The emergence of organisms resistant to multiple antimicrobial agents is occurring worldwide. Among these organisms, methicillin-resistant Staphylococcus aureus (MRSA) has been found to have a major impact on patient care and has been responsible for numerous outbreaks in hospitals. The prevalence of MRSA increased from < 3% in the early 1980s to rates as high as 40% in many hospitals in the Un...

Source: Succeeding in Hospital & Health Systems M&A: Why So Many Deals Have Failed, and How to Succeed in the Future, Booz & Company, March 20, 2013 Mergers and acquisitions (M&A) among hospitals and healthcare organizations have been on the rise for several years now. Deals between hospitals, physician medical groups, long-term care facilities, and home health providers abound, with activity l...

BACKGROUND Large-scale cohort studies conducted in Japan do not always include psychosocial factors as exposures. In addition, such studies sometimes fail to satisfactorily evaluate disability status as an outcome. METHODS This prospective cohort study comprised 49 603 (22 438 men and 27 165 women) community-dwelling adults aged 40 years or older who were included in the Residential Registry ...

a) EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, the Netherlands b) Department of General Practice & Elderly Care Medicine, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, the Netherlands c) Department of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, 2300...

We propose a model of narrow framing in insurance and test it using data from a new module we designed and fielded in the Health and Retirement Study. We show that respondents subject to narrow framing are substantially less likely to buy long-term care insurance than average. This effect is distinct from, and much larger than, the effects of cautiousness, risk aversion, or adverse selection, a...

The purpose of the current study was to identify and analyse major variables affecting intended decisions of nursing staff to physically restrain elder residents of long-term care facilities. The study explored whether a research model constructed of staff characteristics and resident characteristics would prove useful for predicting behavioural intentions. A total of 120 reliable and validated...

BACKGROUND Initiatives to accelerate the adoption and implementation of evidence-based practices benefit from an association with influential individuals and organizations. When opinion leaders advocate or adopt a best practice, others adopt too, resulting in diffusion. We sought to identify existing influence throughout Canada's long-term care sector and the extent to which informal advice-see...

Japan has moved decisively toward "socialization of care" for the frail elderly by initiating public, mandatory long-term care insurance (LTCI) on 1 April 2000. The LTCI program covers both institutional and community-based caregiving. Everyone age forty and older pays premiums. Everyone age sixty-five and older is eligible for benefits based strictly on physical and mental disability, in six c...

BACKGROUND Gender differences in spousal caregivers and their relationship to care experiences, social demographics, and caregivers' depression were examined. METHODS A stratified random sample of 2,020 users of public long-term care insurance in a city of Osaka prefecture, Japan, participated in this study. Responses from 308 spouses (56.2% wives, 43.8% husbands) were analyzed. Variables rel...

There is currently a movement to promote “culture change” in long-term care facilities for the elderly. One goal of this movement is to make resident care more person-centered rather than institution-centered. Of interest in this research was an exploration of conditions under which a videotaped biography of a senior citizen could be used to create more personalized relationships between reside...