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OBJECTIVE: To determine the effect of the type of information sources used on health services use. METHODS: Population-based random-digit dialing survey of 498 women, between December 1999 and January 2000, on use of health information sources and health visits. RESULTS: After adjustment for sociodemographic and medical factors, use of print health media and computer-based resources was associated with 1.9 and 1.6 more visits, respectively compared to non-use (Regression coefficients 1.9; [95% confidence interval {CI} 0.1, 3.7] and 1.6; [95% CI 0.3, 3.0]). CONCLUSIONS: Print health media and computer-based sources are associated with a higher number of health care visits. 相似文献
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Factors that affect implementation of a nurse staffing directive: results from a qualitative multi‐case evaluation 下载免费PDF全文
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Early skin‐to‐skin contact for healthy full‐term infants after vaginal and caesarean delivery: a qualitative study on clinician perspectives 下载免费PDF全文
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Cynthia M. Boyd MD MPH Lisa Reider MHS Katherine Frey MPH Daniel Scharfstein ScD Bruce Leff MD Jennifer Wolff PhD Carol Groves RN MPA Lya Karm MD Stephen Wegener PhD Jill Marsteller MPP PhD Chad Boult MD MPH MBA 《Journal of general internal medicine》2010,25(3):235-242
BACKGROUND
The quality of health care for older Americans with chronic conditions is suboptimal.OBJECTIVE
To evaluate the effects of “Guided Care” on patient-reported quality of chronic illness care.DESIGN
Cluster-randomized controlled trial of Guided Care in 14 primary care teams.PARTICIPANTS
Older patients of these teams were eligible to participate if, based on analysis of their recent insurance claims, they were at risk for incurring high health-care costs during the coming year. Small teams of physicians and their at-risk older patients were randomized to receive either Guided Care (GC) or usual care (UC).INTERVENTION
“Guided Care” is designed to enhance the quality of health care by integrating a registered nurse, trained in chronic care, into a primary care practice to work with 2–5 physicians in providing comprehensive chronic care to 50–60 multi-morbid older patients.MEASUREMENTS
Eighteen months after baseline, interviewers blinded to group assignment administered the Patient Assessment of Chronic Illness Care (PACIC) survey by telephone. Logistic and linear regression was used to evaluate the effect of the intervention on patient-reported quality of chronic illness care.RESULTS
Of the 13,534 older patients screened, 2,391 (17.7%) were eligible to participate in the study, of which 904 (37.8%) gave informed consent and were cluster-randomized. After 18 months, 95.3% and 92.2% of the GC and UC recipients who remained alive and eligible completed interviews. Compared to UC recipients, GC recipients had twice greater odds of rating their chronic care highly (aOR = 2.13, 95% CI = 1.30–3.50, p = 0.003).CONCLUSION
Guided Care improves self-reported quality of chronic health care for multi-morbid older persons.KEY WORDS: quality of care, chronic illness, older 相似文献8.
Nitrogen dioxide pollution exposure is associated with olfactory dysfunction in older U.S. adults 下载免费PDF全文
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Clifford J. Kavinsky MD PhD FACC FSCAI Fred M. Kusumoto MD FACC FHRS Anthony A. Bavry MD MPH FACC Steven R. Bailey MD FACC MSCAI Kenneth A. Ellenbogen MD FACC FHRS Paul L. Hess MD MHS Daniel L. Lustgarten MD PhD FACC FHRS Issam D. Moussa MD FACC FSCAI Christian Spies MD FACC FSCAI 《Catheterization and cardiovascular interventions》2016,87(3):351-362
© 2016 Heart Rhythm Society, the American College of Cardiology Foundation, and the Society for Cardiovascular Angiography and Interventions 相似文献
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Sinus Node Dysfunction Is Associated With Higher Symptom Burden and Increased Comorbid Illness: Results From the ORBIT‐AF Registry 下载免费PDF全文
Larry R. Jackson MD II Sung Hee Kim PhD Jonathan P. Piccini MD MHS FHRS Sr Bernard J. Gersh MB ChB DPhil Gerald V. Naccarelli MD James A. Reiffel MD James Freeman MD Laine Thomas PhD Paul Chang MD Gregg C. Fonarow MD Alan S. Go MD Kenneth W. Mahaffey MD Eric D. Peterson MD MPH Peter R. Kowey MD 《Clinical cardiology》2016,39(2):119-125