Rural and urban disparities in quality of home health care: A longitudinal cohort study (2014‐2018)

2022 ◽  
Author(s):  
Chenjuan Ma ◽  
Andrea Devoti ◽  
Melissa O'Connor
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Home Health Care ◽  
Home Health ◽  
Longitudinal Cohort Study ◽  
Longitudinal Cohort ◽  
Rural And Urban

scholarly journals Longitudinal cohort study of the impact of specialist cancer services for teenagers and young adults on quality of life: outcomes from the BRIGHTLIGHT study

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e038471
Author(s):  
Rachel M Taylor ◽  
Lorna A Fern ◽  
Julie Barber ◽  
Javier Alvarez-Galvez ◽  
Richard Feltbower ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Young Adults ◽  
Cohort Study ◽  
Young People ◽  
Longitudinal Cohort Study ◽  
Longitudinal Cohort ◽  
Cancer Services ◽  
Teenagers And Young Adults ◽  
Over Time

ObjectivesIn England, healthcare policy advocates specialised age-appropriate services for teenagers and young adults (TYA), those aged 13 to 24 years at diagnosis. Specialist Principal Treatment Centres (PTC) provide enhanced TYA age-specific care, although many still receive care in adult or children’s cancer services. We present the first prospective structured analysis of quality of life (QOL) associated with the amount of care received in a TYA-PTCDesignLongitudinal cohort study.SettingHospitals delivering inpatient cancer care in England.Participants1114 young people aged 13 to 24 years newly diagnosed with cancer.InterventionExposure to the TYA-PTC defined as patients receiving NO-TYA-PTC care with those receiving ALL-TYA-PTC and SOME-TYA-PTC care.Primary outcomeQuality of life measured at five time points: 6, 12, 18, 24 and 36 months after diagnosis.ResultsGroup mean total QOL improved over time for all patients, but for those receiving NO-TYA-PTC was an average of 5.63 points higher (95% CI 2.77 to 8.49) than in young people receiving SOME-TYA-PTC care, and 4·17 points higher (95% CI 1.07 to 7.28) compared with ALL-TYA-PTC care. Differences were greatest 6 months after diagnosis, reduced over time and did not meet the 8-point level that is proposed to be clinically significant. Young people receiving NO-TYA-PTC care were more likely to have been offered a choice of place of care, be older, from more deprived areas, in work and have less severe disease. However, analyses adjusting for confounding factors did not explain the differences between TYA groups.ConclusionsReceipt of some or all care in a TYA-PTC was associated with lower QOL shortly after cancer diagnosis. The NO-TYA-PTC group had higher QOL 3 years after diagnosis, however those receiving all or some care in a TYA-PTC experienced more rapid QOL improvements. Receipt of some care in a TYA-PTC requires further study.

The Effect of Surgical Treatment on the Quality of Life of Young Women with Breast Asymmetry: A Longitudinal, Cohort Study

2020 ◽  
Vol 146 (4) ◽  
pp. 400e-408e
Author(s):  
Laura C. Nuzzi ◽  
Joseph M. Firriolo ◽  
Carolyn M. Pike ◽  
Felecia E. Cerrato ◽  
Amy D. DiVasta ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cohort Study ◽  
Surgical Treatment ◽  
Young Women ◽  
Longitudinal Cohort Study ◽  
Breast Asymmetry ◽  
Longitudinal Cohort

scholarly journals Quality of Medicare-Reimbursed Home Health Care

1996 ◽  
Vol 36 (4) ◽  
pp. 492-501 ◽  
Author(s):  
A. M. Jette ◽  
K. W. Smith ◽  
S. M. McDermott
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Home Health

An evaluation of home health care needs and Quality of Life among the elderly in a semi-rural area of Western Turkey

2016 ◽  
Vol 7 (1) ◽  
pp. 8-12 ◽  
Author(s):  
R. Aydin ◽  
E. Unal ◽  
M.E. Gokler ◽  
S. Metintas ◽  
G.O. Emiral ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Rural Area ◽  
Home Health Care ◽  
The Elderly ◽  
Home Health ◽  
Health Care Needs ◽  
Care Needs ◽  
Western Turkey
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