Academic literature on the topic 'Inpatient hospital care'

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Journal articles on the topic "Inpatient hospital care"

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Giardino, Angelo P., Tiffany Glasgow, Jill Sweney, and David Chaulk. "Pediatric inpatient hospital care." Hospital Practice 49, sup1 (October 13, 2021): 391–92. http://dx.doi.org/10.1080/21548331.2022.2050112.

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Mitchell, Colby L., Ernest R. Anderson, and Leeann Braun. "Billing for inpatient hospital care." American Journal of Health-System Pharmacy 60, suppl_6 (November 1, 2003): S8—S11. http://dx.doi.org/10.1093/ajhp/60.suppl_6.s8.

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Dorjdagva, Javkhlanbayar, Enkhjargal Batbaatar, Mikael Svensson, Bayarsaikhan Dorjsuren, Munkhsaikhan Togtmol, and Jussi Kauhanen. "Does social health insurance prevent financial hardship in Mongolia? Inpatient care: A case in point." PLOS ONE 16, no. 3 (March 31, 2021): e0248518. http://dx.doi.org/10.1371/journal.pone.0248518.

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Background Protecting people from financial hardship and impoverishment due to health care costs is one of the fundamental purposes of the Mongolian health system. However, the inefficient, oversized hospital sector is considered one of the main shortcomings of the system. The aim of this study is to contribute to policy discussions by estimating the extent of catastrophic health expenditure and impoverishment due to inpatient care at secondary-level and tertiary-level public hospitals and private hospitals. Methods Data were derived from a nationally representative survey, the Household Socio-Economic Survey 2012, conducted by the National Statistical Office of Mongolia. A total of 12,685 households were involved in the study. “Catastrophic health expenditure” is defined as out-of-pocket payments for inpatient care that exceed a threshold of 40% of households’ non-discretionary expenditure. The “impoverishment” effect of out-of-pocket payments for inpatient care was estimated as the difference between the poverty level before health care payments and the poverty level after these payments. Results At the threshold of 40% of capacity to pay, 0.31%, 0.07%, and 0.02% of Mongolian households suffered financially as a result of their member(s) staying in tertiary-level and secondary-level public hospitals and private hospitals respectively. About 0.13% of the total Mongolian population was impoverished owing to out-of-pocket payments for inpatient care at tertiary-level hospitals. Out-of-pocket payments for inpatient care at secondary-level hospitals and private hospitals were responsible for 0.10% and 0.09% respectively of the total population being pushed into poverty. Conclusions Although most inpatient care at public hospitals is covered by the social health insurance benefit package, patients who utilized inpatient care at tertiary-level public hospitals were more likely to push their households into financial hardship and poverty than the inpatients at private hospitals. Improving the hospital sector’s efficiency and financial protection for inpatients would be a crucial means of attaining universal health coverage in Mongolia.
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Wang, Wenhua, Ekaterina Loban, and Emilie Dionne. "Public Hospitals in China: Is There a Variation in Patient Experience with Inpatient Care." International Journal of Environmental Research and Public Health 16, no. 2 (January 11, 2019): 193. http://dx.doi.org/10.3390/ijerph16020193.

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In China, public hospitals are the main provider of inpatient service. The Chinese public hospital reform has recently shifted towards health care organizations and delivery to improve health care quality. This study analyzes the variation of one of the dimensions of health care quality, patient-centeredness, among inpatients with different socioeconomic status and geographical residency in China. 1471 respondents who received inpatient care in public hospitals were included in our analysis. Patient-centeredness performance was assessed on the dimensions of Communication, Autonomy, Dignity, and Confidentiality. Variations of inpatient experience were estimated using binary logistic regression models according to: residency, region, age, gender, education, income quintile, self-rated health, and number of hospital admissions. Our results indicate that older patients, and patients living in rural areas and Eastern China are more likely to report positive experience of their public hospital stay according to the care aspects of Dignity, Communication, Confidentiality and Autonomy. However, there remains a gap between China and other countries in relation to inpatient experience. Noticeable disparities in inpatient experience also persist between different geographical regions in China. These variations of patient experience pose a challenge that China’s health policy makers would need to consider in their future reform efforts.
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PS, Ramkumar, Arjun J. S, Ritudisha Biswas, and Sandeep Patil H G. "Remote Attention System for Inpatient Care." International Journal of Emerging Research in Management and Technology 6, no. 7 (June 29, 2018): 278. http://dx.doi.org/10.23956/ijermt.v6i7.225.

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ICU management has been daunting task for the hospital administration, doctors are expected to rush back to the hospital on call even after returning home, even if it is middle of night, to inspect critical developments of patient’s condition and decide further action immediately. The problem multiplies when doctors are consultants to multiple hospitals. . Hospitals face scarcity of experts who can engage full time, especially when physical presence is required on demand. This paper illustrates an initiative that is driven by collaborating Hospitals as care provider partners and Applied cognition Systems as technology partner to enable virtual presence of remote specialists in collaboration with local doctors as needed in emergency response, remote monitoring and real time consultation for management of patients admitted in wards and ICUs of hospitals.
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Wahyuningrum, Sri Hartuti, and Mustika K. Wardhani. "EFFICIENCY OF INPATIENT LAYOUT IN PRIVATE HOSPITAL (Case Study: Bhakti Asih Hospital, Brebes Central Java)." MODUL 20, no. 01 (March 29, 2020): 1–9. http://dx.doi.org/10.14710/mdl.20.01.2020.1-9.

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In the context of hospital building, inpatient care has large portion in comparasion of the other facility areas within hospitals related to efficiency, such as outpatient services, emergency room, diagnostic and especially inpatient function group services. Even though inpatient care group do not have specific requirements for detailed design and building equipment, it requires efficiency considerations related to correlation with room layout. It is expected that by considering the level of efficiency of service to patients, design can fulfill technical requirements of health and medical aspects. Regarding designs for district-level private hospitals, demand optimization of placement and layout of inpatient care became main topic in this research. This is related to the value of investment in building area development and types of services provided according to inpatient services class. The method used is comparative study of two (2) private hospital design to find the mind factors that most influence of optimization of inpatient layout. The results of study can be used as a guide in architectural design process for designing hospital buildings especially related to design efficiency of inpatient layout so that the building can function sustainability because of optimal service.
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Trivedi, Rohit, and Khyati Jagani. "Perceived service quality, repeat use of healthcare services and inpatient satisfaction in emerging economy." International Journal of Pharmaceutical and Healthcare Marketing 12, no. 3 (September 3, 2018): 288–306. http://dx.doi.org/10.1108/ijphm-11-2017-0065.

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Purpose The purpose of this study is to understand that how different demographic variables and repeated availing of service from the same doctor or same hospital shape the overall perception of health-care service quality and satisfaction among inpatients admitted in private hospitals in an emerging economy. Design/methodology/approach A self-administered, cross-sectional survey of inpatients using a questionnaire was translated into Hindi and Gujarati. The data were collected from 702 inpatients from 18 private clinics located in three selected cities from Western India. Findings The results indicate that experience with hospital administration, doctors, nursing staff, physical environment, hospital pharmacy and physical environment is significant predictor of inpatient satisfaction. Physical environment was found to be significantly associated with satisfaction only among female inpatient. It was also found that repeat availing of services either from the same hospital or doctor does not increase patient satisfaction. The feasibility, reliability and validity of the instrument that measures major technical and nontechnical dimensions of quality of health-care services were established in the context of a developing country. Originality/value The study makes important contribution by empirically investigating the inpatient assessment of health-care service quality based upon their demographic information and repeated availing of services to understand how repeat visit shapes the service quality perception.
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J., Sheela, and Malarvizhi S. "THE EFFECT OF STRUCTURED NURSING ROUNDS ON THE LEVEL NURSING CARE SATISFACTION OF PATIENT IN A SELECTED TERTIARY CARE HOSPITAL, PUDUCHERRY." International Journal of Advanced Research 10, no. 09 (September 30, 2022): 452–66. http://dx.doi.org/10.21474/ijar01/15377.

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This exploratory study investigated the relationship among staff nurses assessment of organizational culture, job satisfaction, inpatient satisfaction with information about home care and follow-up, and general inpatient satisfaction with nursing care. A conceptual path model was tested using a secondary data analysis research design. Staff nurses and inpatients were sampled from inpatient units. The unit of analysis was patient care units. Pearson correlation and regression analyses were used. We found that strength of organizational culture predicted job satisfaction well and positively job satisfaction predicted inpatient satisfaction significantly and positively and inpatient satisfaction predicted general inpatient satisfaction well and positively. Methodological challenges of this study are discussed.
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Barbaro, Ryan P., Philip S. Boonstra, Frank W. Moler, Matthew M. Davis, and Lisa A. Prosser. "Hospital-level variation in inpatient cost among children receiving extracorporeal membrane oxygenation." Perfusion 32, no. 7 (March 24, 2017): 538–46. http://dx.doi.org/10.1177/0267659117702709.

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Objective: Pediatric extracorporeal membrane oxygenation (ECMO) varies in the way care is provided from hospital to hospital. This variability in hospital ECMO care can be represented by the variation in ECMO costs. We hypothesized that hospitals will demonstrate large variations in case-mix-adjusted ECMO inpatient costs for children requiring ECMO and higher volume hospitals will have lower associated costs. Methods: We retrospectively analyzed the inpatient cost of children receiving ECMO in 2006, 2009 and 2012, using the Healthcare Cost and Utilization Project Kids’ Inpatient Database. We used a hierarchical linear regression model and the intraclass correlation coefficient to quantify how much of the difference in ECMO inpatient costs was associated with the hospital where a child received care. To do this, we adjusted for patient factors, hospital factors and potentially modifiable factors such as complications, procedures and length of stay. Results: The median inflation-adjusted inpatient costs for children requiring ECMO were $183,000, $240,000 and $241,000 in years 2006, 2009 and 2012, respectively. The largest median cost for ECMO cases in a given hospital in a given year ($690,000) was more than 11 times that of the smallest median cost ($60,000). After case-mix adjustment, 27% of the variation in inpatient costs was associated with the hospital where ECMO care was provided. Average hospital costs were not associated with hospital ECMO volume. Conclusions: The large variation in ECMO inpatient costs between hospitals suggests great variation in care between hospitals, which is important because hospitals have a co-existing variation in ECMO survival rates.
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Black, Beverly L. "Competitive alternatives to hospital inpatient care." American Journal of Health-System Pharmacy 42, no. 3 (March 1, 1985): 545–53. http://dx.doi.org/10.1093/ajhp/42.3.545.

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Dissertations / Theses on the topic "Inpatient hospital care"

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Omérov, Majda. "Violence in psychiatric inpatient care /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-850-5/.

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Drager, Katrina A. "Inpatient psychiatric length of stay and readmission rates." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007dragerk.pdf.

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Bechel, Diane Lynn. "The effect of patient-centered care on hospital inpatient cost and quality outcomes the experience in southeast Michigan." Ann Arbor, Mich. : University of Michigan, 1998. http://books.google.com/books?id=bhUvAAAAMAAJ.

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Wong, Oi-ling Irene. "Medical ecology of inpatient service utilization in Hong Kong a population survey /." Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31971337.

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Elo, Jyrki A. I. "The impact of surgical day care on hospital inpatient utilization in a paediatric population." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/27876.

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Day care surgical services have been marketed as a cost saving alternative for inpatient care. There is evidence that the cost per episode of day care surgery is 50-70 percent less than a comparable episode in an inpatient ward. In addition, avoiding hospitalization has particular relevance for paediatrics, because of the undesirable effects of hospital stay on children. However, both cost savings and the quality-based need to decrease hospitalizations of children will be fullfilled only if each patient cared for in a day care surgery unit would otherwise have been an inpatient and the bed vacated by day care surgery use would not be filled in by other patients. In a previous B.C. study based on the total population a significant component of day care surgery was found to augment total utilization, suggesting generation of surgical activity rather than substitution. The present study was designed to examine the substitution/generation issue in the paediatric (0-14 years) population, both because experts questioned the generalizability of the findings to the paediatric population, and because of the dramatic reduction in paediatric utilization in Canada during the period since the mid-1960s. The contention was that the introduction of day care surgery may have been an important factor in this downtrend. The relationship between paediatric day care surgery use and hospital inpatient utilization was analyzed in B.C. in each of the years 1968-1976 and 1981/82-1982/83 and using a time series/cross-section study design. The data frame consisted of all B.C. school districts, in each of the study years, yielding 825 data points. Using a multivariate regression analysis, it was possible to estimate what hospital utilization patterns would have been in the absence of day care surgery capacity, and hence isolate estimates of the net impact of day care surgery on paediatric inpatient use. Findings on the relationship between day care surgery use and paediatric medical/surgical and surgical inpatient utilization strongly support the view that paediatric day care surgery has been largely an add-on to the total hospital care system. Statistically significant substitution effect was revealed only for the most narrowly defined inpatient surgery category which more closely resembled day care surgery-type cases, after controlling for potential confounding effects of age and sex, paediatric bed capacity, different socioeconomic characteristics and time- and district-specific factors. Even here, less than 10 percent of day care surgery represented substitution for inpatient surgery and over 90 percent appeared to be generation of new activity to the hospital system as a whole. Furthermore, paediatric beds which were "saved" by day care surgery use were filled with increased utilization by non-day care surgery eligible surgical patients and by medical cases. The main driving force behind hospital utilization in the 0-14 year age group was paediatric bed availability even after standardization for age, sex, physician stock, measures of socioeconomic status, and other district- and year-specific effects. According to this study paediatric day care surgery has not been a cost saving alternative for inpatient care in B.C. in 1968-1982/83. Neither has it reduced overall hospitalizations in the paediatric population.
Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate
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Holibaugh, Adam Russell. "Reducing inpatient hospital acquired pneumonia (HAP) using a structured oral care program." Thesis, Boston University, 2013. https://hdl.handle.net/2144/21176.

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Thesis (M.A.) PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
Hospital acquired pneumonia (HAP) causes significant mortality and morbidity and is now no longer reimbursed by Centers for Medicare and Medicaid (CMS). For all of these reasons, hospitals want to minimize their HAP rates. Aggressive oral care (tooth brushing 3 times a day) has been shown to reduce the incidence of HAP in the intensive care unit setting, but this has not been tested in the acute care setting, in which patients are more stable, less sick, and more ambulatory. In an attempt to address HAP rates in acute care settings, this clinical trial entailed providing all patients in four wards with a 3 times per day tooth-brushing oral care protocol, which was implemented or supervised by the nurses on each ward. Six matched wards on a separate campus that received normal standard of care served as controls. The goal of this clinical trial was to cut the pneumonia rate in half, from 2% to 1%. This clinical trial was conducted to determine whether an oral care regimen would reduce the incidence of aspiration pneumonia over the three months of intervention in the experimental group (HAC) versus the control group (ENC) from Nov 5, 2012 to Feb 15, 2013.
2031-01-01
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Haile, Brian. "The costs of adult inpatient care for HIV disease at GF Jooste Hospital." Master's thesis, University of Cape Town, 2000. http://hdl.handle.net/11427/9434.

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Bibliography: leaves 49-51.
The lack of patient care and utilisation data impairs the ability of hospital and clinic administrators to make informed, data-driven policy choices. This concern is particularly acute with HIV/AIDS, given both the striking growth in the local epidemic over the last two years and the high level of HIV-related health expenditures shouldered by the provincial medical system in the Western Cape province of South Africa. A retrospective chart review was conducted to capture clinical and utilisation data of from a sample of 59 inpatients, who were admitted to a township secondary hospital near Cape Town, South Africa during 1997. Three years of data were abstracted and analysed.
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George, Allison M., and Erin N. Baguley. "Clinical and Economic Characteristics of Inpatient Esophageal Cancer Mortality in the United States." The University of Arizona, 2010. http://hdl.handle.net/10150/623745.

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Class of 2010 Abstract
OBJECTIVES: To assess disease-related and resource consumption characteristics of esophageal cancer mortality within hospital inpatient settings in the United States from 2002 to 2006. METHODS: This retrospective investigation of adults aged 18 years or older with diagnoses of malignant neoplasms of the esophagus (ICD-9: 150.x) utilized nationally-representative hospital discharge records from the Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample. Cases resulting in inpatient death were analyzed with respect to patient demographics, payer, hospital characteristics, number of procedures and diagnoses, Deyo-Charlson disease-based case-mix risk adjustor, and predominant comorbidities. RESULTS: Overall, 168,450 inpatient admissions for esophageal cancer were observed between 2002 and 2006, averaging 66.3 + or - 11.9 years, length of stay of 10.3 + or - 15.2 days, and charge of $51,600 + or _ 92,377. Predominant comorbidities within these persons included: secondary malignant neoplasms; disorders of fluid, electrolyte, and acid-base balance; pneumonia; respiratory failure/collapse or insufficiency; sepsis; anemia; hypertension; cardiac arrhythmias; obstructive pulmonary disease; acute or chronic renal disease; and heart failure. Significant predictors of increased charges included longer lengths of stay, higher numbers of diagnoses and procedures, median annual family income over $45k, urban hospital location, and presence of heart failure, chronic pulmonary disease, fluid and electrolyte disorders, or metastatic cancers (P< or = 0.05). Longer lengths of stay were associated with higher total charges, female sex, larger number of diagnoses and procedures, Medicaid, black race, increased case-mix severities, and fluid and electolyte disorders (P< or = 0.05). CONCLUSIONS: Patient mortality occurs in over one-tenth of esophageal cancer hospital admission cases. Further research is warranted to understand the impact of various comorbidities or treatment approaches and to assess potential disparities in lengths of stay.
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Abrahamsen, Grøndahl Vigdis. "Patients’ perceptions of actual care conditions and patient satisfaction with care quality in hospital." Doctoral thesis, Karlstads universitet, Avdelningen för omvårdnad, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-9023.

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There are theoretical and methodological difficulties in measuring the concepts of quality of care and patient satisfaction, and the conditions associated with these concepts. A theoretical framework of patient satisfaction and a theoretical model of quality of care have been used as the theoretical basis in this thesis. Aim. The overall aim was to describe and explore relationships between person-related conditions, external objective care conditions, patients’ perceptions of quality of care, and patient satisfaction with care in hospital. Methods. Quantitative and qualitative methods were used. In the quantitative study (I-III), 528 patients (83.7%) from eight medical, three surgical and one mixed medical/surgical ward in five hospitals in Norway agreed to participate (10% of total discharges). Data collection was conducted using a questionnaire comprising four instruments: Quality from Patients’ Perspective (QPP); Sense of Coherence scale (SOC); Big Five personality traits – the Single-Item Measures of Personality (SIMP); and Emotional Stress Reaction Questionnaire (ESRQ). In addition, questions regarding socio-demographic data and health conditions were asked, and data from ward statistics were included. Multivariate statistical analysis was carried out (I-III). In the qualitative study 22 informants were interviewed (IV). The interviews were analysed by conventional content analysis. Main findings. Patients’ perceptions of quality of care and patient satisfaction ranged from lower to higher depending on whether all patients or groups of patients were studied. The combination of person-related and external objective care conditions explained 55% of patients’ perceptions of quality of care (I). 54.7% of the variance in patient satisfaction was explained, and the person-related conditions had the strongest impact, explaining 51.7% (II). Three clusters of patients were identified regarding their scores on patient satisfaction and patients’ perceptions of quality of care (III). One group consisted of patients who were most satisfied and had the best perceptions of quality of care, a second group of patients who were less satisfied and had better perceptions, and a third group of patients who were less satisfied and had the worst perceptions. The qualitative study revealed four categories of importance for patients’ satisfaction: desire to regain health, need to be met in a professional way as a unique person, perspective on life, and need to have balance between privacy and companionship (IV). Conclusions. Patients’ perceptions of quality of care and patient satisfaction are two different concepts. The person-related conditions seem to be the strongest predictors of patients’ perceptions of quality of care and patient satisfaction. Registered nurses need to be aware of this when planning and conducting nursing care. There is a need of guidelines for handling over‑occupancy, and of procedures for emergency admissions on the wards. The number of registered nurses on the wards needs to be considered. Healthcare personnel must do their utmost to provide the patients with person‑centred care.
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Ogbuji, Victoria Ngozi. "Improving Spiritual Care in Preoperative Nursing." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7246.

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Spirituality and nursing have been intertwined from the beginning of the profession; however, there is little evidence that clearly defines spiritual nursing care and no standardized practices that can be included in the routine preoperative plan of care for patients undergoing invasive surgical procedures. The purpose of this project was to conduct a systematic review of the literature to define spiritual care and identify specific spiritual nursing care interventions. The biopsychosocial model, Narayanasamy's transcultural care practice model, and Watson's theory of human caring provided the theoretical framework for the project. MEDLINE, PubMed, Wiley online library, SCIENCE, WOS, Cochrane, and SciELO databases were searched for the literature review. Keywords and phrases used included spirituality, spiritual nursing care, holistic health practices, inpatient, hospital, and preoperative care. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) II tool was used for data analysis. Interventions found in the literature to be supportive of spirituality included healing presence; providing effective communication; praying with the patient and family or facilitating other religious rituals; using the therapeutic self to be with the patient; listening to and exploring the patients' spiritual perspectives; and showing support and empathy through patient-centered caring, nurturing spirituality, and creating a healing environment. Employing these nursing actions might promote positive social change by contributing to a sense of well-being as patients find meaning and purpose in their illness and life overall, which will promote improved surgical outcomes and better patient satisfaction with care.
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Books on the topic "Inpatient hospital care"

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L, Siegler Eugenia, Mirafzali Saeid, and Foust Janice B, eds. An introduction to hospitals and inpatient care. New York: Springer Pub., 2003.

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D, Bess Joshua, ed. Manual of inpatient psychiatry. Cambridge: Cambridge University Press, 2010.

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Welch, W. Pete. Toward profiling physicians for inpatient services: Florida. Washington, DC: Urban Institute, 1994.

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Financing, New York (State) Council on Health Care. Recommendations for financing hospital inpatient care during 1988-1990. [Albany, N.Y: The Council, 1987.

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Foulke, Garrett E., and James M. Schibanoff. Inpatient and surgical care optimal recovery guidelines: Annotated bibliography. [xx]: Milliman & Robertson, 1999.

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G, Simpkins Celeste, ed. The unnoticed majority in psychiatric inpatient care. New York: Plenum Press, 1993.

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Pandiani, John A. Inpatient behavioral health care services provided to Vermont residents during 1990-2002. Waterbury, Vt: Vermont Mental Health Performance Indicator Project, Department of Health, Division of Mental Health, 2004.

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Pandiani, John A. Inpatient behavioral health care services provided to Vermont residents during 1990-2004. Burlington, VT: Vermont Mental Health Performance Indicator Project, Dept. of Health, Division of Mental Health, 2006.

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Council, Pennsylvania Health Care Cost Containment. Inpatient hospitalizations resulting from motor vehicle accidents. Harrisburg, Pa: Pennsylvania Health Care Cost Containment Council, 1998.

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Michel, Hersen, ed. Practice of inpatient behavior therapy: A clinical guide. Orlando Fla: Grune & Stratton, 1985.

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Book chapters on the topic "Inpatient hospital care"

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Kao, Ann, and Jocelyn Carter. "Inpatient Medical Care." In The Massachusetts General Hospital Guide to Medical Care in Patients with Autism Spectrum Disorder, 23–41. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-94458-6_3.

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Kiesler, Charles A., and Celeste G. Simpkins. "Predicting Hospital Length of Stay for Psychiatric Inpatients." In The Unnoticed Majority in Psychiatric Inpatient Care, 81–92. Boston, MA: Springer US, 1993. http://dx.doi.org/10.1007/978-1-4899-1109-4_7.

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Wu, Ian Qianhuang, Francesca Lorraine Wei Inng Lim, and Liang Piu Koh. "Outpatient Care." In The Comprehensive Cancer Center, 21–33. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-82052-7_4.

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AbstractManagement of haematology-oncology patients has historically been largely inpatient-based. With advances in the understanding of disease and improvements in supportive care, patients are increasingly being managed in the outpatient setting. This is especially evident in autologous stem cell transplantation, which is now routinely done as an outpatient procedure at various centres. As clinicians gain more experience in novel therapies such as chimeric antigen receptor (CAR)-T cell therapy and bispecific T cell engager (BiTE) therapy, these may potentially be administered in the outpatient setting in the near future with the adoption of a risk-stratified approach. Such a paradigm shift in the practice of haematology-oncology is inevitable and has been driven by several factors, including pressure from the institution/hospital to avoid unnecessary hospital admissions and for optimal use of inpatient resources to be more cost-effective and efficient. With favourable local regulations and funding, outpatient cancer care can be economically beneficial. The success of an outpatient cancer center is heavily dependent on planning the facility to be equipped with the appropriate infrastructure, together with the trained medical and supportive personnel in place. This, coupled with the utilization of emerging technology such as telemedicine, has the potential to revolutionize cancer care delivery in the outpatient setting.
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Kiesler, Charles A., and Celeste G. Simpkins. "Effects of Hospital Exemption from the Prospective Payment System." In The Unnoticed Majority in Psychiatric Inpatient Care, 187–93. Boston, MA: Springer US, 1993. http://dx.doi.org/10.1007/978-1-4899-1109-4_15.

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Nielsen, Fran, Polly Kwan, and Nina Mather. "Group Therapies." In Longer-Term Psychiatric Inpatient Care for Adolescents, 77–84. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-1950-3_9.

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AbstractThe group therapy programme at the Walker Unit uses a multimodal approach including verbal, non-verbal, and physical elements. The programme draws on expertise from a range of professional disciplines. The group programme provides therapeutic clinical intervention rather than activity or distraction-based programmes, providing structure and containment as well as cultivating engagement in the therapeutic process and therapy skill building, navigating interpersonal dynamics. Being in a contained unit, the spaces on the ward are also used to facilitate a therapeutic environment during groups. Toward the end of the admissions adolescents and their families may adopt a similarly structured programme or routine including skills and strategies, to assist with their transition from hospital and maintain therapeutic gains achieved from their admission.
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Rauner, Marion S., and Michaela M. Schaffhauser-Linzatti. "Impact of Inpatient Reimbursement Systems on Hospital Performance: The Austrian Case-Based Payment Strategy." In Operations Research and Health Care Policy, 129–53. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-6507-2_7.

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Kharfan-Dabaja, Mohamed A. "The Inpatient Unit in a Cancer Center." In The Comprehensive Cancer Center, 15–20. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-82052-7_3.

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AbstractDespite emergence of effective novel cancer therapies that can be administered outside the hospital setting for various solid tumor and hematologic malignancies, a significant number of patients still require treatment in the inpatient setting, owing to the nature of the treatment, duration, and frequency, or to the level of supportive care required to administer such treatments, among others. Apart from specialized trained physicians and nurses, the number of inpatient team services has expanded significantly to meet the complex needs of patients and their families. We acknowledge that there is no universal model for how an inpatient unit should be built and developed; it depends on financial resources, population density, and societal factors, among others. Here, we describe the main components of an inpatient unit in a cancer center. The ultimate goal must be to provide a safe environment for cancer patients and to facilitate delivery of care in an efficient manner.
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Collen, Morris F., and Randolph A. Miller. "The Early History of Hospital Information Systems for Inpatient Care in the United States." In Health Informatics, 339–83. London: Springer London, 2015. http://dx.doi.org/10.1007/978-1-4471-6732-7_6.

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Torres, Yaniel, Yordán Rodríguez, and Néstor R. Buitrago. "Application of the Ergonomic Checkpoints in Health Care Work: A Case from an Inpatient Service Unit of an Educational Hospital in Colombia." In Proceedings of the 21st Congress of the International Ergonomics Association (IEA 2021), 469–74. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-74611-7_64.

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Kiesler, Charles A., and Celeste G. Simpkins. "Who Is Treated in Psychiatric Scatter Beds in General Hospitals?" In The Unnoticed Majority in Psychiatric Inpatient Care, 93–105. Boston, MA: Springer US, 1993. http://dx.doi.org/10.1007/978-1-4899-1109-4_8.

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Conference papers on the topic "Inpatient hospital care"

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Levant, Shaleah, and Carol DeFrances. "Electronic collection of inpatient and ambulatory hospital care data." In the 13th Annual International Conference. New York, New York, USA: ACM Press, 2012. http://dx.doi.org/10.1145/2307729.2307761.

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Utii, Agustina, Bhisma Murti, Yulia Lanti Retno Dewi, and Priscilla Jessica Pihahey. "Factors Affecting the Perceived Quality of Service and Patient Satisfaction on Inpatient Care of Nabire Hospital Papua." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.46.

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ABSTRACT Background: The government’s efforts to improve public health level are by providing excellent health service facilities, including promotion, preventive, curative, and rehabilitative. The outcome of quality health service can be measured by patient perception and satisfaction. This study aimed to examine factors affecting the perceived quality of service and patient satisfaction on inpatient care of Nabire Hospital, Papua, Indonesia. Subjects and Method: A cross-sectional study was carried out at Nabire regional hospital, Papua, Indonesia, from March to Mey 2020. A sample of 207 inpatients was selected by stratified random sampling. The dependent variable was patient satisfaction. The independent variables were age, income, and length of stay type class health insurance, working, and patient perception toward doctor, nurse, and inpatients facilities. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Inpatients satisfaction decreased with age ≥50 years (OR= 0.72; 95% CI= 0.24 to 2.65; p= 0.720), income ≥Papua minimum wage (OR= 0.77; 95% CI= 0.22 to 2.73; p= 0.685), and length of stay ≥7 days (OR= 0.13; 95% CI= 0.03 to 0.53; p= 0.004). Inpatients satisfaction increased with class 2 and 3 (OR= 1.15; 95% CI= 0.43 to 3.07; p= 0.773), non national health insurance (OR= 1.21; 95% CI= 0.46 to 3.23; p= 0.700), working (OR= 2.13; 95% CI= 0.58 to 7.85; p= 0.258), good patient perception toward doctor (OR= 3.03; 95% CI= 1.15 to 7.99; p<0.001), good persepsi patient perception toward nurse (OR= 4.04; 95% CI= 1.15 to 14.17; p<0.001), and patient perception toward inpatients facilities (OR= 26.8; 95% CI= 11.0 to 65.32; p<0.001). Conclusion: Inpatients satisfaction decreases with age ≥50 years, income ≥Papua minimum wage, and length of stay ≥7 days. Inpatients satisfaction increases with class 2 and 3, non national health insurance, working, good patient perception toward doctor, good persepsi patient perception toward nurse, and patient perception toward inpatients facilities. Keywords: inpatients satisfaction, patient perception, health insurance Correspondence: Agustina Utii. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: agustinautii1@gmail.com. Mobile: 081240051451. DOI: https://doi.org/10.26911/the7thicph.04.46
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Akhter, Saima, Nadeem Rizvi, and Shaista Ghazal. "Standard of inpatient care during exacerbation in territory care Hospital, Pakistan; A completed audit cycle." In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa1020.

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Akhter, Saima, and Nadeem Rizvi. "Audit 2014: Standard of inpatient care during exacerbation of COPD in Territory Care Hospital, Pakistan." In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa3661.

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Flynn, Stephanie, and Daniel Westaby. "30 Improving inpatient anti-emetic prescribing at the royal marsden hospital." In The APM’s Supportive & Palliative Care Conference, Accepted Oral and Poster Abstract Submissions, The Harrogate Convention Centre, Harrogate, England, 21–22 March 2019. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjspcare-2019-asp.53.

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Davies, Ella, Simon Roughneen, Jessica Lee, Andrew Khodabukus, and Sarika Hanchanale. "185 The management of breathlessness in a palliative care inpatient unit." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 19–20 March 2020 | Telford International Centre. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/spcare-2020-pcc.205.

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Tejedor-Sojo, Javier, Shabnam Jain, Martha Bailey, Abby Williams, Joanne Mendoza, Maggie Kilgore, Laura Gillard, Ning Chan, and Frankie Campo. "A System Wide Quality Improvement Project for Bronchiolitis Patients: Integrating Urgent Care, Emergency Department and Inpatient Hospital Care." In Selection of Abstracts From NCE 2016. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/peds.141.1_meetingabstract.87.

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Uppal, Amit, Allison Friedenberg, David Chmielewski, and Laura Evans. "Factors Associated With Utilization Of An Inpatient Palliative Care Service In An Urban Public Hospital." In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a6224.

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Mustafa, Syamsuddin, Hamsu Abdul Gani, and Nurlita Pertiwi. "Community Behavior in the Use of Energy on Inpatient Room Care Hospital in Makassar City." In 1st World Conference on Social and Humanities Research (W-SHARE 2021). Paris, France: Atlantis Press, 2022. http://dx.doi.org/10.2991/assehr.k.220402.061.

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Gray, AE, N. Cordwell, A. Wickham, and H. Khiroya. "189 Non-malignant liver disease: a retrospective audit of hospital inpatient deaths." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 19–20 March 2020 | Telford International Centre. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/spcare-2020-pcc.209.

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Reports on the topic "Inpatient hospital care"

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Alford, Josephine, Sonja Williams, Michelle Oriaku, Donielle White, Alexander Schwartzman, and Geoffrey Jackson. National Hospital Care Survey Demonstration Projects: Severe Maternal Morbidity in Inpatient and Emergency Departments. National Center for Health Statistics (U.S.), October 2021. http://dx.doi.org/10.15620/cdc:109829.

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Bergeron, Timothy N. Inpatient Obstetric Care at Irwin Army Community Hospital: A Study to Determine the Most Efficient Organization. Fort Belvoir, VA: Defense Technical Information Center, March 2001. http://dx.doi.org/10.21236/ada420872.

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Peters, Zachary, Jill Ashman, Alexander Schwartzman, and Carol DeFrances. National Hospital Care Survey Demonstration Projects: Examination of Inpatient Hospitalization and Risk of Mortality Among Patients Diagnosed With Pneumonia. National Center for Health Statistics (U.S.), January 2022. http://dx.doi.org/10.15620/cdc:112080.

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Hauer, Klaus, Ilona Dutzi, Christian Werner, Jürgen M. Bauer, and Phoebe Ullrich. Implementation of intervention programs specifically tailored for patients with CI in early rehabilitation during acute hospitalization: a scoping review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2022. http://dx.doi.org/10.37766/inplasy2022.10.0067.

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Review question / Objective: What is the current status of implementation of interventional programs on early functional rehabilitation during acute, hospital-based medical care, specifically tailored for older patients with CI and what are the most appropriate programs or program components to support early rehab in this specific population? This study combines a systematic umbrella review with a scoping review. While an umbrella review synthesizes knowledge by summarizing existing review papers, a scoping review aims to provide an overview of an emerging area, extracting concepts and identify the gaps in knowledge. The study focuses on older hospitalized adults (>65 yrs.) receiving ward based early rehabilitation. The focus within this review is on study participants with cognitive impairment or dementia. The study targets at controlled trials independent of their randomization procedure reporting on an early functional rehabilitation during hospitalization. Trials that were conducted in different or mixed settings (e.g. inpatient and aftercare intervention) without a clear focus on hospital based rehabilitation were excluded. The study aim is to identify the presence of CI specific features for early rehabilitation including: CI/dementia assessment, sub-analysis of results according to cognitive status, sample description defined by cognitive impairment, program modules specific for geriatric patients CI.
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Bartel, Ann, Carri Chan, and Song-Hee (Hailey) Kim. Should Hospitals Keep Their Patients Longer? The Role of Inpatient Care in Reducing Post-Discharge Mortality. Cambridge, MA: National Bureau of Economic Research, September 2014. http://dx.doi.org/10.3386/w20499.

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Smith, Joni. Inpatient Behavioral Health Recapture A Busiess Case Analysis at Evans Army Community Hospital Fort Carson, Colorado. Fort Belvoir, VA: Defense Technical Information Center, July 2009. http://dx.doi.org/10.21236/ada516595.

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Totten, Annette, Dana M. Womack, Marian S. McDonagh, Cynthia Davis-O’Reilly, Jessica C. Griffin, Ian Blazina, Sara Grusing, and Nancy Elder. Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication. Agency for Healthcare Research and Quality, December 2022. http://dx.doi.org/10.23970/ahrqepccer254.

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Objectives. To assess the use, effectiveness, and implementation of telehealth-supported provider-to-provider communication and collaboration for the provision of healthcare services to rural populations and to inform a scientific workshop convened by the National Institutes of Health Office of Disease Prevention on October 12–14, 2021. Data sources. We conducted a comprehensive literature search of Ovid MEDLINE®, CINAHL®, Embase®, and Cochrane CENTRAL. We searched for articles published from January 1, 2015, to October 12, 2021, to identify data on use of rural provider-to-provider telehealth (Key Question 1) and the same databases for articles published January 1, 2010, to October 12, 2021, for studies of effectiveness and implementation (Key Questions 2 and 3) and to identify methodological weaknesses in the research (Key Question 4). Additional sources were identified through reference lists, stakeholder suggestions, and responses to a Federal Register notice. Review methods. Our methods followed the Agency for Healthcare Research and Quality Methods Guide (available at https://effectivehealthcare.ahrq.gov/topics/cer-methods-guide/overview) and the PRISMA reporting guidelines. We used predefined criteria and dual review of abstracts and full-text articles to identify research results on (1) regional or national use, (2) effectiveness, (3) barriers and facilitators to implementation, and (4) methodological weakness in studies of provider-to-provider telehealth for rural populations. We assessed the risk of bias of the effectiveness studies using criteria specific to the different study designs and evaluated strength of evidence (SOE) for studies of similar telehealth interventions with similar outcomes. We categorized barriers and facilitators to implementation using the Consolidated Framework for Implementation Research (CFIR) and summarized methodological weaknesses of studies. Results. We included 166 studies reported in 179 publications. Studies on the degree of uptake of provider-to-provider telehealth were limited to specific clinical uses (pharmacy, psychiatry, emergency care, and stroke management) in seven studies using national or regional surveys and claims data. They reported variability across States and regions, but increasing uptake over time. Ninety-seven studies (20 trials and 77 observational studies) evaluated the effectiveness of provider-to-provider telehealth in rural settings, finding that there may be similar rates of transfers and lengths of stay with telehealth for inpatient consultations; similar mortality rates for remote intensive care unit care; similar clinical outcomes and transfer rates for neonates; improvements in medication adherence and treatment response in outpatient care for depression; improvements in some clinical monitoring measures for diabetes with endocrinology or pharmacy outpatient consultations; similar mortality or time to treatment when used to support emergency assessment and management of stroke, heart attack, or chest pain at rural hospitals; and similar rates of appropriate versus inappropriate transfers of critical care and trauma patients with specialist telehealth consultations for rural emergency departments (SOE: low). Studies of telehealth for education and mentoring of rural healthcare providers may result in intended changes in provider behavior and increases in provider knowledge, confidence, and self-efficacy (SOE: low). Patient outcomes were not frequently reported for telehealth provider education, but two studies reported improvement (SOE: low). Evidence for telehealth interventions for other clinical uses and outcomes was insufficient. We identified 67 program evaluations and qualitative studies that identified barriers and facilitators to rural provider-to-provider telehealth. Success was linked to well-functioning technology; sufficient resources, including time, staff, leadership, and equipment; and adequate payment or reimbursement. Some considerations may be unique to implementation of provider-to-provider telehealth in rural areas. These include the need for consultants to better understand the rural context; regional initiatives that pool resources among rural organizations that may not be able to support telehealth individually; and programs that can support care for infrequent as well as frequent clinical situations in rural practices. An assessment of methodological weaknesses found that studies were limited by less rigorous study designs, small sample sizes, and lack of analyses that address risks for bias. A key weakness was that studies did not assess or attempt to adjust for the risk that temporal changes may impact the results in studies that compared outcomes before and after telehealth implementation. Conclusions. While the evidence base is limited, what is available suggests that telehealth supporting provider-to-provider communications and collaboration may be beneficial. Telehealth studies report better patient outcomes in some clinical scenarios (e.g., outpatient care for depression or diabetes, education/mentoring) where telehealth interventions increase access to expertise and high-quality care. In other applications (e.g., inpatient care, emergency care), telehealth results in patient outcomes that are similar to usual care, which may be interpreted as a benefit when the purpose of telehealth is to make equivalent services available locally to rural residents. Most barriers to implementation are common to practice change efforts. Methodological weaknesses stem from weaker study designs, such as before-after studies, and small numbers of participants. The rapid increase in the use of telehealth in response to the Coronavirus disease 2019 (COVID-19) pandemic is likely to produce more data and offer opportunities for more rigorous studies.
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