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Artículos de revistas sobre el tema "Senior healthcare"

Autor: Grafiati

Publicado: 4 de junio de 2021

Última modificación: 20 de febrero de 2023

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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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Bevelaqua, A., C. Miklosko, M. Olah, R. Kovac, E. Horvatova, Z. Ondrusova, G. Magyarova et al. "Psychosocial Impact of COVID-19 on Elderly/Senior Population". Clinical Social Work and Health Intervention 12, n.º 4 (24 de noviembre de 2021): 8–12. http://dx.doi.org/10.22359/cswhi_12_4_0.

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Senior population is one of major social work and healthcare issues in highly developed countries. The aim of this study was assessing the late psychosocial consequences in seniors in Vienna and Bratislava after the first and second waves of the COVID-19 pandemics. The results suggest that elderly patients in contrast to children and adolescents suffer significantly more late psychosocial consequences after having coronavirus acute or chronic di- sease.

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Twumasi-Boakye, Richard, John O. Sobanjo, Sylvester Kwame Inkoom y Eren Erman Ozguven. "Senior Community Resilience with a Focus on Critical Transportation Infrastructures: An Accessibility-Based Approach to Healthcare". Transportation Research Record: Journal of the Transportation Research Board 2672, n.º 12 (5 de octubre de 2018): 103–15. http://dx.doi.org/10.1177/0361198118793520.

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The importance of bridges to mobility in transportation is well known. However, the identification of bridges that influence the mobility of senior members of communities has not been evaluated. This is imperative because of human frailties associated with aging. In this paper, senior community resilience is assessed through accessibility of seniors to hospitals after bridge damage caused by hurricane events using Pinellas County in the Tampa Bay area as case study. The paper presents: (i) exposure probabilities for hurricane events at bridge locations; (ii) bridge damage state functions and damage state rating assignments using historical data from the National Bridge Inventory database; (iii) identification of bridges at risk of hurricane-induced damage; (iv) bridges identified as serving areas (census districts) with dense population of aging people; and (v) estimated effects of bridge closures on mobility and resilience of the aged population, based on accessibility to hospitals by using congested and free-flow travel times obtained from traffic assignment modeling. Findings showed that: (i) 66 bridges prone to hurricane-induced damage were observed to affect 140 selected aging population areas; (ii) bridge closures resulted in about 15% and 75% increase in free-flow and congested travel times, respectively; (iii) complete loss of accessibility to hospitals for some aging-dense zones; and (iv) resilience indexes of 0.94 and 0.81 were computed for free-flow and congested travel times, respectively. These results highlight significant loss in senior accessibility to hospitals and emphasize the need for policy discussions on the capabilities of highway bridges for efficient senior mobility.

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Li, Xin, Li Fan y Sean X. Leng. "The Aging Tsunami and Senior Healthcare Development in China". Journal of the American Geriatrics Society 66, n.º 8 (5 de julio de 2018): 1462–68. http://dx.doi.org/10.1111/jgs.15424.

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Lee, J., S. Muratov, J. Tarride, M. Paterson, T. Gomes, W. Khuu y A. Holbrook. "SENIOR HIGH COST HEALTHCARE USERS: HOW DO THEY DIFFER?" Innovation in Aging 1, suppl_1 (30 de junio de 2017): 55. http://dx.doi.org/10.1093/geroni/igx004.222.

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Madhavan, Naveen. "The Complexities and Challenges of Outsourcing Healthcare IT". ITNOW 64, n.º 4 (21 de noviembre de 2022): 64–65. http://dx.doi.org/10.1093/combul/bwac137.

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Abstract IT organisations at some point will have to consider whether to build or buy their services, writes Dr Naveen Madhavan MBCS, Senior Product Specialist (Pathology) at NHS Digital Health & Care Wales.

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Howard, Diane Marie y Douglas Silverstein. "The interpersonal skills of recent U.S. entrants to the field of healthcare management". Journal of Hospital Administration 3, n.º 3 (24 de diciembre de 2013): 33. http://dx.doi.org/10.5430/jha.v3n3p33.

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A national survey was conducted to determine the current state of senior executive perceptions of recent entrant managers within corporate headquarters, hospital systems, and freestanding hospitals. The survey was constructed based on leadership interpersonal competencies and competency-based career development programs. A total of 676 respondents returned a survey, representing 31% of the mailing sample. The goal of the research was to determine the perceptions that senior executives have about the interpersonal skills of recent entrants to the field of health care management and identify best practices for organizational training of such entrants. Findings reveal that senior executives view the recent entrant manager favorably regardless of age, gender, education, and non-clinical/clinical background. Senior executives also observed the need to require additional training of recent entrant managers in areas of management skills on understanding organizational politics, using a variety of techniques to influence others, handling difficult people or situations using diplomacy, confronting others about their mistakes, and exercising authority.

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Bogdanova, Kamelia. "METHODICAL MODEL OF MANAGEMENT AS A TOOL FOR INCREASE OF THE HEALTHCARE QUALITY". Knowledge International Journal 34, n.º 4 (4 de octubre de 2019): 1133–39. http://dx.doi.org/10.35120/kij34041133b.

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The healthcare management is performed by managers and they must have knowledge and skills to carry out management and administrative functions in the current social and economic conditions. The managers must have qualities, such as behavior and attitudes, that are specific to the healthcare sector. The work organizational level in the ward, which determines the efficiency and quality of care, depends mainly on manager competence. Solving the problems associated with determining the responsibilities, activities, rights and obligations of main and senior nurses is an important prerequisite for improving the quality of healthcare. A negative element in the existing practice in hospitals is the lack of opportunities to realize the professional qualifications of healthcare managers. The main reason for this is the imperfection of the regulatory documents. These documents must accurately determine hospital ward activities so that nurses and leaders can apply and develop their professional skills in conformity with their competence. The goal of the study is to investigate the possibilities of applying a methodological model for healthcare management and its importance for improving their quality and effectiveness. Object of the study is healthcare management in six hospitals for active treatment. The research is based on direct individual survey and covers 120 main and senior nurses. Signs related to quality of healthcare management in hospitals, work organization, control of health activities, the role and place of the main and senior nurses in the treatment process have been investigated. The analysis of the survey data focuses on the characteristics of nursing care and the applicability of a healthcare management model with a relevant information product to the hospital information system. Efficient use of resources determines the quality of healthcare, which is a major factor in the sustainable development of the healthcare facility in contemporary social and economic conditions. This determines the need to create and develop science-based models for health care management to ensure a clear regulation of the rights and responsibilities of health care managers and provide better organization of the hospital structure. The data obtained show that the most of the main and senior nurses take a positive view of the creation and introduction of methodical model of healthcare management. An important condition for its successful implementation in practice is the provision of quality software. This requires continuously improving the qualifications of healthcare managers to work with the unified information system of medical institutions.

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Cao, Hui-Ru y Choujun Zhan. "A Novel Emergency Healthcare System for Elderly Community in Outdoor Environment". Wireless Communications and Mobile Computing 2018 (22 de julio de 2018): 1–11. http://dx.doi.org/10.1155/2018/7841026.

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By exploiting the advanced information and communication technologies, the current community healthcare systems provide digital healthcare services. However, the current healthcare framework for senior citizen in outdoor environment faces new challenges. The traditional healthcare systems are not efficient, and they do not comprise user-friendly devices and interfaces suitable for the elderly in outdoor environment. Hence, in this work, we develop an outdoor healthcare system for community senior citizens based on unmanned aerial vehicle (UAV) and Internet of things (IoT). Our system includes physical devices, wireless and wired networks, cloud and data center, and smart terminals. Further, the analysis of the proposed healthcare architecture is presented from the perspective of different layers, and an algorithm on UAV for creating high-speed communication channel and delivering medicine is provided. In addition, the healthcare UAV, related devices, and friendly APPs are designed. The proposed framework is evaluated by comparison with the current healthcare architecture. The emulating and experimental results show that our proposed system can provide a high-quality wireless communication link even at large communication distances, and in real testbed our proposal can reduce the response time by about 20% in comparison with the current methods.

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Dhaliwal, Ravinder, Elizabeth Boynton, Sheila Carrera-Justiz, Nicole Cruise, Mary Gardner, Janice Huntingford, Heidi Lobprise y Elizabeth Rozanski. "2023 AAHA Senior Care Guidelines for Dogs and Cats". Journal of the American Animal Hospital Association 59, n.º 1 (30 de diciembre de 2022): 1–21. http://dx.doi.org/10.5326/jaaha-ms-7343.

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ABSTRACT Veterinary professionals are taught to recognize that “old age is not a disease.” However, clients may have the perception that older dogs and cats undergo an unavoidable physical, mental, and behavioral decline attributable simply to old age. The veterinary team’s role includes providing medical care and support to senior pets to maintain their quality of life, as well as supporting and educating clients on proper senior animal care and addressing any misconceptions about the aging process. These Guidelines describe a systematic approach to the healthcare of the senior pet that is based on an evidence-guided assessment of both healthy and unhealthy canine and feline patients. By using evidence-guided medicine, which may include conventional and integrative approaches as well as environmental management for the senior pet, the patient’s quality of life can be enhanced and potentially extended during this vulnerable life stage. Developing a senior program for the veterinary practice requires appropriate training of the entire healthcare team and includes a robust client education program that focuses on the wellbeing of the senior pet. Palliative and hospice care should be included in the education and information provided for both the veterinary team and the families of senior pets.

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Delisle, Megan, Ruby Grymonpre, Rebecca Whitley y Debrah Wirtzfeld. "Crucial Conversations: An interprofessional learning opportunity for senior healthcare students". Journal of Interprofessional Care 30, n.º 6 (11 de agosto de 2016): 777–86. http://dx.doi.org/10.1080/13561820.2016.1215971.

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Looi, Evelyn Suk Yi, Richard Greatbanks y André M. Everett. "Alignment of governance and senior executive perceptions of culture". Journal of Health Organization and Management 30, n.º 6 (19 de septiembre de 2016): 927–38. http://dx.doi.org/10.1108/jhom-01-2016-0012.

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Purpose The purpose of this paper is to examine the alignment of perceived organizational culture between Health Board chairs and Board members with that of their respective senior executive teams. It compares the degree of alignment between these two groups, and analyses them against District Health Board (DHB) performance using the New Zealand Ministry of Health’s national measure “shorter stays in Emergency Departments.” Design/methodology/approach Primary survey data were collected across eight DHBs using a modified version of the Organizational Culture Assessment Instrument and utilizes a sample of both higher and lower performing DHBs as defined by the “shorter stays” measure. Findings Many health organizations cite Ovseiko and Buchan’s (2012) preferred culture as an ideal model. However, this study’s findings indicate that most DHBs scored higher than the preferred score for “Hierarchical” and “Rational” cultures, and lower for “Clan” and “Developmental” cultures, and therefore calls into question the validity of this organizational profile as the “preferred” cultural state. Research limitations/implications This research considers perceived organizational culture from the perspective of the Board members and their respective senior executive teams. It uses a relatively small sample size and excludes potential interactions of national culture. Practical implications The findings indicate that healthcare organizations should de-emphasize the dominant “Hierarchical” and “Rational” cultures, and promote “Clan” and “Developmental” cultures within their organizations as a means of potentially improving healthcare performance. Originality/value Organizational culture has been highlighted as a major component of performance within healthcare organizations, yet very few studies examine how organizational culture is perceived by governance and executive groups. This study empirically counters prevailing knowledge regarding the most appropriate organizational cultures for healthcare organizations.

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Ridley, Neesha. "Effective hand hygiene—wash your hands and reduce the risk". British Journal of Nursing 29, n.º 1 (9 de enero de 2020): 10. http://dx.doi.org/10.12968/bjon.2020.29.1.10.

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Choy Flannigan, Alison y Prue Power. "Health Care Governance: Introduction". Australian Health Review 32, n.º 1 (2008): 7. http://dx.doi.org/10.1071/ah080007.

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IN RECOGNITION OF the importance and the complexity of governance within the Australian health care sector, the Australian Healthcare and Hospitals Association has established a regular governance section in Australian Health Review. The aim of this new section is to provide relevant and up-to-date information on governance to assist those working at senior leadership and management levels in the industry. We plan to include perspectives on governance of interest to government Ministers and senior executives, chief executives, members of boards and advisory bodies, senior managers and senior clinicians. This section is produced with the assistance of Ebsworth & Ebsworth lawyers, who are pleased to team with the Australian Healthcare and Hospitals Association in this important area. We expect that further articles in this section will cover topics such as: � Principles of good corporate governance � Corporate governance structures in the public health sector in Australia � Legal responsibilities of public health managers � Governance and occupational health and safety � Financial governance and probity. We would be pleased to hear your suggestions for future governance topics.

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Puckett, Brian J., Erica E. Ryherd, Tessa Bent, Melissa M. Baese-Berk y Natalie Manley. "Ambient noise characteristics in long-term care facilities". Journal of the Acoustical Society of America 152, n.º 4 (octubre de 2022): A95. http://dx.doi.org/10.1121/10.0015663.

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The built environment in senior living communities can enhance or detract from a resident’s quality of life. This work focused on one specific physical characteristic of the environment that has not been well documented in recent literature: noise. Noise can negatively impact patient-caregiver speech communication—a paramount aspect of healthcare delivery. A communication breakdown can be particularly problematic among older adults, a population that can have a higher incidence of sensory impairments or cognitive decline. In this study, ambient noise data were collected at several senior living communities. Sound level meters were deployed in various locations across the facilities, including resident rooms, common lounge areas, nurse stations, therapy rooms, staff break rooms, and corridors. Noise data were collected over 72-hour periods during both weekdays and weekends to understand typical acoustical conditions of senior living communities during different levels of activity, occupancies, and times of day. The findings aid in understanding what acoustical conditions exist in senior living communities, such as overall sound levels, fluctuations over time, and spectral content, and how these conditions can impact healthcare speech communication for aging populations.

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Tran, Jonathan, Karen Willis, Margaret Kay, Kathryn Hutt y Natasha Smallwood. "The Workplace and Psychosocial Experiences of Australian Senior Doctors during the COVID-19 Pandemic: A Qualitative Study". International Journal of Environmental Research and Public Health 19, n.º 5 (5 de marzo de 2022): 3079. http://dx.doi.org/10.3390/ijerph19053079.

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The coronavirus disease 2019 (COVID-19) pandemic has had significant mental health impacts among healthcare workers (HCWs), related to resource scarcity, risky work environments, and poor supports. Understanding the unique challenges experienced by senior doctors and identifying strategies for support will assist doctors facing such crises into the future. A cross-sectional, national, online survey was conducted during the second wave of the Australian COVID-19 pandemic. Inductive content analysis was used to examine data reporting workplace and psychosocial impacts of the pandemic. Of 9518 responses, 1083 senior doctors responded to one or more free-text questions. Of the senior doctors, 752 were women and 973 resided in Victoria. Four themes were identified: (1) work-life challenges; (2) poor workplace safety, support, and culture; (3) poor political leadership, planning and support; and (4) media and community responses. Key issues impacting mental health included supporting staff wellbeing, moral injury related to poorer quality patient care, feeling unheard and undervalued within the workplace, and pandemic ill-preparedness. Senior doctors desired better crisis preparedness, HCW representation, greater leadership, and accessible, authentic psychological wellbeing support services from workplace organisations and government. The pandemic has had significant impacts on senior doctors. The sustainability of the healthcare system requires interventions designed to protect workforce wellbeing.

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Gillani, Asmita, Kristine Jarvi y Andrew De Angelis. "Fostering a Culture of Accountability through a Performance Appraisal System". Healthcare Management Forum 18, n.º 1 (abril de 2005): 35–38. http://dx.doi.org/10.1016/s0840-4704(10)60304-3.

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The current climate in Canadian healthcare requires that healthcare providers be more accountable to the government and other stakeholders. Using a well-structured performance appraisal system that is based on quantifiable objectives and standards, a high level of accountability can be achieved. The objective of this article is to demonstrate how a sound performance appraisal system can increase accountability and performance of healthcare organizations and their senior management.

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Odell, Kirsty. "Do you know what contracts you are entering into?" Practice Management 29, n.º 9 (1 de octubre de 2019): 34–35. http://dx.doi.org/10.12968/prma.2019.29.9.34.

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Odell, Kirsty. "What next for primary care networks?" Practice Management 29, n.º 8 (2 de septiembre de 2019): 38–39. http://dx.doi.org/10.12968/prma.2019.29.8.38.

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Saxe-Braithwaite, Marcy y Sylvia Gautreau. "Authentic leadership in healthcare organizations: A study of 14 chief executive officers and 70 direct reports". Healthcare Management Forum 33, n.º 3 (11 de diciembre de 2019): 140–44. http://dx.doi.org/10.1177/0840470419890634.

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There is limited research on authentic leadership in senior leaders of healthcare organizations. The purpose of this study was to investigate authentic leadership from the perspectives of 14 healthcare Chief Executive Officers (CEOs) and 70 senior-level direct reports using the validated Authentic Leadership Questionnaire (ALQ) and one-on-one interviews. CEOs also completed a 20-hour leadership curriculum focusing on authentic leadership. Although CEOs rated themselves higher than their direct reports on the total ALQ, it only approached significance ( P = .060). Ratings on the four component parts of the ALQ were also higher, but only one was significant ( P = .025) with a trend toward significance on another ( P = .61). The CEOs’ scores were slightly higher after their self-directed study but only one component was significant ( P = .040). Interviews with the CEOs and direct reports underscore how healthcare leadership and authentic leadership specifically is viewed depending on organizational roles.

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Park, Eunji y Misook Song. "A Study on Physical and Psychological Effects of Healthcare for Senior". Journal of Humanities and Social sciences 21 11, n.º 4 (30 de agosto de 2020): 1001–16. http://dx.doi.org/10.22143/hss21.11.4.71.

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Akincigil, A. y E. A. Greenfield. "ONSITE SERVICES AND HEALTHCARE EXPENDITURES AMONG OLDER ADULTS IN SENIOR HOUSING". Innovation in Aging 2, suppl_1 (1 de noviembre de 2018): 874. http://dx.doi.org/10.1093/geroni/igy023.3265.

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Rabner, Barry S. "A Model of Senior Care within an Integrated Healthcare Delivery System". Hospital Topics 77, n.º 3 (enero de 1999): 5–7. http://dx.doi.org/10.1080/00185869909596524.

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Clay-Williams, Robyn, Andrew Johnson, Paul Lane, Zhicheng Li, Lauren Camilleri, Teresa Winata y Michael Klug. "Collaboration in a competitive healthcare system: negotiation 101 for clinicians". Journal of Health Organization and Management 32, n.º 2 (9 de abril de 2018): 263–78. http://dx.doi.org/10.1108/jhom-12-2017-0333.

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Purpose The purpose of this paper is to evaluate the effectiveness of negotiation training delivered to senior clinicians, managers and executives, by exploring whether staff members implemented negotiation skills in their workplace following the training, and if so, how and when. Design/methodology/approach This is a qualitative study involving face-to-face interviews with 18 senior clinicians, managers and executives who completed a two-day intensive negotiation skills training course. Interviews were transcribed verbatim, and inductive interpretive analysis techniques were used to identify common themes. Research setting was a large tertiary care hospital and health service in regional Australia. Findings Participants generally reported positive affective and utility reactions to the training, and attempted to implement at least some of the skills in the workplace. The main enabler was provision of a Negotiation Toolkit to assist in preparing and conducting negotiations. The main barrier was lack of time to reflect on the principles and prepare for upcoming negotiations. Participants reported that ongoing skill development and retention were not adequately addressed; suggestions for improving sustainability included provision of refresher training and mentoring. Research limitations/implications Limitations include self-reported data, and interview questions positively elicited examples of training translation. Practical implications The training was well matched to participant needs, with negotiation a common and daily activity for most healthcare professionals. Implementation of the skills showed potential for improving collaboration and problem solving in the workplace. Practical examples of how the skills were used in the workplace are provided. Originality/value To the authors’ knowledge, this is the first international study aimed at evaluating the effectiveness of an integrative bargaining negotiation training program targeting executives, senior clinicians and management staff in a large healthcare organization.

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Mayaud, Jerome, Sam Anderson, Martino Tran y Valentina Radić. "Insights from Self-Organizing Maps for Predicting Accessibility Demand for Healthcare Infrastructure". Urban Science 3, n.º 1 (12 de marzo de 2019): 33. http://dx.doi.org/10.3390/urbansci3010033.

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As urban populations grow worldwide, it becomes increasingly important to critically analyse accessibility—the ease with which residents can reach key places or opportunities. The combination of ‘big data’ and advances in computational techniques such as machine learning (ML) could be a boon for urban accessibility studies, yet their application in this field remains limited. In this study, we provided detailed predictions of healthcare accessibility across a rapidly growing city and related them to socio-economic factors using a combination of classical and modern data analysis methods. Using the City of Surrey (Canada) as a case study, we clustered high-resolution income data for 2016 and 2022 using principal component analysis (PCA) and a powerful ML clustering tool, the self-organising map (SOM). We then combined this with door-to-door travel times to hospitals and clinics, calculated using a simple open-source tool. Focusing our analysis on senior populations (65+ years), we found that higher income clusters are projected to become more prevalent across Surrey over our study period. Low income clusters have on average better accessibility to healthcare facilities than high income clusters in both 2016 and 2022. Population growth will be the biggest accessibility challenge in neighbourhoods with good existing access to healthcare, whereas income change (both positive and negative) will be most challenging in poorly connected neighbourhoods. A dual accessibility problem may arise in Surrey: first, large senior populations will reside in areas with access to numerous and close-by, clinics, putting pressure on existing facilities for specialised services. Second, lower-income seniors will increasingly reside in areas poorly connected to healthcare services, which may impact accessibility equity. We demonstrate that combining PCA and SOM clustering techniques results in novel insights for predicting accessibility at the neighbourhood level. This allows for robust planning policy recommendations to be drawn from large multivariate datasets.

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Odell, Kirsty. "General practice mergers: Look before you leap!" Practice Management 30, n.º 7 (2 de julio de 2020): 36–38. http://dx.doi.org/10.12968/prma.2020.30.7.36.

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Mau, Jens. "Reinhard Schwarz geht zu Roland Berger". kma - Klinik Management aktuell 14, n.º 02 (febrero de 2009): 10. http://dx.doi.org/10.1055/s-0036-1575037.

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Die Unternehmensberatung Roland Berger Strategy Consultants hat Reinhard Schwarz zum Senior Adviser im Bereich Pharma & Healthcare berufen. Der 66-jährige leitete von 1993 bis 2008 die Sana-Kliniken.

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Katz, Anne D. y Judy Axonovitz. "WHAT IT TAKES TO COMBAT DECLINE: LEARNING THROUGH AN INTERPROFESSIONAL STUDENT SENIOR PARTNERSHIP". Innovation in Aging 3, Supplement_1 (noviembre de 2019): S664—S665. http://dx.doi.org/10.1093/geroni/igz038.2459.

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Abstract Healthcare is in need of a workforce with the knowledge and skills to meet the needs of our aging population. Seniors face social, mental, and physical issues as they move into the later stages of life. The Student Senior Partnership Program (SSPP) connects teams of students with healthy senior volunteers in the community. Through this partnership, students learn the strategies seniors implement to stay engaged and maintain their activities of daily living to combat decline and frailty. The SSPP focuses on increasing student’s capability to assess older adults, and learn from their senior within an interprofessional team. Faculty provided training to the senior volunteers so they were prepared to function in a role as “teachers” to students from six professional disciplines (Medicine, Social Work, OT, PT, Dentistry, Pharmacy) through meaningful dialogue focused on physical well-being, relationships with family, friends, community, memory and cognition . Evaluation was performed using the Geriatrics Attitudes Scale (GAS). The pre and post survey (n=72) measured the reported capability to assess older adults and evaluate their attitudes toward the elderly. There were statistically significant improvements in six of nine assessment topics. The largest improvements were in the capability to assess resource gaps (mean=2.79 to 3.44 on a 5-point scale, p<0.001), mental status (3.03 to 3.57, p<0.001) and fall risk (2.99 to 3.50, p<0.001). Attitudes toward the elderly were measured using the Geriatrics Attitudes Scale (GAS). Overall, students improved during the program (mean=3.88 to 4.05 on a 5-point Likert scale, p<0.001).

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Millar, Ross y Helen Dickinson. "Planes, straws and oysters: the use of metaphors in healthcare reform". Journal of Health Organization and Management 30, n.º 1 (21 de marzo de 2016): 117–32. http://dx.doi.org/10.1108/jhom-11-2013-0242.

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Purpose – The purpose of the paper is to examine the metaphors used by senior managers and clinicians in the delivery of healthcare reform. Design/methodology/approach – A study of healthcare reform in England carried out a series of semi structured interviews with senior managers and clinicians leading primary and secondary care organisations. Qualitative data analysis examines instances where metaphorical language is used to communicate how particular policy reforms are experienced and the implications these reforms have for organisational contexts. Findings – The findings show how metaphorical language is used to explain the interactions between policy reform and organisational contexts. Metaphors are used to illustrate both the challenges and opportunities associated with the reform proposals for organisational change. Originality/value – The authors provide the first systematic study of patterns and meanings of metaphors within English healthcare contexts and beyond. The authors argue that these metaphors provide important examples of “generative” dialogue in their illustration of the opportunities associated with reform. Conversely, these metaphors also provide examples of “degenerative” dialogue in their illustration of a demarcation between the reform policy proposals and existing organisational contexts.

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Christen, Alex. "The UK's points-based system immigration and its impact on the healthcare sector". British Journal of Healthcare Management 28, n.º 11 (2 de noviembre de 2022): 276–79. http://dx.doi.org/10.12968/bjhc.2022.0119.

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Alex Christen, senior associate at Capital Law, explains how changes to the UK's points-based visa system impacts the eligibility of overseas health and social care workers, and how this could affect the NHS.

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Koutentakis, Dimitrios, Alexander Pilozzi y Xudong Huang. "Designing Socially Assistive Robots for Alzheimer’s Disease and Related Dementia Patients and Their Caregivers: Where We Are and Where We Are Headed". Healthcare 8, n.º 2 (26 de marzo de 2020): 73. http://dx.doi.org/10.3390/healthcare8020073.

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Over the past few years there has been a large rise in the field of robotics. Robots are being in used in many industries, but there has not been a large surge of robots in the medical field, especially the robots for healthcare use. However, as the aging population keeps growing, current medical staff and healthcare providers are increasingly burdened by caring for the ever-growing number of senior patients, especially those with cognitive impairment of Alzheimer’s disease (AD) and Alzheimer’s disease-related dementia (ADRD) patients. As a result, we can expect to see a large increase in the field of medical robotics, especially in forms of socially assistive robots (SARs) for senior patients and healthcare providers. In fact, SARs can alleviate AD and ADRD patients and their caregivers’ unmet medical needs. Herein, we propose a design outline for such a SAR, based on a review of the current literature. We believe the next generation of SARs will enhance health and well-being, reduce illness and disability, and improve quality of life for AD and ADRD patients and their caregivers.

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Zuchowski, Matthias y Dennis Henzler. "Medical leadership: time for a renewal of the structure and composition of senior management". British Journal of Healthcare Management 29, n.º 2 (2 de febrero de 2023): 1–5. http://dx.doi.org/10.12968/bjhc.2022.0083.

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Matthias Zuchowski and Dennis Henzler argue that healthcare leadership needs to adapt to modern demands, highlighting how the involvement of medically-trained individuals in senior leadership could help to balance clinical and financial needs.

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Jae Lim, Myung, Soh Yeon Park, Young Man Kwon, Dong Kun Chung y . "Senior Living Space Architecture Design based on Iot Devices Using Vital Sensors". International Journal of Engineering & Technology 7, n.º 3.33 (29 de agosto de 2018): 120. http://dx.doi.org/10.14419/ijet.v7i3.33.18589.

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This paper seeks to propose a senior living lab prototype based on the Internet of Things (IoT). Currently, IoT research is actively being conducted in various fields, and the field of IoT healthcare for elderly people is being highlighted with a rapid growth of ageing population. In this paper, a living lab platform was designed to recognize the movements of elderly people in real time and measure the quantity of motion by using Arduino's ultrasonic sensors and to help maintain a comfortable environment by using temperature & humidity sensors, which complemented the shortcomings of living lab based on the IoT healthcare.

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Prenestini, Anna y Federico Lega. "Do Senior Management Cultures Affect Performance? Evidence From Italian Public Healthcare Organizations". Journal of Healthcare Management 58, n.º 5 (septiembre de 2013): 336–51. http://dx.doi.org/10.1097/00115514-201309000-00007.

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Unegbu, ChigoziePearl. "SOCIAL SECURITY PROVISION AND HEALTHCARE OF SENIOR CITIZENS IN ABIA STATE, NIGERIA." International Journal of Advanced Research 7, n.º 3 (31 de marzo de 2019): 442–49. http://dx.doi.org/10.21474/ijar01/8655.

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Burns, Jonathan, Dave Williams, Danielle Mlinaritsch, Maryna Koechlin, Trena Canning y Andrew Neitzel. "Early detection and treatment of acute illness in medical patients with novel software: a prospective quality improvement initiative". BMJ Open Quality 11, n.º 3 (julio de 2022): e001845. http://dx.doi.org/10.1136/bmjoq-2022-001845.

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ObjectiveAn ageing population and rising healthcare costs place healthcare systems at risk of failure. Our goal was to develop a technology that would identify illness early, initiate action and therein improve patient care, outcomes and save healthcare resources.DesignThis was a prospective interventional quality improvement study.SettingA 40 bed medical floor in a 300 bed Canadian tertiary care regional referral hospital.ParticipantsGeneral ward patients randomly assigned to control or treatment groups. There was no cross-over or loss to follow-up.InterventionWe designed an algorithm and software programme capable of detecting the sentinel change in a deteriorating patient’s clinical condition and once detected direct early investigation and care. Study duration was 1 year.Main outcome measuresPrimary outcome was patient transfer from the general medical ward to the intensive care unit (ICU). The secondary outcome was the time needed to (1) order investigations (2) contact senior medical staff and (3) senior medical staff intervention.ResultsWe identified a decrease in the transfer of patients from the medical ward to the ICU. Over the course of the study including 273 patients (110 in the control group and 163 in the treatment group), transfers dropped from 14 to 3 with a relative risk reduction of 85.54% (95% CI 84.96 to 86.1), a number needed to treat of 9.19 (95% CI 9.01 to 9.36) and a absolute risk reduction of 10.89% (95% CI 10.7 to 11.1). We also found a statistically significant reduction in the time required to order investigations (p=0.049), contact senior medical staff (p=0.040) and senior medical staff intervention (p=0.045).ConclusionA novel algorithm and software in the hands of nursing staff identified acute illness with adequate sensitivity and specificity to dramatically reduce ICU transfers and time to clinical intervention on a medical ward.

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Popova, A. Yu, E. B. Yezhlova, A. A. Melnikova, E. E. Andreeva, S. Yu Kombarova, A. V. Aleshkin, Yu V. Kobzeva et al. "Seroprevalence of anti-SARS-CoV-2 antibodies among healthcare professionals in Moscow in April–December 2020". Infekcionnye bolezni 19, n.º 3 (2021): 5–13. http://dx.doi.org/10.20953/1729-9225-2021-3-5-13.

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We evaluated humoral immunity (presence of specific IgM and IgG) against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) among healthcare professionals providing inpatient care for individuals with COVID-19. Objective. To detected and measure the level of anti-SARS-CoV-2 antibodies in healthcare professionals and to identify how many of them contacted with COVID-19 patients, including those who had asymptomatic or subclinical disease. Materials and methods. Anti-SARS-CoV-2 antibodies were detected using enzyme-linked immunosorbent assay (ELISA) with the ‘SARS-CoV-2-ELISA- Vector’ kit for IgG (State research Center of Virology and Biotechnology ‘Vector’) and ‘SARS-CoV-2-IgGELISA-BEST’ and ‘SARS-CoV-2-IgМ-ELISA-BEST’ kits for IgM and IgG (Vector-Best LLC). Samples were collected in several healthcare institutions of Moscow and in G.N.Gabrichevskiy Moscow Research Institute of Epidemiology and Microbiology. A total of 24,373 serum specimens from 74 healthcare institutions were tested. All study participants filled in special questionnaires. Results. Among 24,373 healthcare professionals tested in this study, 5,382 people were IgG-positive to SARS-CoV-2 (seroprevalence index 22.1%). The seropositivity rate was 21.5% in senior medical staff, 22.2% in nursing professionals, and 22.8% in medical assistants/technicians. We found that the proportion of SARS-CoV-2 seropositive individuals had changed over time, gradually increasing from 17.9% in April 2020 to 37.6% in December 2020. The proportion of SARS-CoV-2 seropositive people doubled among senior medical staff and nursing professionals during the year. The proportion of individuals with asymptomatic or subclinical COVID-19 was 13.8%. Conclusion. The methodological approaches used in this study allowed us to assess the humoral immunity to SARS-CoV-2 among healthcare professionals in Moscow. Our findings can be used for further improvement of anti-epidemic measures in healthcare institutions. Key words: seroprevalence, SARS-CoV-2, healthcare professionals, enzyme-linked immunosorbent assay, IgG, IgM

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Nicklin, Wendy y Elan Graves. "Nursing and Patient Outcomes: It's Time for Healthcare Leadership to Respond". Healthcare Management Forum 18, n.º 1 (abril de 2005): 9–13. http://dx.doi.org/10.1016/s0840-4704(10)60298-0.

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An increasing body of research confirms the link between nursing variables (e.g. staffing ratios, skill mix) and patient outcomes including morbidity and mortality. This article presents the key themes that have emerged in this research and translates them into action for senior healthcare leaders. Immediate action is required in order for hospitals to effectively recruit and retain nurses, and to provide high quality patient care that minimizes risk.

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Muratov, Sergei, Justin Lee, Anne Holbrook, J. Michael Paterson, Jason Robert Guertin, Lawrence Mbuagbaw, Tara Gomes et al. "Senior high-cost healthcare users’ resource utilization and outcomes: a protocol of a retrospective matched cohort study in Canada". BMJ Open 7, n.º 12 (diciembre de 2017): e018488. http://dx.doi.org/10.1136/bmjopen-2017-018488.

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IntroductionSenior high-cost users (HCUs) are estimated to represent 60% of all HCUs in Ontario, Canada’s most populous province. To improve our understanding of individual and health system characteristics related to senior HCUs, we will examine incident senior HCUs to determine their incremental healthcare utilisation and costs, characteristics of index hospitalisation episodes, mortality and their regional variation across Ontario.Methods and analysisA retrospective, population-based cohort study using administrative healthcare records will be used. Incident senior HCUs will be defined as Ontarians aged ≥66 years who were in the top 5% of healthcare cost users during fiscal year 2013 but not during fiscal year 2012. Each HCU will be matched to three non-HCUs by age, sex and health planning region. Incremental healthcare use and costs will be determined using the method of recycled predictions. We will apply multivariable logistic regression to determine patient and health service factors associated with index hospitalisation and inhospital mortality during the incident year. The most common causes of admission will be identified and contrasted with the most expensive hospitalised conditions. We will also calculate the ratio of inpatient costs incurred through admissions of ambulatory care sensitive conditions to the total inpatient expenditures. The magnitude of variation in costs and health service utilisation will be established by calculating the extremal quotient, the coefficient of variation and the Gini mean difference for estimates obtained through multilevel regression analyses.Ethics and disseminationThis study has been approved by Hamilton Integrated Research Ethics Board (ID#1715-C). The results of the study will be distributed through peer-reviewed journals. They also will be disseminated at research events in academic settings, national and international conferences as well as with presentations to provincial health authorities.

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Eni, Godwin O. "The Concept of Critical Success Factors (CSFs) as a Planning Tool for Healthcare Managers". Healthcare Management Forum 2, n.º 2 (julio de 1989): 12–17. http://dx.doi.org/10.1016/s0840-4704(10)61369-5.

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A well-used concept in business, the Critical Success Factor (CSF) is just beginning to be applied to healthcare organizations. This article discusses the utility of the CSF approach to the management of health services, explains how senior healthcare executives can use it to consider, define and direct the planning needs of healthcare organizations, and demonstrates how it can be applied in hospital management. Managers can use the CSF planning approach to achieve the organization's goals in accordance with its mission, be competitive, and evaluate and restructure existing programs to satisfy needs to meet specific objectives.

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Demiris, George, Brian K. Hensel, Marjorie Skubic y Marilyn Rantz. "Senior residents’ perceived need of and preferences for “smart home” sensor technologies". International Journal of Technology Assessment in Health Care 24, n.º 01 (enero de 2008): 120–24. http://dx.doi.org/10.1017/s0266462307080154.

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Objectives:The goal of meeting the desire of older adults to remain independent in their home setting while controlling healthcare costs has led to the conceptualization of “smart homes.” A smart home is a residence equipped with technology that enhances safety of residents and monitors their health conditions. The study aim is to assess older adults’ perceptions of specific smart home technologies (i.e., a bed sensor, gait monitor, stove sensor, motion sensor, and video sensor).Methods:The study setting is TigerPlace, a retirement community designed according to the Aging in Place model. Focus group sessions with fourteen residents were conducted to assess perceived advantages and concerns associated with specific applications, and preferences for recipients of sensor-generated information pertaining to residents’ activity levels, sleep patterns and potential emergencies. Sessions were audio-taped; tapes were transcribed, and a content analysis was performed.Results:A total of fourteen older adults over the age of 65 participated in three focus group sessions Most applications were perceived as useful, and participants would agree to their installation in their own home. Preference for specific sensors related to sensors’ appearance and residents’ own level of frailty and perceived need. Specific concerns about privacy were raised.Conclusions:The findings indicate an overall positive attitude toward sensor technologies for nonobtrusive monitoring. Researchers and practitioners are called upon to address ethical and technical challenges in this emerging domain.

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