A5037780397- Chronic Disease Management Strategies
- Geriatric Care and Nursing Homes
- Frailty in Older Adults
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Heart Failure Treatment and Management
- Healthcare Policy and Management
- Pharmaceutical Practices and Patient Outcomes
- Palliative Care and End-of-Life Issues
- Nutrition and Health in Aging
- Emergency and Acute Care Studies
- Interprofessional Education and Collaboration
- Healthcare Systems and Reforms
- Schizophrenia research and treatment
- Mental Health Treatment and Access
- Patient Satisfaction in Healthcare
- Diabetes Management and Education
- Family and Patient Care in Intensive Care Units
- Healthcare cost, quality, practices
- Intensive Care Unit Cognitive Disorders
- Health Policy Implementation Science
- Patient-Provider Communication in Healthcare
- Medication Adherence and Compliance
- Intergenerational Family Dynamics and Caregiving
- Migration, Health and Trauma
University of Haifa
2016-2025
Carmel Medical Center
2011-2024
Amager Hospital
2022
Copenhagen University Hospital
2022
Carmel (Israel)
2009-2021
Clalit Health Services
2011-2021
Spencer Foundation
2021
Oranim Academic College of Education
2020
Johns Hopkins University
2005-2015
Rambam Health Care Campus
2011
Objectives To investigate the combined contribution of processes hospitalization and preadmission individual risk factors in explaining functional decline at discharge 1‐month follow‐up older adults with nondisabling conditions. Design Prospective cohort study. Setting Internal medicine wards two Israeli medical centers. Participants Six hundred eighty‐four individuals aged 70 admitted for a problem. Measurements Functional was measured according to change modified Barthel Index from...
OBJECTIVES: To examine the association between mobility levels of older hospitalized adults and functional outcomes. DESIGN: Prospective cohort study. SETTING: A 900-bed teaching hospital in Israel. PARTICIPANTS: Five hundred twenty-five (≥70) acute medical patients for a nondisabling condition. MEASUREMENTS: In-hospital was assessed using previously validated scale. The main outcomes were decline from premorbid baseline status at discharge (activities daily living (ADLs)) 1-month follow-up...
Purpose: The purpose of this study was to test the feasibility a new model health care designed improve quality life and efficiency resource use for older adults with multimorbidity. Design Methods: Guided Care enhances primary by infusing operative principles seven chronic innovations: disease management, self-management, case lifestyle modification, transitional care, caregiver education support, geriatric evaluation management. To practice Care, registered nurse completes an educational...
Readmission prevention should begin as early possible during the index admission. Early identification may help target patients for within-hospital readmission interventions.To develop and validate a 30-day prediction model using data from electronic health records available before admission.Retrospective cohort study of admissions between January 1 March 31, 2010.Adult enrollees Clalit Health Services, an integrated delivery system, admitted to internal medicine ward in any hospital...
<b>PURPOSE</b> This study describes referral completion from the perspectives of patients and primary care physicians identifies predictors adherence to recommendation. <b>METHODS</b> We observed a cohort 776 referred offices 133 in 81 practices 30 states. Referring completed self-administered questionnaires at time decision 3 months later. <b>RESULTS</b> Physicians reported that 79.2% had specialist visit, 83.0% indicated they referral. The most common reasons for not completing were “lack...
OBJECTIVES: To describe the types of continence aids that older adults hospitalized in acute medical units use and to test association between development new urinary incontinence (UI) at discharge. DESIGN: Prospective cohort study. SETTING: A 900-bed teaching hospital Israel. PARTICIPANTS: Three hundred fifty-two patients aged 70 who were continent before admission. MEASUREMENTS: In-hospital was assessed according participant self-report on catheters (UCs) or adult diapers self-toileting....
The ability to accurately detect differential resource use between persons of different socioeconomic status relies on the accuracy health-needs adjustment measures. This study tests approaches morbidity in explanation health care utilization inequity.A representative sample was selected 10 percent (~270,000) adult enrolees Clalit Health Services, Israel's largest organization. Johns-Hopkins University Adjusted Clinical Groups® were used assess each person's overall burden based one year's...
Background.The functional changes that occur immediately before acute hospitalization and those during are pertinent to posthospitalization status in older adults. Our primary aim was estimate the effects of membership categories take into account pre- within-hospital on likelihood recovery (FR) 1 month after discharge.
Abstract Introduction Informal caregiving during hospitalization of older adults is significantly related to hospital processes and patient outcomes. Studies in home settings demonstrate that ethno-cultural background various aspects informal caregiving; however, this association the setting insufficiently researched. Objectives Our study explore potential differences between groups amount kind support they provide for hospitalization. Methods This research a secondary data analysis two...
This study aimed to explore the role of perceived skills and support in satisfaction with vocational status better address needs recovery goals individuals serious mental illness (SMI). It focuses on three service types: individual placement (IPS), sheltered workshops, centers. The is a cross-sectional analysis nationwide Israeli PR-PROM project data. A sample 2,968 participants diagnosed SMI their providers self-reported skills, support, status. We found be primary predictors across all...
To assess the validity and reliability of Hebrew Arabic translations complete shortened versions Care Transition Measure (CTM)-a measure patients' experience transition between hospital community care.Translation questionnaire's items, evaluation reliability, construct validity, factor structure convergent validity.An oncology center at a tertiary care facility that serves entire population north part Israel.Patients receiving clinics an treatment center. Main outcome Psychometric properties...
To describe an organization-wide disparity reduction strategy and to assess its success in quality improvement of gaps health care.Clalit Health Services, Israel's largest non-for-profit insurer provider serving 3.8 million persons.Before after design: assessment before 12-month postinitiation the strategic plan. A composite weighted score seven indicators, measuring attainment diabetes, blood pressure, lipid control, lack anemia infants, performance mammography, occult tests, influenza...
The objective of this study was to evaluate the incremental predictive power electronic medical record (EMR) data, relative information available in more easily accessible and standardized insurance claims data.Using both EMR Claims we predicted outcomes for 118,510 patients with 144,966 hospitalizations 8 hospitals, using widely used prediction models. We use cross-validation prevent overfitting tested performance on separate data that were not model training.We predict 4 binary outcomes:...
To evaluate the association between currently recommended guidelines and commonly used clinical criteria for body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR) all-cause mortality in frail older women.Longitudinal prospective cohort study.Women's Health Initiative (WHI)-Observational Study.A sample of women aged 65-84 with complete data to characterize frailty third year WHI follow-up (N = 11,070).Frailty phenotype was determined using modified Fried criteria....
To explore the effects of four types support (psychological support, instrumental supervision and explanation medical care) on level depressive symptoms among hospitalized older adults.The sample consisted 468 adults admitted to internal medicine units a large tertiary care center in northern Israel. Respondents filled out self-report questionnaires upon admission discharge. Information regarding severity illness, chronic health status, length hospital stay was gathered from their records....
Background: post-hospitalisation functional decline is a widely described phenomenon, yet factors related to new disability in instrumental activities of daily living (IADL) previously independently functioning older adults are rarely studied. Objective: test whether change cognitive status from admission discharge during short-term acute-care hospitalisation associated with the incidence medium-term IADL dependency. Design: prospective cohort study. Setting: internal medicine wards two...
To identify the sociodemographic attributes, project characteristics and champion strategies that differentiate formal from informal nursing champions, to test their success in terms of spread novelty.Champions innovation healthcare organizations. Empirical research has not explored differences between champions antecedents success.A quantitative cross-sectional design.Data were collected on 93 three hospitals 2015 - 2016. Champions identified according a validated approach; data assembled...