OBJECTIVE To estimate the proportions of acute care inpatient admissions and hospital days for schizophrenia patients in the Medicaid program that are attributable to gaps in outpatient antipsychotic treatment and to calculate the corresponding total health care costs of this care. METHODS A series of multivariate regressions were performed with statewide 2001-2003 California Medicaid data to...

Patients with cancer have multiple psychosocial needs during inpatient admissions. However, nurses often are not sure how to best approach those psychosocial needs. Therefore, the purpose of this survey was to determine the educational needs of inpatient oncology nurses in terms of providing psychosocial care to patients and to determine the barriers that inpatient nurses experience when provid...

background: with the increased range of medical insurance coverage in china, the proportion of medical expenditure shouldered by individuals is declining. the problem is the rapidly growing scale of medical expenditures challenges the sustainability of medical insurance funds. methods: this study used the heckman selection model, survival analysis, and ordered probit model to evaluate the effec...

AIMS The nursing-led inpatient unit is designed to substitute for a period of care in acute hospital wards and to improve patient outcome prior to discharge to the community. This paper aims to evaluate the cost, from the UK National Health Service perspective, of transfer to a nursing-led inpatient unit for intermediate care and to discuss the impact of these findings to the future development...

INTRODUCTION Bypassing refers to a person's decision to seek care at a healthcare facility that is not the nearest one of its type to the person's home. METHODS This study examined inpatient care facility bypassing in urban Bo, Sierra Leone using data from 1,980 women with children 15 years of age and younger who were interviewed in 2010-2011. The locations of residential structures and hospi...

Should I continue to treat my patients when they are admitted to the hospital? You can probably imagine my surprise when I first faced this question. Like most of my family physician colleagues, my training taught me how to care for all aspects of my patients' health regardless of illness, organ system, age, or setting. Today, as a family practice educator, I teach the concepts of comprehensive...

continuous care team has a significant role in the treatment of chronic psychiatric patients and hence mental health services. this article retrospectively studied 55 patients of continuous care system at the shahid esmaily psychiatric center. results showed that compared to three years before intervention, during three years post intervention relapse rates, days of hospitalization (90%) and co...

OBJECTIVE To assess the efficacy of multidisciplinary team care programs in rheumatoid arthritis (RA). METHODS Data were obtained by a Medline and a manual search of the literature through January 1997. Both the design and analysis aspects of controlled trials were evaluated. RESULTS Forty-two papers reporting on 35 clinical trials of multidisciplinary team care were initially identified. F...

OBJECTIVES Few studies have estimated the effect of diabetes integrated care at a population level. We have assessed the impact of introducing a community service-led diabetes integrated care programme on commissioner payments (tariff) for inpatient care in rural England. METHODS The Diabetes Integrated Care Initiative was delivered by a separate enhanced community diabetes service, increasin...

BACKGROUND Patients admitted to hospital because of an exacerbation of chronic obstructive pulmonary disease (COPD) are at high risk of adverse events. We evaluated the association between gaps in care and adverse events during the hospital stay and after discharge. METHODS We retrospectively reviewed the charts of 105 consecutive patients discharged from hospital between Jan. 1 and Dec. 31, ...