BACKGROUND Stroke survivors may not be receiving optimal rehabilitation as a result of a shortage of hospital resources, and many of them are institutionalized. A rehabilitation program provided in a short-term residential care setting may help to fill the service gap. OBJECTIVES The primary objectives of this study were, first, to examine whether there were significant differences in terms o...

BACKGROUND There is a general expectation within healthcare that organizations should use evidence-based practice (EBP) as an approach to improving the quality of care. However, challenges exist regarding how to make EBP a reality, particularly at an organizational level and as a routine, sustained aspect of professional practice. METHODS A mixed method explanatory case study was conducted to...

Post-abortion care (PAC), an innovation for treating women with complications of unsafe abortion, has been introduced in public health systems around the world since the 1994 International Conference on Population and Development (ICPD). This article analyzes the process of scaling-up two of the three key elements of the original PAC model: providing prompt clinical treatment to women with abor...

We analyze the conditions under which a practice moves from rare and unacceptable to preponderant and legitimate through bottom-up, relational processes. To better understand the mechanisms and contingencies of such "emergence-based institutionalization," we combine computational agent-based modeling with insights from a setting where a seemingly deviant local practice became institutionalized:...

OBJECTIVE To examine the associations between duration of institutionalization, age at abandonment, and mental and physical health outcomes of young institutionalized children in Romania and to examine patterns of associations between placement history, physical growth variables, and psychiatric symptoms. METHOD Institutionalized children (ages 2-6 years) in a Romanian orphanage were studied ...

To examine the extent to which health promotion research is providing an empirical basis for the diffusion and institutionalization of effective interventions, we conducted a systematic audit of all articles in 12 public health and health promotion journals for the 1994 calendar year. We identified empirical/non-empirical and health promotion/non-health promotion articles. For each study, the h...

OBJECTIVES To study the epidemiology of gait disorders in community-residing older adults and their association with death and institutionalization. DESIGN Community-based cohort study. SETTING Bronx County and the research center at Albert Einstein College of Medicine. PARTICIPANTS The Einstein Aging study recruited 488 adults aged 70 to 99 between 1999 and 2001. At entry and during annu...

OBJECTIVE Several longitudinal studies had shown that early deprivation and institutionalization during the first six months of life affects the emotional, cognitive, social and neurophysiologic development. Nevertheless, our understanding of possible similar effects of delayed institutionalization, in preschool-age remains unclear to this day. The goal of this study is to evaluate the cognitiv...

The key to high impact health services is institutionalizing and sustaining programme evaluation. Uganda represents a success story in the use of a specific programme evaluation method: Lot Quality Assurance Sampling (LQAS). Institutionalization is defined by two C's: competent programme evaluators and control mechanisms that effectively use evaluation data to improve health services. Sustainab...

We assess the degree to which the mentally ill who would have been in mental hospitals in years past have been trans‐institutionalized into prisons and jails. We also assess the contribution of deinstitutionalization to growth in the U.S. prison population. We find no evidence of trans‐institutionalization for any demographic groups for the period between 1950 and 1980. However, for the twenty‐...