Approximately 1.5% of ontario's population, represented by the top 5% highest cost-incurring users of ontario's hospital and home care services, account for 61% of hospital and home care costs. Similar studies from other jurisdictions also show that a relatively small number of people use a high proportion of health system resources. Understanding these high-cost users (hcus) can inform local h...

As healthcare shifts from the hospital to the home, it is becoming increasingly important to understand how patients interact with home medical devices, to inform the safe and patient-friendly design of these devices. Distributed Cognition (DCog) has been a useful theoretical framework for understanding situated interactions in the healthcare domain. However, it has not previously been applied ...

BACKGROUND Home-based cardiac rehabilitation offers an alternative to traditional, hospital-based cardiac rehabilitation. AIM To compare the cost effectiveness of home-based cardiac rehabilitation and hospital-based cardiac rehabilitation. METHODS 104 patients with an uncomplicated acute myocardial infarction and without major comorbidity were randomized to receive home-based rehabilitation...

We live in a dynamic world, and like it or not, nothing is more constant than change. No one knows this better than home health managers and clinicians. The changes in home health practice over the past 20 years have been radical and tumultuous. Over these years, home health managers and clinicians have faced not only revolutionary changes in clinical practice, requiring new knowledge and skill...

To better understand healthcare use for diarrhoea and dysentery in Nha Trang, Viet Nam, qualitative interviews with community residents and dysentery case studies were conducted. Findings were supplemented by a quantitative survey which asked respondents which healthcare provider their household members would use for diarrhoea or dysentery. A clear pattern of healthcare-seeking behaviours among...

Over the last decade, there has been an increasing demand of information technology, specifically, telemedicine and telemonitoring in healthcare. Many elderly and disabled people are unable to look after themselves. They also desire quality healthcare. If the healthcare can be provided at home instead of only hospitals, the service could be more affordable, and people would feel more comfortabl...

OBJECTIVE We measured the satisfaction of both patients and healthcare professionals with the technologies and services provided during in-home telerehabilitation as an alternative to conventional rehabilitation after discharge from total knee arthroplasty surgery. METHODS This study was embedded in a larger controlled trial where 48 community-living older adults who received total knee arthr...

We interviewed caretakers of 1,043 children < 5 years old in a baseline cross-sectional survey (April to May 2007) and > 20,000 children on five separate subsequent occasions (May of 2009 to December 31, 2010) to assess healthcare seeking patterns for diarrhea. Diarrhea prevalence during the preceding 2 weeks ranged from 26% at baseline to 4-11% during 2009-2010. Caretakers were less likely to ...

This longitudinal, retrospective study investigated the healthcare costs of youth treated for conduct disorder in the Kansas Medicaid system. Along with a comprehensive range of services, youth received in-office individual therapy, in-office family therapy, or inhome family therapy. Data was available for 3753 youth. Overall, 3086 youth received care that included individual therapy (and no fa...