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Specialty: Health Management
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Total 27 results found since Jan 2013.

Developing a novel peer support intervention to promote resilience after stroke
This study demonstrates the application of the revised UKMRC framework to systematically develop an empirically and theoretically robust intervention to promote resilience after stroke. A future randomised feasibility study is needed to determine whether a full trial is feasible with a larger sample and wider age range of people with stroke.
Source: Health and Social Care in the Community - March 1, 2016 Category: Health Management Authors: Euan Sadler, Sophie Sarre, Anthea Tinker, Ajay Bhalla, Christopher McKevitt Tags: Original Article Source Type: research

Quantile Regression Forests to Identify Determinants of Neighborhood Stroke Prevalence in 500 Cities in the USA: Implications for Neighborhoods with High Prevalence
AbstractStroke exerts a massive burden on the US health and economy. Place-based evidence is increasingly recognized as a critical part of stroke management, but identifying the key determinants of neighborhood stroke prevalence and the underlying effect mechanisms is a topic that has been treated sparingly in the literature. We aim to fill in the research gaps with a study focusing on urban health. We develop and apply analytical approaches to address two challenges. First, domain expertise on drivers of neighborhood-level stroke outcomes is limited. Second, commonly used linear regression methods may provide incomplete a...
Source: Journal of Urban Health - September 3, 2020 Category: Health Management Source Type: research

The effect of a national quality improvement collaborative on prehospital care for acute myocardial infarction and stroke in England
Conclusions: This first national prehospital QIC led to significant improvements in ambulance care for AMI and stroke in England. The use of care bundles as measures, clinical engagement, application of quality improvement methods, provider prompts, individualized feedback and opportunities for learning and interaction within and across organizations helped the collaborative to achieve its aims.
Source: Implementation Science - January 23, 2014 Category: Health Management Authors: Aloysius SiriwardenaDeborah ShawNadya EssamFiona TogherZowie DavyAnne SpaightMichael Dewey Source Type: research

Best practice interprofessional stroke care collaboration and simulation: The student perspective.
Authors: MacKenzie D, Creaser G, Sponagle K, Gubitz G, MacDougall P, Blacquiere D, Miller S, Sarty G Abstract Interprofessional practice (IPP) is the accepted standard of care for clients following a stroke. A brief, embedded and evidence-based IPP team simulation was designed to address stroke care knowledge and IPP competencies for students within limited curriculum space. Each team was required to construct a collaborative care plan for their patient during the simulation and submit the care plan for evaluation of best practice stroke care knowledge and implementation with evidence of interprofessional collabora...
Source: Journal of Interprofessional Care - September 3, 2017 Category: Health Management Tags: J Interprof Care Source Type: research

Individualised home‐based rehabilitation after stroke in eastern Finland – the client's perspective
This study focused on clients' experiences of a 3‐month individualised, home‐based rehabilitation programme supervised by a multidisciplinary team. The data were collected in 2009–2010, and it was based on interviews with 14 clients (48–83 years of age) conducted approximately 7 months after stroke. In the thematic analysis, five main topics describing the goals and functions of the home‐based rehabilitation were identified as follows: (i) learning strategies for solving problems in daily activities at home and in the community; (ii) receiving exercise coaching; (iii) exploring community services and facilities...
Source: Health and Social Care in the Community - February 9, 2015 Category: Health Management Authors: Merja A. T. Reunanen, Aila Järvikoski, Ulla Talvitie, Outi Pyöriä, Kristiina Härkäpää Tags: Original Article Source Type: research

Key components of external facilitation in an acute stroke quality improvement collaborative in the Veterans Health Administration
Conclusions: This study shows that external facilitation involves core elements related to communication, relationship building, methods training, monitoring performance over time, and facilitating team-based problem solving. Importantly, this work demonstrates the fluid nature of external facilitation over time, as teams learn, grow, change, and experience changing contexts.
Source: Implementation Science - May 14, 2015 Category: Health Management Authors: Balmatee BidassieLinda WilliamsHeather Woodward-HaggMarianne MatthiasTeresa Damush Source Type: research

The Use of an Audience Response System in an Elementary School-Based Health Education Program
Conclusion. The use of an ARS among children is feasible and improves student and facilitator engagement without additional benefits on stroke learning.
Source: Health Education - September 18, 2013 Category: Health Management Authors: DeSorbo, A. L., Noble, J. M., Shaffer, M., Gerin, W., Williams, O. A. Tags: Articles Source Type: research

Unhealthy Behaviors, Prevention Measures, and Neighborhood Cardiovascular Health: A Machine Learning Approach
This study identifies and ranks predictors of cardiovascular health at the neighborhood level in the United States. We merged the 500 Cities Data and the 2011-2015 American Community Survey to create a new data set that includes sociodemographic characteristics, health behaviors, prevention measures, and cardiovascular health outcomes for more than 28 000 census tracts in the United States. We used random forest to rank predictors of coronary heart disease and stroke. For coronary heart disease, the top 5 ordered predictors were the prevalence of taking medicine for high blood pressure control, binge drinking, being aged 6...
Source: Journal of Public Health Management and Practice - December 5, 2018 Category: Health Management Tags: Research Reports: Research Brief Report Source Type: research

Association Between Hospital Accreditation and Outcomes: The Analysis of Inhospital Mortality From the National Claims Data of the Universal Coverage Scheme in Thailand
Conclusion: Our findings added supportive evidence that HA, as an organizational and health system management tool, could help promote hospital quality and safety in a developing country, leading to better outcomes.
Source: Quality Management in Healthcare - June 25, 2020 Category: Health Management Tags: Learning From International Experience Source Type: research

Content Analysis of Patient Safety Incident Reports for Older Adult Patient Transfers, Handovers, and Discharges: Do They Serve Organizations, Staff, or Patients?
Objective The aim of the study was to analyze content of incident reports during patient transitions in the context of care of older people, cardiology, orthopedics, and stroke. Methods A structured search strategy identified incident reports involving patient transitions (March 2014–August 2014, January 2015–June 2015) within 2 National Health Service Trusts (in upper and lower quartiles of incident reports/100 admissions) in care of older people, cardiology, orthopedics, and stroke. Content analysis identified the following: incident classifications; active failures; latent conditions; patient/relative inv...
Source: Journal of Patient Safety - December 1, 2021 Category: Health Management Tags: Original Studies Source Type: research

Exploring scale-up, spread, and sustainability: an instrumental case study tracing an innovation to enhance dysphagia care
DiscussionResearching spread and sustainability presents methodological and practical challenges. These include fidelity, adaptation latitude, time, and organisational changes. An instrumental case study will allow these confounding factors to be tracked over time and in place. The case study is underpinned by, and will test a conceptual framework about spread, to explore theoretical generalizability.
Source: Implementation Science - October 29, 2013 Category: Health Management Authors: Irene IlottKate GerrishSue PownallSabrina EltringhamAndrew Booth Source Type: research

An Innovative Community Geriatrics Elective to Teach Year 4 Medical Students About Nursing Home Care
In Singapore, Geriatrics is core curriculum in medical undergraduate training. Year two medical students are introduced to aging in a four hour program based in a nursing home. In their final year they spend one month in geriatric medicine as part of their 3 month internal medicine posting. In the fourth year there is an elective period of six weeks where they choose postings that they would like to spend time to learn more about the subject. There are 65 NHs in Singapore with 9495 beds as compared to 6 acute hospitals with 7500 beds. The NHs have more patients for students to learn from. The residents are also more stable...
Source: Journal of the American Medical Directors Association - February 10, 2014 Category: Health Management Authors: David Yong, David Yong, Patricia Lee Tags: Poster Abstracts Source Type: research

The Health Innovations Scholars Program: A Model for Accelerating Preclinical Medical Students Mastery of Skills for Leading Improvement of Clinical Systems
Dramatic changes in health care require physician leadership. Efforts to instill necessary skills often occur late in training. The Heath Innovations Scholars Program (HISP) provided preclinical medical students with experiential learning focused on process improvement. Students led initiatives to improve the discharge process for stroke patients. All students completed an aptitude survey and Quality Improvement Knowledge Assessment Test (QIKAT) before and after the program. Significant improvements occurred across subject areas of leadership (18.4%, P < .001), quality and safety (14.7%, P < .001), and health care sy...
Source: American Journal of Medical Quality - June 30, 2016 Category: Health Management Authors: Sweigart, J. R., Tad-y, D., Pierce, R., Wagner, E., Glasheen, J. J. Tags: Articles Source Type: research

Population health-based approaches to utilizing digital technology: a strategy for equity
We describe our approaches to grantmaking and discuss lessons learned and their implications. When combined with sound policy strategies, emerging, scalable, digital technologies will likely become powerful allies for improving health and reducing health disparities.
Source: Journal of Public Health Policy - October 31, 2016 Category: Health Management Source Type: research

Does my high blood pressure improve your survival? Overall and subgroup learning curves in health
Summary Learning curves in health are of interest for a wide range of medical disciplines, healthcare providers, and policy makers. In this paper, we distinguish between three types of learning when identifying overall learning curves: economies of scale, learning from cumulative experience, and human capital depreciation. In addition, we approach the question of how treating more patients with specific characteristics predicts provider performance. To soften collinearity problems, we explore the use of least absolute shrinkage and selection operator regression as a variable selection method and Theil–Goldberger mixed es...
Source: Health Economics - April 27, 2017 Category: Health Management Authors: Raf Van  Gestel, Tobias Müller, Johan Bosmans Tags: RESEARCH ARTICLE Source Type: research