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991.
Brenes Monge Alexander Fernández Elorriaga María Poblano Verástegui Ofelia Valdez Santiago Rosario Martínez Nolasco Manuel A. Yáñez Álvarez Iraís Saturno Hernández Pedro J. 《Maternal and child health journal》2021,25(4):565-573
Maternal and Child Health Journal - To identify and describe the frequency and characteristics of disrespect and abuse practices towards women during facility-based delivery in four hospitals in... 相似文献
992.
Chuyuan Wang Patricia Solís Lily Villa Nayan Khare Elizabeth A. Wentz Aaron Gettel 《Journal of urban health》2021,98(3):344
The objective of the present study was to examine the effects of a confluence of demographic, socioeconomic, housing, and environmental factors that systematically contribute to heat-related morbidity in Maricopa County, Arizona, from theoretical, empirical, and spatial perspectives. The present study utilized ordinary least squares (OLS) regression and multiscale geographically weighted regression (MGWR) to analyze health data, U.S. census data, and remotely sensed data. The results suggested that the MGWR model showed a significant improvement in goodness of fit over the OLS regression model, which implies that spatial heterogeneity is an essential factor that influences the relationship between these factors. Populations of people aged 65+, Hispanic people, disabled people, people who do not own vehicles, and housing occupancy rate have much stronger local effects than other variables. These findings can be used to inform and educate local residents, communities, stakeholders, city managers, and urban planners in their ongoing and extensive efforts to mitigate the negative impacts of extreme heat on human health in Maricopa County. 相似文献
993.
Jos J. Mira Martín Blanco Kamila CheikhMoussa Olga Solas Aquilino Alonso Rodrigo Gutierrez Celia Gmez Mercedes Guilabert 《Health expectations》2021,24(2):687
BackgroundIn this COVID‐19 era, we need to rethink the criteria used to measure the results of person‐centred care strategies.ObjectiveTo identify priorities, and criteria that health services can use to pursue actually the goal of achieving person‐centred care.DesignThree‐phase online qualitative study performed during May–July of 2020 using the Delphi technique.Setting and ParticipantsAn online platform was used for a consensus meeting of 114 participants, including health planning experts, health‐care institution managers, clinicians and patients.Main Outcome MeasuresCriteria and indicators for the achievement of person‐centred care.Main ResultsThe first round began with 125 proposals and 11 dimensions. After the second round, 28 ideas reached a high level of consensus among the participants. Ultimately, the workgroup agreed on 20 criteria for goals in the implementation of person‐centred care during the COVID‐19 era and 21 related indicators to measure goal achievement.DiscussionNine dimensions and 28 priorities were identified. These priorities are also in accordance with the quadruple aim approach, which emphasizes the need for care for health‐care professionals, without whom it is impossible to achieve a better quality of care.ConclusionsPerson‐centred care continues to be a key objective. However, new metrics are needed to ensure its continued development during the restoration of public health services beyond the control of COVID‐19.Patient or Public ContributionTwelve professionals and patient representatives participated voluntarily in the construction of the baseline questionnaire and in the selection of the criteria and indicators using an online platform for consensus meetings. 相似文献
994.
César Cuevas-Lara Mikel Izquierdo Mikel L. Sáez de Asteasu Robinson Ramírez-Vélez Fabiola Zambom-Ferraresi Fabricio Zambom-Ferraresi Nicolás Martínez-Velilla 《Journal of the American Medical Directors Association》2021,22(2):364-371.e1
ObjectivesTo examine the effectiveness of game-based interventions compared with usual care on health-related outcomes for acutely hospitalized older patients.DesignSystematic review of randomized controlled trials (RCT) and nonrandomized trials.Setting and ParticipantsAdults aged 65 years or older admitted to an Acute Care for Elderly unit were selected.MeasuresHealth-related outcomes (eg, functional capacity, quality of life, adherence to treatment).ResultsFour RCTs were included in the review. The interventions were based on the implementation of serious-game programs using Nintendo Wii in acute medical patients. Across the included studies, no significant differences were observed between groups on functional capacity and health-related quality of life. Significant differences were found between groups on the adherence to treatment (in favor of the control group), but no differences were obtained in other outcomes such as enjoyment and motivation.Conclusions and ImplicationsIn general, there is very limited evidence for the efficacy to reach conclusions about the effects of game-based interventions on health-related outcomes in acutely hospitalized older patients. Future studies are needed to improve our knowledge in the field; however, we consider that these strategies should be considered in the future complementary to usual care. 相似文献
995.
Xavier Nogués Francisca Sánchez-Martinez Xavier Castells Adolfo Díez-Pérez Rosa Ana Sabaté Irene Petit Ariadna Brasé Juan Pablo Horcajada Roberto Güerri-Fernández Julio Pascual 《Journal of the American Medical Directors Association》2021,22(5):939-942
A Coronavirus Disease 2019 (COVID-19)–specific Hospital-at-Home was implemented in a 400-bed tertiary hospital in Barcelona, Spain. Senior or immune-compromised physicians oversaw patient care. The alternative to inpatient care more than doubled beds available for hospitalization and decreased the risk of transmission among patients and health care professionals. Mild cases from either the emergency department or after hospital discharge were deemed suitable for admission to the Hospital-at-Home. More than half of all patients had pneumonia. Standardized protocols and management criteria were provided. Only 6% of cases required referral for inpatient hospitalization. These results are promising and may provide valuable insight for centers undertaking Hospital-at-Home initiatives or in the case of new COVID-19 outbreaks. 相似文献
996.
Jos María Robaina-Bordn Cristina Carranza-Rodríguez Michele Hernndez-Cabrera Margarita Bolaos-Rivero Elena Pisos-lamo Nieves Jan-Snchez Araceli Hernndez-Betancor Laura Surez-Hormiga Jos Luis Prez-Arellano 《Emerging infectious diseases》2021,27(2):570
To document the epidemiology, clinical features, and outcomes of murine typhus patients in the Canary Islands (Spain), we analyzed data that were retrospectively collected for 16 years for 221 patients. Murine typhus in the Canary Islands is characterized by a high rate of complications (31.6%), mainly liver, lung, kidney or central nervous system involvement. 相似文献
997.
Zrubka Zsombor Vékás Péter Németh Péter Dobos Ágota Hajdu Ottó Kovács Levente Gulácsi László Hibbard Judith Péntek Márta 《The European journal of health economics》2022,23(8):1341-1355
The European Journal of Health Economics - Patient activation comprises the skills, knowledge and motivation necessary for patients’ effective contribution to their care. We adapted and... 相似文献
998.
López-López Samuel del Pozo-Rubio Raúl Ortega-Ortega Marta Escribano-Sotos Francisco 《The European journal of health economics》2022,23(7):1187-1201
The European Journal of Health Economics - To estimate the prevalence of catastrophic health expenditure due to dental healthcare (CHED) in Spain, quantify its intensity and examine the related... 相似文献
999.
Špacírová Zuzana Epstein David Espín Jaime 《The European journal of health economics》2022,23(9):1563-1575
The European Journal of Health Economics - Economic evaluation of health technologies requires healthcare resources, procedures and services to be valued at their opportunity cost. In practice,... 相似文献
1000.
Olofsson Sara Graln Katarina Hoxer Christina Okhuoya Paul Persson Ulf 《The European journal of health economics》2022,23(6):993-1005
The European Journal of Health Economics - Phenylketonuria (PKU) is a metabolic disorder leading to a deficiency in the metabolism of phenylalanine (Phe). Elevated Phe levels in the blood, tissue... 相似文献