scholarly journals Type of Multimorbidity and Patient-Doctor Communication and Trust among Elderly Medicare Beneficiaries

2016 ◽  
Vol 2016 ◽  
pp. 1-13 ◽  
Author(s):  
Rahul Garg ◽  
Chan Shen ◽  
Nethra Sambamoorthi ◽  
Kimberly Kelly ◽  
Usha Sambamoorthi
Keyword(s):  
Effective Communication ◽  
The Elderly ◽  
Mental Condition ◽  
Medicare Beneficiaries ◽  
Physical And Mental Health ◽  
Physical Conditions ◽  
The Us ◽  
Doctor Communication ◽  
The Relationship ◽  
Improve Patient

Background. Effective communication and high trust with doctor are important to reduce the burden of multimorbidity in the rapidly aging population of the US. However, the association of multimorbidity with patient-doctor communication and trust is unknown. Objective. We examined the relationship between multimorbidity and patient-doctor communication and trust among the elderly. Method. We used the Medicare Current Beneficiary Survey (2012) to analyze the association between multimorbidity and patient-doctor communication and trust with multivariable logistic regressions that controlled for patient’s sociodemographic characteristics, health status, and satisfaction with care. Results. Most elderly beneficiaries reported effective communication (87.5–97.5%) and high trust (95.4–99.1%) with their doctors. The elderly with chronic physical and mental conditions were less likely than those with only physical conditions to report effective communication with their doctor (Adjusted Odds Ratio [95% Confidence Interval] = 0.80 [0.68, 0.96]). Multimorbidity did not have a significant association with patient-doctor trust. Conclusions. Elderly beneficiaries had high trust in their doctors, which was not affected by the presence of multimorbidity. Elderly individuals who had a mental condition in addition to physical conditions were more likely to report ineffective communication. Programs to improve patient-doctor communication with patients having cooccurring chronic physical and mental health conditions may be needed.

Patient-centered cancer care (PCCC) as a roadmap to success in Alternate Payment Model (APM): A case study-based learning.

2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 318-318
Author(s):  
Kashyap B. Patel ◽  
Natasha Clinton
Keyword(s):  
Patient Experience ◽  
Cancer Care ◽  
Medicare Beneficiaries ◽  
Patient Centered ◽  
Term Care ◽  
The Us ◽  
Oncology Care ◽  
Ed Visits ◽  
Value Based Care ◽  
Improve Patient

318 Background: Cancer care is among the fastest-growing segments of the US healthcare system. In the US, total spending on cancer care has increased to $124 billion in 2010. Total costs of cancer care for the US population are predicted to increase across all phases of care. One possible way to reduce overall cost, improve patient experience, and improve outcomes is to shift care away from volume and towards value. Patient-centered cancer care (PCCC) holds the promise of addressing these issues. The Oncology Care Model (OCM), developed by CMS’s Center for Medicare & Medicaid Innovation (CMMI), is a pilot designed to assess the efficacy of PCCC for Medicare beneficiaries over the next 5 years. Our practice participates in the OCM model. We share our practice transformation into PCCC reducing cost, reduce ER visit and improve patient experience. Methods: At CBCCA, we transitioned to PCCC center for accreditation as a Patient Centered Specialty Practice (PCSP) through the National Center for Quality Assurance (NCQA). Our path for PCSP primed us for the OCM with expanded access (including same-day appointments and weekend access), reduced ER visits and hospitalizations. We predicted that transition to PCCC would lower expenses, improve the patient experience, and likely improve outcomes. Based on our projected savings with the delivery of PCCC, we expected CMMI to save about a million dollars. Upon receiving reconciliation reports from CMMI, we were pleased to see that our projections were well within the actual outcomes of savings. Results: Pursuant to our transition to PCCC we were able to reduce ED visits by 40%, hospital stay by 20%, Observation unit stay by 45%, stay in long term care unit by 40% and home health visits by 24%, resulting in overall savings to over $500,000 savings to CMS. Our patient satisfaction survey was in 75% across major parameters. Conclusions: PCCC transition is a viable option for physicians to reduce overall cost, maintain or improve outcomes and patient experience. OCM is the first major initiative that will likely validate journey towards value-based care. Close to 25% of all practices have achieved target savings.

Parkinson’s Symptoms and Caregiver Affiliate Stigma: A Multinational Study

2021 ◽  
Vol 18 ◽  
Author(s):  
Richard S. Henry ◽  
Paul B. Perrin ◽  
Sarah K. Lageman ◽  
Teresita Villaseñor ◽  
Annahir N. Cariello ◽  
...  
Keyword(s):  
Neurodegenerative Diseases ◽  
Rating Scale ◽  
Neurological Diseases ◽  
Public Attitudes ◽  
Physical Symptoms ◽  
Physical And Mental Health ◽  
Care Givers ◽  
Affiliate Stigma ◽  
The Us ◽  
The Relationship

Background and Objective: Research has documented the stigma that individuals with degenerative neurological diseases experience, but caregivers also experience stigma by associa- tion (i.e., affiliate stigma). In order to shed light on the stigma of caregivers of people with degener- ative neurological diseases, the current study aimed to explore cross-cultural differences in the pre- valence of Parkinson’s disease (PD) caregiver affiliate stigma, as well as the relationship between PD symptoms and caregiver affiliate stigma. Applications for Alzheimer’s disease are discussed. Method: Survey data were collected in PD clinics at public, academic medical centers. Informal caregivers of an individual with PD from the US (n = 105) and from Mexico (n = 148) participated in the study. Caregivers completed a questionnaire that included the MDS Unified PD Rating Scale to describe the symptoms of the individual with PD, as well as the Affiliate Stigma Scale and demo- graphic information. Results: A series of multiple regressions was run to examine whether PD symptoms were associat- ed with affiliate stigma and if these differed by country. These regressions suggested that different patterns of PD symptoms predicted affiliate stigma in each country. Stigma was higher in the US compared to Mexico, and the relationship between bowel/bladder symptoms and affiliate stigma was significantly stronger in the US. Conclusions: Symptoms of individuals with neurodegenerative diseases are related to affiliate stig- ma experienced by caregivers, and these relationships may differ cross-culturally. Negative public attitudes concerning bowl and bladder issues and the physical symptoms that accompany PD re- main a source of stigma for caregivers and families, particularly in the US. Interventions for care- givers of individuals with neurodegenerative diseases should include strategies for coping with stig- ma concerning bladder and bowel problems, as well as other physical and mental health issues.

Measuring Physical and Mental Health using the SF-12: Implications for Community Surveys of Mental Health

2006 ◽  
Vol 40 (9) ◽  
pp. 797-803 ◽  
Author(s):  
Timothy D. Windsor ◽  
Bryan Rodgers ◽  
Peter Butterworth ◽  
Kaarin J. Anstey ◽  
Anthony F. Jorm
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Physical Health ◽  
Population Based ◽  
Depression And Anxiety ◽  
Physical And Mental Health ◽  
Community Surveys ◽  
Population Based Study ◽  
Physical Conditions ◽  
The Relationship

Objective: The effects of using different approaches to scoring the SF-12 summary scales of physical and mental health were examined with a view to informing the design and interpretation of community-based survey research. Method: Data from a population-based study of 7485 participants in three cohorts aged 20-24, 40-44 and 60-64 years were used to examine relationships among measures of physical and mental health calculated from the same items using the SF-12 and RAND12 approaches to scoring, and other measures of chronic physical conditions and psychological distress. Results: A measure of physical health constructed using the RAND-12 scoring showed a monotonic negative association with psychological distress as measured by the Goldberg depression and anxiety scales. However, a non-monotonic association was evident in the relationship between SF-12 physical health scores and distress, with very high SF-12 physical health scores corresponding with high levels of distress. These relationships highlight difficulties in interpretation that can arise when using the SF-12 summary scales in some analytical contexts. Conclusions: It is recommended that community surveys that measure physical and mental functioning using the SF-12 items generate summary scores using the RAND-12 protocol in addition to the SF-12 approach. In general, researchers should be wary of using factor scores based on orthogonal rotation, which assumes that measures are uncorrelated, to represent constructs that have an actual association.

scholarly journals Correlation between Prostatic Calculi and Benign Prostatic Hyperplasia

2021 ◽  
Vol 2 (1) ◽  
pp. 44
Author(s):  
Ruipeng Tang ◽  
Chuan Xiao
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Population Aging ◽  
The Elderly ◽  
Prostatic Hyperplasia ◽  
Common Disease ◽  
Physical And Mental Health ◽  
Elderly Male ◽  
The Relationship ◽  
Prostatic Calculus

Prostatic calculus is a common disease of the urinary system, Prostate stones are more common in middle-aged and elderly men, With the development of ultrasonic diagnosis, more and more patients with prostate stone were found in physical examination,According to research shows,The vast majority of patients with benign prostatic hyperplasia in the pathogenesis of examination was found to have prostate stones, but so far the correlation between prostate stones and benign prostatic hyperplasia is still not very clear,Benign prostatic hyperplasia is an important factor affecting the physical and mental health and quality of life of the elderly male, With an increasing trend of population aging in China more quickly, this problem is more and more outstanding, but also allows us to further study the relationship between prostate stones and benign prostatic hyperplasia.

The relationship between alexithymia, cognitive deterioration and chronic illness in the elderly

2012 ◽  
Author(s):  
Antonia Gomez-Conesa ◽  
Maria Virgilia Anton Anton ◽  
Daniel Jesus Catalan Matamoros
Keyword(s):  
Chronic Illness ◽  
The Elderly ◽  
Cognitive Deterioration ◽  
The Relationship

The United States and the Iranian Nuclear Programme

2018 ◽  
Author(s):  
Steven Hurst
Keyword(s):  
United States ◽  
Decision Making ◽  
Domestic Politics ◽  
The United States ◽  
Nixon Administration ◽  
Comprehensive Plan ◽  
The Us ◽  
Nuclear Issue ◽  
The Relationship

The United States, Iran and the Bomb provides the first comprehensive analysis of the US-Iranian nuclear relationship from its origins through to the signing of the Joint Comprehensive Plan of Action (JCPOA) in 2015. Starting with the Nixon administration in the 1970s, it analyses the policies of successive US administrations toward the Iranian nuclear programme. Emphasizing the centrality of domestic politics to decision-making on both sides, it offers both an explanation of the evolution of the relationship and a critique of successive US administrations' efforts to halt the Iranian nuclear programme, with neither coercive measures nor inducements effectively applied. The book further argues that factional politics inside Iran played a crucial role in Iranian nuclear decision-making and that American policy tended to reinforce the position of Iranian hardliners and undermine that of those who were prepared to compromise on the nuclear issue. In the final chapter it demonstrates how President Obama's alterations to American strategy, accompanied by shifts in Iranian domestic politics, finally brought about the signing of the JCPOA in 2015.

YENİDOĞAN YOĞUN BAKIM ÜNİTELERİNDE İŞ KAZALARI RİSKLERİ VE NEDENLERİNE YÖNELİK BİR ARAŞTIRMA

2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Haluk Tanrıverdi ◽  
Orhan Akova ◽  
Nurcan Türkoğlu Latifoğlu
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Physical Environment ◽  
Neonatal Intensive Care ◽  
Organizational Factors ◽  
Occupational Accidents ◽  
Neonatal Intensive Care Units ◽  
Work Related ◽  
Physical Conditions ◽  
The Relationship

This study aims to demonstrate the relationship between the qualifications of neonatal intensive care units of hospitals (physical conditions, standard applications, employee qualifications and use of personal protective equipment) and work related causes and risks, employee related causes and risks when occupational accidents occur. Accordingly, a survey was prepared and was made among 105 nurses working in 3 public and 3 private hospital's neonatal intensive care units, in the January of 2010. The survey consists of questions about the qualifications of neonatal intensive care units, work related causes and risks, and employee related causes and risks. From the regression analysis conducted, it has been found that confirmed hypotheses in several studies in the literature were not significant in this study. The sub-dimensions in which relationships has been found show that the improvement of the physical environment in workplace, the improvement of the employee qualifications and standard applications can reduce the rate of occupational accidents. According to the results of this study management should take care of the organizational factors besides to improvement of the physical environment in workplace, the improvement of the employee qualifications and standard applications.

Verification of the Relationship between Stepping Ability for Avoiding Falls and the Ten-Step Test in the Elderly

2020 ◽  
Vol 35 (4) ◽  
pp. 545-549
Author(s):  
Kengo OKAWARA ◽  
Yoshinobu YOSHIMOTO ◽  
Ryota ASHIZAWA ◽  
Kazuma YAMASHITA ◽  
Koki TAKE ◽  
...  
Keyword(s):  
The Elderly ◽  
Step Test ◽  
The Relationship
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