scholarly journals Demographics in the 2020s—Longevity as a challenge for pharmaceutical drug development, prescribing, dispensing, patient care and quality of life

2020 ◽  
Vol 86 (10) ◽  
pp. 1899-1903 ◽  
Author(s):  
Sven Stegemann ◽  
Diana Riet‐Nales ◽  
Anthonius Boer
Keyword(s):  
Quality Of Life ◽  
Drug Development ◽  
Patient Care ◽  
Pharmaceutical Drug

scholarly journals Randomized controlled study of the impact of a participatory patient care plan among primary care patients with common chronic diseases: a one-year follow-up study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nina Tusa ◽  
Hannu Kautiainen ◽  
Pia Elfving ◽  
Sanna Sinikallio ◽  
Pekka Mäntyselkä
Keyword(s):  
Quality Of Life ◽  
Patient Care ◽  
Usual Care ◽  
Care Plan ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Disease Specific

Abstract Backround Chronic diseases and multimorbidity are common in the ageing population and affect the health related quality of life. Health care resources are limited and the continuity of care has to be assured. Therefore it is essential to find demonstrable tools for best treatment practices for patients with chronic diseases. Our aim was to study the influence of a participatory patient care plan on the health-related quality of life and disease specific outcomes related to diabetes, ischemic heart disease and hypertension. Methods The data of the present study were based on the Participatory Patient Care Planning in Primary Care. A total of 605 patients were recruited in the Siilinjärvi Health Center in the years 2017–2018 from those patients who were followed up due to the treatment of hypertension, ischemic heart disease or diabetes. Patients were randomized into usual care and intervention groups. The intervention consisted of a participatory patient care plan, which was formulated in collaboration with the patient and the nurse and the physician during the first health care visit. Health-related quality of life with the 15D instrument and the disease-specific outcomes of body mass index (BMI), low density lipoprotein cholesterol (LDL-C), hemoglobin A1c (HbA1C) and blood pressure were assessed at the baseline and after a one-year follow-up. Results A total of 587 patients with a mean age of 69 years were followed for 12 months. In the intervention group there were 289 patients (54% women) and in the usual care group there were 298 patients (50% women). During the follow-up there were no significant changes between the groups in health-related quality and disease-specific outcomes. Conclusions During the 12-month follow-up, no significant differences between the intervention and the usual care groups were detected, as the intervention and the usual care groups were already in good therapeutic equilibrium at the baseline. Trial registration ClinicalTrials.gov Identifier: NCT02992431. Registered 14/12/2016

scholarly journals Nurse-led care versus physician-led care in the management of rheumatoid arthritis and psoriatic arthritis (StaerkeR): study protocol for a multi-center randomized controlled trial

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Anna Mai ◽  
Jürgen Braun ◽  
Jens-Peter Reese ◽  
Benjamin Westerhoff ◽  
Ulrike Trampisch ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Psoriatic Arthritis ◽  
Patient Care ◽  
Functional Capacity ◽  
Standard Care ◽  
Controlled Trial ◽  
Treat To Target ◽  
Lower Saxony

Abstract Background In Germany, the care of patients with inflammatory arthritis could be improved. Although specialized rheumatology nurses could take over substantial aspects of patient care, this hardly occurs in Germany. Thus, the aim of the study is to examine structured nursing consultation in rheumatology practices. Methods/design In total, 800 patients with a stable course of rheumatoid arthritis or psoriatic arthritis in 20 centers in North Rhine–Westphalia and Lower Saxony will be randomized to either nurse-led care or standard care. Participating nurses will study for a special qualification in rheumatology and trial-specific issues. It is hypothesized that nurse-led care is non-inferior to standard care provided by rheumatologists with regard to a reduction of disease activity (DAS28) while it is hypothesized to be superior regarding changes in health-related quality of life (EQ-5D-5L) after 1 year. Secondary outcomes include functional capacity, patient satisfaction with treatment, and resource consumption. Discussion Since there is insufficient care of rheumatology patients in Germany, the study may be able to suggest improvements. Nurse-led care has the potential to provide more efficient and effective patient care. This includes a more stringent implementation of the treat-to-target concept, which may lead to a higher percentage of patients reaching their treatment targets, thereby improving patient-related outcomes, such as quality of life, functional capacity, and participation. Additionally, nurse-led care may be highly cost-effective. Finally, this project may form the basis for a sustainable implementation of nurse-led care in standard rheumatology care in Germany. Trial registration German Clinical Trials Register, DRKS00015526. Registered on 11 January 2019.

149. Surgery Resident Work-Hour Restrictions: Impact on Patient Care, Surgical Education and Resident Quality of Life

2009 ◽  
Vol 151 (2) ◽  
pp. 241-242
Author(s):  
S.D. Holubar ◽  
V.L. Tsikitis ◽  
K. Malireddy ◽  
R.R. Cima ◽  
D.W. Larson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Care ◽  
Surgical Education ◽  
Resident Work ◽  
Work Hour ◽  
Surgery Resident

An audit of the care of 266 patients with schizophrenia in 16 general practices

1998 ◽  
Vol 15 (2) ◽  
pp. 61-63 ◽  
Author(s):  
John Holden
Keyword(s):  
Quality Of Life ◽  
Patient Care ◽  
Mental State ◽  
Family Care ◽  
Care Family ◽  
General Practices ◽  
Examination Quality ◽  
State Examination ◽  
Physical Care

AbstractSixteen general practices completed an audit of the care of their patients with schizophrenia. This resulted in improved levels of recording of six different aspects of patient care; family care, Mental State Examination, quality of life, preventive physical care, co-ordinated care and details of medication.

scholarly journals Maxillofacial Prosthesis: A Review of Treatment Concepts for Better Prosthesis Prognosis

2017 ◽  
Vol 25 (2) ◽  
pp. 95-99
Author(s):  
Sanjay Prasad
Keyword(s):  
Quality Of Life ◽  
Soft Tissue ◽  
Patient Care ◽  
Dental Implant ◽  
Dramatic Improvement ◽  
Facial Defect ◽  
Maxillofacial Prosthesis ◽  
Treatment Concepts ◽  
Difficult Challenge

Maxillofacial prosthesis currently finds itself experiencing more change than at any other time over past 50 years of its recognized existence. Rehabilitation of facial defect, either congenital or acquired, is a difficult challenge for the surgeon as well as prosthodontist. The prosthodontist is limited by the properties of the materials available for facial restorations, the mobility of soft tissue surrounding the defects, the difficulty of establishing retention for large prosthesis, and the patient ability to accept the outcome. However, the acceptance of prosthesis recently has improved remarkably due to better coordination between surgeon and prosthodontist and introduction of dental implant which has dramatically improved the retention and esthetic that result from accurate and repeatable positioning of the implant, and the ease of maintenance.  Dramatic improvement in the acceptance of prosthesis is seen if the prosthodontist participation can begin early in the course of patient care which ultimately will increase the quality of life (QoL) of the patient.

scholarly journals Effectiveness and costs of acute day hospital treatment compared with conventional in-patient care

2006 ◽  
Vol 188 (3) ◽  
pp. 243-249 ◽  
Author(s):  
Stefan Priebe ◽  
Gemma Jones ◽  
Rosemarie McCabe ◽  
Jane Briscoe ◽  
Donna Wright ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Care ◽  
Treatment Satisfaction ◽  
Psychiatric Treatment ◽  
Subjective Quality ◽  
Hospital Treatment ◽  
Day Hospital ◽  
Subjective Quality Of Life

BackgroundData on effectiveness of acute day hospital treatment for psychiatric illness are inconsistent.AimsTo establish the effectiveness and costs of care in a day hospital providing acute treatment exclusively.MethodIn a randomised controlled trial, 206 voluntarily admitted patients were allocated to either day hospital treatment or conventional wards. Psychopathology, treatment satisfaction and subjective quality of life at discharge, 3 months and 12 months after discharge, readmissions to acute psychiatric treatment within 3 and 12 months, and costs in the index treatment period were taken as outcome criteria.ResultsDay hospital patients showed significantly more favourable changes in psychopathology at discharge but not at follow-up. They also reported higher treatment satisfaction at discharge and after 3 months, but not after 12 months. There were no significant differences in subjective quality of life or in readmissions during follow-up. Mean total support costs were higher for the day hospital group.ConclusionsDay hospital treatment for voluntary psychiatric patients in an inner-city area appears more effective in terms of reducing psychopathology in the short term and generates greater patient satisfaction than conventional in-patient care, but may be more costly.

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