Changing Healthcare Service Delivery to Improve Health Outcomes For Older Adults: Opportunities Not to Be Missed

2017 ◽  
Vol 66 (2) ◽  
pp. 235-238 ◽  
Author(s):  
Shari M. Ling ◽  
Paul McGann
Keyword(s):  
Older Adults ◽  
Service Delivery ◽  
Health Outcomes ◽  
Healthcare Service ◽  
Improve Health

scholarly journals Digital Predictors of Morbidity, Hospitalization, and Mortality Among Older Adults: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2 ◽  
Author(s):  
Sofia Daniolou ◽  
Andreas Rapp ◽  
Celina Haase ◽  
Alfred Ruppert ◽  
Marlene Wittwer ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Health Outcomes ◽  
Digital Health ◽  
Meta Analysis ◽  
Design Development ◽  
Clinical Implementation ◽  
Care Needs ◽  
Health Technologies ◽  
Improve Health

The widespread adoption of digital health technologies such as smartphone-based mobile applications, wearable activity trackers and Internet of Things systems has rapidly enabled new opportunities for predictive health monitoring. Leveraging digital health tools to track parameters relevant to human health is particularly important for the older segments of the population as old age is associated with multimorbidity and higher care needs. In order to assess the potential of these digital health technologies to improve health outcomes, it is paramount to investigate which digitally measurable parameters can effectively improve health outcomes among the elderly population. Currently, there is a lack of systematic evidence on this topic due to the inherent heterogeneity of the digital health domain and the lack of clinical validation of both novel prototypes and marketed devices. For this reason, the aim of the current study is to synthesize and systematically analyse which digitally measurable data may be effectively collected through digital health devices to improve health outcomes for older people. Using a modified PICO process and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) framework, we provide the results of a systematic review and subsequent meta-analysis of digitally measurable predictors of morbidity, hospitalization, and mortality among older adults aged 65 or older. These findings can inform both technology developers and clinicians involved in the design, development and clinical implementation of digital health technologies for elderly citizens.

scholarly journals Implementing a Multidisciplinary Approach for Older Adults with Cancer: Geriatric Oncology in Practice

2020 ◽  
Author(s):  
Carolyn Presley ◽  
Jessica Krok-Schoen ◽  
Sarah Wall ◽  
Anne Noonan ◽  
Desiree Jones ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Multidisciplinary Approach ◽  
Healthcare Delivery ◽  
Geriatric Oncology ◽  
Sensory Loss ◽  
Multiple Chronic Conditions ◽  
Care Clinic ◽  
Oncology Care ◽  
Improve Health

Abstract Background: Evidence-based practice in geriatric oncology is growing, and national initiatives have focused on expanding cancer care and research to improve health outcomes for older adults. However, there are still gaps between knowledge and practice for older adults with cancer.Methods: Here we provide a detailed methodology of geriatric oncology care delivery within a single institution. The Cancer and Aging Resiliency (CARE) clinic is a multidisciplinary approach for implementing geriatric-driven health care for older adults with cancer. The CARE clinic was developed as a direct response to recommendations targeting key multifactorial geriatric health conditions (e.g. falls, nutritional deficits, sensory loss, cognitive impairment, frailty, multiple chronic conditions, and functional status). The multidisciplinary team assesses and delivers a comprehensive set of recommendations, all in one clinic visit, to minimize burden on the patient and the caregiver. The CARE clinic consultative model is a novel approach integrating cancer subspecialties with geriatric oncology healthcare delivery.Conclusions: Older adults with cancer have unique needs that are independent of routine oncology care. The CARE clinic model provides specific assessments and interventions to improve health outcomes among older adults with cancer.

scholarly journals Adherence to Medication in Older Adults as a Way to Improve Health Outcomes and Reduce Healthcare System Spending

Gerontology ◽  
2018 ◽  
Author(s):  
Luís Midão ◽  
Anna Giardini ◽  
Enrica Menditto ◽  
Przemyslaw Kardas ◽  
Elísio Costa
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Healthcare System ◽  
Adherence To Medication ◽  
Improve Health

scholarly journals Electricity Access, Community Healthcare Service Delivery, and Rural Development Nexus: Analysis of 3 Solar Electrified CHPS in Off-Grid Communities in Ghana

2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Richard Opoku ◽  
Eunice A. Adjei ◽  
George Y. Obeng ◽  
Luc Severi ◽  
Abdul-Rahim Bawa
Keyword(s):  
Rural Development ◽  
Service Delivery ◽  
Health Outcomes ◽  
Community Health ◽  
Healthcare Service ◽  
Healthcare Services ◽  
Solar Pv ◽  
Pv Systems ◽  
Time Savings ◽  
Electricity Access

Over 600 million people living in sub-Saharan Africa do not have access to electricity. Modern healthcare services, including vaccine refrigeration, which require electricity are therefore lacking in such energy-deprived communities. In this work, analysis has been conducted on how electricity access can help improve healthcare service delivery and rural development, with a case study on 3 different off-grid solar photovoltaic (PV) systems in community-based health planning and services (CHPS) in Ghana. Analysis from this study showed that for the 3.0 kWp solar PV systems installed at the various sites, the in-house electricity consumptions are between 4.30 and 7.58 kWh per day. It was found out that excess electricity generation of 148–304 kWh per month is available and can be used to provide other economic services including phone charging, torchlight battery charging, and small-sized cold storage services to generate income for the maintenance of the systems, which is critical for sustainability of solar PV installations in rural poor communities. The study results also showed that electrified health facilities which are able to provide basic healthcare services have potential impact on community health outcomes and rural development. Assessment conducted at the CHPS compounds revealed that, generally, there is improvement in healthcare service delivery resulting in time savings of 15-43 hours per month for the inhabitants which can potentially be used for productive work. The time savings were more significant in females and children than in males. In many rural agro-based communities in developing countries, female and children are usually the workforce engaged in various farming activities. This paper concludes that access to electricity in CHPS compounds helps to improve community health outcomes and increases time availability for women to engage in productive work that can potentially result in significant socioeconomic activities and rural development.

Personality and Health Outcomes Among Older Adults

2006 ◽  
Author(s):  
Benjamin Chapman ◽  
Jeffrey Lyness ◽  
Paul Duberstein
Keyword(s):  
Older Adults ◽  
Health Outcomes

The Impact of Social Mobilization on Health Service Delivery and Health Outcomes

2018 ◽  
Author(s):  
Xavier Giné ◽  
Salma Khalid ◽  
Mansuri Ghazala
Keyword(s):  
Health Services ◽  
Service Delivery ◽  
Health Outcomes ◽  
Health Workers ◽  
Health Service Delivery ◽  
Health Providers ◽  
Child Health Outcomes ◽  
Rural Pakistan ◽  
Post Natal Care ◽  
The Impact

This chapter uses a randomized community development programme in rural Pakistan to assess the impact of citizen engagement on public service delivery and maternal and child health outcomes. The programme had a strong emphasis on organizing women, who also identified health services as a development priority at baseline. At midline, we find that the mobilization effort alone had a significant impact on the performance of village-based health providers. We detect economically large improvements in pregnancy and well-baby visits by female health workers, as well as increased utilization of pre- and post-natal care by pregnant women. In contrast, the quality of supra-village health services did not improve, underscoring the importance of community enforcement and monitoring capacity for improving service delivery.

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