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Journal articles on the topic 'Hospital patients – Care'

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Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

O, Faour Martín. "Elderly Patients with Pertrochanteric Hip Fracture: In Hospital Care." Journal of Orthopaedics & Bone Disorders 3, no. 4 (2019): 1–8. http://dx.doi.org/10.23880/jobd-16000190.

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Objective: To evaluate the improvement in the care of elderly patients hospitalized due to pertrochanteric hip fractures. Methods: A comparative study of two cohorts of patients admitted due to pertrochanteric hip fractu re before (2010) and after the application of in hospital management protocols (2018). The intervention consisted in the implementation of multidisciplinary measures during hospitalization based on current scientific evidence. An evaluation of the clinical results was performed, as well as the health care impact. Results: The characteristics of patients admitted for hip fracture in 2010 (216 patients) and 2018 (205 patients) were similar in age, sex, Barthel index and the Charlson abbreviated index. In 2018 patients had more comorbidity. A significant reduction of preoperative stay and overall stay in the cohort of 2018 was achieved. Detection of delirium, malnutrition and anaemia was higher in 2018, and a reduced incidence of infection and a better function al efficiency was achieved in this period. Conclusion: The introduction of measures for the improvement of the pertrochanteric hip fracture management reduces hospitalization with consequent cost reduction. Unification of criteria among professionals may b e an opportunity for better clinical results and reduction of complications.

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Hawley, Carmel M. "Holistic care in hospital patients." Medical Journal of Australia 175, no. 6 (September 2001): 292–93. http://dx.doi.org/10.5694/j.1326-5377.2001.tb143583.x.

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3

Finch, John. "Patients transferring from hospital care." British Journal of Community Nursing 25, no. 10 (October 2, 2020): 502–5. http://dx.doi.org/10.12968/bjcn.2020.25.10.502.

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4

Toms, Rhinedd. "Meeting the Need—from Institutional to Community Care." Bulletin of the Royal College of Psychiatrists 11, no. 11 (November 1987): 373–74. http://dx.doi.org/10.1192/s0140078900018447.

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Severalls Hospital is a large psychiatric hospital, established in 1913 and originally designed for about 2000 patients. With the changes in attitudes to mental health over the last 70 years the hospital's aims and objectives have altered several times. Now, with the number of in-patients already reduced to approximately 650 and the movement to run down large hospitals such as this, preparation needs to be made for the shift to the community as the main future base for psychiatric services. Over the years the hospital has recognised the importance of preserving close links with the patient's home and has always maintained that regular activity and work is vital in the process of re-establishing patients in the community and in employment.

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5

Duke, Graeme J., Frank Shann, Cameron I. Knott, Felix Oberender, David V. Pilcher, Owen Roodenburg, and John D. Santamaria. "Hospital-acquired complications in critically ill patients." Critical Care and Resuscitation 23, no. 3 (September 6, 2021): 285–91. http://dx.doi.org/10.51893/2021.3.oa5.

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BACKGROUND: The national hospital-acquired complications (HAC) system has been promoted as a method to identify health care errors that may be mitigated by clinical interventions. OBJECTIVES: To quantify the rate of HAC in multiday stay adults admitted to major hospitals. DESIGN: Retrospective observational analysis of 5-year (July 2014 – June 2019) administrative dataset abstracted from medical records. SETTING: All 47 hospitals with on-site intensive care units (ICUs) in the State of Victoria. PARTICIPANTS: All adults (aged ≥ 18 years) stratified into planned or unplanned, surgical or medical, ICU or other ward, and by hospital peer group (tertiary referral, metropolitan, regional). MAIN OUTCOME MEASURES: HAC rates in ICU compared with ward, and mixed-effects regression estimates of the association between HAC and i) risk of clinical deterioration, and ii) admission hospital site (intraclass correlation coefficient [ICC] > 0.3). RESULTS: 211 120 adult ICU separations with mean hospital mortality of 7.3% (95% CI, 7.2–7.4%) reported 110 132 (42.6%) HAC events (commonly, delirium, infection, arrhythmia and respiratory failure) in 62 945 records (29.8%). Higher HAC rates were reported in elective (cardiac [50.3%] and non-cardiac [40.6%]) surgical subgroups compared with emergency medical subgroup (23.9%), and in tertiary (35.4%) compared with non-tertiary (22.7%) hospitals. HAC was strongly associated with on-admission patient characteristics (P < 0.001), but was weakly associated with hospital site (ICC, 0.08; 95% CI, 0.05–0.11). CONCLUSIONS: Critically ill patients have a high burden of HAC events, which appear to be associated with patient admission characteristics. HAC may an indicator of hospital admission complexity rather than hospital-acquired complications.

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Purushotham, Sapna, and Ravikar Jayaraj. "Clinical Profile of Patients with Varicose Vein Attending Tertiary Care Hospital." Academia Journal of Surgery 2, no. 2 (August 18, 2019): 52–54. http://dx.doi.org/10.21276/ajs.2019.2.2.14.

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7

Dev K, Chethan. "Clinical Profile of Patients with Diabetes Mellitus Attending Tertiary Care Hospital." Indian Journal of Emergency Medicine 4, no. 4 (2018): 307–11. http://dx.doi.org/10.21088/ijem.2395.311x.4418.8.

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8

B.H., Chethan, Vivek Tirlapur, and Chandru Lamani. "Clinical Profile of Patients with Rheumatoid Arthritis Attending Tertiary Care Hospital." Indian Journal of Emergency Medicine 3, no. 1 (2017): 102–6. http://dx.doi.org/10.21088/ijem.2395.311x.3117.16.

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Anand, Rahul, Subhendu Das, and Neha Singh. "Profile of Burn Patients in a Tertiary Care Hospital in India." Indian Journal of Emergency Medicine 2, no. 1 (2016): 19–26. http://dx.doi.org/10.21088/ijem.2395.311x.2116.3.

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10

Duffy, Lisa. "Care of immunocompromised patients in hospital." Nursing Standard 23, no. 36 (May 13, 2009): 35–41. http://dx.doi.org/10.7748/ns2009.05.23.36.35.c6968.

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Duffy, Lisa. "Care of immunocompromised patients in hospital." Nursing Standard 23, no. 36 (May 13, 2009): 35–41. http://dx.doi.org/10.7748/ns.23.36.35.s47.

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12

Mills, M., H. T. O. Davies, and W. A. Macrae. "Care of dying patients in hospital." BMJ 309, no. 6954 (September 3, 1994): 583–86. http://dx.doi.org/10.1136/bmj.309.6954.583.

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13

Albery, N. "Care of dying patients in hospital." BMJ 309, no. 6968 (December 10, 1994): 1579. http://dx.doi.org/10.1136/bmj.309.6968.1579.

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14

Lewis, E. "Care of dying patients in hospital." BMJ 310, no. 6979 (March 4, 1995): 600. http://dx.doi.org/10.1136/bmj.310.6979.600a.

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15

Riesenberg, Don. "Hospital Care of Patients With Dementia." JAMA 284, no. 1 (July 5, 2000): 87. http://dx.doi.org/10.1001/jama.284.1.87.

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16

Kellam, A. M. P. "Care of patients discharged from hospital." Psychiatric Bulletin 18, no. 5 (May 1994): 310–11. http://dx.doi.org/10.1192/pb.18.5.310-a.

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17

Ann O'Loughlin, Mary. "Conflicting interests in private hospital care." Australian Health Review 25, no. 5 (2002): 106. http://dx.doi.org/10.1071/ah020106.

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This article looks at key changes impacting on private hospital care: the increasing corporate ownership of private hospitals; the Commonwealth Government's support for private health;the significant increase in health fund membership; and the contracting arrangements between health funds and private hospitals. The changes highlight the often conflicting interests of hospitals, doctors, Government, health funds and patients in the provision of private hospital care. These conflicts surfaced in the debate around allegations of 'cherry picking' by private hospitals of more profitable patients. This is also a good illustration of the increasing entanglement of the Government in the fortunes of the private health industry.

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18

Pfaff, Holger, Christoph Kowalski, Lena Ansmann, and Julia Ingendahl. "Hospital characteristics and breast cancer patients’ evaluation of care." Journal of Clinical Oncology 31, no. 15_suppl (May 20, 2013): e17550-e17550. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.e17550.

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e17550 Background: There is a large body of research on patient evaluations of care and its associations with patient characteristics, such as the sociodemographics or the severity of diseases. A number of studies have recently been published that consider the characteristics of various hospitals in order to explain the differences in patient evaluations between hospitals in non-oncological patient populations. This study investigates the relationship between13 dimensions of satisfaction and breast center hospital characteristics which account for the patient case mix. Methods: The cross-sectional survey data of 3,601 newly-diagnosed breast cancer patients (response rate: 88% of consenting patients) who were treated in 85 out of 91 breast center hospitals in the German state of North Rhine-Westphalia in 2010 were combined with structural data from a key informant survey from the same hospitals. Multilevel linear regression models were calculated in order to investigate patients’ evaluations of the care differences between hospitals and their associations with hospital characteristics (i.e. teaching status, volume, network size, clinical studies, case manager employed) accounting for patient characteristics (self-rated health, mother language, insurance status, age, education, cancer stage, type of surgery). Results: Patients evaluated non-teaching hospitals as being statistically significantly better in 8 out of 13 satisfaction dimensions. None of the other hospital characteristics were significantly associated with any of the satisfaction dimensions. Overall, the differences between hospitals were small to moderate, with null model ICCs ranging from 0.02 to 0.09 for the different dimensions. Conclusions: Teaching breast cancer hospitals face substantial difficulties in achieving patient evaluations that are as good as those from non-teaching hospitals in Germany. The question of extra staffing for the additional teaching tasks needs to be discussed.

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Parimala, M., and S. Snigtha. "Patients Satisfaction towards Aravind Eye Care Hospital in Madurai City." Shanlax International Journal of Arts, Science and Humanities 9, no. 1 (July 1, 2021): 147–53. http://dx.doi.org/10.34293/sijash.v9i1.4039.

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Customers may decide to select the service or product based on the quality which has been considered as a strategic benefit for any business to gain and sustain in the market for a longer time. Products quality can be measured but the services qualities are not tangible to measure, it is depends upon the perceptions and exceptions of the customers. Perceptions and expectations of patients are considered to be the major indicator to assess the service quality of healthcare organization, because it is also highly competitive. In today’s dynamic business environment from the firm’s point of view it is about to build and sustain a strong relationship with their customers by understanding the ingredients of customer satisfaction and Hospitals sectors also need to do this. Hospitals are also classified on the basis of services provided. The various types of hospitals like Dental Hospitals, Eye Care Hospitals, Fertility Care Hospitals, Cancer Hospitals, Children Hospitals, Maternity Hospitals, Orthopedic Hospitals etc., among the various hospitals, eye care hospitals play a vital role. They provide treatments for various eye related problems. One of the big eye care hospital in Madurai is Aravind Eye Care Hospitals. The present generations are using technology in various forms to complete their task, which may lead to face some eye problems like Low Vision, Eye Irritation, Eye strain and many more. Need of Eye Care Hospital plays important role to overcome such problems. The present study focused on the patients’ satisfaction and perception towards Aravind Eye Care Hospital.

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20

Fu, Chih-Yuan, Francesco Bajani, Leah Tatebe, Caroline Butler, Frederic Starr, Andrew Dennis, Matthew Kaminsky, et al. "Right hospital, right patients." Journal of Trauma and Acute Care Surgery 86, no. 6 (June 2019): 961–66. http://dx.doi.org/10.1097/ta.0000000000002245.

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21

Garthwaite, Craig, Tal Gross, and Matthew J. Notowidigdo. "Hospitals as Insurers of Last Resort." American Economic Journal: Applied Economics 10, no. 1 (January 1, 2018): 1–39. http://dx.doi.org/10.1257/app.20150581.

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American hospitals are required to provide emergency medical care to the uninsured. We use previously confidential hospital financial data to study the resulting uncompensated care, medical care for which no payment is received. Using both panel-data methods and case studies, we find that each additional uninsured person costs hospitals approximately $800 each year. Increases in the uninsured population also lower hospital profit margins, suggesting that hospitals do not pass along all uncompensated-care costs to other parties such as hospital employees or privately insured patients. A hospital's uncompensated-care costs also increase when a neighboring hospital closes. (JEL G22, I11, I13, L25)

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22

Hendlmeier, Ingrid, Horst Bickel, Johannes Baltasar Heßler-Kaufmann, and Martina Schäufele. "Care challenges in older general hospital patients." Zeitschrift für Gerontologie und Geriatrie 52, S4 (October 18, 2019): 212–21. http://dx.doi.org/10.1007/s00391-019-01628-x.

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Abstract Background Older general hospital patients, particularly those with cognitive impairment, frequently experience adverse events and other care complications during their stay. As these findings have so far been based on small and selected patient samples, the aim of the present study was to provide reliable data on a) the prevalence of adverse care issues (summarized under the term care challenges) in older general hospital patients and on b) associated patient-related risk factors (e.g. cognitive impairment). Methods A cross-sectional representative study comprising 1469 patients aged ≥65 years from 33 randomly selected general hospitals in southern Germany (GHoSt). Data collection included the use of different data sources, e.g. structured interviews with responsible nursing staff concerning care challenges and procedures for determining the patients’ cognitive status. Results Care challenges were statistically significantly (p < 0.001) more often reported for patients with dementia and/or delirium (87.5%) and mild cognitive impairment (47.9%) compared to cognitively unimpaired patients (24.6%). Adjusted odds ratios suggested cognitive impairment, impaired activities of daily living, receiving long-term care and unplanned admission as significant patient-related risk factors for care challenges. Furthermore, the occurrence of such issues was associated with the application of physical restraints, support from relatives, prescription of psycholeptics and specialist consultations. Conclusion The findings suggest a strong impact of different degrees of cognitive impairment on challenges in care. The results might help to design appropriate training programs for hospital staff and other interventions to prevent or reduce critical situations.

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Leino-Kilpi, Helena, and Kristiina Kurittu. "Patients' Rights in Hospital: an Empirical Investigation in Finland." Nursing Ethics 2, no. 2 (June 1995): 103–13. http://dx.doi.org/10.1177/096973309500200203.

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The purpose of this study was to examine patients' rights in Finnish hospitals from the patients' own points of view. In 1993, a new Act on the status and right of patients in health care came into force. In this Act patients' rights are divided into three categories: the right to good health care, the right to be informed, and the right to self-determination and participation. These same categories of rights were used in this empirical investigation during 1993, in which a questionnaire was answered by 204 patients in two Finnish hospitals. The results indicate that Finnish hospital patients do not know enough about their rights. Information seems to be one of the most problematic areas for hospital patients. The study will be repeated in five years' time.

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24

Noola, Girish. "Clinical Profile of Patients with Acute Abdomen at a Tertiary Care Hospital." New Indian Journal of Surgery 7, no. 3 (2016): 285–87. http://dx.doi.org/10.21088/nijs.0976.4747.7316.12.

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Laxman, Santosh, and Zaheeruddin Ather. "Clinical Profile of Patients with Acute Peritonitis at a Tertiary Care Hospital." New Indian Journal of Surgery 8, no. 3 (2017): 406–9. http://dx.doi.org/10.21088/nijs.0976.4747.8317.20.

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Tubachi, Aruna. "Hospitalization Patterns of Diabetic Patients in a Tertiary Care Hospital in Bangalore." Epidemiology International 03, no. 01 (April 2, 2018): 6–10. http://dx.doi.org/10.24321/2455.7048.201802.

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Bindal, Jyoti. "Overview of Referred Obstetric Patients and Their Outcome in Tertiary Care Hospital." Journal of Medical Science And clinical Research 05, no. 05 (May 28, 2017): 22485–91. http://dx.doi.org/10.18535/jmscr/v5i5.196.

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B.C., Venkatesh, and Kiran N. "Clinical Profile of Patients with Obstructive Sleep Apnea Attending Tertiary Care Hospital." Indian Journal of Emergency Medicine 4, no. 4 (2018): 333–36. http://dx.doi.org/10.21088/ijem.2395.311x.4418.13.

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Anitha, M., Mohamed Sulthan A, D. M. Monisha, Chinmayee Y, and Annapoorani S.A. "Deleterious effects of smoking in male patients in a tertiary care hospital." Scholars Academic Journal of Pharmacy 5, no. 7 (July 2016): 284–88. http://dx.doi.org/10.21276/sajp.2016.5.7.4.

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30

Petty, Stephanie. "Emotion-focused care requested by hospital patients with dementia via advance care planning." British Journal of Healthcare Assistants 14, no. 3 (March 2, 2020): 134–39. http://dx.doi.org/10.12968/bjha.2020.14.3.134.

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Background This study responds to international pressures to improve hospital care for patients with dementia. Aim To reach a concise overview of ways to improve the emotional wellbeing of patients with dementia when in hospital by exploring their personal care requests. Methods Written advance care planning (ACP) documents completed by patients with dementia and their caregivers were retrieved from a UK hospital (n=21) and analysed using descriptive phenomenology. Findings Care requests showed the changeable and personal nature of emotional distress and gave the responses that patients require from hospital staff. Responses included attending to physical health, offering reassurance, being with the patient, treating the patient as a person and providing a different physical environment. Conclusion ACP documents offered a structured tool for informing care with succinct, personalised requests of patients with dementia. Patient requests were consistent with extensive literature defining person-centred care. Increased use of ACP in hospitals requires evaluation.

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Petty, Stephanie, Donna Maria Coleston, Tom Dening, and Amanda Griffiths. "Emotion-focused care requested by hospital patients with dementia via advance care planning." British Journal of Neuroscience Nursing 16, no. 1 (February 2, 2020): 29–33. http://dx.doi.org/10.12968/bjnn.2020.16.1.29.

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Background: This study responds to international pressures to improve hospital care for patients with dementia. Aim: To reach a concise overview of ways to improve the emotional wellbeing of patients with dementia when in hospital by exploring their personal care requests. Methods: Written advance care planning (ACP) documents completed by patients with dementia and their caregivers were retrieved from a UK hospital (n=21) and analysed using descriptive phenomenology. Findings: Care requests showed the changeable and personal nature of emotional distress and gave the responses that patients require from hospital staff. Responses included attending to physical health, offering reassurance, being with the patient, treating the patient as a person and providing a different physical environment. Conclusion: ACP documents offered a structured tool for informing care with succinct, personalised requests of patients with dementia. Patient requests were consistent with extensive literature defining person-centred care. Increased use of ACP in hospitals requires evaluation.

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Kahn, Jeremy M., Rachel M. Werner, Shannon S. Carson, and Theodore J. Iwashyna. "Variation in Long-Term Acute Care Hospital Use After Intensive Care." Medical Care Research and Review 69, no. 3 (February 6, 2012): 339–50. http://dx.doi.org/10.1177/1077558711432889.

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Long-term acute care hospitals (LTACs) are an increasingly common discharge destination for patients recovering from intensive care. In this article the authors use U.S. Medicare claims data to examine regional- and hospital-level variation in LTAC utilization after intensive care to determine factors associated with their use. Using hierarchical regression models to control for patient characteristics, this study found wide variation in LTAC utilization across hospitals, even controlling for LTAC access within a region. Several hospital characteristics were independently associated with increasing LTAC utilization, including increasing hospital size, for-profit ownership, academic teaching status, and colocation of the LTAC within an acute care hospital. These findings highlight the need for research into LTAC admission criteria and the incentives driving variation in LTAC utilization across hospitals.

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Mohiuddin, Abdul. "Patient Care Management (Handbook for Hospital and Community Pharmacists)." Clinical Research Notes 1, no. 2 (June 10, 2020): 01–14. http://dx.doi.org/10.31579/2690-8816/010.

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Most people on the outside of the health care profession are not familiar with this new role of the pharmacist. The general public has created a stereotypical pharmacist's picture as being a person who stands behind a counter, dispenses medicine with some instructions to the respective consumer. Pharmacy practice has changed substantially in recent years. Today’s pharmacists have unique training and expertise in the appropriate use of medications and provide a wide array of patient care services in many different practice settings. As doctors are busy with the diagnosis and treatment of patients, the pharmacist can assist them by selecting the most appropriate drug for a patient. Interventions by the pharmacists have always been considered as a valuable input by the health care community in the patient care process by reducing the medication errors, rationalizing the therapy and reducing the cost of therapy. The development and approval of the Pharmacists’ Patient Care Process by the Joint Commission of Pharmacy Practitioners and incorporation of the Process into the 2016 Accreditation Council for Pharmacy Education Standards has the potential to lead to important changes in the practice of pharmacy, and to the enhanced acknowledgment, acceptance, and reimbursement for pharmacy and pharmacist services. As an author, it is my heartiest believe that the book will adjoin significant apprehension to future pharmacists in patient care as most of the portion created from recently published articles focusing pharmacists in patient care settings.

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Sharma, Sandeep. "Patient Level Delay in Diagnosis of Multi-Drug Resistant Tuberculosis among Patients Attending Tertiary Care Hospital in Haryana." Epidemiology International 4, no. 4 (February 7, 2020): 8–15. http://dx.doi.org/10.24321/2455.7048.201918.

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35

Memtsoudis, Stavros G., Jashvant Poeran, Nicole Zubizarreta, Rehana Rasul, Mathias Opperer, and Madhu Mazumdar. "Anesthetic Care for Orthopedic Patients." Anesthesiology 124, no. 3 (March 1, 2016): 608–23. http://dx.doi.org/10.1097/aln.0000000000001004.

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Abstract Background Differences in health care represent a major health policy issue. Despite increasing evidence on the mediating role of anesthesia type used for surgery on perioperative outcome, there is a lack of data on potential care differences in this field. The authors aimed to determine whether anesthesia practice (use of neuraxial anesthesia [NA] or peripheral nerve block [PNB]) differs by patient and hospital factors. Methods The authors extracted data on n = 1,062,152 hip and knee arthroplasty procedures from the Premier Perspective database (2006 to 2013). Multilevel multivariable logistic regression models measured associations (odds ratios [ORs] and 95% CIs) between patient/hospital factors and NA or PNB use. Results Of all patients, 22.2% (n = 236,083) received NA and 17.9% (n = 189,732) received PNB. Lower adjusted odds for receiving NA were seen for black patients (OR, 0.88; 95% CI, 0.86 to 0.91) and those on Medicaid (OR, 0.78; 95% CI, 0.74 to 0.82) or without insurance (OR, 0.89; 95% CI, 0.81 to 0.98). Furthermore, teaching hospitals (compared with nonteaching hospitals) had lower adjusted odds for NA utilization (OR, 0.35; 95% CI, 0.14 to 0.89). Although generally similar patterns were seen for PNB utilization, the main difference was that particularly Hispanic patients were less likely to receive PNB compared with white patients (OR, 0.60; 95% CI, 0.56 to 0.65). Sensitivity analyses generally validated our results. Conclusions Significant differences exist in the provision of regional anesthetic care with factors such as race and insurance type being important determinants of anesthetic practice. Further and in-depth research is needed to fully assess the background of these differences.

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Tung, J., K. Decaria, D. Dudgeon, E. Green, R. Shaw Moxam, J. Niu, and R. Rahal. "Acute-Care Hospital Use Patterns Near End-of-Life for Cancer Patients Who Die in Hospital in Canada." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 109s. http://dx.doi.org/10.1200/jgo.18.13800.

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Background: Acute-care hospitals have a role in managing the needs of people with cancer when they are at the end-of-life; however, overutilization of hospital care at the end-of-life results in poorer quality of life and can worsen the patient's experience. Early integration of comprehensive palliative care can greatly reduce unplanned visits to the emergency department, reduce avoidable admissions to hospital, shorten hospital stays, and increase the number of home deaths as well as improve the quality of life of patients with advanced cancer. Aim: To describe the current landscape of acute-care hospital utilization near the end-of-life across Canada and indirectly examine access to palliative care in cancer patients who die in hospital. Methods: Data were obtained from the Canadian Institute for Health Information. The analysis was restricted to adults aged 18+ who died in an acute care hospital in 2014/15 and 2015/16 for nine provinces and three territories. The Discharge Abstract Database was used to extract acute-care cancer death abstracts. Data on intensive care unit (ICU) admissions includes only facilities that report ICU data. Results: Acute care utilization at end-of-life remains commonplace. In Canada (excluding Québec), 43% (48,987) of deaths from cancer occurred in acute-care hospitals, with 70% admitted through the emergency department (ED). In the last six months of life, cancer patients dying in hospital had a median cumulative length of stay ranging from 17 to 25 days, depending on the province. Between 18.1% and 32.8% of patients experienced two or more admissions to the hospital in the last month of life. The proportion of cancer patients admitted to the ICU in the last 14 days of life ranged from 6.4% to 15.1%. Patient demographics (age, sex, place of residence) and clinical factors (cancer type) were often predictors of hospital utilization at end-of-life and likely point to inequities in access to palliative and end-of-life care. Conclusion: Despite previous patient surveys indicating that patients would prefer to receive care and spend their finals days at home or in a hospice, there appears to be overuse of and overreliance on acute care hospital services near the end-of-life in Canada. The high rates of hospital deaths and admissions through the ED at the end-of-life for cancer patients may signal a lack of planning for impeding death and inadequate availability of or access to community- and home-based palliative and end-of-life care services. Acute care hospitals may have a role in managing the health care needs of people affected by cancer; however, end-of-life care should be an option in other settings that align with patient preferences. Standards or practice guidelines to identify, assess and refer patients to palliative care services earlier in their cancer journey should be developed and implemented to ensure optimal quality of life.

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Cole, Evan S., Carla Willis, William C. Rencher, and Mei Zhou. "Long-term acute care hospitals and Georgia Medicaid: Utilization, outcomes, and cost." SAGE Open Medicine 4 (January 1, 2016): 205031211667092. http://dx.doi.org/10.1177/2050312116670928.

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Objectives: Because most research on long-term acute care hospitals has focused on Medicare, the objective of this research is to describe the Georgia Medicaid population who received care at a long-term acute care hospital, the type and volume of services provided by these long-term acute care hospitals, and the costs and outcomes of these services. For those with select respiratory conditions, we descriptively compare costs and outcomes to those of patients who received care for the same services in acute care hospitals. Methods: We describe Georgia Medicaid recipients admitted to a long-term acute care hospital between 2011 and 2012. We compare them to a population of Georgia Medicaid recipients admitted to an acute care hospital for one of five respiratory diagnosis-related groups. Measurements used include patient descriptive information, admissions, diagnosis-related groups, length of stay, place of discharge, 90-day episode costs, readmissions, and patient risk scores. Results: We found that long-term acute care hospital admissions for Medicaid patients were fairly low (470 90-day episodes) and restricted to complex cases. We also found that the majority of long-term acute care hospital patients were blind or disabled (71.2%). Compared to patients who stayed at an acute care hospital, long-term acute care hospital patients had higher average risk scores (13.1 versus 9.0), lengths of stay (61 versus 38 days), costs (US$143,898 versus US$115,056), but fewer discharges to the community (28.4% versus 51.8%). Conclusion: We found that the Medicaid population seeking care at long-term acute care hospitals is markedly different than the Medicare populations described in other long-term acute care hospital studies. In addition, our study revealed that Medicaid patients receiving select respiratory care at a long-term acute care hospital were distinct from Medicaid patients receiving similar care at an acute care hospital. Our findings suggest that state Medicaid programs should carefully consider reimbursement policies for long-term acute care hospitals, including bundled payments that cover both the original hospitalization and long-term acute care hospital admission.

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Bardell, Trevor, and Peter M. Brown. "Smoking Inside Canadian Acute Care Hospitals." Canadian Respiratory Journal 13, no. 5 (2006): 266–68. http://dx.doi.org/10.1155/2006/139359.

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OBJECTIVE: To assess smoking policies at Canadian acute care hospitals.METHOD: A questionnaire was designed, piloted and faxed to all acute care hospitals in Canada. The questionnaire was designed to address the following: what is the current policy regarding patient smoking? Are staff and/or visitors allowed to smoke inside the hospital? Is there a separate policy for psychiatric patients? Are smoking cessation products available at the hospital pharmacy? Is the policy governed by regional or municipal legislation?RESULTS: A total of 852 hospitals were included in the study. Of these, 476 responded to the questionnaire, for an overall response rate of 56%. Twenty-seven per cent of respondents allowed patient smoking inside the hospital. While staff smoking was not allowed inside most hospitals (93%), 32% of hospitals in Quebec allowed staff to smoke inside the building. Thirty per cent of hospitals had a separate policy for psychiatric patients, and 27% of hospitals had provisions for visitor smoking. Sixty-seven per cent of hospitals were able to offer patients smoking cessation products while they were in hospital.CONCLUSIONS: Many Canadian hospitals continue to allow smoking inside their facilities. There is considerable variation in hospital smoking policies across the country.

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Kaur, Sukhpal. "Point Prevalence of Indwelling Catheterized Patients Admitted in a Tertiary Care Hospital and Related Nursing Care Practices." International Journal of Nursing & Midwifery Research 04, no. 04 (February 2, 2018): 49–56. http://dx.doi.org/10.24321/2455.9318.201744.

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Möller, Gudrun, Ian Goldie, and Egon Jonsson. "Hospital Care Versus Home Care for Rehabilitation After Hip Replacement." International Journal of Technology Assessment in Health Care 8, no. 1 (1992): 93–101. http://dx.doi.org/10.1017/s0266462300007959.

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AbstractA pilot study was done to assess the feasibility of reducing the hospital stays of patients with total hip replacement (THR). The length of hospital stay for these patients depends largely on how rehabilitation, mostly physical therapy, is organized. This study shows that not more than a half hour per postoperative day was devoted to care services and rehabilitation activities. It is feasible and less expensive to reduce substantially hospital stay by planned physical therapy in the patient's home. These results have prompted a randomized controlled clinical trial to assess hospital versus home rehabilitation.

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Muehlberger, Thomas, Christian Ottomann, Nidal Toman, Adrien Daigeler, and Marcus Lehnhardt. "Emergency pre-hospital care of burn patients." Surgeon 8, no. 2 (April 2010): 101–4. http://dx.doi.org/10.1016/j.surge.2009.10.001.

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Gausche, Marianne, and James S. Seidel. "OUT-OF-HOSPITAL CARE OF PEDIATRIC PATIENTS." Pediatric Clinics of North America 46, no. 6 (December 1999): 1305–27. http://dx.doi.org/10.1016/s0031-3955(05)70187-5.

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Latimer, Elizabeth. "Auditing the Hospital Care of Dying Patients." Journal of Palliative Care 7, no. 1 (March 1991): 12–17. http://dx.doi.org/10.1177/082585979100700103.

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Sulman, Joanne, Carolyn J. Rosenthal, Victor W. Marshall, and Joanne Daciuk. "Elderly Patients in the Acute Care Hospital:." Journal of Gerontological Social Work 25, no. 3-4 (June 26, 1996): 33–52. http://dx.doi.org/10.1300/j083v25n03_04.

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Adler, Mitchell A. "Involving Patients And Families In Hospital Care." Health Affairs 32, no. 2 (February 2013): 440. http://dx.doi.org/10.1377/hlthaff.2012.1425.

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Tokuda, Yasuharu, Haruo Obara, Nobuhiko Nakazato, and Gerald H. Stein. "Acute care hospital mortality of schizophrenic patients." Journal of Hospital Medicine 3, no. 2 (2008): 110–16. http://dx.doi.org/10.1002/jhm.256.

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Singh, Samir, and B. Jha. "Dyslipidemia among patients visiting tertiary care hospital." Janaki Medical College Journal of Medical Science 1, no. 2 (December 5, 2013): 21–25. http://dx.doi.org/10.3126/jmcjms.v1i2.9264.

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Background and objectives: The lipid profile is a group of tests that are often ordered together to determine risk of various diseases and is likely to be abnormal (dyslipidemia) in persons suffering from Coronary Heart diseases, Diabetes, Chronic Kidney Disease and Nephrotic Syndrome. This study attempts to compare a lipid profile in normal individuals and those suffering from above diseases visiting Institute of Medicine, Maharajgunj, Kathmandu, Nepal. Material and Methods: Three hundred blood samples were collected from Inpatient and Outpatient Department. Out of which 94 blood samples of healthy individuals were assed as controls and 206 as test. The lipid profile tests were performed. All the data were analyzed using SPSS of 13 version, and the data were evaluated. Results: Out of 206 test samples and 94 controls, 116 were dyslipidemic respectively. The prevalence of dyslipidemia were highest in subjects with Coronary Heart Disease (64%) followed by Diabetes (50%). Similarly the prevalence in Chronic Kidney Disease and Nephrotic Syndrome were 43.90% and 12.50% respectively. Conclusion: Data clearly shows that there is a large variation in the lipid profile among normal and different diseased individuals. In Nepal, dyslipidemia may be more common in individuals suffering from Coronary Heart Disease, Diabetes and Chronic Kidney Disease. Janaki Medical College Journal of Medical Sciences (2013) Vol. 1 (2): 21-25 DOI: http://dx.doi.org/10.3126/jmcjms.v1i2.9264

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Chung, Soojin, and Jee-In Hwang. "Patients' Experience of Participation in Hospital Care." Journal of Korean Academy of Nursing Administration 23, no. 5 (2017): 504. http://dx.doi.org/10.11111/jkana.2017.23.5.504.

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MACDUFF. "Stroke patients' perceptions of hospital nursing care." Journal of Clinical Nursing 7, no. 5 (September 1998): 442–50. http://dx.doi.org/10.1046/j.1365-2702.1998.00166.x.

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Jones, Adrian. "Hospital care pathways for patients with schizophrenia." Journal of Clinical Nursing 10, no. 1 (January 13, 2001): 58–69. http://dx.doi.org/10.1046/j.1365-2702.2001.00435.x.

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