic patients and 8332 (84.4%) used health services. Of these service users, 63% were women, mean age was 55.7 (SD = 20.8), 439 (5.3%) were high risk, 1746 (21.2%) were medium risk, and 6041(73.4%) were low risk. A total of 8226 (98.7%) were PC users, and 4284 (51.4%) were HC users. The average number of annual contacts with PC was 13.9 (SD = 15); the average number of contacts with HC was 4.8 (SD = 6.2). Predisposing factors associated with services utilization at both care levels were: age (B coefficient [BC] = 0.03 and 0.018, 95% CI = 0.017–0.052 and 0.008–0.028, respectively, for PC and HC) and Spanish origin (BC = 0.962 and 3.396, 95% CI = 0.198–1.726 and 2.722–4.070); need factors included: palliative care (BC = 10,492 and 5047; 95% CI = 6457–14,526 and 3098-6995), high risk (BC = 4631 and 2730, 95% CI = 3022–6241 and 1.949–3.512), number of chronic diseases (BC = 1.291 and 0.222, 95% CI = 1.068–1.51 and 0.103–0.341) and neoplasms (BC = 2.989 and 4.309, 95% CI = 1.659–4.319 and 3.629–4.989). Conclusions The characteristics and PC and HC service utilization of chronic patients were different and varied according to their AMG risk level. There was greater use of PC services than HC services, although utilization of both levels of care was high. Service use was related to predisposing factors such as age and country of origin and, above all, to need factors such as immobility, high risk, and number and type of chronic diseases that require follow-up and palliative care.

The Behavioral Voice-Lift

ASHA Leader ◽  
2013 ◽  
Vol 18 (3) ◽  
Author(s):  
Aaron Ziegler ◽  
Edie Hapner
Keyword(s):  
Aging Population

Learn how SLPs can help restore the youthful voice of an aging population.

521: Oral Desmopressin in the Treatment of Nocturia in Aging Population

2004 ◽  
Vol 171 (4S) ◽  
pp. 139-139
Author(s):  
Aksam A. Yassin ◽  
Fadi Schukfeh
Keyword(s):  
Aging Population

Technology, Cost Shift Hospital Care to Home

2011 ◽  
Vol 6 (3) ◽  
pp. 48
Author(s):  
M. ALEXANDER OTTO
Keyword(s):  
Hospital Care ◽  
Cost Shift

Refining Evidence-Based Treatments for Late-Life Depression

GeroPsych ◽  
2015 ◽  
Vol 28 (2) ◽  
pp. 67-76
Author(s):  
Grace C. Niu ◽  
Patricia A. Arean
Keyword(s):  
Older Adults ◽  
Mental Illness ◽  
Brain Plasticity ◽  
Late Life ◽  
Aging Population ◽  
The United States ◽  
Future Research ◽  
Evidence Based ◽  
Late Life Depression ◽  
Evidence Based Treatments

The recent increase in the aging population, specifically in the United States, has raised concerns regarding treatment for mental illness among older adults. Late-life depression (LLD) is a complex condition that has become widespread among the aging population. Despite the availability of behavioral interventions and psychotherapies, few depressed older adults actually receive treatment. In this paper we review the research on refining treatments for LLD. We first identify evidence-based treatments (EBTs) for LLD and the problems associated with efficacy and dissemination, then review approaches to conceptualizing mental illness, specifically concepts related to brain plasticity and the Research Domain Criteria (RDoc). Finally, we introduce ENGAGE as a streamlined treatment for LLD and discuss implications for future research.

Review of New models for mass communication research.

1975 ◽  
Vol 20 (5) ◽  
pp. 431-432
Author(s):  
ANTHONY G. GREENWALD
Keyword(s):  
Mass Communication ◽  
Communication Research ◽  
New Models

Educational Psychology Texts: Two New Models

1969 ◽  
Vol 14 (8) ◽  
pp. 421-423 ◽  
Author(s):  
W. ROBERT DIXON
Keyword(s):  
Educational Psychology ◽  
New Models
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