Disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. For patients living with multiple chronic conditions, such disconnects can be particularly detrimental. Lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and ...

BACKGROUND Informal care givers support disabled stroke patients at home but receive little training for the caregiving role. OBJECTIVE To evaluate the effectiveness of training care givers in reducing burden of stroke in patients and their care givers. DESIGN A single, blind, randomised controlled trial. SETTING Stroke rehabilitation unit. SUBJECTS 300 stroke patients and their care gi...

In terms of years of life lost to premature mortality, cancer imposes the highest burden in Korea. In order to reduce the burden of cancer, the Korean government has implemented cancer control programs aiming to reduce cancer incidence, to increase survival rates, and to decrease cancer mortality. However, these programs may paradoxically increase the cost burden. For examples, a cancer screeni...

OBJECTIVE This study's objective was to analyze the effectiveness of educational and support programs for caregivers on reducing their burden. METHOD The method used was a systematic review. The following were searched; MEDLINE, LILACS, Embase, Cochrane, Web of Science, SciELO and CINAHL. RESULTS Seven randomized clinical studies were included. These studies compared an educational program ...

PURPOSE This study assessed overall quality of life of caregivers, using a path model in which burden was conceptualized as distinct from well-being. DESIGN AND METHODS Data were drawn from a representative sample of caregivers to dementia and nondementia care receivers in British Columbia, Canada (N = 243). The model used was based on a previously proposed stress/appraisal path model and use...

BACKGROUND This study assessed the effect of expressed emotion (EE) among caregivers of schizophrenia patients on their care burden and the illness rehospitalization rate. SUBJECTS AND METHODS A total of 64 schizophrenia patients hospitalized for the first time and their key caregivers were recruited. The Chinese version of the Camberwell Family Interview (CFI-CV) was used to evaluate the EE ...

BACKGROUND Long-term care for the elderly is largely shouldered by their family, representing a serious burden in a hyper-aging society. However, although family dynamics are known to play an important role in such care, the influence of caring for the elderly on burden among caregiving family members is poorly understood. OBJECTIVE To examine the influence of family dynamics on burden experi...

the burden of exposure to blood-borne pathogens (such as hepatitis b and c viruses) is considerable for health care workers. hepatitis virus transmission requires a non-immune host, an infectious source, and skin or mucous membrane injury. these three aspects are the main fields for preventional interventions. we reviewed major recent studies on this topic to identify precautions health care wo...