extract today home health care is implementing in many countries. in iran, because of increasing population growth and hospital investments, home health care is not avoidable. home health care not only causes decreasing length of hospitalization and rapid offloading of hospital's beds for the use of other patients, but also presenting direct health services in home based on individual need...

Abstract Issue/problem Covid-19 pandemic requires rapid responses. The reconfiguration of the psychosocial care network was needed to ensure access all patients during this period. Description problem Psychosocial Care Centers (PCC) are strategic equipment for strengthening mental health policy in Brazil. These services work with a multi and interdisciplinary team, aiming assist crisis rehabili...

OBJECTIVE To explore whether a home-based intermediate care program in a large Canadian city lowers the cost of care and to look at whether such home-based programs could be a solution to the increasing demands on Canadian hospitals. DESIGN Single-arm study with historical controls. SETTING Department of Family Medicine at the Ottawa Hospital (Civic campus) in Ontario. PARTICIPANTS Patien...

Background: Chronic Obstructive Pulmonary Disease (COPD) impacts the quality of life of the affected patients. The present study aimed to determine the effects of home-based self-care program follow-up on re-hospitalization frequency and quality of life in COPD patients. Methods: This quasi-experimental study was performed on 44 COPD patients at Masih Daneshvari Hospital in Tehran City, Iran, ...

BACKGROUND In the United States, asthma hospitalization rates are disproportionately high among blacks compared with other racial/ethnic groups and vary by geographic region. These disparities among asthma hospitalizations might be affected by social, environmental, and health-care access factors. OBJECTIVE To determine demographic risk factors for asthma hospitalizations in urban versus rura...

Results: Hispanic patients were more likely to be discharged to home rather than a facilitybased hospice (OR 1.39). Single patients and divorced patients were less likely to be discharged to a home-based hospice setting (OR .79, .67). Older patients were more likely to be discharged to a facility-based hospice (OR .91). The presence of anemia, paralysis, neurological disorders and weight loss w...

BACKGROUND Our aim was to compare access to effective care among elderly Medicare patients in a Staff Model and Group Model HMO and in Fee-for-Service (FFS) care. METHODS We used a retrospective cohort study design, using claims and automated medical record data to compare achievement on quality indicators for elderly Medicare recipients. Secondary data were collected from 1) HMO data sets an...