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Specialty: Psychiatry & Psychology
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Total 17 results found since Jan 2013.

The association of hospital competition with inpatient costs of stroke: Evidence from China
Publication date: Available online 21 April 2019Source: Social Science & MedicineAuthor(s): Liyong Lu, Jay PanAbstractThe main purpose of this article is to analyze the association between hospital competition and stroke inpatient costs. Stroke is selected as the representative of a class of diseases characterized by asymmetric information and lack of autonomy of service choice. A total of 98,061 observations are selected from a medical record dataset in the Sichuan Province. The fixed radius approach of 15 miles and Herfindahl-Hirschman Index (HHI) are employed to define the hospital market and measure the competition int...
Source: Social Science and Medicine - April 22, 2019 Category: Psychiatry & Psychology Source Type: research

The Role of Short Term Psychological and Somatic Anxiety in the Prediction of Long Term Anxiety of Early Hospital Discharged Patients with Complete Functional Recovery after a Mild Stroke
Few previous investigations have focused on post-stroke anxiety (PSA) predictors in mild stroke patients. The aim of the study was to determine whether anxiety-related psychological symptoms and psychomotor agitation predict PSA. We compared 10 anxious and 10 non-anxious patients at 6 months post-stroke (T2) to their psychological anxiety and psychomotor agitation levels 3 months earlier (T1). Anxious patients had more psychological anxiety symptoms than non-anxious patients. Overall T2 anxiety was strongly correlated with T1 psychological anxiety. Thus, psychological symptoms are a better predictor of PSA than somatic sym...
Source: Journal of European Psychology Students - June 29, 2017 Category: Psychiatry & Psychology Source Type: research

Changes and predictors of psychological stress among elderly stroke survivors 6  months after hospital discharge
Abstract The aim of this study was to analyse the changes in psychological stress and identify its basal predictors among elderly stroke survivors after 6 months following discharge from hospital to home directly, rather than to a rehabilitation facility. The sample comprised 50 elderly stroke survivors. Data were collected at 2 weeks (T1), at 3 months (T2), and at 6 months (T3) after hospital discharge. The following instruments were applied: Perceived Stress Scale—10 items (PSS‐10), National Institute of Health Stroke Scale, Functional Independence Measure, and Geriatric Depression Scale—15 items. Study records...
Source: Stress and Health - December 1, 2017 Category: Psychiatry & Psychology Authors: Emanuella Barros Santos, Rosalina Aparecida Partezani Rodrigues, Jack Roberto Silva Fhon, Vanderlei Jos é Haas Tags: RESEARCH ARTICLE Source Type: research

Does informal care impact utilization of healthcare services? Evidence from a longitudinal study of stroke patients
Publication date: Available online 5 November 2014 Source:Social Science & Medicine Author(s): Aleksandra Torbica , Stefano Calciolari , Giovanni Fattore Understanding the interplay between informal care and formal healthcare is important because it sheds light on the financial implications of such interactions and may result in different policies. On the basis of a major database on 544 Italian stroke patients enrolled in the period 2007-2008, we investigated whether the presence of a potential caregiver and the amount of informal care provided influences the use and the costs of healthcare services, and in part...
Source: Social Science and Medicine - November 11, 2014 Category: Psychiatry & Psychology Source Type: research

Exploring the Impact of Illness Perceptions, Self-efficacy, Coping Strategies, and Psychological Distress on Quality of Life in a Post-stroke Cohort
This study evaluated the mediating role of self-efficacy, coping, depression and anxiety on the relationship between illness perceptions and quality of life in stroke survivors (n = 72; 32 females; mean [SD] age 65.09 [14.14] years; male mean [SD] age 69.83 [11.81]). Illness perceptions (Brief Illness Perceptions Questionnaire; BIPQ), coping styles (Carver Brief-COPE scale; B-COPE), depression/anxiety (Hospital Anxiety and Depression Scale; HADS), self-efficacy (General Self-Efficacy Scale; GSE) and quality of life (Assessment of quality of life; AQOL-6D) were analysed. Correlation analyses showed illness perception, m...
Source: Journal of Clinical Psychology in Medical Settings - January 22, 2020 Category: Psychiatry & Psychology Source Type: research

Heterogeneous effects of patient choice and hospital competition on mortality
Publication date: Available online 9 September 2018Source: Social Science & MedicineAuthor(s): Giuseppe Moscelli, Hugh Gravelle, Luigi Siciliani, Rita SantosAbstractWe examine whether the relaxation of constraints on patient choice of hospital in the English National Health Service in 2006 led to greater changes in mortality for hospitals which faced more rivals before the choice reform. We use patient level data from 2002 to 2010 for three high volume emergency conditions with high mortality risk: acute myocardial infarction (AMI) (288,279 patients), hip fracture (91,005 patients), stroke (214,103 patients). Since mortali...
Source: Social Science and Medicine - September 10, 2018 Category: Psychiatry & Psychology Source Type: research

Effects of introducing a fee for “inpatient overstays” on the rate of death and readmissions across municipalities in Norway
This study examines the effects of the reform on the rate of death and readmissions occurring within 60 days of hospitalization. We use aggregated municipal data for years 2009, 2010, 2012–2014 (N = 1646) for Norwegian patients (age 18+) hospitalized in the same years for COPD/asthma, heart failure, hip fracture, and stroke. We stratify our analyses of the municipal data by these patient groups. Our linear regression models test for moderated (interaction) effects whereby associations between the reform and the rate of death and readmissions vary by whether or not patients were classified as ready for discharge and in ...
Source: Social Science and Medicine - April 11, 2019 Category: Psychiatry & Psychology Source Type: research

Effects of introducing a fee for inpatient overstays on the rate of death and readmissions across municipalities in Norway
This study examines the effects of the reform on the rate of death and readmissions occurring within 60 days of hospitalization. We use aggregated municipal data for years 2009, 2010, 2012–2014 (N = 1646) for Norwegian patients (age 18+) hospitalized in the same years for COPD/asthma, heart failure, hip fracture, and stroke. We stratify our analyses of the municipal data by these patient groups. Our linear regression models test for moderated (interaction) effects whereby associations between the reform and the rate of death and readmissions vary by whether or not patients were classified as ready for discharge and in ...
Source: Social Science and Medicine - April 24, 2019 Category: Psychiatry & Psychology Source Type: research

A scalable climate health justice assessment model
Publication date: May 2015 Source:Social Science & Medicine, Volume 133 Author(s): Yolanda J. McDonald , Sara E. Grineski , Timothy W. Collins , Young-An Kim This paper introduces a scalable “climate health justice” model for assessing and projecting incidence, treatment costs, and sociospatial disparities for diseases with well-documented climate change linkages. The model is designed to employ low-cost secondary data, and it is rooted in a perspective that merges normative environmental justice concerns with theoretical grounding in health inequalities. Since the model employs International Classification o...
Source: Social Science and Medicine - April 24, 2015 Category: Psychiatry & Psychology Source Type: research

A closer look at the rural-urban health disparities: Insights from four major diseases in the Commonwealth of Virginia
This study help bridges this gap through investigation of four major diseases in the Commonwealth of Virginia: cancer, stroke, cardiovascular disease and chronic obstructive pulmonary disease. We utilize a unique inpatient hospital discharge billing dataset, and construct average patient counts at ZIP-code level over 2006–2008 where covariates from alternative sources are merged (806 ZIP-code areas, 190 urban, 616 rural). Count data regressions are first fitted to identify possible regional-level factors that affect disease incidences. A system of equations with rural-urban specification are then estimated via seemingly ...
Source: Social Science and Medicine - July 20, 2015 Category: Psychiatry & Psychology Source Type: research

Invisible walls within multidisciplinary teams: Disciplinary boundaries and their effects on integrated care
Publication date: Available online 9 December 2015 Source:Social Science & Medicine Author(s): Elisa Giulia Liberati, Mara Gorli, Giuseppe Scaratti Delivery of interdisciplinary integrated care is central to contemporary health policy. Hospitals worldwide are therefore attempting to move away from a functional organisation of care, built around discipline-based specialisation, towards an approach of delivering care through multidisciplinary teams. However, the mere existence of such teams may not guarantee integrated and collaborative work across medical disciplines, which can be hindered by boundaries between...
Source: Social Science and Medicine - December 11, 2015 Category: Psychiatry & Psychology Source Type: research

Chronic use of proton pump inhibitors, adverse events and potential biological mechanisms: A translational analysis.
Abstract Proton pump inhibitors (PPIs) are among the most frequently prescribed drugs. Even if PPI are usually considered as safe, there is a growing concern for a range of adverse effects of chronic PPI therapy often in the absence of appropriate indications. We propose, after a summary of renal, cardiovascular and neurological complications (dementia, chronic kidney disease, myocardial infarction and stroke), an integrative overview of the potential biological mechanisms involved. Eleven positive pharmacoepidemiological studies, mainly based on health insurance database linkage to hospital database, reported an ...
Source: Therapie - October 14, 2017 Category: Psychiatry & Psychology Authors: Kheloufi F, Frankel D, Kaspi E, Lepelley M, Mallaret M, Boucherie Q, Roll P, Micallef J Tags: Therapie Source Type: research

Changes and predictors of psychological stress among elderly stroke survivors 6  months after hospital discharge
Stress and Health, EarlyView.
Source: Stress and Health - December 21, 2017 Category: Psychiatry & Psychology Source Type: research

The counselor ’s role in assessing and treating medical symptoms and diagnoses
Take a moment to imagine the following scene, with you as the protagonist: A few days ago, you woke, went for a run, had breakfast and headed to work, where you attended a committee meeting. The next thing you remember is lying in a hospital bed and being told that you had a stroke. You...continue reading The post The counselor’s role in assessing and treating medical symptoms and diagnoses appeared first on Counseling Today.
Source: Counseling Today - April 4, 2018 Category: Psychiatry & Psychology Authors: By Jori A. Berger-Greenstein Tags: Counseling Today Knowledge Share chronic illness integrated care interdisciplinary Mental Health multidisciplinary Wellness Source Type: research