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Literatura académica sobre el tema "Senior healthcare"

Autor: Grafiati

Publicado: 4 de junio de 2021

Última modificación: 20 de febrero de 2023

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Artículos de revistas sobre el tema "Senior healthcare"

Shi, Yuxi Vania, Sherrie Yi Komiak y Paul Komiak. "Enhancing seniors’ health-related quality of life". International Journal of Research in Business and Social Science (2147- 4478) 9, n.º 7 (12 de diciembre de 2020): 1–11. http://dx.doi.org/10.20525/ijrbs.v9i7.951.

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Virtual healthcare information technologies (HIT) are being adopted during the Covid-19 pandemic. We propose that even after Covid-19, virtual HIT can still have great potentials to address the challenges brought by the aging population on healthcare systems. The key questions are (1) what kinds of virtual HIT will be useful for seniors and (2) how these HIT will affect senior citizens’ health-related quality of life (HRQL)? Centered on the concept of HRQL and grounded on task-technology fit (TTF) theory, this paper builds a framework of useful virtual HIT in the context of long-term care for seniors. The framework proposes senior citizens’ human characteristics (i.e. restricted mobility, deteriorated working memory and attention, and social isolation) will influence their health-related tasks (task adaptability, autonomy, and interdependence). A set of virtual healthcare systems can be designed to fit seniors’ tasks. These HIT will increase seniors’ HRQL through increased task-technology fit (i.e. quality of healthcare, timeliness of healthcare, and relationships with seniors). This framework can serve as a base for researchers and practitioners in their endeavor to design more suitable HIT for seniors.

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Stock, Ronald D., Dan Reece y Lorelei Cesario. "Developing a Comprehensive Interdisciplinary Senior Healthcare Practice". Journal of the American Geriatrics Society 52, n.º 12 (diciembre de 2004): 2128–33. http://dx.doi.org/10.1111/j.1532-5415.2004.52576.x.

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Mitra, Mahima, Sue Dopson, Paul Brankin y Timothy Hoff. "Leading together: Collaboration among senior healthcare executives". British Journal of Healthcare Management 23, n.º 1 (2 de enero de 2017): 12–16. http://dx.doi.org/10.12968/bjhc.2017.23.1.12.

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Martin, Livia y Evelyn Everett Knowles. "Model for an integrated health system". Journal of Integrated Care 28, n.º 2 (20 de noviembre de 2019): 161–70. http://dx.doi.org/10.1108/jica-08-2019-0034.

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Purpose Theoretically, a health system has been described in terms of integration being the coordination of health services and collaboration amongst provider organizations. The components of an integrated health system remain inconclusive. Although senior healthcare executives establish structures and designs which facilitate the delivery of integrated care, their perspectives of a health system have not been explored. The purpose of this paper is to present senior healthcare executives’ perspectives of a health system which, when combined, form a model for developing an integrated health system. Design/methodology/approach Using a qualitative methodology and a multi-case study design, 11 presidents and 4 senior vice presidents of major healthcare organizations or systems in Ontario Canada were selected from a target population of 246 senior healthcare executives to engage in 1 h interviews each. Critical case sampling was applied in the selection of the study sample. Interviews were conducted between December 2017 and February 2018. Findings Senior healthcare executives expressed four distinct perspectives of a health system: systems, institutional, clinical and governance. When combined, the four perspectives form an original research-based concept or model for an integrated health system. Originality/value This paper conveys results of personal interviews with senior healthcare executives and presents a proposed model for an integrated health system based on their four distinct perspectives of a health system.

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Muratov, Sergei, Justin Lee, Anne Holbrook, Jason Robert Guertin, Lawrence Mbuagbaw, John Michael Paterson, Tara Gomes, Priscila Pequeno y Jean-Eric Tarride. "Incremental healthcare utilisation and costs among new senior high-cost users in Ontario, Canada: a retrospective matched cohort study". BMJ Open 9, n.º 10 (octubre de 2019): e028637. http://dx.doi.org/10.1136/bmjopen-2018-028637.

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ObjectivesTo describe healthcare use and spending before and on becoming a new (incident) senior high-cost user (HCU) compared with senior non-HCUs; to estimate the incremental costs, overall and by service category, attributable to HCU status; and to quantify its monetary impact on the provincial healthcare budget in Ontario, Canada.DesignWe conducted a retrospective, population-based comparative cohort study using administrative healthcare records. Incremental healthcare utilisation and costs were determined using the method of recycled predictions allowing adjustment for preincident and incident year values, and covariates. Estimated budget impact was computed as the product of the mean annual total incremental cost and the number of senior HCUs.ParticipantsIncident senior HCUs were defined as Ontarians aged ≥66 years who were in the top 5% of healthcare cost users during fiscal year 2013 (FY2013) but not during FY2012. The incident HCU cohort was matched with senior non-HCUs in a ratio of 1 HCU:3 non-HCU.ResultsSenior HCUs (n=175 847) reached the annual HCU threshold of CAD$10 192 through different combinations of incurred costs. Although HCUs had higher healthcare utilisation and costs at baseline, HCU status was associated with a substantial spike in both, with prolonged hospitalisations playing a major role. Twelve per cent of HCUs reached the HCU expenditure threshold without hospitalisation. Compared with non-HCUs (n=5 27 541), HCUs incurred an additional CAD$25 527 per patient in total healthcare costs; collectively CAD$4.5 billion or 9% of the 2013 Ontario healthcare budget. Inpatient care had the highest incremental costs: CAD$13 427, 53% of the total incremental spending.ConclusionsCosts attributable to incident senior HCU status accounted for almost 1/10 of the provincial healthcare budget. Prolonged hospitalisations made a major contribution to the total incremental costs. A subgroup of patients that became HCU without hospitalisation requires further investigation.

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Stevens, Polly, Annette Down y Jordan M. Willcox. "Questions healthcare boards should ask senior leaders about risk". Healthcare Management Forum 31, n.º 6 (24 de septiembre de 2018): 223–29. http://dx.doi.org/10.1177/0840470418799412.

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Drawing on strong ethical and evidence-based principles, Healthcare Insurance Reciprocal of Canada, in collaboration with healthcare leaders, has developed guiding questions to help boards of healthcare organizations carry out a critical governance function—the oversight of key organizational risks. The resulting list of 21 questions is the first of its kind for healthcare and focuses on the core mandate of healthcare organizations which is providing high-quality care. Recommended practices accompany each question.

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Jain, Bhav, Eman Khatri y Fatima C. Stanford. "Racial disparities in senior healthcare: System‐level interventions". Journal of the American Geriatrics Society 70, n.º 4 (17 de enero de 2022): 1292–96. http://dx.doi.org/10.1111/jgs.17658.

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Manes-Rossi, Francesca, Marco Bisogno, Natalia Aversano y Francesca Citro. "Intellectual capital in Italian healthcare: senior managers' perspectives". International Journal of Public Sector Management 33, n.º 6/7 (11 de junio de 2020): 629–46. http://dx.doi.org/10.1108/ijpsm-11-2019-0298.

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PurposeThis study investigates the perceptions of intellectual capital (IC) among senior managers at Italian local healthcare units (LHUs) and the interrelations among IC components. It also provides a comprehensive definition of IC in the healthcare context and managerial guidance on improving IC to enhance LHU performance.Design/methodology/approachA survey was carried out to investigate perceptions among LHU senior management and identify characteristics of each primary IC component. The pilot study's results were examined using principal component analysis.FindingsThe findings illustrate senior management's perceptions of IC in LHUs and the extent to which management identifies and manages IC. A comprehensive definition of IC components in the healthcare sector is derived from these findings.Research limitations/implicationsThe research provides a better understanding of IC in the healthcare context and facilitates further research into how IC may be incorporated in quotidian organizational procedures. Results suggest that LHU managers should invest in increasing trust and respect and engage employees in organizational processes to provide recognition for the active role they play. Ongoing management of the three primary IC components is shown to have clear advantages, particularly on their connectivity.Originality/valueThe paper contributes to an increasingly important strand of theoretical research – IC in the healthcare context – and also adds new knowledge on the practical applications of IC in LHUs.

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Alipio, Mark y Joseph Dave Pregoner. "Determinants of Healthcare Utilization among Senior Citizens in Davao City, Philippines". JPAIR Multidisciplinary Research 39, n.º 1 (6 de enero de 2020): 50–65. http://dx.doi.org/10.7719/jpair.v39i1.759.

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As the number of senior citizens increases, issues regarding their utilization of healthcare services are becoming highly relevant to discuss. This study aims to evaluate the potential determinants of healthcare utilization among senior citizens in Davao City, Philippines. Stratified sampling with proportional allocation was employed to select the 2,952 respondents. Data were collected using questionnaires. Of the total sample, 61.0% consumed cigarettes at most two times per week, 70.0% drank alcohol two to three times per week, and 78.3% performed an exercise at most one time per week. Approximately 59.0% reported experiencing two to three symptoms of a disease; however, 56.3% of the respondents utilized healthcare services at most four times for the past six months. Most of the respondents were unaware that they automatically receive PhilHealth coverage in accredited healthcare facilities in the Philippines. Multiple regression analysis revealed that age, sex, family size, monthly income, geographical area, lifestyle factors, and awareness of health insurance were significant determinants of healthcare utilization. The findings revealed the impact of socio-demographic, lifestyle, and health insurance awareness on healthcare utilization among senior citizens. Policymakers and local government units may consider improving the capability for senior citizens to access health services, such as providing health insurance awareness programs and developing health-promoting activities.

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Shamshurina, Nina Grigorievna, Victor Ivanovich Shamshurin, Yuliya Aleksandrovna Laamarti, Lyubov Nikolaevna Ryabchikova, Alexander Alexandrovich Nikolaev y Pavel Aleksandrovich Peremibeda. "Public administration strategy of healthcare system for seniors". International journal of health sciences 5, n.º 3 (24 de diciembre de 2021): 630–38. http://dx.doi.org/10.53730/ijhs.v5n3.2720.

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The goal of the study is to restructure society’s attitude toward the needs of the elderly. The article addresses the methodology of state social policy and possible innovations in funding and economic methods for public administration in the healthcare system for seniors. The novelty of the work is ensured by the concept of managed older age and a start-up proposal to create the State Direct Investment Fund “Senior Generation” functioning as an entity responsible for the development of the organizational foundations for gerontology and geriatrics services. The practical significance of the study lies in the optimization of the modern management model of care for the older generation and a philosophical study of age as a potential in management in both individual and societal regards. This strategy can serve as a basis for public administration of the healthcare system for the elderly accounting for the diversity of seniors as a social stratum.

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Tesis sobre el tema "Senior healthcare"

Bouffard, Stacey Renee. "Senior Perspectives on Healthcare: A PhotoVoice© Project". Thesis, The University of Arizona, 2015. http://hdl.handle.net/10150/579245.

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Six seniors (ages 70-79) participated in a six-week focus group to identify healthcare issues relevant to older adults in Arizona. The PhotoVoice© methodology was used to organize discussion around participants' own photographic documentation of experiences with healthcare systems. The overarching concern for participants was that of healthcare systems navigation. Five domains of concern related to Healthcare Navigation were identified and documented by participants through photographic process; Access, Getting Information, Relationships with Healthcare Providers, Managing Medication and Lifestyle. All participants expressed dissatisfaction with some aspects of their healthcare. Participants identified personal resources and high levels of self-efficacy in areas of recording one's own medical information and staying healthy through lifestyle choices, such as diet, exercise and positive outlook on life. The group in collaboration with the facilitator developed a PREZI© and presented their ideas at the 2015 Conference on Successful Aging in Tucson, Arizona.

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McDonald, Carmen. "The Relationship between Senior Healthcare Executives' Emotional Intelligence and Employee Satisfaction". ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1701.

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The healthcare industry evolved on March 23, 2010, when the Affordable Care Act (ACA) was signed into law. The general problem prompting the need for this study was that healthcare workers are affected by patient and family anxiety, evolving evidencebased practices and treatments, and regulatory complexities. Outdated managerial skills with leaders lacking emotional intelligence may produce employee dissatisfaction, and satisfied workers may influence the quality of care and patient satisfaction. The purpose of this study was to examine the relationship between senior healthcare leaders' EI and employee satisfaction. EI theory was the conceptual foundation for this research. This quantitative study used a survey to collect EI scores from 25 senior healthcare executives using the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) and employee satisfaction scores from the Press Ganey Employee Voice Solution Survey collected by their organizations. Data were analysed using Pearson correlations, independent sample t tests, and ANOVAs to test the variables of EI and employee satisfaction. Assumptions of the t test and ANOVA were met to ensure the sample size was sufficient. The results of the Pearson correlation indicated that employee satisfaction percentile and score were not related to EI within the sample. No differences were found in EI by age, gender, years of experience, or educational level. The changes in healthcare require focusing on social change as it relates to service behaviors by all individuals who have any impact on the patient-care experience.

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Borucka, Kamila. "Suburban Senior Living : Future Environments with Focus on Ageing". Thesis, KTH, Arkitektur, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-223239.

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Stockholm is growing very fast and many new housing investments are under construction outside of the city center. Suburbs are getting densifed and readjusted to modern needs as this is where many of us live today and be living in the future. At the same time our society is aging. Sweden today has 1,6 million inhabitants over 64 years old. This number is expected to raise up to 2,7 million in 2060, which means that approximately 1 in 4 people will be aged over 64*. Current urbanization rate of Sweden is oscillating around 85%, therefore the vast majority of Swedish elderly will be living in cities. We are also expected to live and work longer, changing our professions few times during our lifetime. We will have to be fast learners and flexible employees to keep up with technological development and changing job market. We will have to compete with robots and smart technologies in order to keep our positions. This equals being a “lifelong student”, even in the older age. Looking towards the future, where the demographic structure of the society will shift, it is already time to start planning our cities for an aging population, where regardless date of birth everyone can feel important and integral part of our society

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Liang, Zhanming y N/A. "Characteristics, Competencies and Challenges: A Quantitative and Qualitative Study of the Senior Health Executive Workforce in New South Wales, 1990-1999". Griffith University. School of Public Health, 2007. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20070914.091446.

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Healthcare reforms and restructuring have been a global phenomenon since the early 1980s. The major structural reforms in the healthcare system in New South Wales (NSW) including the introduction and implementation of the area health management model (1986), the senior executive service (1989) and performance agreements (1990), heralded a new era in management responsibility and accountability. It is believed that the reforms, the process of the reforms, and the instability brought about by the reforms may have not only resulted in the change of senior healthcare management practices, but also in the change of competencies required for senior healthcare managers in meeting the challenges in the new era. However, limited studies have been conducted which examined how health reforms affected its senior health executive workforce and the above changes. Moreover, no study on senior healthcare managers has focused specifically on NSW after the major reforms were implemented. The purpose of this research was to examine how reforms in the NSW Health public sector affected its senior health executive workforce between 1990 and 1999 in terms of their roles and responsibilities, the competencies required, and the challenges they faced. This study, from a broad perspective, aimed to provide an overview of the NSW reforms, the forces behind the reforms and the effects the reforms may have had on senior health managers as predicted by the national and international literature. This study also explored the changes to the senior health executive workforce in the public sector during the period of rapid change in the 1990s and has provided indications of the managerial educational needs for future senior healthcare managers. Both quantitative and qualitative data have been collected by this study using triangulated methods including scientific document review and analyses, a postal questionnaire survey, and in-depth telephone interviews. The findings from the two quantitative methods informed and guided the development of the open-ended questions and overall focus of the telephone interviews. This study found differences in the characteristics and employment-related aspects between this study and previous studies in the 1980s and 1990s, and identified four major tasks, twelve key roles and seven core competencies required by senior health executives in the NSW Health public sector between 1990 and 1999. The study concludes that the demographic characteristics and the roles and responsibilities of the NSW Health senior executive workforce since the reforms of the 1980s have changed. This study also identified seven major obstacles and difficulties experienced by senior health executives and suggested that during the introduction and implementation of major healthcare reforms in NSW since 1986, barriers created by the system prevented the achievement of its full potential benefits. Although this study did not focus on detailed strategies on how to minimise the negative impact of the health reforms on the senior health executives or maximise the chance of success in introducing new changes to the system, some suggestions are proposed. Most significantly, the study has developed a clear analytical framework for understanding the pyramidal relationships between tasks, roles and competencies and has developed and piloted a new competency assessment approach for assessing the core competencies required by senior health managers. These significant findings indicate the need for a replication of the study on an Australia-wide scale in order to extend the generalisability of the results and test the reliability and validity of the new competency assessment approach at various management levels in a range of healthcare sectors. This is the first study acknowledging the impact of the introduction of the area health management model, the senior executive service and performance agreements in the NSW public health system through an original insight into the personal experiences of the senior health executives of the reforms and examination of the major tasks that senior health executives performed and relevant essential competencies required to perform these tasks. The possible solutions identified in this study can guide the development of strategies in providing better support to senior healthcare managers when large-scale organisational changes are proposed in the future.

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Liang, Zhanming. "Characteristics, Competencies and Challenges: A Quantitative and Qualitative Study of the Senior Health Executive Workforce in New South Wales, 1990-1999". Thesis, Griffith University, 2007. http://hdl.handle.net/10072/366277.

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Healthcare reforms and restructuring have been a global phenomenon since the early 1980s. The major structural reforms in the healthcare system in New South Wales (NSW) including the introduction and implementation of the area health management model (1986), the senior executive service (1989) and performance agreements (1990), heralded a new era in management responsibility and accountability. It is believed that the reforms, the process of the reforms, and the instability brought about by the reforms may have not only resulted in the change of senior healthcare management practices, but also in the change of competencies required for senior healthcare managers in meeting the challenges in the new era. However, limited studies have been conducted which examined how health reforms affected its senior health executive workforce and the above changes. Moreover, no study on senior healthcare managers has focused specifically on NSW after the major reforms were implemented. The purpose of this research was to examine how reforms in the NSW Health public sector affected its senior health executive workforce between 1990 and 1999 in terms of their roles and responsibilities, the competencies required, and the challenges they faced. This study, from a broad perspective, aimed to provide an overview of the NSW reforms, the forces behind the reforms and the effects the reforms may have had on senior health managers as predicted by the national and international literature. This study also explored the changes to the senior health executive workforce in the public sector during the period of rapid change in the 1990s and has provided indications of the managerial educational needs for future senior healthcare managers. Both quantitative and qualitative data have been collected by this study using triangulated methods including scientific document review and analyses, a postal questionnaire survey, and in-depth telephone interviews. The findings from the two quantitative methods informed and guided the development of the open-ended questions and overall focus of the telephone interviews. This study found differences in the characteristics and employment-related aspects between this study and previous studies in the 1980s and 1990s, and identified four major tasks, twelve key roles and seven core competencies required by senior health executives in the NSW Health public sector between 1990 and 1999. The study concludes that the demographic characteristics and the roles and responsibilities of the NSW Health senior executive workforce since the reforms of the 1980s have changed. This study also identified seven major obstacles and difficulties experienced by senior health executives and suggested that during the introduction and implementation of major healthcare reforms in NSW since 1986, barriers created by the ‘system’ prevented the achievement of its full potential benefits. Although this study did not focus on detailed strategies on how to minimise the negative impact of the health reforms on the senior health executives or maximise the chance of success in introducing new changes to the system, some suggestions are proposed. Most significantly, the study has developed a clear analytical framework for understanding the pyramidal relationships between tasks, roles and competencies and has developed and piloted a new competency assessment approach for assessing the core competencies required by senior health managers. These significant findings indicate the need for a replication of the study on an Australia-wide scale in order to extend the generalisability of the results and test the reliability and validity of the new competency assessment approach at various management levels in a range of healthcare sectors. This is the first study acknowledging the impact of the introduction of the area health management model, the senior executive service and performance agreements in the NSW public health system through an original insight into the personal experiences of the senior health executives of the reforms and examination of the major tasks that senior health executives performed and relevant essential competencies required to perform these tasks. The possible solutions identified in this study can guide the development of strategies in providing better support to senior healthcare managers when large-scale organisational changes are proposed in the future.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Public Health
Faculty of Health
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Elekwachi, Philip Nwaogazie. "Perceptions of Financial Bribery and Kickbacks on Nigerian Healthcare Public Policy". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6324.

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Financial bribery and kickbacks are characteristics of corruption that are considered a serious threat to healthcare development in Nigeria. The influence of corruption leads to financial waste and negative health consequences for citizens. High demand for quality healthcare and other socioeconomic development infrastructures in the rural areas of the state provide opportunities for misappropriation of allocated healthcare development funds. Using Kingdon's multiple streams theory as the foundation, the purpose of this case study of a single city in Nigeria was to understand how state and city legislators and health administrators perceive the influence of corruption on senior healthcare development, its service delivery, and the lives of residents. Data were collected through interviews with 15 individuals representing older adult participants, state and city legislators, and healthcare administrators and publicly available government data. Following a root cause analysis framework, these data were inductively coded and subject to a thematic analysis procedure. Identified key themes from the study findings were (a) healthcare services, (b) poor infrastructure, (c) poverty, (d) healthcare cost, (e) government and corruption, (f) unpaid wages, (g) health centers, and (h) public and private hospitals. The positive social change implications stemming from this study include recommendations to National Health Insurance Scheme to formulate policies that may improve quality healthcare service and delivery, improve communication between local government and residents, and reduce the high out-of-pocket cost of healthcare. These recommendations may enhance healthcare provider insight on equal healthcare access to seniors and the entire rural community.

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Anders, Judith E. "Senior Graduating Nursing Students: Career Choices in Gerontological Nursing in Response to Expanding Geriatric Population". Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc103285/.

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Access to healthcare is needed and wanted by people of all ages and especially by those of the older population. The number of people in the 65 years of age and older population is rapidly growing with their needs expected to have a significant impact on the existing healthcare system and healthcare providers. The impact will be critical given the severe shortage of healthcare providers, especially of nurses and the rate of services being more often provided in non-hospital settings. The objectives of the study were to discover the plans of graduating nursing students as they choose their first place of employment, if they have future plans to pursue a nursing advance practice degree, and if they are very happy with their decision to become a nurse. Data for the study were obtained from a questionnaire presented to senior graduating nursing students. The findings were: (a) Most students prefer a hospital setting. (b) Younger students are three times as likely to seek out the hospital, and 1/3 of the students seek out the hospital setting because they were encouraged to become a nurse. (c) About 70% of the students want to work with their friends while 1/3 will seek the hospital worksite, as it is perceived as being the strongest resource in paying back loans. (d) Nearly 87% are considering the nursing advance practice role, and 52% have interest in the nurse practitioner role. The majority of students identified as very happy with their decision to become a nurse. This study provided insight for schools of nursing as they make curriculum decisions and to businesses as they learn of the preferences and plans of the new emerging nurses.

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Boadu, Frimpomaa y Malin Fougman. "Sjuksköterskors upplevelser av att arbeta med kvalitetsregistret Senior alert och hur det påverkar vården av äldre". Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-312133.

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Bakgrund: Senior alert är ett nationellt kvalitetsregister som avser att förebygga trycksår, fall, undernäring, ohälsa i munnen och blåsdysfunktion hos patienter över 65 år. För att identifiera dessa riskområden används olika bedömningsinstrument och sjuksköterskor ansvarar för att registreringarna genomförs och att förebyggande åtgärder sätts in. Syfte: Studiens syfte var att studera sjuksköterskors upplevelse av att arbeta med kvalitetsregistret Senior alert samt hur sjuksköterskorna upplever att arbetet med kvalitetsregistret påverkar vården hos de äldre. Metod: Sex sjuksköterskor verksamma inom Uppsala kommun med erfarenhet av att arbeta med Senior alert intervjuades och en kvalitativ innehållsanalys användes för att bearbeta den insamlade datan. Resultat: Utifrån den insamlade datan utformades fyra kategorier, Upplevelser av Senior alert som redskap, Senior alert kan förbättras, Tillämpandet av senior alert i praktiken och Arbetet med Senior alert bidrar till ökad vårdprevention och sju underkategorier. Slutsats: Senior alert upplevs som ett bra redskap för att arbeta förebyggande och främja teamarbete, men uppfattas som tidskrävande. Sjuksköterskorna i den här studien anser att vården av de äldre förbättras då identifiering av riskområden sker tidigt och åtgärder sätts in. För att kunna göra resultatet överförbart och veta på vilket sätt vården förbättras behövs ett större urval och frågor som är utformade för att kunna besvara syftet.
Background: Senior Alert is a quality registry which aims to prevent pressure ulcers, falling, malnutrition, bad oral health and urinary incontinence among patients over 65 years. To identify these areas different evaluation tools are used and nurses are responsible for the registrations and making sure preventive actions are made. Aim: The aim of this study was to describe how nurses experience working with the quality registry Senior Alert and how it affects the care of the elderly. Methods: Six nurses working in Uppsala county with experience of working with Senior Alert was interviewed. The interviews were analyzed using a qualitative content analysis. Results: Four categories, Senior Alert as a tool, Senior Alert needs improvement, Working with Senior Alert and Senior Alert contributes to a better health care and seven subcategories were identified. Conclusions: The respondents found Senior Alert to be a helpful tool for preventive work and that it promotes teamwork, but is perceived as time consuming. The nurses in this study think that the care of the elderly improves by early identification and preventive actions, but to do this, study-result transferability and knowing in what way the care will improve it will need a larger target group and more questions to answer the aim of the study.

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Ritter, Benjamin. "The Relationship between the Rates of Job Satisfaction and the Degree of Person-Job Value Congruence for Senior Healthcare Leaders". Thesis, Pepperdine University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10930342.

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Acute care hospitals and senior healthcare leaders are facing increasing governmental regulations enacted by the Affordable Care Act (ACA), Value-Based Programing, and a constantly changing political agenda. Senior healthcare leaders are expected to solve these new challenges and lead their employees and organizations during these challenging times. However, the ever-changing healthcare environment, which may be attributing to the high turnover rates and low rates of job satisfaction for senior healthcare leaders, is preventing lasting solutions to the current challenges the healthcare industry is facing (Fiabane, Giorgi, Sguazzin, & Argentero, 2013; Keyko, Cummings, Yonge, & Wong, 2016). Research supports that intrinsic variables of job satisfaction are the key to increasing motivation and job satisfaction for healthcare employees (Janssen, De Jonge, & Bakker, 1999; Lee & Cummings, 2008; Lundh, 1999; Nolan, Nolan, & Grant, 1995; Speedling, 1990). Research also indicated that value congruence is positively related to job satisfaction (Edwards & Cable, 2009; Kristof, 1996; Kristof-Brown, Zimmerman, & Johnson, 2005; Ren & Hamann, 2015) and has a stronger relationship between intrinsic variables of job satisfaction than extrinsic variables of job satisfaction (Caudron, 1997; Fisher, 2010). The purpose of this research study was to explore the relationship between the rates of extrinsic and intrinsic job satisfaction and the degree of person-job value congruence for senior healthcare leaders. Surprisingly, this study’s findings indicated that there is no statistically significant relationship between person-job value congruence and extrinsic or intrinsic job satisfaction. Also, contrary to previous literature, extrinsic job satisfaction was highlighted as more important than intrinsic job satisfaction for increasing job satisfaction for senior healthcare leaders. The study’s findings also note that female senior healthcare leaders have less extrinsic job satisfaction and feel that they need to achieve more (be more successful, capable, and ambitious) in their roles than male senior healthcare leaders. This study’s findings offer acute care hospitals evidence that supports employee engagement strategies that differ from the common practice to focus on intrinsic variables and personal values. Instead, this study’s findings suggest acute care hospitals focus on the more explicit extrinsic variables of job satisfaction and explore potential gender differences between senior healthcare leaders.

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El-Sharkawi, Hossam K. "Development of a model to integrate patient, staff & doctor satisfaction attributes and predictors into senior level healthcare management decision-making & policy development". Thesis, City University London, 2000. http://openaccess.city.ac.uk/8069/.

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This thesis addressesth e question of the significance or addedv alue derived from directly integrating client (defined as patients, doctors, and staff) satisfaction level predictors and attributes into senior level healthcare decision-making and policy development processes. It poses the questions: 1. Is satisfaction level measurement for patients, doctors and staff an important requirement for improved managerial efficiency and effectiveness? If so, then why? 2. Are the satisfaction attributes for each of these groups associated? What are the implications of such an association on senior managerial decision outcomes? 3. How to best integrate satisfaction predictors and attributes to improve decisionmaking and policy development? To address the above, the thesis proposes a unified model to allow for the utilisation of satisfaction study findings to inform both policy and decision-making processes. Through client satisfaction impact assessment (CSIA) methods, the model may permit healthcare managers to achieve higher levels of client loyalty, by better understanding, predicting and possibly influencing client needs, expectations and satisfaction. Modelling is a means that enables senior managers to simulate realistic scenarios while avoiding costly and/or unethical trial and error strategies. Therefore, modelling acts as a decision-aiding methodology. The model links health management decision-making process and frameworks with key attributes and predictors of user/patient, doctor and staff satisfaction, to show implications on the development of sound policy and decision outcomes, while avoiding pitfalls. It goes beyond simple measurements of satisfaction, by examining its multi-dimensional nature, decomposing it into constituent attributes, and investigating its predictors. Satisfaction attributes are viewed as an extension of people's needs and expectations. The data corroborates the work of other researchers as to the complexity of the concept of satisfaction and its expression. Data were collected through focus groups, household surveys, and exit questionnaires in the West Bank (Palestine) as a case study; the thesis outlines the need and practical methods to harmonise healthcare organisation policy setting and evolution with patient, staff and doctor expectations and beliefs, to the extent possible. The resulting synergy from this harmonisation would work to reduce some of the inherit uncertainty associated with decision outcomes by lowering the risk of dissonance between management and its main client groups (patients, staff, medical doctors). Dissonance, or position discrepancy, is viewed as a key contributing factor to reduced client satisfaction and increased decision uncertainty. From the organisational policy development perspective, the model reveals the significance satisfaction attributes and predictors of all three client groups (patients, staff, medical doctors) and subsequent decisions they make (observed behaviour) through the institutionalisation of systematic methods to incorporate vital information at policy levels. The determinants of these decisions are further analysed including beliefs, perceptions, attitudes, and intentions to enhance the understanding of how these factors fit into decision-making and policy development processes. It further points to the consequences healthcare managers may encounter when the opposing needs and expectations (multi-attributes of satisfaction) on these groups are not closely examined.

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Libros sobre el tema "Senior healthcare"

Bush-Brown, Albert. Hospitable design for healthcare and senior communities. New York: Van Nostrand Reinhold, 1992.

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Butler, Greg. Lean-Six Sigma for healthcare: A senior leader guide to improving cost and throughput. 2^a ed. Milwaukee, Wis: ASQ Quality Press, 2009.

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Greg, Butler, Poston Nancy y American Society for Quality, eds. Lean-Six Sigma for healthcare: A senior leader guide to improving cost and throughput. 2^a ed. Milwaukee, Wis: ASQ Quality Press, 2009.

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David, Lloyd. How to maximize service capacity: Nuts and bolts solutions for implementing change in behavioral healthcare organizations below the senior management level. Fayetteville, N.C: National Council for Community Behavioral Healthcare, 1998.

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D, McGrath Michael Ph, ed. Wireless sensor networks for healthcare applications. Boston: Artech House, 2010.

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Healthcare sensor networks: Challenges toward practical implementation. Boca Raton: CRC Press/Taylor & Francis Group, 2012.

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Russo, Dr Roger. Stay Fit Seniors Saving Seniors Baby Boomers and America's Healthcare Costs. Cork: BookBaby, 2013.

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New, Jersey Legislature Senate Health Human Services and Senior Citizens Committee. Committee meeting of Senate Commerce Committee, and Senate Health, Human Services and Senior Citizens Committee: The committee[sic] will receive testimony on the status of Federal healthcare reform implementation in New Jersey : [March 3, 2011, Trenton, New Jersey]. Trenton, N.J: New Jersey Office of Legislative Services, Public Information Office, Hearing Unit, 2011.

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The arts therapies: A revolution in healthcare. New York, NY: Brunner-Routledge, 2004.

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Warren, Bernie. Using the creative arts in therapy and healthcare: A practical introduction. 3^a ed. London: Routledge, 2008.

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Capítulos de libros sobre el tema "Senior healthcare"

McCarthy, Joseph B. y Lily L. Hurlimann. "Increasing Competition Will Expand the Healthcare Marketer’s Role". En Marketing Long-Term and Senior Care Services, 33–44. New York: Routledge, 2021. http://dx.doi.org/10.4324/9781315860169-4.

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Ahn, Sung-Ho, Vinod C. Joseph y Doo-Hyun Kim. "Embedded Healthcare System for Senior Residents Using Internet Multimedia HomeServer and Telephone". En Lecture Notes in Computer Science, 177–86. Berlin, Heidelberg: Springer Berlin Heidelberg, 2005. http://dx.doi.org/10.1007/978-3-540-30585-9_20.

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Yuan, Yin, Huang Shu, Zhan Bowen y Zuo Haoyu. "‘Easyi’ - A New Toilet Seat Designed for Senior Adults to Prevent Them from Falling When Using the Toilet". En Advances in Human Factors and Ergonomics in Healthcare and Medical Devices, 493–98. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-80744-3_61.

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Owen, V. M. "Medical and Healthcare Sensors". En Sensors, 431–50. Weinheim, Germany: Wiley-VCH Verlag GmbH, 2008. http://dx.doi.org/10.1002/9783527620180.ch15.

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Agrawal, Dharma Prakash. "Personal/Body Area Networks and Healthcare Applications". En Embedded Sensor Systems, 353–90. Singapore: Springer Singapore, 2017. http://dx.doi.org/10.1007/978-981-10-3038-3_16.

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Abbas, Ash Mohammad. "Body Sensor Networks for Healthcare: Advancements and Solutions". En Pervasive Healthcare, 87–102. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-77746-3_7.

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"e Senior Leader’s Role". En Sustaining Lean in Healthcare, 57–62. CRC Press, 2018. http://dx.doi.org/10.4324/9781439840283-8.

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Canant, Mary Anne S. "Senior Management Oversight and Involvement". En Implementing Information Security in Healthcare, 45–54. HIMSS Publishing, 2020. http://dx.doi.org/10.4324/9781003126294-5.

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Yellampalli, Siva Sankar, N. Ravi Kiran y Ishwar Malapur. "Medi-Rings for Senior Citizens". En Advances in Healthcare Information Systems and Administration, 148–73. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-7071-4.ch006.

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In this chapter, the authors propose Medi-Ring, a compact system to carry all the medical records for senior citizens to avoid improper medication, delay in treatment in emergency situation. The three main aspects of Medi-Ring are NFC technology, system memory, and a controller. NFC technology is used for transferring the data, the system memory is used to store the medical records which includes patient's details, doctor's prescription, and all other medical details. A controller is used to control the whole system. As the proposed Medi-Ring is wearable, compact, and flexible, it can be used as a medical companion for senior citizens.

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Rodrigues, Helena y Ana Brochado. "Going for Silver-Senior Consumers' Reviews of Medical Tourism". En New Techniques for Brand Management in the Healthcare Sector, 64–83. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-3034-4.ch005.

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Senior medical tourism is a growing niche market. Senior citizens are increasingly traveling abroad with the stated intent of accessing medical treatment. This study sought to identify the main dimensions of overall experiences in senior medical tourism. Data based on senior citizens' comments and ratings were retrieved from the treatment abroad website, with a focus on customers over 54 years old. Content analyses identified eight major themes in medical tourism reviewers. The themes of happiness (with the results) and treatment are predominant in senior consumers. The results are relevant to managers and marketing researchers who run medical tourism businesses, providing them with a deeper understanding of the senior market on services and identifying which services' quality most significantly influence customers' recommendations.

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Actas de conferencias sobre el tema "Senior healthcare"

Ogunseye, Shawn, Sherrie X. Y. Komiak y Paul Komiak. "The Impact of Senior-Friendliness Guidelines on Seniors' Use of Personal Health Records". En 2015 International Conference on Healthcare Informatics (ICHI). IEEE, 2015. http://dx.doi.org/10.1109/ichi.2015.110.

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Yin, Jianwei, Jinwen Zhong, Xiaohua Pan, Dongqing He y Yueshen Xu. "JTang HSS: A Healthcare Service Platform for the Senior". En 2013 Ninth International Conference on Mobile Ad-hoc and Sensor Networks (MSN). IEEE, 2013. http://dx.doi.org/10.1109/msn.2013.100.

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Lee, Tsorng-Yeh y Beryl F. Pilkington. "The Efficacy of an Educational Program to Improve Food Safety Knowledge among Chinese Senior Immigrants in Canada". En Annual Global Healthcare Conference. Global Science & Technology Forum (GSTF), 2015. http://dx.doi.org/10.5176/2251-3833_ghc15.23.

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Chasma, F. y Z. Khonat. "30 Improving BAME accessibility to senior management and leadership roles". En Leaders in Healthcare Conference, 17–20 November 2020. BMJ Publishing Group Ltd, 2020. http://dx.doi.org/10.1136/leader-2020-fmlm.30.

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Home, Joseph. "11 Junior doctors as senior leaders – lessons learnt during COVID-19". En Leaders in Healthcare Conference, 17–20 November 2020. BMJ Publishing Group Ltd, 2020. http://dx.doi.org/10.1136/leader-2020-fmlm.11.

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Jeong, Wonjun y Seokhee Oh. "Senior healthcare testbed design and construction: focusing on the temperature control system". En 2021 International Conference on Information and Communication Technology Convergence (ICTC). IEEE, 2021. http://dx.doi.org/10.1109/ictc52510.2021.9620907.

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Ali, Omer, John Howells y Karen Partington. "94 Bridging the divide: senior managers and junior doctors working together". En Leadership in Healthcare conference, 14th to 16th November 2018, Birmingham, UK. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/leader-2018-fmlm.92.

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Yongkun Sui, Chanmin Ahn y Chong H. Ahn. "A new smart fall-down detector for senior healthcare system using inertial microsensors". En 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). IEEE, 2014. http://dx.doi.org/10.1109/embc.2014.6943660.

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Sung-Ho Ahn, V. C. Joseph, Kyung-Hee Lee y Doo-Hyun Kim. "Design and implementation of telephone-initiated multimedia healthcare embedded system for senior residents". En 2005 Digest of Technical Papers. International Conference on Consumer Electronics, 2005. ICCE. IEEE, 2005. http://dx.doi.org/10.1109/icce.2005.1429901.

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Shah, Haroon Ali. "157 Perspectives of senior black, asian and minority ethnic (BAME) doctors in England reaching leadership positions: a qualitative study". En Leaders in Healthcare Conference, 17–20 November 2020. BMJ Publishing Group Ltd, 2020. http://dx.doi.org/10.1136/leader-2020-fmlm.157.

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Informes sobre el tema "Senior healthcare"

Cluff, Pamela S. A Decision Model for Senior Leaders: Reinventing Healthcare at Dewitt Army Community Hospital. Fort Belvoir, VA: Defense Technical Information Center, julio de 2000. http://dx.doi.org/10.21236/ada411921.

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Fleming, Joanna, John I. MacArtney, Abi Eccles, Catherine Grimley, Helen Wesson, Catriona Mayland, Sarah Mitchell et al. Impact of Covid-19 pandemic on Hospices (ICoH): Senior Management Cohort and Grey Evidence Report. University of Warwick Press, mayo de 2022. http://dx.doi.org/10.31273/978-1-911675-05-1.

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This report describes the diversity of experiences of people with life-limiting illnesses who were supported by hospices in the West Midlands during the pandemic. It is one of four cohort reports – the others focus on patients, carers, and frontline hospice staff respectively – that form the evidence base for a Policy Report into the impact of Covid-19 on hospices. In these reports we address the nine key themes that were identified as potentially important in our previous collaborative knowledge synthesis (MacArtney et al., 2021) and seek to address some of the policy gaps we identified in our review of recommendations for hospice practice and policy (van Langen-Datta et al., 2022). Together these outputs are the result of an Economic and Social Research Council funded study (grant number: ES/W001837/1) that is one of the first studies to contribute an in-depth exploration of hospice-based experiences of the pandemic to the growing body of knowledge about the effectiveness and effects of changes to hospice services, at regional and national levels, in response to Covid-19. As the key decision makers during the Covid-19 pandemic, this part of the ICoH study aimed to explore senior managers’ experiences and to understand how they responded to the challenges imposed on them whilst still delivering a high-quality palliative care service. Coupled with hospice grey evidence in the form of, for example, senior management emails to staff, policy and guideline documents, we can start to understand the pressures and context in which decisions were made, including what worked well and what did not. The aim of this report is therefore to explore experiences of senior managers during the Covid-19 pandemic to identify recommendations for clinical practice and healthcare policy. Drawing on these findings, this report offers recommendations for hospices managers and clinicians who continue to provide care and support for people with life limiting conditions during the ongoing pandemic. These recommendations will also be of interest to local commissioners who will need to work with hospices in their region to ensure people with life-limiting conditions receive the support they need, and national policymakers who will need to ensure the necessary resources and guidance are available.

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MacArtney, John I., Joanna Fleming, Abi Eccles, Catherine Grimley, Helen Wesson, Catriona Mayland, Sarah Mitchell et al. Impact of Covid-19 pandemic on Hospices (ICoH): Patient Cohort Report. University of Warwick Press, mayo de 2022. http://dx.doi.org/10.31273/978-1-911675-02-0.

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This report describes the diversity of experiences of people with life-limiting illnesses who were supported by hospices in the West Midlands during the pandemic. It is one of four cohort reports – the others focus on carers, frontline hospice staff, and senior managers respectively – that form the evidence base for a Policy Report into the impact of Covid-19 on hospices. In these reports we address the nine key themes that were identified as potentially important in our previous collaborative knowledge synthesis (MacArtney et al., 2021) and seek to address some of the policy gaps we identified in our review of recommendations for hospice practice and policy (Langen-Datta et al., 2022). Together these outputs are the result of an Economic and Social Research Council funded study (grant number: ES/W001837/1) that is one of the first studies to contribute an in-depth exploration of hospice-based experiences of the pandemic to the growing body of knowledge about the effectiveness and effects of changes to hospice services, at regional and national levels in response to Covid-19. The aim of this report is therefore to explore experiences of those with life-limiting conditions the effects of the Covid-19 pandemic on the care and support to identify recommendations for clinical practice and healthcare policy. Drawing on these findings, this report offers recommendations for hospices and clinicians who continue to provide care and support for people with life limiting conditions during the ongoing pandemic. These recommendations will also be of interest to local commissioners who will need to work with hospices in their region to ensure people with life-limiting conditions receive the support they need, and national policymakers who will need to ensure the necessary resources and guidance are available.

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MacArtney, John I., Joanna Fleming, Abi Eccles, Catherine Grimley, Helen Wesson, Catriona Mayland, Sarah Mitchell et al. Impact of Covid-19 pandemic on Hospices (ICoH): Staff Cohort Report. University of Warwick Press, mayo de 2022. http://dx.doi.org/10.31273/978-1-911675-04-4.

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This report describes the diversity of experiences of hospice staff who worked in operational roles in hospices in the West Midlands during the Covid-19 pandemic. It is one of four cohort reports – the others focus on patients, carers, and senior managers respectively – that form the evidence base for a Policy Report into the impact of Covid-19 on hospices. In these reports we address the nine key themes that were identified as potentially important in our previous collaborative knowledge synthesis (MacArtney et al., 2021) and seek to address some of the policy gaps we identified in our review of recommendations for hospice practice and policy (van Langen-Datta et al., 2022). Together these outputs are the result of an Economic and Social Research Council funded study (grant number: ES/W001837/1). This is one of the first studies to contribute an in-depth exploration of hospice-based experiences of the pandemic to the growing body of knowledge about the effectiveness and effects of changes to hospice services, at regional and national levels in response to Covid-19. The aim of this report is therefore to explore the effects the Covid-19 pandemic had on the experiences of hospice staff as they sought to provide care and support to people with life-limiting conditions and those that cared for them so that we can identify recommendations for clinical practice and healthcare policy. Drawing on these findings, this report offers recommendations for hospices and clinicians who continue to provide care and support for people with life limiting conditions and those that care them during the ongoing pandemic. These recommendations will also be of interest to local commissioners who will need to work with hospices in their region to ensure informal carers receive the support they need, and national policymakers who will need to ensure the necessary resources and guidance are available.

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MacArtney, John I., Joanna Fleming, Abi Eccles, Catherine Grimley, Helen Wesson, Catriona Mayland, Sarah Mitchell et al. Impact of Covid-19 pandemic on Hospices (ICoH): Carer Cohort Report. University of Warwick Press, mayo de 2022. http://dx.doi.org/10.31273/978-1-911675-03-7.

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This report describes the diversity of experiences informal carers for people with life-limiting illnesses who were supported by hospices in the West Midlands during the pandemic. It is one of four cohort reports – the others focus on patients, frontline hospice staff, and senior managers respectively – that form the evidence base for a Policy Report into the impact of Covid-19 on hospices. In these reports we address the nine key themes that were identified as potentially important in our previous collaborative knowledge synthesis (MacArtney et al., 2021) and seek to address some of the policy gaps we identified in our review of recommendations for hospice practice and policy (Langen-Datta et al., 2022). Together these outputs are the result of an Economic and Social Research Council funded study (grant number: ES/W001837/1). This is one of the first studies to contribute an in-depth exploration of hospice-based experiences of the pandemic to the growing body of knowledge about the effectiveness and effects of changes to hospice services, at regional and national levels in response to Covid-19. The aim of this report is therefore to explore experiences of those informal carers of people with life-limiting conditions and the effects of the Covid-19 pandemic on the care and support they experienced, to identify recommendations for clinical practice and healthcare policy. Drawing on these findings, this report offers recommendations for hospices and clinicians who continue to provide care and support for people with life limiting conditions and those that care them during the ongoing pandemic. These recommendations will also be of interest to local commissioners who will need to work with hospices in their region to ensure informal carers receive the support they need, and national policymakers who will need to ensure the necessary resources and guidance are available.

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Paez, Kathryn, Rachel Shapiro, Lee Thompson, Erica Shelton, Lucy Savitz, Sarah Mossburg, Susan Baseman y Amy Lin. Health System Panel To Inform and Encourage Use of Evidence Reports: Findings From the Implementation and Evaluation of Two Evidence-Based Tools. Agency for Healthcare Research and Quality (AHRQ), agosto de 2022. http://dx.doi.org/10.23970/ahrqepchealthsystempanel.

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Objectives. The Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice Center (EPC) Program wants learning health systems (LHSs) to use the evidence from its reports to improve patient care. In 2018, to improve uptake of EPC Program findings, the EPC Program developed a project to enhance LHSs’ adoption of evidence to improve the quality and effectiveness of patient care. AHRQ contracted with the American Institutes for Research (AIR) and its partners to convene a panel of senior leaders from 11 LHSs to guide the development of tools to help health systems use findings from EPC evidence reports. The panel’s contributions led to developing, implementing, and evaluating two electronic tools to make the EPC report findings more accessible. AIR evaluated the LHSs’ use of the tools to understand (1) LHSs’ experiences with and impressions of the tools, (2) how well the tools helped them access evidence, and (3) how well the tools addressed barriers to LHS use of the EPC reports and barriers to applying the evidence from the reports. Data sources. (1) Implementation meetings with 6 LHSs; (2) interviews with 27 health system leaders and clinical staff who used the tools; and (3) website utilization metrics. Results. The tools were efficient and useful sources of summarized evidence to (1) inform systems change, (2) educate trainees and clinicians, (3) inform research, and (4) support shared decision making with patients and families. Clinical leaders appreciated the thoroughness and quality of the evidence reviews and view AHRQ as a trusted source of information. Participants found both tools to be valuable and complementary. Participants suggested optimizing the content for mobile device use to facilitate health system uptake of the tools. In addition, they felt it would be helpful to have training resources about tool navigation and interpreting the statistical content in the tools. Conclusions. The evaluation shows that LHSs find the tools to be useful resources for making the EPC Program reports more accessible to health system leaders. The tools have the potential to meet some, but not all, LHS evidence needs, while exposing health system leaders to AHRQ as a resource to help meet their information needs. The ability of the EPC reports to support LHSs in improving the quality of care is limited by the strength and robustness of the evidence, as well as the relevance of the report topics to patient care challenges faced by LHSs.

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Marold, Juliane, Ruth Wagner, Markus Schöbel y Dietrich Manzey. Decision-making in groups under uncertainty. Fondation pour une culture de sécurité industrielle, febrero de 2012. http://dx.doi.org/10.57071/361udm.

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The authors have studied daily decision-making processes in groups under uncertainty, with an exploratory field study in the medical domain. The work follows the tradition of naturalistic decision-making (NDM) research. It aims to understand how groups in this high reliability context conceptualize and internalize uncertainties, and how they handle them in order to achieve effective decision-making in their everyday activities. Analysis of the survey data shows that uncertainty is thought of in terms of issues and sources (as identified by previous research), but also (possibly a domain-specific observation) as a lack of personal knowledge or skill. Uncertainty is accompanied by emotions of fear and shame. It arises during the diagnostic process, the treatment process and the outcome of medical decision making. The most frequently cited sources of uncertainty are partly lacking information and inadequate understanding owing to instability of information. Descriptions of typical group decisions reveal that the individual himself is a source of uncertainty when a lack of knowledge, skills and expertise is perceived. The group can serve as a source of uncertainty if divergent opinions in the decision making group exist. Three different situations of group decisions are identified: Interdisciplinary regular meetings (e.g. tumor conferences), formal ward meetings and ad hoc consultations. In all healthcare units concerned by the study, only little use of structured decision making procedures and processes is reported. Strategies used to handle uncertainty include attempts to reduce uncertainty by collecting additional information, delaying action until more information is available or by soliciting advice from other physicians. The factors which ultimately determine group decisions are hierarchy (the opinion of more senior medical staff carries more weight than that of junior staff), patients’ interest and professional competence. Important attributes of poor group decisions are the absence of consensus and the use of hierarchy as the predominant decision criterion. On the other hand, decisions judged to be effective are marked by a sufficient information base, a positive discussion culture and consensus. The authors identify four possible obstacles to effective decision making: a steep hierarchy gradient, a poor discussion culture, a strong need for consensus, and insufficient structure and guidance of group decision making processes. A number of intervention techniques which have been shown in other industries to be effective in improving some of these obstacles are presented.

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Xie, Li y Ci-Song Cheng. Probiotics in the treatment of senile constipation: A systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, marzo de 2022. http://dx.doi.org/10.37766/inplasy2022.3.0070.

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Review question / Objective: Is probiotic therapy as effective or more effective than existing treatments in relieving the severity of constipation and improving the patient's mental status and quality of life in elderly patients with constipation? Do probiotic treatments pose greater risks than existing treatments for older patients with constipation? Condition being studied: Constipation is a common digestive disorder with a worldwide prevalence of 14-30%, and the prevalence increases with age. Constipation seriously impairs patients' quality of life, leads to significant medical costs, and places a burden on the healthcare system. For constipation, Western medicine uses lifestyle changes, medication, psychotherapy, biofeedback, and surgery to treat the condition.

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