Receipt of recommended services among patients with selected disabling conditions and diabetes

2017 ◽  
Vol 10 (1) ◽  
pp. 58-64 ◽  
Author(s):  
Kevin J. Bennett ◽  
Suzanne McDermott ◽  
Joshua R. Mann ◽  
James Hardin
Keyword(s):  
Recommended Services

scholarly journals Quality of antenatal care and associated factors in a rural county in Kenya: an assessment of service provision and experience dimensions

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Patience A. Afulani ◽  
Laura Buback ◽  
Francisca Essandoh ◽  
Joyceline Kinyua ◽  
Leah Kirumbi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Antenatal Care ◽  
Service Provision ◽  
Blood Pressure Monitoring ◽  
Urine Test ◽  
Information Communication ◽  
Experience Of Care ◽  
The Individual ◽  
Recommended Services

Abstract Background This study aimed to assess the quality of antenatal care (ANC) women received in Migori county, Kenya—including both service provision and experience dimensions—and to examine factors associated with each dimension. Methods We used survey data collected in 2016 in Migori county from 1031 women aged 15–49 who attended ANC at least once in their most recent pregnancy. ANC quality service provision was measured by nine questions on receipt of recommended ANC services, and experience of care by 18 questions on information, communication, dignity, and facility environment. We summed the responses to the individual items to generate ANC service provision and experience of care scores. We used both linear and logistic regression to examine predictors. Results The average service provision score was 10.9 (SD = 2.4) out of a total of 16. Most women received some recommended services once, but not at the frequency recommended by the Kenyan Ministry of Health. About 90% had their blood pressure measured, and 78% had a urine test, but only 58 and 14% reported blood pressure monitoring and urine test, respectively, at every visit. Only 16% received an ultrasound at any time during ANC. The average experience score is 27.3 (SD = 8.2) out of a total score of 42, with key gaps demonstrated in communication. About half of women were not educated on pregnancy complications. Also, about one-third did not often understand the purposes of tests and medicines received and did not feel able to ask questions to the health care provider. In multivariate analysis, women who were literate, employed, and who received all their ANC in a health center had higher experiences scores than women who were illiterate (coefficient = 1.52, CI:0.26,2.79), unemployed (coefficient = 2.73, CI:1.46,4.00), and received some ANC from a hospital (coefficient = 1.99, CI: 0.84, 3.14) respectively. The wealthiest women had two times higher odds of receiving an ultrasound than the poorest women (OR = 2.00, CI:1.20,3.33). Conclusion Quality of ANC is suboptimal in both service provision and experience domains, with disparities by demographic and socioeconomic factors and facility type. More efforts are needed to improve quality of ANC and to eliminate the disparities.

The Study on Educational Resources Based on the Recommended Services

2014 ◽  
Vol 687-691 ◽  
pp. 2411-2414
Author(s):  
Wen Lu Li
Keyword(s):  
Online Teaching ◽  
Feature Representation ◽  
Educational Resources ◽  
Recommendation Algorithm ◽  
Teaching Resources ◽  
Teaching System ◽  
Network Teaching ◽  
Referral Service ◽  
Recommended Services ◽  
Vast Network

In the network teaching system, with the increasing teaching resources, student resources are increasingly difficult to find interesting, so join teaching resource referral service in online teaching system allows students freed from the vast network of information resources, greatly saving time and effort spent on students in search of information. Under these conditions and needs, educational resources referral service technology has been progressively developed. This article is recommended for Educational Resources Services referral service model, resource feature representation and recommendation algorithm based on machine learning and other key technologies were discussed and studied.

Recommended healthcare among elderly cancer survivors

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 6045-6045
Author(s):  
A. M. McBean ◽  
X. Yu ◽  
B. A. Virnig
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Influenza Vaccination ◽  
Diabetes Care ◽  
Preventive Services ◽  
Cancer Type ◽  
Elderly Persons ◽  
Eye Examination ◽  
To Receive ◽  
Recommended Services

6045 Background: Earle and colleagues (2003, 2004) have published conflicting information regarding recommended services among cancer survivors: breast cancer survivors had higher rates than persons without cancer (2003); and colorectal cancer survivors had lower rates (2004). We examined the use of preventive services and recommended diabetes care in 1999–2002 among elderly Medicare beneficiaries who were long-term survivors of 5 different types of cancer: bladder, breast, colorectal, prostate and uterine. Methods: Retrospective cohort analysis using the linked SEER/Medicare database of beneficiaries living in the SEER areas of the NCI who survived 5 years after bladder, breast, colorectal, prostate or uterine cancer diagnosis and a 5% random sample of beneficiaries with no cancer history residing these areas. We compared the rates of influenza vaccination and breast cancer screening, as well as diabetes care services: hemoglobin A1c (HbA1c) testing, eye examination, and lipid testing. Crude and multivariate adjusted rates were calculated and compared. Results: In 1999 through 2002, depending on the cancer type and year, cancer survivors were between 20 and 50% more likely to receive influenza vaccine or mammograms than persons who never had cancer (women with breast cancer excluded). Among those cancer survivors with diabetes, the rates of annual HbA1c testing or eye examination were 1 to 16% greater in all years than among those without cancer, p < 0.05, when adjusted for age-group, gender (if needed), and race. Differences in the serum lipid level determination rates were even smaller or not significant (p ≥ 0.05) between the cancer survivors and controls. Interestingly, depending on the cancer type, the rates of influenza vaccination and mammography were up to 30% higher among cancer survivors with diabetes than in survivors who did not have diabetes. Multivariate models that included other sociodemographic variables, comorbities and other relevant covariates confirmed these findings. Conclusions: Elderly persons who have survived cancer were generally more likely to receive preventive and other recommended services compared with those without cancer. The presence of another chronic disease such as diabetes, may enhance the use of preventive services. No significant financial relationships to disclose.

Use of advanced imaging and biomarker tests for post-treatment surveillance in early-stage breast cancer survivors.

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 168-168
Author(s):  
Erin E. Hahn ◽  
Kaizeen C. Mody ◽  
Amy Ann Jacobson ◽  
Patricia A. Ganz
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Early Stage ◽  
Chest Ct ◽  
Post Treatment ◽  
Advanced Imaging ◽  
Abdominal Ct ◽  
Recommended Services

168 Background: The American Society of Clinical Oncology (ASCO) released a “Top Five” list of opportunities to improve the quality of cancer care. #4 focused on post-treatment surveillance in breast cancer patients treated with curative intent. The ASCO guideline on breast cancer follow up advises against using advanced imaging and biomarkers in this setting. We undertook an examination of the patterns of follow-up care for breast cancer survivors treated at an academic medical center to evaluate use of non-recommended services. Methods: Claims data and medical records were reviewed and abstracted for early stage (0-IIIA) breast cancer survivors starting one year post diagnosis, with an average of 5 years of follow-up data. A trained abstractor classified imaging tests as diagnostic/surveillance based on medical record content. A 10% random sample was abstracted by a second abstractor and compared for concordance. Descriptive statistics were generated for patient demographic and medical characteristics, and proportions for receipt of non-recommended services, including if imaging procedures were performed for diagnostic/surveillance purposes. Multivariate logistic regression modeling was used to determine factors associated with receiving non-recommended services. Results: Records were available for 258 patients. The mean age was 62 (SD 13), mean time since diagnosis was 6 years (SD 2), 66% were stage 0/1. 35% received at least one abdominal CT, 31% at least one chest CT, 20% at least one PET, 30% at least one bone scan. Of these services, 90 abdominal CT scans (47%), 131 chest CT scans (65%), 77 PET scans (90%), and 29 bone scans (26%) were classified as surveillance. 80% received CEA and/or CA 27.29 tests; 8% received CA 15-3 tests. Logistic regression revealed no consistent association of medical, demographic, or provider factors with receiving non-recommended services. Conclusions: Use of non-recommended services for surveillance occurs frequently among early stage survivors. Providers in this academic center had no personal financial incentive for ordering these services. There are opportunities to increase use of guideline concordant post-treatment care for breast cancer survivors.

Use of recommended post-treatment services for adolescent and young adult Hodgkin lymphoma survivors.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 107-107
Author(s):  
Erin Elizabeth Hahn ◽  
Yi-Lin Wu ◽  
Jazmine Garcia Delgadillo ◽  
Corrine E. Munoz-Plaza
Keyword(s):  
Young Adult ◽  
Hodgkin Lymphoma ◽  
Post Treatment ◽  
Adolescent And Young Adult ◽  
First Year ◽  
Recommended Care ◽  
Treatment Services ◽  
Recommended Services ◽  
Lymphoma Survivors

107 Background: Adolescent and young adult (AYA) Hodgkin lymphoma survivors are at high risk for long-term and late effects. Post-treatment guidelines are available from the National Comprehensive Cancer Network (NCCN) and others; however, adherence to these guidelines is unknown. The purpose of this study was to identify AYA Hodgkin survivors from an integrated health care system and examine use of post-treatment services. Methods: We identified patients diagnosed between 2000 and 2010, ages 15 to 39. We identified use of NCCN recommended services (oncology visits, labs, CT) and non-recommended services (PET scan, CT after first year). Multivariate logistic regression was used to identify associations between receipt of recommended services within first 12 months post-treatment (oncology visits, labs, CT) and patient (gender, race/ethnicity) and cancer characteristics (stage, diagnosis age, diagnosis year). Results: We identified 354 patients (see table). Almost all had recommended oncology visits within the first 5 years (96%); 70% received recommended labs. Two-thirds received a recommended CT scan within 12 months post- treatment. However, 47% received a non-recommended CT in year 2 and 35% in year 3, and 33% received a non-recommended PETs. Overall, 48% received all recommended care within the first 12 months. Diagnosis year was significant in regression, with those diagnosed 2000-2005 less likely to receive recommended care than those diagnosed 2006-2010 (OR = 0.007, p < .0001). Conclusions: Less than half of patients received recommended care within the first year post-treatment. These results will inform development of effective programs to meet survivors’ needs. Next steps include exploring risk-stratified patterns of care in long-term survivors. [Table: see text]

US Trends in Receipt of Appropriate Diabetes Clinical and Self-care From 2001 to 2010 and Racial/Ethnic Disparities in Care

2014 ◽  
Vol 40 (6) ◽  
pp. 756-766 ◽  
Author(s):  
Roxana Chen ◽  
Allen Cheadle ◽  
Donna Johnson ◽  
Bonnie Duran
Keyword(s):  
Self Care ◽  
Ethnic Disparities ◽  
Self Management ◽  
Self Monitoring ◽  
Recommended Care ◽  
Flu Vaccination ◽  
Race Ethnicity ◽  
To Receive ◽  
Recommended Services ◽  
Racial Ethnic

Purpose The purpose of this study was to examine trends in the receipt of 8 recommended diabetes clinical and self-care indicators from 2001 to 2010 and assess racial/ethnic disparities in care. Methods This observational study examined receipt of A1C tests, annual eye and foot exams, flu vaccination, diabetes self-management education (DSME), exercise, self-monitoring of blood glucose (SMBG), and self feet examinations among US adults with diabetes using national survey data from 2001 to 2010. Analyses included estimating proportions for each indicator by year, testing differences in magnitude of change from 2001 to 2010 by race/ethnicity, and regression models to assess changes in care over time and factors associated with care. Results There were significant increases from 2001 to 2010 in A1C tests, annual foot exams, flu shots, DSME, and SMBG but declines in eye and self feet exams. DSME was positively associated with receipt of several care indicators. However, only half of respondents received DSME. White and black non-Hispanics, respectively, experienced improvements in at least 3 indicators. Hispanics experienced a significant increase in exercise but were consistently less likely than whites to receive or engage in most care. Conclusions While improvements in several indicators were observed, patterns varied by race/ethnicity, with Hispanics falling short on most measures. DSME was strongly associated with most care and demonstrates the potential to improve receipt of recommended care by increasing DSME participation. With the Affordable Care Act (ACA), health professionals have a prime opportunity to leverage ACA provisions to increase access to recommended services, including DSME.

scholarly journals Comparison of occupational accidents among staff of two educational hospitals of Medical Sciences University of Ahvaz in 2017

2019 ◽  
Author(s):  
Behzad FOULADI ◽  
Zeinab MOSAVIANASL ◽  
Parisa AHMADI ◽  
Zahra HEIDARI ◽  
Fereshte JAHANI ◽  
...  
Keyword(s):  
Body Fluids ◽  
Staff Nurses ◽  
Occupational Accidents ◽  
Medical Sciences ◽  
Operating Room Personnel ◽  
Cross Sectional ◽  
Laboratory Staff ◽  
Skin Contact ◽  
Professional Health ◽  
Recommended Services

Introduction: Hospitals are one of the most important sources of health and medical services, with employees working in different parts that in touch with numerous Occupational harmful factors and Occupational Accidents. Through examining the accident occurring among employees, can do important action to reduce the Human and financial losses. Therefore, the current study aimed at comparing occupational accidents among the staff of the two educational hospitals of Medical Sciences University of Ahvaz. Methods: A cross-sectional analytical study was conducted in 2017 among laboratory staff, nurses and operating room personnel in two educational hospitals. 110 persons from each hospital (sample size based on Cochran formula) participated in the study and information about the experiences of accidents occurred for employees and the days of absence were collected through a questionnaire. Finally, data analysis was done by using SPSS 22 software. Findings: Over 85% of staff in educational hospitals No. 1 and No. 2 were female. The nurses had the highest frequency in terms of the organizational status of the staff employed in these two hospitals. The incident Crop with sharp objects in the hospital 1 and the incidence of skin contact with blood or other body fluids in the hospital 2 were the most frequent among other incidents. Results: Due to the fact that skin contact with blood or other body fluids has the highest rate of recurrence among other events, it can lead to an increase in absenteeism. Therefore, recommended services provided by professional health experts on the continued use of gloves and the selection of suitable gloves are helpful.

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