National Trends in Emergency Department Use, Care Patterns, and Quality of Care of Older Adults in the United States

2013 ◽  
Vol 61 (1) ◽  
pp. 12-17 ◽  
Author(s):  
Jesse M. Pines ◽  
Peter M. Mullins ◽  
James K. Cooper ◽  
Lisa B. Feng ◽  
Katalin E. Roth
Keyword(s):  
United States ◽  
Older Adults ◽  
Emergency Department ◽  
Quality Of Care ◽  
The United States ◽  
Emergency Department Use ◽  
Care Patterns ◽  
National Trends

scholarly journals Association of patients’ perception of quality of healthcare received and colorectal cancer screening uptake: An analysis of two national surveys in the United States

2020 ◽  
Author(s):  
Karan Chawla ◽  
Angesom Kibreab ◽  
Victor & Scott ◽  
Edward L. Lee ◽  
Farshad Aduli ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
The United States ◽  
Crc Screening ◽  
Fair Poor ◽  
National Trends

Objective: It is unknown whether patients’ ratings of the quality of healthcare services they receive truly correlate with the quality of care from their providers. Understanding this association can potentiate improvement in healthcare delivery. We evaluated the association between patients’ ratings of the quality of healthcare services received and uptake of colorectal cancer (CRC) screening. Subject and Methods: We used two iterations of the Health Information National Trends Survey (HINTS) of adults in the United States. HINTS 2007 (4,007 respondents; weighted population=75,397,128) evaluated whether respondents were up-to-date with CRC screening while HINTS 4 cycle 3 (1,562 respondents; weighted population=76,628,000) evaluated whether participants had ever received CRC screening in the past. All included respondents from both surveys were at least 50 years of age, had no history of CRC, and had rated the quality of healthcare services that they had received at their healthcare provider’s office in the previous 12 months. Results: HINTS 2007 data showed that respondents who rated their healthcare as good, or fair/poor were significantly less likely to be up to date with CRC screening compared to those who rated their healthcare as excellent. We found comparable results from analysis of HINTS 4 cycle 3 data with poorer uptake of CRC screening as the healthcare quality ratings of respondents’ reduced. Conclusion: Our study suggested that patients who reported receiving lower quality of healthcare services were less likely to have undergone and be compliant with CRC screening recommendations. It is important to pay close attention to patient feedback surveys in order to improve healthcare delivery.

Appraisal of the Quality of Care of Older Adults with Cognitive Impairment in the Emergency Department

2013 ◽  
Vol 39 (3) ◽  
pp. 34-40 ◽  
Author(s):  
Linda M. Schnitker ◽  
Melinda Martin-Khan ◽  
Ellen Burkett ◽  
Elizabeth R.A. Beattie ◽  
Leonard C. Gray
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Cognitive Impairment ◽  
Quality Of Care

Telepsychiatry Use in Rural Areas in the United States

2020 ◽  
Vol 13 (4) ◽  
pp. 1-13
Author(s):  
Alberto Coustasse ◽  
Morgan Ruley ◽  
Tonnie C. Mike ◽  
Briana M. Washington ◽  
Anna Robinson
Keyword(s):  
Mental Health ◽  
United States ◽  
Quality Of Care ◽  
Rural Areas ◽  
Care Delivery ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
The United States ◽  
Access And Quality

Rural areas have experienced a higher than average shortage of healthcare professionals. Numerous challenges have limited access to mental health services. Some of these barriers have included transportation, number of providers, poverty, and lack of insurance. Recently, the utilization of telepsychiatry has increased in rural areas. The purpose of this review was to identify and coalesce the benefits of telepsychiatry for adults living in rural communities in the United States to determine if telepsychiatry has improved access and quality of care. The methodology for this study was a literature review that followed a systematic approach. References and sources were written in English and were taken from studies in the United States between 2004 and 2018 to keep this review current. Fifty-nine references were selected from five databases. It was found that several studies supported that telepsychiatry has improved access and quality of care available in rural environments. At the same time, telepsychiatry in mental healthcare has not been utilized as it should in rural adult populations due to lack of access, an overall shortage of providers, and poor distribution of psychiatrists. There are numerous benefits to implementing telepsychiatry in rural areas. While there are still barriers that prevent widespread utilization, telepsychiatry can improve mental health outcomes by linking rural patients to high-quality mental healthcare services that follow evidence-based care and best practices. Telepsychiatry utilization in rural areas in the United States has demonstrated to have a significant ability to transform mental health care delivery and clinician productivity. As technology continues to advance access, telepsychiatry will also advance, making access more readily available.

scholarly journals A Descriptive Analysis of Location of Older Adult Falls That Resulted in Emergency Department Visits in the United States, 2015

2020 ◽  
pp. 155982762094218
Author(s):  
Briana L. Moreland ◽  
Ramakrishna Kakara ◽  
Yara K. Haddad ◽  
Iju Shakya ◽  
Gwen Bergen
Keyword(s):  
United States ◽  
Older Adults ◽  
Emergency Department ◽  
The United States ◽  
Emergency Department Visits ◽  
Targeted Prevention ◽  
Injury Surveillance System ◽  
Injurious Falls ◽  
Ed Visits ◽  
At Home

Introduction. Falls among older adults (age ≥65) are a common and costly health issue. Knowing where falls occur and whether this location differs by sex and age can inform prevention strategies. Objective. To determine where injurious falls that result in emergency department (ED) visits commonly occur among older adults in the United States, and whether these locations differ by sex and age. Methods. Using 2015 National Electronic Injury Surveillance System-All Injury Program data we reviewed narratives for ED patients aged ≥65 who had an unintentional fall as the primary cause of injury. Results. More fall-related ED visits (71.6%) resulted from falls that occurred indoors. A higher percentage of men’s falls occurred outside (38.3%) compared to women’s (28.4%). More fall-related ED visits were due to falls at home (79.2%) compared to falls not at home (20.8%). The most common locations for a fall at home were the bedroom, bathroom, and stairs. Conclusion. The majority of falls resulting in ED visits among older adults occurred indoors and varied by sex and age. Knowing common locations of injurious falls can help older adults and caregivers prioritize home modifications. Understanding sex and age differences related to fall location can be used to develop targeted prevention messages.

scholarly journals Persistent Depression and Anxiety in the United States: Prevalence and Quality of Care

2008 ◽  
Vol 59 (12) ◽  
pp. 1391-1398 ◽  
Author(s):  
Alexander S. Young ◽  
Ruth Klap ◽  
Rebecca Shoai ◽  
Kenneth B. Wells
Keyword(s):  
United States ◽  
Quality Of Care ◽  
The United States ◽  
Depression And Anxiety ◽  
Persistent Depression

scholarly journals Quality of Care for Elderly Patients Hospitalized for Pneumonia in the United States, 2006 to 2010

2014 ◽  
Vol 174 (11) ◽  
pp. 1806 ◽  
Author(s):  
Jonathan S. Lee ◽  
Wato Nsa ◽  
Leslie R. M. Hausmann ◽  
Amal N. Trivedi ◽  
Dale W. Bratzler ◽  
...  
Keyword(s):  
United States ◽  
Quality Of Care ◽  
Elderly Patients ◽  
The United States

Mo1864 Current Trends in the Quality of Care of Inflammatory Bowel Disease in the United States

2016 ◽  
Vol 150 (4) ◽  
pp. S799
Author(s):  
Arun Swaminath ◽  
Marla Dubinsky ◽  
Naijun Chen ◽  
Martha Skup ◽  
Jingdong Chao ◽  
...  
Keyword(s):  
United States ◽  
Inflammatory Bowel Disease ◽  
Quality Of Care ◽  
Bowel Disease ◽  
The United States ◽  
Current Trends ◽  
Inflammatory Bowel
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