scholarly journals Care needs of people with mental illness and aggression

1998 ◽  
Vol 22 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Andrew Stevens ◽  
Pamela Gooder ◽  
Nicholas Drey
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Health Needs ◽  
Care Needs ◽  
Care Burden ◽  
People With Mental Illness ◽  
Health Care Burden ◽  
A Priority

People with violent or dangerous behaviour represent a considerable health care burden. The health needs of this group have been considered a priority in recent years. Both health commissions and psychiatrists need to know the numbers of patients that they are responsible for and whether their needs are being met. The appropriateness of placement was used as the measure of need for this study.

30-day readmission after TAVR (Transcatheter Aortic Valve Replacement (TAVR) in patients with malignancy.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18620-e18620
Author(s):  
Shristi Upadhyay Upadhyay Banskota ◽  
Miguel Salazar ◽  
Estefania Gauto ◽  
Hugo Macchi ◽  
Prajwal Shrestha ◽  
...  
Keyword(s):  
Health Care ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
Readmission Rate ◽  
Hospital Readmissions ◽  
Care Burden ◽  
Transcatheter Aortic Valve ◽  
Health Care Burden

e18620 Background: Hospital readmissions after cardiac procedures are increasingly the major focus of quality improvement efforts. Although some reflect appropriate care, others are potentially preventable readmissions (PPRs). We aim to describe the burden, timing, and factors associated with readmissions after transcatheter aortic valve replacement (TAVR) in patients with malignancy. Methods: We performed a retrospective study of the 2017 National Readmission Database (NRD) of adult patients readmitted within 30 days after an index admission for TAVR with a concomitant diagnosis of malignancy. We aimed to identify 30-day readmission rate, mortality, healthcare related utilization of resources and other independent predictors of readmission. Results: A total of 2,213 patients with malignancy underwent TAVR. The 30-days readmission rate was 16% (n=355). Main causes of readmissions were found to be heart failure, sepsis, acute hypercapnic respiratory failure, coronary artery disease with angina, and AKI with ATN. Readmitted patients were more likely to come from small metropolitan areas (43.1% vs 33.6, p≤0.01), micropolitan areas (1.4% vs 0.35%, p≤0.01), rural hospital (20.3% vs 8.8%, p≤0.01), non-teaching hospital (23.5% vs 9.1%, p≤0.01), and small sized hospitals (11.5% vs 4%, p≤0.01). Patients re-admitted were more likely to have malnutrition (8% vs 3.2%, p≤0.01), new VTEs (3.8% vs 0.6, p≤0.01), AKI (26% vs 13.6%, p≤0.01) and deaths (4.6% vs 1.7%, p≤0.01). The total health care in-hospital economic burden of readmission was $5.9 million in total charges and $25 million in total costs. Independent predictors of readmission were disposition to short-term skilled nursing facilities, home-health care, and sepsis. Conclusions: We concluded that readmissions after TAVR in patients with malignancy are associated with higher in-hospital mortality rate and pose a higher health care burden. We also identified risk factors that can be targeted to decrease readmissions after TAVR, health care burden, and patient mortality.[Table: see text]

scholarly journals Using Peer Navigators to Address the Integrated Health Care Needs of Homeless African Americans With Serious Mental Illness

2017 ◽  
Vol 68 (3) ◽  
pp. 264-270 ◽  
Author(s):  
Patrick W. Corrigan ◽  
Dana J. Kraus ◽  
Susan A. Pickett ◽  
Annie Schmidt ◽  
Ed Stellon ◽  
...  
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
African Americans ◽  
Serious Mental Illness ◽  
Integrated Health Care ◽  
Health Care Needs ◽  
Care Needs ◽  
Integrated Health

scholarly journals Estimating the health care burden of prescription opioid abuse in five European countries

2015 ◽  
pp. 477 ◽  
Author(s):  
Amie Shei ◽  
Matthew Hirst ◽  
Noam Kirson ◽  
Caroline Enloe ◽  
Howard Birnbaum ◽  
...  
Keyword(s):  
Health Care ◽  
Opioid Abuse ◽  
European Countries ◽  
Prescription Opioid ◽  
Care Burden ◽  
Health Care Burden ◽  
Prescription Opioid Abuse

scholarly journals Health Care Burden of Dyspepsia Among Nonvalvular Atrial Fibrillation Patients

2014 ◽  
Vol 20 (4) ◽  
pp. 391-399
Author(s):  
Michael H. Kim ◽  
Kelly F. Bell ◽  
Dinara Makenbaeva ◽  
Daniel Wiederkehr ◽  
Jay Lin ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Health Care ◽  
Nonvalvular Atrial Fibrillation ◽  
Care Burden ◽  
Health Care Burden

Peer Support Shows Promise in Helping Persons Living with Mental Illness Address Their Physical Health Needs

2008 ◽  
Vol 27 (2) ◽  
pp. 21-36 ◽  
Author(s):  
Ann Bates ◽  
Vivien Kemp ◽  
Mohan Isaac
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Physical Health ◽  
Peer Support ◽  
Western Australia ◽  
Public Mental Health ◽  
Support Service ◽  
Mental Illnesses ◽  
Health Needs ◽  
People With Mental Illness

The physical health of individuals with long-term mental illnesses has long been of concern. In Western Australia, the overall mortality rate from preventable causes of people living with mental illness was reported to be 2.5 times greater than that of the general population. A trial peer support service was initiated to assist people with mental illness to attend to their physical health needs. This paper presents the planning, implementation, and results of this collaborative initiative involving nongovernment agencies, the public mental health service, consumers of mental health services, and the University of Western Australia.

scholarly journals The Epidemiology and Health Care Burden of Tennis Elbow

2015 ◽  
Vol 43 (5) ◽  
pp. 1066-1071 ◽  
Author(s):  
Thomas L. Sanders ◽  
Hilal Maradit Kremers ◽  
Andrew J. Bryan ◽  
Jeanine E. Ransom ◽  
Jay Smith ◽  
...  
Keyword(s):  
Health Care ◽  
Tennis Elbow ◽  
Care Burden ◽  
Health Care Burden

scholarly journals Health needs assessment for elderly in primary health care in Zagreb

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Polic-Vizintin ◽  
M Marić Bajs ◽  
I Portolan Pajić ◽  
J Tucak ◽  
Z Šostar
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Population ◽  
Intervertebral Disk ◽  
Health Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Primary Health ◽  
Hypertensive Diseases ◽  
Circulatory Diseases

Abstract Background The purpose of any health system is to guarantee access to care for the entire population served. Zagreb population is 'very old', with 17.3% older than 65. The aim is to assess health care needs for elderly in primary health care (PHC). Methods Data on morbidity and visits are recorded in PHC facilities Variation in the mortality rate in 1971-2014 period is analyzing, using descriptive method. Results The highest index of PHC utilization (88.1%) is recorded for the +65 age, with 14.3 visits per capita (vs 7.7 for general population). Acute respiratory infections ranked first in all age groups; the rate per 100 was considerably lower in the ≥65 group than in the 0-19 group (27.82/100 vs 111.20/100). Hypertensive diseases ranked second most common (23.09 per 100) in the age group ≥65, followed by intervertebral disk diseases and other dorsopathies (15.10/100), and neuroses and affective disorders (6.63/100). The prevalence of hypertensive diseases and of intervertebral disk diseases and other dorsopathies was significantly higher in the ≥65 group (χ2=27.3 and χ2=13.43, respectively; p < 0.05 both). Among mortality causes circulatory diseases and neoplasms showes a constant rise during the period 1971-2014 (circulatory diseases 26.4%; neoplasms 83.9%). The highest rise is recorded in group of endocrine and metabolic disease owing diabetes mellitus(159%). Conclusions Many of older people although independent, have multiple chronic conditions and meet criteria for fraility. The number of PHC visits is high, twice in comparison with general population. Health needs are very related to coping with appropriate organization and management of public health services, esspecially of senior- friendly primary care concept. Key messages The aging of the general population influences the type of morbidity and health care needs. The concept of senior-friendly primary care has to be promoted.

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