Community-based frail older adults, burdened with complex medical and social needs, are at great risk for preventable rapid rehospitalizations. Although federal and state regulations are in place to address the care transitions between the hospital and nursing home, no such guidelines exist for the much larger population of community-dwelling frail older adults. Few studies have looked at inter...

BACKGROUND The annual cost of providing care for patients in their last year of life is estimated to account for approximately 9% of the Ontario health care budget. Access to integrated, comprehensive support and pain/symptom management appears to be inadequate and inequitable. OBJECTIVE To evaluate the cost-effectiveness of end-of-life (EoL) care interventions included in the EoL care mega-a...

This paper focuses on the relationship between metropolitan and regional health planning based on the processes of regionalization and the Pact for Health in the Baixada Santista Metropolitan Area, São Paulo State, Brazil. The method used was a case study in two stages, namely during initial implementation of the Pact for Health (2007) and the Regional Administration Committees (CGR) and in 201...

BACKGROUND The prevalence and impact of long term conditions continues to rise. Care planning for people with long term conditions has been a policy priority in England for chronic disease management. However, it is not clear how care planning is currently understood, translated and implemented in primary care. This study explores experience of care planning in patients with long term condition...

gamma knife is a new noninvasive method for treatment of patient with brain tumors. ‎another name of this procedure is steriotatic radiosurgery.‎‏ ‏this computerized advanced ‎technique was implicated by a team including neurosurgeon, neuroradialogist, oncologist, and ‎a nurse. this method is used for treatment of certain brain tumors and lesions. the benefits are ‎low risk of postoperative com...

STUDY OBJECTIVES The study assessed the interests of ambulatory cardiac patients in advance planning and their willingness to participate in rehabilitation program-based end-of-life education. DESIGN Observational survey study. SETTING Fourteen outpatient cardiac rehabilitation programs in 11 states. PARTICIPANTS Four hundred fifteen subjects enrolled in cardiac rehabilitation. MEASUREM...

Advance care planning was historically considered to be simply the completion of a proxy (health care surrogate designation) or instruction (living will) directive that resulted from a conversation between a patient and his or her physician. We now know that advance care planning is a much more comprehensive and dynamic patient-centered process used by patients and families to strengthen relati...

The article is proposing a base plan for the future Patient Care Information Systems in a changing health care environment where it is necessary to assure quality patient care services and reducing cost and where new technology trends give the opportunities to develop clinical applications and services patient focused according to new business objectives. Keywords—Health care management, planni...

Background and aims: Patient safety, as one of the main components of the health care quality, impliesavoiding any injury and damage to the patient when providing health care services. In other words,patient safety means his or her safety against any adverse and harmful event when receiving health careservices. Based on the above-mention explanations, the present study was con...

diseases management offers the benefits of lower disease occurrence, improved patient care, and lower healthcare costs. the key mechanism used to identify individuals at risk, stratify patients by risk level and track patients’ progress through the disease management is the data warehouse (dw). this review article describes operational systems, dw features and component and role of it in diseas...