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1

Silva, Telmo, Hilma Caravau, Liliana Reis, and David Campelo. "A process to evaluate an iTV platform to enhance seniors’ access to information about public and social services." Working with Older People 22, no. 4 (2018): 224–33. http://dx.doi.org/10.1108/wwop-02-2018-0005.

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Purpose The purpose of this paper is to present a process to evaluate the usability and usefulness of a high-fidelity prototype of the +TV4E platform (removed for blind review), an iTV service which aims to promote the info-inclusion and quality of life of Portuguese seniors by delivering informative contents about public and social services. Design/methodology/approach The research presented in this study is qualitative and uses an inclusive and participatory co-design process involving seniors to evaluate usability of an iTV service with support of the Post-Study System Usability Questionnai
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Zecevic, Aleksandra A., Alan W. Salmoni, John H. Lewko, and Anthony A. Vandervoort. "Seniors Falls Investigative Methodology (SFIM): A Systems Approach to the Study of Falls in Seniors." Canadian Journal on Aging / La Revue canadienne du vieillissement 26, no. 3 (2007): 281–90. http://dx.doi.org/10.3138/cja.26.3.281.

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ABSTRACTAn in-depth understanding of human factors and human error is lacking in current research on seniors' falls. Additional knowledge is needed to understand why seniors are falling. The purpose of this article is to describe the adapting of the Integrated Safety Investigation Methodology (ISIM) (used for investigating transportation and industrial accidents) to studying seniors' falls. An adapted version—the Seniors Falls Investigative Methodology (SFIM)—uses a systems approach to take an investigation beyond the immediate cause of an incident and reveal unsafe acts and deeply imbedded un
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Belisomo, Randi, Daniel M. Gaitan, Amy R. Eisenstein, and Mary Frances Mulcahy. "Advance care planning among seniors of a diverse city." Journal of Clinical Oncology 32, no. 31_suppl (2014): 117. http://dx.doi.org/10.1200/jco.2014.32.31_suppl.117.

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117 Background: Advance care planning (ACP) is a system of education, reflection and documentation of health care wishes. Respecting Choices has been successful in implementing ACP throughout Lacrosse County, WI (J Am Geriatr Soc 2010;58:1249–1255)..A single center study in Melbourne, AU, showed that ACP improves end of life (EOL) care, patient and family satisfaction, and reduces stress, anxiety, and depression in surviving relatives (BMJ 2010;340:c1345).We aim to quantify knowledge about ACP, interest in engaging in ACP, and barriers to effective ACP among the older adults of Chicago. The re
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Parmar, Jasneet, Jacqueline Torti, Suzette Brémault-Phillips, Lesley Charles, Karenn Chan, and Peter George J. Tian. "Supporting Family Caregivers of Seniors Within Acute and Continuing Care Systems." Canadian Geriatrics Journal 21, no. 4 (2018): 292–96. http://dx.doi.org/10.5770/cgj.21.317.

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BackgroundFamily caregivers who provide care to seniors at no cost to the healthcare system are an integral part of the healthcare system. Caregiving, however, can cause significant emotional, physical and financial burden. We held a one-day symposium on how to best involve and support family caregivers in the healthcare system. The symposium brought together caregiv-ers, healthcare providers, administrators and policy-makers to identify needs and make recommendations to address these issues.MethodsParticipants engaged in conversation circles which were audio-recorded and transcribed. Data wer
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Chappell, Neena, and Audrey Blandford. "Informal and Formal Care: Exploring the Complementarity." Ageing and Society 11, no. 3 (1991): 299–317. http://dx.doi.org/10.1017/s0144686x00004189.

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ABSTRACTAlthough several authors have speculated about the type of relationship between informal and formal care, relatively little empirical work directly examines the interface between the two support systems. This paper examines the correlates of using neither system, only one system and several combinations of both systems. It explores the characteristics of those who do and do not make complementary use of both systems and under what circumstances the two systems are complementary. Multivariate analyses are performed, using logistic regression analyses, to examine the correlates of the di
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Barer, Morris L., Robert G. Evans, and Clyde Hertzman. "Avalanche or Glacier?: Health Care and the Demographic Rhetoric." Canadian Journal on Aging / La Revue canadienne du vieillissement 14, no. 2 (1995): 193–224. http://dx.doi.org/10.1017/s0714980800011818.

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ABSTRACTClaims that the health care system is about to be engulfed in a “wave of grey” have become commonplace. Recent cost escalation is commonly attributed to the aging of the population, and there is no shortage of dire warnings about the cost implications of the even more dramatic aging, and costs, still to come. These claims have been largely unsubstantiated. Yet they persist for a number of reasons. First, over long periods of time, the effects of demographic trends can be (and probably will be) quite substantial. But these effects move like glaciers, not avalanches. Second, the effects
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Lundman, Riina. "A spatio-legal approach to the intermediate housing-with-care solutions for older people: exploring the adoption of a retirement village concept in Finland." Ageing and Society 40, no. 9 (2019): 1956–77. http://dx.doi.org/10.1017/s0144686x19000412.

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AbstractRetirement villages are an increasingly popular senior housing option that aims to comprehensively integrate accommodation, care services, social activities and interaction opportunities for ageing people. The research literature about retirement villages and communities is extensive, but less studied are the contextually varying spatial, legal and political processes of how such villages and other intermediate housing-with-care solutions for older people are initially constituted, especially in novel national and local contexts. In this paper, a spatio-legal approach is employed to st
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Richard, Lucie, Lise Gauvin, Yan Kestens, et al. "Neighborhood Resources and Social Participation Among Older Adults." Journal of Aging and Health 25, no. 2 (2012): 296–318. http://dx.doi.org/10.1177/0898264312468487.

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Objective: This article examined the associations between proximity to selected locations considered to be conducive to social participation, and social participation itself, in urban-dwelling seniors. Methods: A sample of 520 older adults residing in the Montreal area provided reports of social participation and information about health, sociodemographic characteristics, social networks, and perceptions about features of their residential environment. Information about the distance between their home and five locations deemed to be conducive to social participation were obtained from a geogra
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Sanderson, Duncan. "Language Related Difficulties Experienced by Caregivers of English-Speaking Seniors in Quebec." SAGE Open 10, no. 3 (2020): 215824402095126. http://dx.doi.org/10.1177/2158244020951261.

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Little research has examined communication problems between speakers of official minority languages (patients or caregivers) and health care providers. The objective of this research was to identify the types of issues experienced by English-speaking caregivers of seniors in Quebec, as they interact with French-speaking health care providers. The majority of the caregivers interviewed indicated that they were satisfied with physicians’ interaction with the seniors they cared for. However, problems included health care providers who do not or who refuse to speak English, hospice personnel with
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Et. al., Priyajot,. "ENHANCED SECURITY FRAMEWORK FOR THE SMART HOME AUTOMATION SYSTEM." INFORMATION TECHNOLOGY IN INDUSTRY 9, no. 2 (2021): 567–75. http://dx.doi.org/10.17762/itii.v9i2.387.

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Elderly care as well as enhance the quality of life for seniors, the users must be supplied with a lot of personal information about their homes and personal lives. This promising technology is being blocked by results in security and privacy. With the intent to empower end users, we did semi-struct interviews with 42 potential new and novice Smart Home customers. The issues they were concerned with focused on were connected around attacks on Smart Home data and devices, as well as the effect on users in general, to the importance of keeping their functionality balanced with the expectations o
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Miller, Edward A., Pamela Nadash, Elizabeth Simpson, Natalie Shellito, and Marc Cohen. "LESSONS FROM THE RESIDENT EXPERIENCE WITH THE R3 PROGRAM." Innovation in Aging 3, Supplement_1 (2019): S776. http://dx.doi.org/10.1093/geroni/igz038.2852.

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Abstract Understanding the resident experience is a critical step to creating a sustainable and replicable model of affordable resident-centered housing with supportive services programs. This study thus draws lessons from focus groups with participants in the R3 program for designing and implementing such initiatives in affordable senior housing. Findings indicate that the R3 program brings value to residents: they benefit from reliable information on health-related issues, as well as emotional support and assistance with accessing appropriate care. By focusing on prevention and ensuring time
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Tu, Jui-Che, and Ku-Hsi Chu. "Analyzing the Relevance of Peer Relationship, Learning Motivation, and Learning Effectiveness—Design Students as an Example." Sustainability 12, no. 10 (2020): 4061. http://dx.doi.org/10.3390/su12104061.

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In a design department’s practice course there are often group exercises that include intensive interactions between students in the classroom or in the internship factory. In addition, students will deepen the interaction between peers due to course groupings or borrowing of model tools, etc. This study intended to carry out a differential analysis and discussion of the differences among design students from different backgrounds under the three factors of peer relationships, learning motivation, and learning effectiveness. The research method was based on literature analysis and a questionna
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Cwinn, Matthew A., Alan J. Forster, A. Adam Cwinn, Guy Hebert, Lisa Calder, and Ian G. Stiell. "Prevalence of information gaps for seniors transferred from nursing homes to the emergency department." CJEM 11, no. 05 (2009): 462–72. http://dx.doi.org/10.1017/s1481803500011660.

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ABSTRACTObjective:Information gaps, defined as previously collected information that is not available to the treating physician, have implications for patient safety and system efficiency. For patients transferred to an emergency department (ED) from a nursing home or seniors residence, we determined the frequency and type of clinically important information gaps and the impact of a regional transfer form.Methods:During a 6-month period, we studied consecutive patients who were identified through the National Ambulatory Care Reporting System database. Patients were over 60 years of age, lived
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Rodriguez-Morales, Grisel, Erin Emery-Tiburcio, Robyn Golden, Marc Fenton, and Jasmine Chandy. "Schaalman Senior Voices: Transitioning From “What’s the Matter?” to “What Matters?”." Innovation in Aging 4, Supplement_1 (2020): 582. http://dx.doi.org/10.1093/geroni/igaa057.1939.

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Abstract The 4Ms of an Age-Friendly Health System start with What Matters to the older adult. A unique method for asking that question is through film. Schaalman Senior Voices (SSV) films older adults talking about What Matters to them, and uses the films to stimulate discussion about later life with older adults in the community (n=264), with health care professions students learning to listen to older adults (n=1250), and health system executives considering implementation of the Age-Friendly Health Systems (AFHS) initiative (n=100). SSV has completed longer professional films interviewing 1
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Miller, Edward, Pamela Nadash, Elizabeth Simpson, and Marc Cohen. "Expanding Housing With Services in the United States: The Case of the Right Care, Right Place, Right Time Program." Innovation in Aging 4, Supplement_1 (2020): 584. http://dx.doi.org/10.1093/geroni/igaa057.1948.

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Abstract Older people living in congregate environments are obvious beneficiaries of supportive services. The potential for prevention is clear, particularly among low-income elders living in subsidized housing; it is this group that is at high risk for significant healthcare and other costs, and it is this group that suffers considerably from a fragmented healthcare system. The purpose of this presentation is to illustrate the potential of housing with services, drawing from evaluation of The Right Care, Right Place, Right Time (R3) initiative (R3) located in the Greater Boston area. The R3 p
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Ali, Haneen, and Huiyang Li. "Use of Notification and Communication Technology (Call Light Systems) in Nursing Homes: Observational Study." Journal of Medical Internet Research 22, no. 3 (2020): e16252. http://dx.doi.org/10.2196/16252.

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Background The call light system is one of the major communication technologies that link nursing home staff to the needs of residents. By providing residents the ability to request assistance, the system becomes an indispensable resource for patient-focused health care. However, little is known about how call light systems are being used in nursing homes and how the system contributes to safety and quality of care for seniors. Objective This study aimed to understand the experiences of nursing home staff who use call light systems and to uncover usability issues and challenges associated with
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Susanti, Erwina. "PERAN POSYANDU DALAM PELAYANAN KESEHATAN MASYARAKAT." JURNAL MEDIA KESEHATAN 10, no. 1 (2018): 058–70. http://dx.doi.org/10.33088/jmk.v10i1.325.

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Elderly health care coverage in Public Health Jalan Gedang as much (81.92%)and the number of elderly as many as 686 people. Visit the elderly who come to posyanduranges from 41-53 people per month in 2016. The health center has two IHC GedangWay consists of IHC Elderly Elderly Serayu Mandiri and Posyandu Elderly Peace. IHChas five cadres and participants 44 people. Elderly Posyandu cadre of Peace has fivepeople, participants lansianya 50 people. IHC Elderly Peace has many achievements thanPosyandu Elderly Serayu Mandiri The study design used in this research is descriptivequalitative method. I
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Fairie, Paul, Zilong Zhang, Adam G. D'Souza, Tara Walsh, Hude Quan, and Maria J. Santana. "Categorising patient concerns using natural language processing techniques." BMJ Health & Care Informatics 28, no. 1 (2021): e100274. http://dx.doi.org/10.1136/bmjhci-2020-100274.

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ObjectivesPatient feedback is critical to identify and resolve patient safety and experience issues in healthcare systems. However, large volumes of unstructured text data can pose problems for manual (human) analysis. This study reports the results of using a semiautomated, computational topic-modelling approach to analyse a corpus of patient feedback.MethodsPatient concerns were received by Alberta Health Services between 2011 and 2018 (n=76 163), regarding 806 care facilities in 163 municipalities, including hospitals, clinics, community care centres and retirement homes, in a province of 4
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Vasquez, Kimberly, Dozene Guishard, Rina Desai, et al. "3310 A Community-Academic Partnership to Understand the Association Among Health Status and Senior Services Utilization to Improve Nutrition and Blood Pressure Control for Low Income Seniors Aging in Place." Journal of Clinical and Translational Science 3, s1 (2019): 79–80. http://dx.doi.org/10.1017/cts.2019.185.

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OBJECTIVES/SPECIFIC AIMS: The Rockefeller University Center for Clinical and Translational Science (RU-CCTS), Clinical Directors Network (CDN), and Carter Burden Network (CBN), a multi-site senior services organization serving East Harlem, NY, formed a community-academic research partnership to characterize the health of the CBN seniors (many who are racial/ethnic minorities, low-income, and suffering from multiple chronic conditions) and to explore the use and associations of a measure of overall health status and frailty in this population. A simple validated measure of health status could s
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Veras, Renato. "Caring Senior: A Brazilian health model with emphasis at light care levels." Revista Brasileira de Geriatria e Gerontologia 21, no. 3 (2018): 360–66. http://dx.doi.org/10.1590/1981-22562018021.180100.

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Abstract The present article discusses the creation of an elderly care model entitled Caring Senior. Population aging caused by demographic and epidemiological changes in Brazil, a relatively recent phenomenon, requires an efficient response. Based on a critical analysis of healthcare models for the elderly, the text presents a proposal for the healthcare of this age group, with emphasis on low intensity levels of care, focusing on health promotion and prevention, in order to avoid overload in the system. Integrated care models aim to solve the problem of fragmented and poorly coordinated care
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Evans, Robert G., Morris L. Barer, and Greg L. Stoddart. "User Fees for Health Care: Why a Bad Idea Keeps Coming Back (Or, What's Health Got to Do With It?)." Canadian Journal on Aging / La Revue canadienne du vieillissement 14, no. 2 (1995): 360–90. http://dx.doi.org/10.1017/s0714980800011880.

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ABSTRACTCalls for user fees in Canadian health care go back as far as the debate leading up to the establishment of Canada's national hospital insurance program in the late 1950s. Although the rationales have shifted around somewhat, some of the more consistent claims have been that user fees are necessary as a source of additional revenue for a badly underfunded system, that they are necessary to control runaway health care costs, and that they will deter unnecessary use (read abuse) of the system. But the real reasons that user fees have been such hardy survivors of the health policy wars, b
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Rivera-Hernandez, Maricruz, and Kristy L. Blackwood. "DECISION-MAKING AND DISPARITIES IN QUALITY OF CHOSEN PLANS AMONG RACIAL-ETHNIC GROUPS IN MEDICARE ADVANTAGE." Innovation in Aging 3, Supplement_1 (2019): S687—S688. http://dx.doi.org/10.1093/geroni/igz038.2535.

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Abstract Limited research regarding decision-making in Medicare Advantage (MA), which now disproportionally serves racial and ethnic minorities (~45% Hispanics and 30% African-Americans), has been conducted. Without understanding the extent to which vulnerable groups select low quality plans with high out-of-pocket costs (OOPC) and what factors influence this selection, these beneficiaries could continue to be adversely affected. The objective of this study is to understand plan choice decision-making process and differences in quality and OOPC of chosen plans between racial and ethnic minorit
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Thomas, Roger E. "Improving the Care of Older Patients by Decreasing Potentially Inappropriate Medications, Potential Medication Omissions, and Serious Drug Events Using Pharmacogenomic Data about Variability in Metabolizing Many Medications by Seniors." Geriatrics 5, no. 4 (2020): 64. http://dx.doi.org/10.3390/geriatrics5040064.

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Polypharmacy, potentially inappropriate medications (PIMs) identified by the American Geriatrics Society and Screening Tool of Older People’s Prescriptions (STOPP), potential prescribing omissions (PPOs) identified by Screening Tool to Alert to Right Treatment (START) and serious drug events (SDEs), are major problems for seniors. They correlate with increased risks of rehospitalization and death within six months of hospital discharge. About 75% of commonly prescribed medications are metabolized by P450 cytochrome enzymes. Electronic medical records (EMRs) providing integrated comprehensive p
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Tarkhanova, Irina Yu. "EDUCATIONAL ENVIRONMENT: WHAT SENIOR SCHOOLCHILDREN CARE ABOUT AND WHAT KIND OF SCHOOL THEY WANT TO SEE." Vestnik Kostroma State University. Series: Pedagogy. Psychology. Sociokinetics, no. 2 (2020): 13–19. http://dx.doi.org/10.34216/2073-1426-2020-26-2-13-19.

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The article details the components of the school environment based on Russian and foreign experience in the framework of the environmental approach. Expert opinions on the organisation of the physical space of the school and its arrangement are analysed. The significance of the digital information and educational environment in achieving educational results is revealed. The role of relations between participants in the educational process is emphasised. The problems of structuring the training schedule and work regulations are raised. The analysis of the prospects for changes provided for by t
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Maciel, Pamela Kaezynski, Carla Weber Peters, Celmira Lange, Denise Somavila Przylynski Castro, Jessica Noema da Rosa Braga, and Pablo Viana Stolz. "Accessibility and satisfaction of the elderly living in rural areas in relation to the health services." Acta Scientiarum. Health Sciences 42 (July 3, 2020): e48896. http://dx.doi.org/10.4025/actascihealthsci.v42i1.48896.

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This study aimed to learn about the conditions of access to health services that seniors living in rural areas have, as well as their satisfaction. This is a qualitative, descriptive and exploratory research conducted in a municipality located in the southern region of Rio Grande do Sul, Brazil. It included 19 elderly individuals registered in three Basic Health Units organized in the form of Family Health Strategy. Data were collected between July and August 2018 through semi-structured interviews, which were analyzed based on Minayo's operational proposal. Afterwards, two categories were def
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Miller, Edward A., Pamela Nadash, and Alisha Sanders. "PAVING THE WAY FORWARD IN HOUSING WITH SERVICES: THE RIGHT CARE, RIGHT PLACE, RIGHT TIME PROGRAM." Innovation in Aging 3, Supplement_1 (2019): S775—S776. http://dx.doi.org/10.1093/geroni/igz038.2851.

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Abstract Older people living in congregate environments are obvious beneficiaries of supportive services. The potential for prevention is clear, particularly among low-income elders living in subsidized housing; it is this group that is at high risk for significant healthcare and other costs, and it is this group that suffers considerably from a fragmented healthcare system. Policymakers have long seen the advantages of reaching this population, but most existing housing with services programs have focused more on social than health-related supports. The Right Care, Right Place, Right Time ini
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Leet, Martin, and Kathleen Lilley. "What Can We Expect of Our Health Care System? : Introduction." Australian Health Review 32, no. 1 (2008): 147. http://dx.doi.org/10.1071/ah080147.

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IN NOVEMBER 2006 the Queensland Centre for Public Health and the Brisbane Institute cohosted a public forum titled ?What can we expect of our health care system?? The intention of the forum was to promote public discussion on serious questions about the long-term sustainability of the health care system. Even as health care expenditure has grown, demand for service remains unmet and appears inexhaustible. Expensive new technologies and drugs, a population living longer with more chronic disease, and declining workforce capacity indicate a worsening of the current situation. The gap between our
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Khalil, Salwa, Elizabeth Parry, Nick Brown, and Femi Oyebode. "Individual appraisal for senior medical staff." Psychiatric Bulletin 25, no. 5 (2001): 166–69. http://dx.doi.org/10.1192/pb.25.5.166.

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There is public concern about medical errors. In Britain, the Bristol Inquiry is the paradigmatic example that focuses professional and public attention on the safety of medical interventions. In the US the Institute of Medicine's recent report To Err is Human: Building a Safer Health System (1999) was widely seen on both sides of the Atlantic as confirming what most already feared, that medical interventions were accompanied by unacceptably high levels of preventable harms (Barach & Small, 2000). The response to these public concerns has been multifold. In the UK clinical governance was i
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Griffith, Laura, and Jon Glasby. "“When we say ‘urgent’ it means now …”." Journal of Integrated Care 23, no. 3 (2015): 143–52. http://dx.doi.org/10.1108/jica-02-2015-0013.

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Purpose – The purpose of this paper is to describe the perceptions which senior health and social care leaders have of their own organisations and of partner agencies, illustrating a possible method for beginning to think and talk about organisational and professional culture in settings. Design/methodology/approach – This is a practical case study, with a group of senior leaders from across the health and social care system. Findings – Different groups were often more critical of their own organisations than of others, but could still identify certain characteristics that they associated with
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Vincent, Charles A., Mwanamvua Mboga, David Gathara, Fred Were, Rene Amalberti, and Mike English. "How to do no harm: empowering local leaders to make care safer in low-resource settings." Archives of Disease in Childhood 106, no. 4 (2021): 333–37. http://dx.doi.org/10.1136/archdischild-2020-320631.

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In a companion paper, we showed how local hospital leaders could assess systems and identify key safety concerns and targets for system improvement. In the present paper, we consider how these leaders might implement practical, low-cost interventions to improve safety. Our focus is on making immediate safety improvements both to directly improve patient care and as a foundation for advancing care in the longer-term. We describe a ‘portfolio’ approach to safety improvement in four broad categories: prioritising critical processes, such as checking drug doses; strengthening the overall system of
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Obayashi, Kazuko, Naonori Kodate, Hiromasa Kondo, Yoshimi Okamoto, Yoko Ishii, and Shigeru Masuyama. "69 How Useful is an Integrated Assistive Technology System in a Nursing Home? Understanding its Effectiveness on Users and their Perceptions." Age and Ageing 48, Supplement_3 (2019): iii1—iii16. http://dx.doi.org/10.1093/ageing/afz102.15.

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Abstract Background With the arrival of a super-ageing society, the use of technologies in social care is not only necessary but inevitable. However, there is a dearth of evidence to demonstrate how assistive technologies (AT) can improve standards of care while improving the working conditions of care professionals and care givers. Furthermore, little is known about users’ perceptions of such technologies. The objectives of this paper are: first, to test the effects of an integrated AT system on users (both care recipients and staff) in a residential care home; and second, to understand their
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Hodkinson, Peter W., Jennifer Lee Pigoga, and Lee Wallis. "Emergency healthcare needs in the Lavender Hill suburb of Cape Town, South Africa: a cross-sectional, community-based household survey." BMJ Open 10, no. 1 (2020): e033643. http://dx.doi.org/10.1136/bmjopen-2019-033643.

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ObjectiveEmergency care is a key component of healthcare systems, but little is known about its real impact on communities. This study evaluated access, utilisation and barriers to healthcare, and specifically emergency care, in the low socioeconomic Cape Town suburb of Lavender Hill.DesignA cross-sectional, community-based household survey.SettingLavender Hill suburb in the Cape Flats of Cape Town, South Africa.ParticipantsTwo-stage cluster sampling was used to identify approximately 13 households in each of 46 clusters, for a total of 608 households. A senior householder responded on behalf
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Kerr, Rhonda, and Delia V. Hendrie. "Is capital investment in Australian hospitals effectively funding patient access to efficient public hospital care?" Australian Health Review 42, no. 5 (2018): 501. http://dx.doi.org/10.1071/ah17231.

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Objective This study asks ‘Is capital investment in Australian public hospitals effectively funding patient access to efficient hospital care?’ Methods The study drew information from semistructured interviews with senior health infrastructure officials, literature reviews and World Health Organization (WHO) reports. To identify which systems most effectively fund patient access to efficient hospitals, capital allocation systems for 17 Organisation for Economic Cooperation and Development (OECD) countries were assessed. Results Australian government objectives (equitable access to clinically a
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Eason, Ken. "Action learning across the decades." Leadership in Health Services 30, no. 2 (2017): 118–28. http://dx.doi.org/10.1108/lhs-11-2016-0057.

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Purpose The purpose of this paper is to explore how action learning concepts were used in two healthcare projects undertaken many decades apart. The specific purpose in both cases was to examine how action learning can contribute to shared learning across key stakeholders in a complex socio-technical system. In each case study, action learning supported joint design programmes and the sharing of perspectives about the complex system under investigation. Design/methodology/approach Two action learning projects are described: first, the Hospital Internal Communications (HIC) project led by Reg R
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Cunningham, Brooke, Windy Fredkove, Alden Lai, Dimpho Orionzi, and Jill Marsteller. "2505 Mixed emotions: Health care personnel’s reactions to new accountabilities for health equity." Journal of Clinical and Translational Science 2, S1 (2018): 71. http://dx.doi.org/10.1017/cts.2018.257.

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OBJECTIVES/SPECIFIC AIMS: Calls for health care organizations to promote health equity, through reducing health care disparities and addressing the social determinants of health, are growing and disrupt assumptions about equal care and the role of the health care delivery system more generally. This paper uses qualitative data to explore the emotions that health care personnel express as they make sense of the newfound emphasis on equity. To do so, we consider the relationships between social identity, sense of control, emotion, cognition, and action. METHODS/STUDY POPULATION: The principle in
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Couture, Melanie, Pam Orzeck, and Apostolia Petropoulos. "PUBLIC HEALTH AND SOCIAL SERVICES SYSTEM: THE DISENCHANTMENT OF ISOLATED SENIOR CAREGIVERS." Innovation in Aging 3, Supplement_1 (2019): S387. http://dx.doi.org/10.1093/geroni/igz038.1420.

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Abstract Social isolation is one of the negative consequences associated with caregiving and is experienced by approximately 20% of Canadian family caregivers. Being in a public health and social services system, Canadian caregivers should normally turn to their local community service centres (CLSC) to access formal services and feel less isolated. However, studies have shown that satisfaction is low regarding accessibility and continuity of formal support services. In an effort to develop interventions that meet the needs of isolated senior caregivers, the purpose of this exploratory descrip
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Titler, Marita G. "Translation Science and Context." Research and Theory for Nursing Practice 24, no. 1 (2010): 35–55. http://dx.doi.org/10.1891/1541-6577.24.1.35.

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Evidence-based health care practices are available for a number of conditions such as asthma, smoking cessation, heart failure, and management of diabetes. However, these practices are not routinely implemented in care delivery and variations in practices abound. Implementing evidence-based practices (EBPs) is challenging, and difficulties implementing evidence may be largely explained by contextual factors. Thus, strategies are needed that address the complexity and systems of care, individual practitioners, senior leadership, and ultimately changing health care cultures to promote an evidenc
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Keller, Michelle S., Sara McCleskey, Allison Mays, and Catherine Sarkisian. "41896 Surveying knowledge of quality of dementia care among Latino caregivers." Journal of Clinical and Translational Science 5, s1 (2021): 85. http://dx.doi.org/10.1017/cts.2021.620.

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ABSTRACT IMPACT: This qualitative study describes health system barriers to high-quality care for Latino older adults with Alzheimer’s Disease and Related Dementias OBJECTIVES/GOALS: Compared to non-Latino Whites, Latino older adults are more likely to receive low-quality dementia care such as high-risk medications or services. Caregivers play a critical role in managing medical care for persons with dementia (PWD). Yet little is known about the perceptions and knowledge of dementia quality of care among Latino caregivers of PWD. METHODS/STUDY POPULATION: We used a qualitative research design
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Choudrhey, Mazhar, Michelle Edwards, Alison Cooper, et al. "188 Senior clinical and business managers’perspectives on how different mechanisms and models of employing general practitioners in or alongside Emergency Departments influence wider system outcomes." Emergency Medicine Journal 37, no. 12 (2020): 840.3–841. http://dx.doi.org/10.1136/emj-2020-rcemabstracts.31.

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Aims/Objectives/BackgroundWe aim to examine senior managers’ perspectives on funding mechanisms used to implement the policy and experiences of success or challenges in introducing models of using GPs in or alongside emergency departments. Health policy in England has advocated the use of primary care clinicians at emergency departments to address pressures from rising attendances. However, implementing large systemic changes such as placing GPs in or alongside emergency departments requires significant funding, consideration of the opportunity costs of the alternative uses of such funding, an
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Scott, Ian A., Clair Sullivan, and Andrew Staib. "Going digital: a checklist in preparing for hospital-wide electronic medical record implementation and digital transformation." Australian Health Review 43, no. 3 (2019): 302. http://dx.doi.org/10.1071/ah17153.

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Objective In an era of rapid digitisation of Australian hospitals, practical guidance is needed in how to successfully implement electronic medical records (EMRs) as both a technical innovation and a major transformative change in clinical care. The aim of the present study was to develop a checklist that clearly and comprehensively defines the steps that best prepare hospitals for EMR implementation and digital transformation. Methods The checklist was developed using a formal methodological framework comprised of: literature reviews of relevant issues; an interactive workshop involving a mul
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Tweed, Alison, Andrew Singfield, Julia R. A. Taylor, Lucy Gilbert, and Paul Mount. "Creating allegiance: leading transformational change within the NHS." BMJ Leader 2, no. 3 (2018): 110–14. http://dx.doi.org/10.1136/leader-2018-000088.

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BackgroundWithin the UK National Health Service (NHS) the move to Sustainable Transformation Plans/Partnerships and Integrated Care Systems reflect the increasing need and expectation for transformational change at a system level across both health and social care boundaries. Transformational change is complex, emergent and dynamic requiring new, non-traditional forms of leadership which are highly relational and persuasive.Aim of the studyThe current study aimed to explore a small number of NHS senior leaders’ experiences of undertaking transformational change within their localities over a p
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Malcolm, Laurence, and Pauline Barnett. "Decentralisation, Integration and Accountability: Perceptions of New Zealand's Top Health Service Managers." Health Services Management Research 8, no. 2 (1995): 121–34. http://dx.doi.org/10.1177/095148489500800204.

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This paper reports on the findings of a representative survey of senior managers within New Zealand's health system. Respondents report most favourably upon the implementation of a new organisational structure, service management, which appears to have largely replaced the traditional division of health services into hospitals and community services. Service management, which is the decentralisation of decision making to integrated patient groupings, i.e. medicine, surgery, mental health, women's health, primary health care etc., appears to have been remarkably successful, in the view of the r
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Bush, Roger W., and Ingrid Philibert. "Making Sense: Duty Hours, Work Flow, and Waste in Graduate Medical Education." Journal of Graduate Medical Education 1, no. 2 (2009): 322–26. http://dx.doi.org/10.4300/jgme-d-09-00052.1.

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Abstract Parsimony, and not industry, is the immediate cause of the increase of capital. Industry, indeed, provides the subject which parsimony accumulates. But whatever industry might acquire, if parsimony did not save and store up, the capital would never be the greater. Adam Smith, The Wealth of Nations, book 2, chapter 31 In 2003, the Accreditation Council for Graduate Medical Education implemented resident duty hour limits that included a weekly limit and limits on continuous hours. Recent recommendations for added reductions in resident duty hours have produced concern about concomitant
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Plante, Timothy B., Kelly T. Gleason, Hailey N. Miller, et al. "Recruitment of trial participants through electronic medical record patient portal messaging: A pilot study." Clinical Trials 17, no. 1 (2019): 30–38. http://dx.doi.org/10.1177/1740774519873657.

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Background/aim: Cost-efficient methods are essential for successful participant recruitment in clinical trials. Patient portal messages are an emerging means of recruiting potentially eligible patients into trials. We assessed the response rate and complaint rate from direct-to-patient, targeted recruitment through patient portals of an electronic medical record for a clinical trial, and compared response rates by differences in message content. Methods: The Study to Understand Fall Reduction and Vitamin D in You (STURDY) trial is a National Institutes of Health–sponsored, community-based stud
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Dunn, Jeff, Belinda Goodwin, Joanne F. Aitken, et al. "Are National Cancer Control Indicators for patient experiences being met in regional and remote Australia? A cross-sectional study of cancer survivors who travelled for treatment." BMJ Open 11, no. 2 (2021): e042507. http://dx.doi.org/10.1136/bmjopen-2020-042507.

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ObjectiveTo examine the health services experience of patients with cancer from regional and remote Australia using the Australian National Cancer Control Indicators (NCCI) guidelines as an assessment framework.DesignCross-sectional.SettingQueensland non-for-profit cancer accommodation lodges.ParticipantsParticipants were patients with cancer who travelled for treatment from rural and remote Queensland to major urban centres (n=518; age mean=64.6, SD=11.18).Outcome measuresAssessments included NCCI patient indicators, quality of life (QoL), psychological distress and unmet supportive care need
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P Subbe, Christian. "Death after Discharge – Every heart beat counts (probably)!" Acute Medicine Journal 18, no. 2 (2019): 62–63. http://dx.doi.org/10.52964/amja.0752.

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The assumption would be that patients who are discharged from an emergency or acute medicine department have been thoroughly assessed and are good to return to the safety of their own home. An unplanned death after discharge from hospital is the worst-case scenario for patients, families and indeed clinicians. In order to prevent adverse events after patients leave hospital most units have a multi-layered system to capture risk that includes triage, recording of vital signs, basic blood tests, understanding of existing past medical history and assessment by a senior clinician to add experience
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Hybinette, Karl, Karin Pukk Härenstam, and Mirjam Ekstedt. "A First-line management team’s strategies for sustaining resilience in a specialised intensive care unit—a qualitative observational study." BMJ Open 11, no. 3 (2021): e040358. http://dx.doi.org/10.1136/bmjopen-2020-040358.

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ObjectivesAcute care units manage high risk patients at the edge of scientifically established treatments and organisational constraints while aiming to balance reliability to standards with the needs of situational adaptation (resilience). First-line managers are central in coordinating clinical care. Any systemic brittleness will be evident only in retrospect through, for example, care quality measures and accident statistics. This challenges us to understand what successful managerial strategies for adaptation are and how they could be improved. The managerial work of balancing reliability
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DiBartolo, Mary C. "DEVELOPMENT AND IMPLEMENTATION OF AN INTERDISCIPLINARY HONORS COURSE ON AGING." Innovation in Aging 3, Supplement_1 (2019): S150. http://dx.doi.org/10.1093/geroni/igz038.540.

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Abstract With the aging of Baby Boomers, 2030 will mark the first time in U.S. history that those aged 65 and older will outnumber children. This population shift is expected to place unprecedented demands on the healthcare system in terms of both volume and complexity of care. Given these population shifts and emphasis on an interdisciplinary approach to care, a 4-credit Honors aging course was developed for Honors students in nursing and other health-related majors. Aging Reexamined, Reimagined is offered in a discussion/seminar format with limited enrollment to allow for deep reflective dis
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Levkova, Margarita, Alina Misjura, Evgeny Gusinets, Margarita Levkova, Alina Misyura, and Evgeny Gusinets. "DETERMINATION OF SENIOR PRESCHOOLERS' LEVEL OF THE COGNITIVE COMPONENT OF PERSONAL PHYSICAL CULTURE." Sports Bulletin of the Dnieper 1 (2020): 289–97. http://dx.doi.org/10.32540/2071-1476-2019-1-289.

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Physical education is the main objective of physical education in preschool educational institutions of the Republic of Belarus. This is an integral part of the successful improvement of a diversified personality, both in the field of physical culture and in the connection with other areas of life. In this regard, the issue of increasing the level of formation of physical education knowledge, an integral part of the cognitive component of personal physical education, is currently very relevant in the education system at all its levels. The modern system of preschool and general secondary educa
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Bradd, Patricia, Joanne Travaglia, and Andrew Hayen. "Allied health leadership in New South Wales: a study of perceptions and priorities of allied health leaders." Australian Health Review 42, no. 3 (2018): 316. http://dx.doi.org/10.1071/ah16135.

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Objective The aim of the present study was to investigate the opinions and perceptions of senior allied health (AH) leaders in relation to AH leadership, governance and organisation from an Australian public health perspective. The target group was the New South Wales (NSW) Health AH directors or advisors, the most senior public AH professionals in NSW. Methods The study was conducted over a 6-month period in 2014–15 and comprised two parts: (1) data collection through a 46-question online survey that sought the views of AH leaders about the field of AH in NSW; and (2) two confirmatory focus g
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