A5005767909- Geriatric Care and Nursing Homes
- Chronic Disease Management Strategies
- Blood Pressure and Hypertension Studies
- Intergenerational Family Dynamics and Caregiving
- Healthcare Policy and Management
- Health disparities and outcomes
- Pharmaceutical Practices and Patient Outcomes
- Emergency and Acute Care Studies
- Primary Care and Health Outcomes
- Heart Failure Treatment and Management
- Palliative Care and End-of-Life Issues
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Dementia and Cognitive Impairment Research
- Global Health Care Issues
- Interpreting and Communication in Healthcare
- Patient Safety and Medication Errors
- Nursing Diagnosis and Documentation
- Family and Patient Care in Intensive Care Units
- Medication Adherence and Compliance
- Acute Ischemic Stroke Management
- Migration, Health and Trauma
- Cardiac Health and Mental Health
- Intensive Care Unit Cognitive Disorders
- Patient Satisfaction in Healthcare
Visiting Nurse Service of New York
2015-2024
Columbia University
2023
University Hospital Heidelberg
2023
Heidelberg University
2023
University of Bern
2023
Universität Greifswald
2023
Dartmouth College
2023
University of Zurich
2023
National Institute of Neurological Disorders and Stroke
2021
National Institutes of Health
2021
Objectives. This study examined the characteristics, activities, and challenges of high-risk informal caregivers. Methods. Telephone interviews were conducted with a nationally representative cross-section 1002 Vulnerable caregivers poor health or serious condition compared nonvulnerable Results. Thirty-six percent vulnerable. Compared caregivers, vulnerable more likely to have difficulty providing care, provide higher-intensity report that their physical had suffered since becoming...
This report is from a 1998 national survey of 1,002 informal caregivers. Each year 23 percent Americans provide unpaid assistance to ill, disabled, or elderly persons. Most caregivers (71 percent) do not live with care recipients. Primary more all types. Nonprimary also substantial and services. Caregivers perform complex medical tasks, including medication administration, errors can result. Few receive paid professionals aides because quality financial concerns. In many areas, support...
With an aging population and public policies that limit accessible affordable formal care services, informal caregivers, largely women, will continue bearing the overwhelming responsibility for home long-term services provision.This study examined gender differences among caregivers in caregiving activities, intensity, challenges, coping strategies assessed differential effects of on their physical emotional well-being.Cross-sectional conducted between May September 1998.Telephone interviews...
Background. With an aging population and public policies that limit accessible affordable formal care services, informal caregivers, largely women, will continue bearing the overwhelming responsibility for home long-term services provision. Objectives. This study examined gender differences among caregivers in caregiving activities, intensity, challenges, coping strategies assessed differential effects of on their physical emotional well-being. Research Design. Cross-sectional conducted...
Purpose of the Study: Assessing preferences for daily life is foundation person-centered care delivery. This study tested a new measure, Preferences Everyday Living Inventory (PELI), with large sample community-dwelling older adults. We sought to evaluate tool's convergent and divergent validity, identify most commonly held within sample, explore relationships between gender race strength preferences. Design Methods: Randomly selected African American Caucasian home health agency clients (N...
Objective To compare the effectiveness of two “treatments”—early, intensive home health nursing and physician follow‐up within a week—versus less intense later postacute care in reducing readmissions among heart failure ( HF ) patients discharged to care. Data Sources National Medicare administrative, claims, patient assessment data. Study Design Patients with full week potential exposure treatments were followed for 30 days determine status, 30‐day all‐cause hospital readmission, other use,...
This study examined commonalities and differences in the experiences challenges of White, Black, Hispanic informal caregivers New York, NY.A randomly selected representative cross-section 2,241 households was contacted through telephone interviews. Complete data were available for 380 eligible participants, who classified as White (n = 164), Black 129) 87). Descriptive, bivariate, multivariate analyses conducted to examine caregiving intensity, reported difficulty with providing care, having...
OBJECTIVE: To determine the frequency of possible medication errors in a population older home healthcare patients according to expert panel objective criteria. DESIGN: A cross‐sectional survey. SETTING: Two largest urban agencies United States. PARTICIPANTS: Home age 65 and admitted selected offices these between October 1996 September 1998. MEASUREMENTS: We used two sets consensus‐based criteria define errors. The Health Criteria identify with patterns use signs symptoms that indicate...
Abstract Rationale Over the last decade, in order to close safety and health care quality chasm, there has been a growing imperative translate evidence‐based research into practice. Aims Objectives This study examines major facilitators barriers of implementing large US insurance organization – Aetna Corporation an model care, Transitional Care Model, which rigorously tested over past twenty years by multidisciplinary team at University Pennsylvania. Methods Semi‐structured interviews 19...
Objective To adapt and automate the medication regimen complexity index (MRCI) within structure of a commercial database in post-acute home care setting. Materials Methods In phase 1, data from 89 645 electronic health records were abstracted to line up with components MRCI: dosage form, dosing frequency, additional administrative directions. A committee reviewed output assign weights determine necessary adaptations. 2 we examined face validity modified MRCI through analysis automatic...
OBJECTIVES: To test the efficacy of a medication use improvement program developed specifically for home health agencies. The addressed four problems identified by an expert panel: unnecessary therapeutic duplication, cardiovascular problems, psychotropic drugs in patients with possible adverse psychomotor or adrenergic effects, and nonsteroidal antiinflammatory (NSAIDs) at high risk peptic ulcer complications. It used structured collaboration between specially trained clinical pharmacist...
As the US population ages and number of older people who are "aging in place" increases, communities will face new opportunities challenges responding to this population's desires needs. Qualitative research was conducted inform development a model an "elder-friendly community" set indicators measure help improve community capacity promote health well-being residents. Focus groups were four cities with younger adults leaders identified attributes that make good place which grow old. The...
Objective. To assess the impact and cost‐effectiveness of two information‐based provider reminder interventions designed to improve self‐care management outcomes heart failure (HF) patients. Data Sources/Study Setting. Interview agency administrative data on 628 home care patients with a primary diagnosis HF. Study Design. Patients were treated by nurses randomly assigned usual or one intervention groups. The basic was an e‐mail patient's nurse highlighting six HF‐specific clinical...
There is little evidence to guide the care of over a million sepsis survivors following hospital discharge despite high rates readmission.
This policy brief reports the results of a study that examined how makers acquire information about long-term care (LTC) and why research findings in field often don't filter through to them. It describes "brokers" provide LTC outlines what can be done make certain such reaches is suited their needs. concludes by recommending more effort put into disseminating information, both communicate effectively within resource constraints currently exist encourage increased investment brokering...
Successful chronic care ideally involves patient engagement, but little is known about chronically ill older adults' ability to self-manage their health. This study examines activation among hypertensive patients than 65 years. Almost 60% of participants scored in the bottom half scale; only 8% at highest level. Higher was associated with higher self-ratings health, health literacy, and receipt patient-centered care, shorter lengths stay, lower depression hearing impairment levels. Effective...
Rosati, Robert J. PhD; Huang, Liping MA; Navaie-Waliser, Maryam DrPH; Feldman, Penny H. PhD Author Information
Objective. To test the effectiveness of two interventions designed to improve adoption evidence‐based practices by home health nurses caring for heart failure (HF) patients. Data Sources/Study Setting. Information on nurse was abstracted from clinical records patients admitted between June 2000 and November 2001 care 354 study at a large, urban, nonprofit agency. Study Design. The employed randomized design with assigned usual or one intervention groups upon identification an eligible...
Objectives: This project sought to compare measures of organizational climate in ongoing patient safety studies, identify similarities and setting-specific dimensions, develop a model domains that are hypothesized affect outcomes across settings, test aspects the model. Methods: Investigators who had surveyed health care workers' perceptions six studies funded by Agency for Healthcare Research Quality (AHRQ) were invited participate. Survey items from each study classified using four found...
Objectives To use natural language processing (NLP) of text from electronic medical records (EMRs) to identify failed communication attempts between home health nurses and physicians, predictors failure, assess the association failure hospital readmission. Design Retrospective cohort study. Setting Visiting Nurse Service New York (VNSNY), nation's largest freestanding agency. Participants Medicare beneficiaries with congestive heart who received care VNSNY after discharge in 2008–09 (N =...