Patient Admission

Publication Title: 
Assistenza infermieristica e ricerca: AIR

The quality of the reception of the patients in the health services is one of the projects of one of the Local Health Authorities of Genova, with the aim of improving its personalization, information and humanization and, therefore, its perceived quality. The judgements of patients and health workers were collected.

Author(s): 
Piatti, Gianluigi
Corbella, Angela
Zanini, Milko
Publication Title: 
Assistenza infermieristica e ricerca: AIR

The quality of the reception of the patients in the health services is one of the projects of one of the Local Health Authorities of Genova, with the aim of improving its personalization, information and humanization and, therefore, its perceived quality. The judgements of patients and health workers were collected.

Author(s): 
Piatti, Gianluigi
Corbella, Angela
Zanini, Milko
Publication Title: 
Roczniki Panstwowego Zakladu Higieny

BACKGROUND: The health system responsiveness, defined as non-medical aspect of treatment relating to the protection of the patients' legitimate rights, is the intrinsic goal of the WHO strategy for 21st century.

Author(s): 
Gromulska, Lucyna
Supranowicz, Piotr
Wysocki, Miros?aw Jan
Publication Title: 
The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences

OBJECTIVE: States vary greatly in their support for home- and community-based services (HCBS) that are intended to help disabled seniors live in the community. This article examines how states' generosity in providing HCBS affects the risk of nursing home admission among older Americans and how family availability moderates such effects. METHODS: We conducted discrete time survival analysis of first long-term (90 or more days) nursing home admissions that occurred between 1995 and 2002, using Health and Retirement Study panel data from respondents born in 1923 or earlier.

Author(s): 
Muramatsu, Naoko
Yin, Hongjun
Campbell, Richard T.
Hoyem, Ruby L.
Jacob, Martha A.
Ross, Christopher O.
Publication Title: 
Health Services Research

BACKGROUND: Fiscal constraints faced by Medicare are leading to policies designed to reduce expenditures. Evidence of the effect of reduced reimbursement on the mortality of Medicare patients discharged from all major hospital service lines is limited. METHODS: We modeled risk-adjusted 30-day mortality of patients discharged from 21 hospital service lines as a function of service line profitability, service line time trends, and hospital service line and year-fixed effects. We simulated the effect of alternative revenue-neutral reimbursement policies on mortality.

Author(s): 
Lindrooth, Richard C.
Konetzka, R. Tamara
Navathe, Amol S.
Zhu, Jingsan
Chen, Wei
Volpp, Kevin
Publication Title: 
The Rand Journal of Economics

This article studies provision of charity care by private, nonprofit hospitals. We demonstrate that in the absence of large positive income effects on charity care supply, convex preferences for the nonprofit hospital imply crowding out by other private or government hospitals. Extending our model to include impure altruism (rivalry) provides a possible explanation for the previously reported empirical result that both crowding out and income effects on indigent care supply are often weak or insignificant.

Author(s): 
Frank, R. G.
Salkever, D. S.
Publication Title: 
Journal of the Royal Society of Medicine

Sixteen chronic asthmatic patients inadequately controlled by drugs had, after one year of hypnotherapy, a fall in admissions from 44 in the year before starting therapy to 13 in the year after. Duration of stay was reduced for 13 patients by 249 days; prednisolone was withdrawn in 6, reduced in 8 and increased in none. Side effects of drugs were reduced. Although 62% reported improvement on a visual analogue scale, observations of air flow gave variable results.

Author(s): 
Morrison, J. B.
Publication Title: 
Journal of Traumatic Stress

PTSD is often treated with anxiety management techniques, including relaxation training. A case report is presented which describes a PTSD combat veteran who experienced dissociative states induced by relaxation training. Hypnotherapy subsequently identified traumatic memories which were recalled during relaxation training but triggering mechanisms for the recall of these traumatic memories were not identified.

Author(s): 
Fitzgerald, S. G.
Gonzalez, E.
Publication Title: 
Psychiatrische Praxis

This paper describes the treatment of a patient with the diagnoses of a borderline personality disorder and posttraumatic stress disorder (DSM-IV and ICD-10) within the setting of a psychiatric ward spezializing in depression. For purposes of controlled re-exposure to the patient's trauma, a hypnotherapeutic method was chosen. A significant reduction of symptoms, in particular the intrusions and the hyperarousal, was observed.

Author(s): 
Elsig, Claudia
Schopper, Christian
Anthony, Marion
Gramigna, Ronald
Böker, Heinz
Publication Title: 
Anaesthesiologie Und Reanimation

In alcohol-dependent in-patients, an adequate drug prophylaxis should be made in order to lower the degree of a developing alcohol withdrawal syndrome (AWS) or to prevent a life-threatening delirium tremens. Pre-condition of successful therapy is a precise diagnosis. In patients, the beginning of whose abstinence is known, carefully-targeted pharmacological interventions can prevent severe imbalances of neurotransmitters. Typical time courses of destabilisation of neural balances should be considered.

Author(s): 
Hensel, M.
Kox, W. J.

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