Reforming foodservice in elderly care: National actions and local outcomes

Radical cystectomy in the elderly: national trends and disparities in perioperative outcomes and quality of care.

INTRODUCTION To examine national trends of radical cystectomy (RC) for urothelial carcinoma of urinary bladder in octogenarian patients and to assess the rates of adverse outcomes. MATERIALS AND METHODS Within the Nationwide Inpatient Sample (NIS), we focused on RCs performed between 1998 and 2007. Age was stratified as <80 versus ≥80 years. Propensity-based matched analyses were used to acco...

National trends in cardiovascular care and outcomes.

Reforming Health Care

Such an alarming statement has not been challenged---in fact it is even more widely accepted today. Indeed, throughout wealthy countries (Organisation for Economic Cooperation and Development) we hear the same kind of systemic problems: • many doctors are disgruntled, overworked and professionally unsatisfied; • nurses are restless and in short supply; • popular demands for more health spending...

The Dutch National Care for the Elderly Programme: integrated care for frail elderly persons

Introduction: The Netherlands Organisation of Health Research and Development (ZonMw) has launched the ambitious National Care for the Elderly Programme to improve care and support for frail elderly persons. This four years programme (2008–2011) is initiated by the Ministry of Health, Welfare and Sport. The budget is 80 million euro. Description: The programme consists of three steps. First, re...

Reforming emergency care; for patients.

mergency care is important to me for lots of reasons, but for one in particular: it's important to patients. We know that A&E services—and by implication all the components that make up the whole emergency care system—are among patients' top concerns. Within A&E I believe a critical concern for patients is how long they have to wait for clinical care, and I can't blame them. When you are in pai...