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Total 143 results found since Jan 2013.

A new era in stroke care gives larger treatment window and better outcomes
According to the American Heart/American Stroke Association, stroke affects nearly 800,000 people in the United States each year. It is the fifth leading cause of death, and the leading cause of long-term disability.  It’s also the leading cause of preventable disability. In China it is the leading cause of death surpassing both cancer and heart disease. Stroke occurs when a blood vessel carrying oxygen and nutrients to the brain is either blocked by a blood clot or plaque (ischemic stroke), or…
Source: bizjournals.com Health Care News Headlines - August 15, 2018 Category: Health Management Authors: Alexandria Foley Source Type: news

Transitions in Frailty States Among Community-Living Older Adults and Their Associated Factors
Abstract: Background: Frailty renders older individuals more prone to adverse health outcomes. Little has been reported about the transitions between the different frailty states. We attempted to examine the rate of these transitions and their associated factors.Methods: We recruited 3018 Chinese community-living adults 65 years or older. Frailty status was classified according to the Fried criteria in 2 visits 2 years apart. Demographic data, medical conditions, hospitalizations, and cognition were recorded. Rates of transitions and associated factors were studied.Results: At baseline, 850 (48.7%) men and 884 (52.6%) wome...
Source: Journal of the American Medical Directors Association - February 18, 2014 Category: Health Management Authors: Jenny S.W. Lee, Tung-Wai Auyeung, Jason Leung, Timothy Kwok, Jean Woo Tags: Original Studies Source Type: research

The association of resting heart rate and mortality by gender in a rural adult Chinese population: a cohort study with a 6-year follow-up
ConclusionsElevated RHR may be an independent marker of all-cause, CVD and other causes of death for both sexes and stroke and cancer deaths for males.
Source: Journal of Public Health - August 9, 2016 Category: Health Management Source Type: research

The Impact of Policy, Environmental, and Educational Interventions: A Synthesis of the Evidence From Two Public Health Success Stories
Motor vehicle safety and tobacco control are among the greatest public health achievements of the 20th century, according to the Centers for Disease Control and Prevention. As the number of miles traveled in the United States multiplied 10 times from the 1920s to the 1990s, the annual motor vehicle crash death rate per vehicle mile traveled decreased by 90%. Similarly, tobacco-related deaths from heart disease, stroke, and cancer were rapidly mounting over the first two thirds of the 20th century. Then, in the last third of the century, tobacco consumption decreased by more than 50%, and rates of heart disease and stroke d...
Source: Health Education - March 31, 2015 Category: Health Management Authors: Gielen, A. C., Green, L. W. Tags: Articles Source Type: research

Measuring mortality and the burden of adult disease associated with adverse childhood experiences in England: a national survey
Conclusions Radically different life-course trajectories are associated with exposure to increased ACEs. Interventions to prevent ACEs are available but rarely implemented at scale. Treating the resulting health costs across the life course is unsustainable.
Source: Journal of Public Health - August 27, 2015 Category: Health Management Authors: Bellis, M. A., Hughes, K., Leckenby, N., Hardcastle, K. A., Perkins, C., Lowey, H. Tags: Wider determinants Source Type: research

Impact of nine chronic conditions for US adults aged 65 years and older: an application of a hybrid estimator of quality-adjusted life years throughout remainder of lifetime
Conclusions This study presents a QALY estimator for respondents in the NHANES-Linked Mortality File and demonstrates the utility of this method to other follow-up data. Continued application of our method would enable the burden of disease to be compared for a range of health conditions and risk factors in the ongoing effort to improve population health.
Source: Quality of Life Research - January 18, 2016 Category: Health Management Source Type: research

The Valuation of Informal Care in Cost-of-Illness Studies: A Systematic Review
ConclusionThis paper identifies several aspects that should be enhanced to promote comparability between studies and countries, and it sends key messages for incorporating informal care costs to adequately measure the economic impact of diseases.
Source: PharmacoEconomics - November 14, 2016 Category: Health Management Source Type: research

In support of an individualized approach to assessing quality of life: comparison between Patient Generated Index and standardized measures across four health conditions
DiscussionThe PGI scores reflect those aspects of quality of life that are important to patients in which they would most value an improvement. Heterogeneity in HRQL across health conditions is poorly discriminated using standardized measures. A “one-size-fits-all” approach to HRQL assessment may not provide the most useful representation of this important construct.
Source: Quality of Life Research - December 16, 2016 Category: Health Management Source Type: research

Validating Reports of Chronic Conditions in the Medicare CAHPS Survey
Conclusions: Despite difference in timeframes and definitions of conditions, the measured sensitivities demonstrated reasonable validity. Variation in sensitivity is consistent with covariates that either directly measure health severity within a diagnosis or can be construed as a proxy for severity of illness.
Source: Medical Care - September 14, 2019 Category: Health Management Tags: Original Articles Source Type: research

Prediction Models for Individual-Level Healthcare Costs Associated with Cardiovascular Events in the UK
ConclusionsThese individual-level healthcare cost prediction models could inform assessments of the value of health technologies and policies to reduce cardiovascular and other disease risks and healthcare costs. An accompanying Excel calculator is available to facilitate the use of the models.
Source: PharmacoEconomics - February 23, 2023 Category: Health Management Source Type: research

Explaining health care expenditure variation: large‐sample evidence using linked survey and health administrative data
ABSTRACT Explaining individual, regional, and provider variation in health care spending is of enormous value to policymakers but is often hampered by the lack of individual level detail in universal public health systems because budgeted spending is often not attributable to specific individuals. Even rarer is self‐reported survey information that helps explain this variation in large samples. In this paper, we link a cross‐sectional survey of 267 188 Australians age 45 and over to a panel dataset of annual healthcare costs calculated from several years of hospital, medical and pharmaceutical records. We use this da...
Source: Health Economics - March 12, 2013 Category: Health Management Authors: Randall P. Ellis, Denzil G. Fiebig, Meliyanni Johar, Glenn Jones, Elizabeth Savage Tags: Special Issue Paper Source Type: research

Health care performance comparison using a disease-based approach: The EuroHOPE project
This article describes the methodological challenges associated with disease-based international comparison of health system performance and how they have been addressed in the EuroHOPE (European Health Care Outcomes, Performance and Efficiency) project. The project uses linkable patient-level data available from national sources of Finland, Hungary, Italy, The Netherlands, Norway, Scotland and Sweden. The data allow measuring the outcome and the use of resources in uniformly-defined patient groups using standardized risk adjustment procedures in the participating countries. The project concentrates on five important disea...
Source: Health Policy - May 16, 2013 Category: Health Management Authors: Unto Häkkinen, Tor Iversen, Mikko Peltola, Timo T. Seppälä, Antti Malmivaara, Éva Belicza, Giovanni Fattore, Dino Numerato, Richard Heijink, Emma Medin, Clas Rehnberg Source Type: research

Do variations in hospital mortality patterns after weekend admission reflect reduced quality of care or different patient cohorts? A population-based study
Conclusions The excess mortality patterns of the weekend effect vary widely for different diagnostic groups. Recognising these different patterns should help identify at-risk diagnoses where quality of care can be improved in order to minimise the excess mortality associated with weekend admission.
Source: Quality and Safety in Health Care - February 6, 2014 Category: Health Management Authors: Concha, O. P., Gallego, B., Hillman, K., Delaney, G. P., Coiera, E. Tags: Open access, Editor's choice Original research Source Type: research

Aspirin risks in perspective: A comparison against marathon running
Aspirin has public health potential to reduce the risk of ischaemic vascular events and sporadic cancer. One objection to the wider use of aspirin for primary prevention, however, is the undesirable effects of the medicine, which include increasing risk of bleeding and haemorrhagic stroke. Marathons also carry risks of serious events such as cardiac arrests and sudden death. Based on epidemiological estimates, a person running a marathon might be 20 to 100 times more likely to end up in hospital than a person who is taking an aspirin tablet. Yet the cumulative risk of daily aspirin use for primary prophylaxis may be import...
Source: Health Education Journal - June 10, 2014 Category: Health Management Authors: Morgan, G. Tags: Short Report Source Type: research