OBJECTIVES To evaluate the efficacy of hospital at home schemes compared with inpatient care in patients with acute exacerbations of chronic obstructive pulmonary disease (COPD). DESIGN A systematic review of randomised controlled trials. MAIN OUTCOME MEASURE Mortality and readmission to hospital. RESULTS Seven trials with 754 patients were included in the review. Hospital readmission and...

National inpatient and ambulatory surgery data were combined to examine changes over time in the location and amount of surgical care. The main pattern was a decline in the rate of inpatient operations that was outweighed by growth in ambulatory operations. However, the rate of inpatient operations did not decrease for patients age 65 years or over, despite the growth in ambulatory surgery. Oth...

background: one of europe’s most well-developed industrial regions is found in the republic of bulgaria. the industrialization of the region has a big impact on air pollution. thermal power plant “maritza east” (the largest of its kind in southeastern europe), the army training range, machine manufacturers, household heating and high volume of automobile traffic are all major sources of polluti...

The future organisation of prison health care recommends that the NHS and the Prison Service work together to plan and provide health care services for prisoners. Whereas previously the Prison Service had this responsibility alone. The NHS will therefore have to take stock of the current level at which prison health care is demanded and provided. A key part of the information base for joint pla...

BACKGROUND A range of health outcomes at a population level are related to differences in levels of social disadvantage. Understanding the impact of any such differences in palliative care is important. The aim of this study was to assess, by level of socio-economic disadvantage, referral patterns to specialist palliative care and proximity to inpatient services. METHODS All inpatient and com...

BACKGROUND Health systems increasingly try to make their services more responsive to users' expectations. In the context of the World Health Report 2000, WHO developed the concept of health system responsiveness as a performance parameter. Responsiveness relates to the system's ability to respond to service users' legitimate expectations of non-medical aspects. We used this concept in an effort...

Following standard practice in the literature, we construct our health care utilization measure by aggregating care provided to Medicare beneficiaries as recorded in the inpatient, outpatient, and carrier claims data. The inpatient file records payments to inpatient hospital providers (such as hospitals), the outpatient file records payments to institutional outpatient providers (such as hospit...

Folke, F. 2017. Patient Engagement and the Effectiveness of Behavioural Activation in Inpatient Psychiatry. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1376. 78 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-513-0096-2. Psychiatric inpatient services provide important care for individuals with serious mental health problems. Studies show that ...

The aims of this pilot study, which compares day patient with inpatient care for management of active RA were (i) to test the feasibility of a trial protocol design including the method of randomization and the practicality of data collection, and (ii) to obtain preliminary information on economic cost and clinical outcome of these two methods of management. Twenty consecutive patients requirin...