• care
  • A new study published in the journal Medical Care reveals that the number of unnecessary cesarean sections and other potentially risky obstetric procedures differ significantly between rural and urban hospitals in the United States. (medindia.net)
  • Due to Medicaid's important role in financing childbirth care, particularly in rural hospitals, Medicaid payment policy has great potential to inform and catalyze quality improvement in obstetric care," the researchers write. (medindia.net)
  • The identification of healthcare disparities is of utmost importance at this time to improve the overall care that is delivered in our healthcare system," explained lead investigator Wesley T. O'Neal, MD, MPH, of the Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA. "Our research shows that urban-rural differences exist regarding the risk of hospital mortality among patients who are admitted for AF. (elsevier.com)
  • Since we have identified rural hospitals as locations where in-hospital mortality for atrial fibrillation admission is possibly higher than other areas of the country, our findings will drive future research endeavors to uncover the reasons for this difference, and to develop strategies to improve the medical care for patients with this heart rhythm disturbance," Dr. O'Neal concluded. (elsevier.com)
  • Logistic models were used to evaluate racial differences in standard and addition to standard of care and to adjust for age, stage at diagnosis, year of diagnosis and area of residence. (medsci.org)
  • No racial differences in standard of care and addition to standard of care for breast cancer treatment were found. (medsci.org)
  • Because stage at diagnosis was necessary to assess standard of care with the NCCN recommendations (see below: Outcome Measures), patients with unknown stage were excluded from the standard of care assessment as well as stage 0 cases so only invasive cancer was examined. (medsci.org)
  • The impact of hospital market structure on patient volume, average length of stay, and the cost of care. (pubmedcentralcanada.ca)
  • Feder J, Hadley J, Mullner R. Falling through the cracks: poverty, insurance coverage, and hospital care for the poor, 1980 and 1982. (pubmedcentralcanada.ca)
  • At Healthy Sooner our mission is to improve the overall value of patient care through promoting the adoption of and access to minimally invasive surgical techniques. (sages.org)
  • Just last year SAGES launched its "Healthy Sooner" initiative in order to raise awareness among patients about the benefits of MIS and to promote the adoption of MIS techniques among health care providers. (sages.org)
  • Consider referring acute MI patients to hospitals with an established record of high-quality cardiac care. (medpagetoday.com)
  • The report is an important measure but it is best utilized as a proactive tool for probing deeper, to help identify any issues that arise, not for making conclusions across sites," said Ryan Lilly, center director for the VA Maine Healthcare System, which treated 40,000 acute-care patients at Togus over the last fiscal year. (pressherald.com)
  • Coordinating care in order to reduce unnecessary entry into patient rooms during quiet hours. (eurekalert.org)
  • Reminding staff to use quiet voices and behaviors in the patient care setting. (eurekalert.org)
  • This is the accessible text file for GAO report number GAO-11-130R entitled 'Long-Term Care Hospitals: Differences in Their Oversight Compared to Other Types of Hospitals and Nursing Homes' which was released on December 22, 2010. (gao.gov)
  • Introduction: Long-term care hospitals (LTCH) provide acute and post acute care to clinically complex individuals who have multiple acute or chronic conditions and need care for relatively extended periods more than 25 days, on average. (gao.gov)
  • B] * Most LTCH patients are transferred from an intensive or critical care unit of an ACH. (gao.gov)
  • Does Gender Impact Intensity of Care Provided to Older Medical Intensive Care Unit Patients? (hindawi.com)
  • However, it has not been used to evaluate equivalence of care in older MICU patients. (hindawi.com)
  • We hypothesize that given nonsignificant, baseline health differences between genders at MICU admission, the level of care provided would be equivalent. (hindawi.com)
  • Severity of illness scores such as the Acute Physiology and Chronic Health Evaluation (APACHE II), Sequential Organ Failure Assessment (SOFA), and the Simplified Acute Physiology Score (SAPS II) are useful descriptors for patient acuity and predictors of mortality but do not account for the patient care-related workload required for ICU patients. (hindawi.com)
  • The Therapeutic Intervention Scoring System-28 (TISS-28) is a simple, reliable tool for describing both the severity of illness and the intensity of nursing care delivered to ICU patients [ 8 , 9 ]. (hindawi.com)
  • Whether there are gender differences in intensity of care delivered to older MICU patients using the TISS-28 has not been investigated. (hindawi.com)
  • Using a representative sample of Chinese provinces, this study aimed to compare patients' rating of three primary care service models used by rural residents (public clinics, public hospitals and private clinics) on a range of health care attributes related to responsiveness. (biomedcentral.com)
  • Rural residents who are older, wealthier, and with higher self-rated health status have significantly higher patient perceived quality of care in all domains. (biomedcentral.com)
  • Better doctor-patient interaction training would improve respect, confidentiality, autonomy and, most importantly, health care quality for rural patients. (biomedcentral.com)
  • Many countries, including China, have identified the primary health care system as a reform priority, but detailed data, especially from the patients' perspective, to monitor and guide reform are frequently lacking. (biomedcentral.com)
  • We hypothesized that if there were minimal or no differences in baseline health status of men and women upon MICU admission, then care provided to men and women in our MICU would be equivalent. (pubmedcentralcanada.ca)
  • The Hopkins Center for Health Disparities Solutions (HCHDS), a research center within the Johns Hopkins Bloomberg School of Public Health, strives to eradicate disparities in health and health care among racial and ethnic groups, socioeconomic groups, and geopolitical categories such as urban, rural, and suburban populations. (wikipedia.org)
  • Patients are inherently vulnerable within medical encounters and must be trustful of the multiple institutional entities and individuals involved in their care. (wikipedia.org)
  • Institutional variations can be attributed to differences in both patient population and quality of care at each institution. (wikipedia.org)
  • The goal of the curriculum is for students to fulfill competencies aligned with the ACGME competencies, including patient-care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice. (wikipedia.org)
  • According to National Family Health Survey-3, the private medical sector remains the primary source of health care for 70% of households in urban areas and 63% of households in rural areas. (wikipedia.org)
  • published in PLOS Medicine, indicated that health care providers in the private sector were more likely to spend a longer duration with their patients and conduct physical exams as a part of the visit compared to those working in public healthcare. (wikipedia.org)
  • disparity
  • This study examines whether part of this racial disparity may be due to differences in receipt of National Comprehensive Cancer Network (NCCN) recommended treatment in a population with a large proportion of African Americans. (medsci.org)
  • unnecessary
  • What this means is that for many common medical procedures, the majority are still conducted as open procedures and as a result patients may be experiencing unnecessary pain and undergoing prolonged recovery times. (sages.org)
  • 40,000
  • With approximately four million births per year in the United States, a one percentage point difference in the use of a procedure affects 40,000 women and infants annually," Dr Kozhimannil comments. (medindia.net)
  • open surgical
  • A recent John Hopkins study showed that 170,000 fewer hospital days, 4,306 fewer postoperative complications and $337M in annual savings would occur if surgeons at hospitals that more often used open surgical procedures increased their rates of minimally invasive procedures to the average of those hospitals that used them the most. (sages.org)
  • This finding indicates that after surgeons removed the breast lesion, cancerous cells were still present along the edges of the specimen-in 37.4 percent of open surgical patients-requiring another operation. (redorbit.com)
  • health
  • They wrote that the most "important limitation of the present study is the possibility that the unobservable health status of acute MI patients in neighborhoods served by hospitals with a disproportionate number of black acute-MI admissions is systematically different from the average. (medpagetoday.com)
  • WASHINGTON -Buried in the $16.3 billion Veterans Affairs bill that President Obama signed into law Thursday are provisions for greater department transparency, such as a mandated 90-day report on wait times at each VA hospital, and a six-month report that would include health statistics and measurements of patient quality at all facilities. (pressherald.com)
  • Ongoing efforts at the University of Michigan Health System are making the hospital quieter, and the hospital has tested sound panels designed to dial down noise. (eurekalert.org)
  • In hospital environments where noise levels are often double what they should be according to the World Health Organization's standard decibel guidelines for patient rooms, the difference is significant," says Mojtaba Navvab, Ph.D., associate professor of architecture and design at the Taubman College of Architecture and Urban Planning at the University of Michigan. (eurekalert.org)
  • 5 As CHD is the most common cause of death and contributes much to general health inequity, it would be important to learn more about the reasons for CHD mortality differences between socioeconomic categories. (bmj.com)
  • The Kellogg Community Scholars and The Urban Health Institute Fellows are both Postdoctoral training opportunities found at Johns Hopkins Bloomberg School of Public Health that address health disparities-related issues. (wikipedia.org)
  • The school is part of UConn Health, along with the University of Connecticut School of Dental Medicine, Graduate School of Biomedical Sciences, and John Dempsey Hospital. (wikipedia.org)
  • During this year, students return to the main UConn Health campus for a Home Week experience integrating concepts related to patient safety, clinical reasoning, and career development. (wikipedia.org)
  • Different factors related to public healthcare are divided between the state and national government systems in terms of making decisions, as the national government addresses broadly applicable healthcare issues such as overall family welfare and prevention of major diseases, while the state governments handle aspects such as local hospitals, public health, promotion and sanitation, which differ from state to state based on the particular communities involved. (wikipedia.org)
  • Diet is causing obesity issues, and an influx of modern transportation is negatively affecting urban environments and thus health. (wikipedia.org)
  • Public health campaigns to improve environmental and hygienic conditions were also implemented, especially in urban areas. (wikipedia.org)
  • conclusions
  • While the data offer a more in-depth look at performance measurements, officials caution about drawing definitive conclusions without understanding the circumstances of each hospital, such as patient mix and their complexity levels. (pressherald.com)
  • data
  • Although the reasons for this difference are unclear at this time, these data likely are of interest to providers and policy makers who are working towards the reduction of mortality in rural regions. (elsevier.com)
  • SAGES is committed to empowering patients and referring physicians with the data, knowledge and training on minimally invasive techniques available. (sages.org)
  • Much of this data was made public two months ago, after the Department of Veterans Affairs responded to the public outcry over patient delays and falsified appointment records at some veterans facilities. (pressherald.com)
  • The data, collected internally by the VA, show that among New England VA hospitals, Maine's had the highest rate of catheter-associated urinary tract infections, the highest rate of IV-associated blood infections, and the second highest rate of infections for Methicillin-resistant Staphylococcus aureus, or MRSA, a staph bacterium that is resistant to antibiotics. (pressherald.com)
  • The VA released a summary of 2013 SAIL data in June, less than a week after The Wall Street Journal reported that VA hospitals across the country showed disparate treatment. (pressherald.com)
  • The Journal cited leaked SAIL data for Boston's VA hospital that it scored five out of five stars, while the Phoenix VA hospital received one star. (pressherald.com)
  • The released data show that while the Maine VA hospital performed close to the national average in many areas, it scored below other New England VA hospitals and the national benchmark of top-performing VA hospitals in certain measurements. (pressherald.com)
  • Data from hospitals that area a part of the Georgia Coverdell Stroke Registry from 2005-2007 were analyzed. (gsu.edu)
  • 8 Combining all these data we have now calculated relative contributions of differences in incidence and case fatality to the CHD mortality difference between persons with low income and those with high income. (bmj.com)
  • They analyzed data on 1,135 patients who had been diagnosed with breast cancer and treated at hospitals in Vermont between 1998 and 2006. (redorbit.com)
  • Patient data included the tumor's size, stage, and estrogen receptor status. (redorbit.com)
  • physician
  • Patients should be informed by their physician or surgeon when making any healthcare decisions. (sages.org)
  • If you are a patient considering minimally invasive surgery (MIS), we encourage you to review our Patient Information Brochures to learn if you may be a candidate for less invasive surgery, questions to ask your surgeon or physician, common procedures, how to prepare, what happens during your operation and what is expected after surgery. (sages.org)
  • Among other things, Medicare covers inpatient hospital stays and physician services. (gao.gov)
  • clinics
  • Using a multistage cluster sampling strategy, eight provinces were selected and finally 3435 overall respondents reporting they had visited public clinics, public hospitals or private clinics during the last year, were included in our analysis. (biomedcentral.com)
  • Public hospitals perform better than private clinics in dignity (4.03 vs 3.94), communication (3.97 vs 3.82), autonomy (3.92 vs 3.74) and confidentiality (3.94 vs 3.73), but equivalently in prompt attention (3.92 vs 3.93). (biomedcentral.com)
  • findings
  • Sound levels were 60 decibels during the daytime, according to the study findings published in BMJ Quality and Safety , but on hallways with the sound panels, the hospital was a bit quieter at 57 decibels. (eurekalert.org)
  • stays
  • Minimally invasive surgery has been shown to shorten hospital stays, decrease pain and provide patients with a more rapid recovery as well as cost savings. (sages.org)
  • Results
  • Results showed that patients who had an open biopsy were more likely to have positive margins than those who had a needle biopsy. (redorbit.com)
  • interaction
  • The doctor-patient relationship typically begins an interaction with an examination of the patient's medical history and medical record, followed by a medical interview and a physical examination. (wikipedia.org)
  • areas
  • Use of mobile screening unit for diabetic retinopathy in rural and urban areas. (bmj.com)
  • OBJECTIVES--To compare the effectiveness of a mobile screening unit with a non-mydriatic polaroid camera in detecting diabetic retinopathy in rural and urban areas. (bmj.com)
  • SUBJECTS--961 patients in rural areas and 1225 in urban areas who presented for screening. (bmj.com)
  • Patients in rural areas were also more likely to need urgent laser photocoagulation. (bmj.com)
  • Present screening procedures seem to be less effective in rural areas and rural patients may benefit more from mobile screening units than urban patients. (bmj.com)
  • Rural poverty is often discussed in conjunction with spatial inequality, which in this context refers to the inequality between urban and rural areas. (wikipedia.org)
  • Globally, rural people and rural places tend to be disadvantaged relative to their urban counterparts and poverty rates increase as rural areas become more remote. (wikipedia.org)
  • Without roads, the rural poor are cut off from technological development and emerging markets in more urban areas. (wikipedia.org)
  • In urban and rural areas, three government medical insurance system, Urban Residents Basic Medical Insurance, Urban Employee Basic Medical Insurance and New Rural Co-operative Medical Scheme cover almost everyone. (wikipedia.org)
  • Healthy China 2020 focuses the most on urban, populous areas that are heavily influenced by globalization and modernity. (wikipedia.org)
  • Many of the aims of Healthy China 2020 are concentrated to more-urban areas under Western influences. (wikipedia.org)
  • medical
  • Rates of non-indicated (for no medical reason) cesarean section were 16.9 percent at rural hospitals and 17.8 percent at urban hospitals. (medindia.net)
  • The bulk of the higher costs in urban hospitals are linked to graduate medical education. (pubmedcentralcanada.ca)
  • The higher death risk was observed among both black and white patients, said Jonathan Skinner, Ph.D., a professor of economics and community and family medicine at Dartmouth Medical Center here. (medpagetoday.com)
  • Department of Medicine, Ninewells Hospital and Medical School, Dundee. (bmj.com)
  • Along with the medical and dental schools, John Dempsey Hospital, named after the governor who signed the initial legislation, was established as a 137-bed university hospital and admitted its first patient in 1975. (wikipedia.org)
  • Medical availability and clinical practice varies across the world due to regional differences in culture and technology. (wikipedia.org)
  • physicians
  • In modern clinical practice, physicians personally assess patients in order to diagnose, treat, and prevent disease using clinical judgment. (wikipedia.org)
  • rather
  • The panels help diffuse sound, rather than attempt to eliminate the sounds generated in a modern hospital environment. (eurekalert.org)
  • Because the primary goal of open biopsy is to diagnose breast cancer rather than treat it, patients with open biopsy were less likely to have adequate amounts of the tumor excised. (redorbit.com)
  • Most healthcare expenses are paid out of pocket by patients and their families, rather than through insurance. (wikipedia.org)
  • diagnosis
  • Each district headquarters in most states have one or more Government hospitals where everything from diagnosis to medicine is given for free. (wikipedia.org)
  • correlation
  • The TISS-28 has been used extensively in older ICU populations, exhibiting negative correlation with age, particularly in patients older than 85 years [ 10 ]. (hindawi.com)
  • less
  • Less than 2% of stroke patients receive this therapy, oftentimes because of delay of hospital arrival. (gsu.edu)
  • Due to the less number of employees and less number of technical facilities in rural area, this hospital does not have special department for test and checkups. (brainmass.com)
  • quality
  • Five items were used to measure patient perceived quality in five domains including prompt attention, communication and autonomy, dignity and confidentiality. (biomedcentral.com)