scholarly journals Harmonizing and consolidating the measurement of patient-reported information at health care institutions: a position statement of the Mayo Clinic

2014 ◽  
pp. 7 ◽  
Author(s):  
David T. Eton ◽  
Timothy Beebe ◽  
Philip Hagen ◽  
Michele Halyard ◽  
Victor M. Montori ◽  
...  
Keyword(s):  
Health Care ◽  
Mayo Clinic ◽  
Position Statement ◽  
Health Care Institutions ◽  
Patient Reported

scholarly journals A catalyst for transforming health systems and person-centred care: Canadian national position statement on patient-reported outcomes

2020 ◽  
Vol 27 (2) ◽  
Author(s):  
S. Ahmed ◽  
L. Barbera ◽  
S. J. Bartlett ◽  
G. D. Bebb ◽  
M. Brundage ◽  
...  
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Patient Reported Outcomes ◽  
Position Statement ◽  
Steering Committee ◽  
Scientific Conference ◽  
Clinical Implementation ◽  
Patient Voice ◽  
Patient Reported ◽  
Canadian Health

Background Patient-reported outcomes (pros) are essential to capture the patient’s perspective and to influence care. Although pros and pro measures are known to have many important benefits, they are not consistently being used and there is there no Canadian pros oversight. The Position Statement presented here is the first step toward supporting the implementation of pros in the Canadian health care setting. Methods The Canadian pros National Steering Committee drafted position statements, which were submitted for stakeholder feedback before, during, and after the first National Canadian Patient Reported Outcomes (canpros) scientific conference, 14–15 November 2019 in Calgary, Alberta. In addition to the stakeholder feedback cycle, a patient advocate group submitted a section to capture the patient voice. Results The canpros Position Statement is an outcome of the 2019 canpros scientific conference, with an oncology focus. The Position Statement is categorized into 6 sections covering 4 theme areas: Patient and Families, Health Policy, Clinical Implementation, and Research. The patient voice perfectly mirrors the recommendations that the experts reached by consensus and provides an overriding impetus for the use of pros in health care. Conclusions Although our vision of pros transforming the health care system to be more patient-centred is still aspirational, the Position Statement presented here takes a first step toward providing recommendations in key areas to align Canadian efforts. The Position Statement is directed toward a health policy audience; future iterations will target other audiences, including researchers, clinicians, and patients. Our intent is that future versions will broaden the focus to include chronic diseases beyond cancer.

An Exploratory Study of How Trust in Health Care Institutions Varies across African American, Hispanic and white Populations

2011 ◽  
Vol 8 (1) ◽  
Author(s):  
Elizabeth Jacobs ◽  
Emily Mendenhall ◽  
Ann Scheck-McAlearney ◽  
Italia Rolle ◽  
Eric Whitaker ◽  
...  
Keyword(s):  
Health Care ◽  
African American ◽  
Exploratory Study ◽  
Health Care Institutions

A Proposal For A Nonreinstatement Rule In Unfair Labor Practice Cases Involving Patient Abuse

1985 ◽  
Vol 11 (3) ◽  
pp. 319-341
Author(s):  
Clare T. Tully
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Labor Relations ◽  
Quality Care ◽  
Disciplinary Action ◽  
Non Profit ◽  
Health Care Institutions ◽  
Care Workers ◽  
Union Activists ◽  
Patient Abuse

AbstractNursing home discharges of employees based on patient abuse raise a difficult issue when the motivating factor for the disciplinary action is union activism. A tension is created between the rights of employees to engage in protected concerted activity and the rights of patients to quality care. In 1974, Congress passed the Health Care Institutions Amendments, which granted to non-profit health care workers collective organizing and bargaining rights substantially similar to those which workers in other industries had enjoyed for decades under the National Labor Relations Act. Congress intended to give health care workers only that degree of parity, however, which is compatible with the provision of high quality patient care. The agency charged with enforcing the Act, the National Labor Relations Board (NLRB), has failed to distinguish employee misconduct in industrial settings from patient abuse in health care institutions when fashioning remedies for discriminatorily discharged union activists. The NLRB typically has ordered the reinstatement, with back pay, of the patient abuser as the patient’s primary care-giver. This Article suggests that a front pay remedy is more appropriate to these cases because it protects the patient’s right to be free from abuse without sacrificing employee unionization rights.

ESBL-producing Escherichia coli and Klebsiella pneumoniae from health-care institutions in Mexico

2020 ◽  
pp. 1-5
Author(s):  
Viridiana Gallegos-Miranda ◽  
Ulises Garza-Ramos ◽  
Enrique Bolado-Martínez ◽  
Moisés Navarro-Navarro ◽  
Katya Rocío Félix-Murray ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Health Care ◽  
Klebsiella Pneumoniae ◽  
Health Care Institutions

scholarly journals Factors related to perceived continuity of care in hospitalized cardiac patients

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
E Safstrom ◽  
T.J Jaarsma ◽  
L.N Nordgren ◽  
M.L Liljeroos ◽  
A.S Stomberg
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Health Care ◽  
Continuity Of Care ◽  
Perceived Control ◽  
Care Utilization ◽  
Funding Source ◽  
Patient Reported

Abstract Background Since healthcare systems are increasingly complex and often fragmented, continuity of care after hospitalization is a priority to increase patient safety and satisfaction. Aim Describe factors related to continuity of care in patients hospitalized due to cardiac conditions. Methods This cross-sectional multicenter study enrolled patients 6 weeks after hospitalization due to cardiac conditions. A total of 993 patients were included (mean age 72.2 (SD 10.4), males 66%) with AMI (35%), AF (25%), angina (21%) and HF (17.3%). Patients completed the Patient Continuity of Care Questionnaire, a questionnaire based on the definition that continuity of care is “the extent to which a series of health care services is experienced as connected and coherent and is consistent with a patient's health needs and personal circumstances”. The total score of the questionnaire ranges from 6 to 30, higher score indicating higher continuity and a score <24 indicating insufficient continuity. Cronbach's alpha on the total PCCQ was 0.94. Correlations between PCCQ and quality of life, depression, anxiety, perceived control and health care utilization were estimated using spearman rang correlation. Results Insufficient continuity of care ranged between 47% to 59% in the different diagnosis groups, which the highest continuity in the AMI group and lowest in patients with atrial fibrillation. In patients hospitalized due to AMI (n=355, mean age 71 (± 11), 70% men), continuity of care was related to higher perceived control, higher quality of life, a good financial situation, being a man, no symptoms of anxiety or depression (ᚹ range 0.17–0.26 p≤0.002). A low score on the PCCQ were associated with follow-up visit to a nurse in primary care after hospitalization (ᚹ −0.12 p=0.033). In patients hospitalized due to angina (n=210, mean age 73 (± 9), 74% men), continuity of care was related to higher perceived control, higher quality of life and no depressive symptoms (ᚹ range between 0.20 and 0.26 p=0.005). In patients with AF, (n=255, mean age 71 (± 10.), 58% men), continuity of care was related to having had contact by telephone with a nurse-led AF clinic, higher perceived control, higher quality of life and not being depressed (ᚹ range between 0.14–0.25 p=0.03). In patients with HF, (n=173, mean age 77 (±8) 59% men), continuity was related to male ender, younger age, follow-up in a nurse-led HF clinic and not being anxious (ᚹ range between 0.16 and 0.22 p=0.004–0.047). Low total score on PCCQ correlated to having had telephone contact with nurse in primary care (ᚹ −0.24 p=0.002). Conclusion Almost half of all patient reported insufficient continuity of care. Perceived control, quality of life, and symptoms of depression were related to higher continuity of care in all diagnose groups except heart failure. Further, there was a correlation between continuity and follow-up visits or contact by telephone with nurse-led clinics in all diagnose groups except angina. Funding Acknowledgement Type of funding source: Foundation. Main funding source(s): Medical Research Council of Southeast Sweden, Centre for Clinical Research Sörmland

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