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Results for “Progressive Patient Care”

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At least 19 recordsLinked to original sources
PubMedDate not supplied

Elements of progressive patient care in the Yale Health Plan HMO.

The results of a study of the use of intermediate care beds in the intermediate care facility (ICF) of the Yale Health Plan, a prepaid group practice plan for students and an enrolled non-student population, indicate that the ICF may be a possible model for other health maintenance organizations. The ICF, with 30 beds in active use, is located in the Yale health center. Approximately one-third of the ICF patients would have been admitted to the affiliated short-term general hospital if the ICF did not exist. The plan's medical staff also has the option of transferring patients between the affiliated hospital and the ICF, depending on which institution is most appropriate for the patient's needs. A comparison of the levels of care provided in the ICF with those presented in selected articles from the progressive patient care literature revealed that the ICF is not only providing intermediate care but several other classic elements of progressive patient care -self care, continuing care, minimal care, and partial care.

Connecticut↗
PubMed1979

Geriatric complex offers options from housing to skilled nursing.

A not-for-profit geriatric complex offers comprehensive services and care ranging from independent living, with limited supportive services, in apartment units, to an intermediate level of care in a health-related facility, to skilled nursing and intensive care in an accredited long-term care facility. Thus, the elderly residents and patients are provided with ready access to progressive patient care in either direction whenever needed. The complex includes newly constructed and recycled apartment and medical care buildings.

Aged↗
PubMedDate not supplied

Reorganization of a burn unit in response to underutilization: a critical assessment.

The incidence of burn injury in the United States has declined over the past few years, resulting in a dramatic decrease in the number of admissions to burn centers. This decrease has generated considerable concern, leading to a variety of proposals to modify burn units to control the cost of inpatient care. In 1986 Albany Medical Center Hospital, a 654-bed regional academic health sciences center, closed its burn unit and implemented a program to manage thermally injured patients in the intensive and progressive care areas of the medical center. A retrospective study was performed to compare patient outcomes and length of stay for the dedicated burn unit and the integrated burn program. Between the year before and the year after this change there was no significant difference in mortality rate, length of stay, or number of positive blood cultures. The relationship between burn severity and length of stay was unaltered by the burn program change. A comparison of data collected just after the change to those collected 2 years later again showed no difference, except that the annual census had dropped more than 50%. The results suggest that burn units can be converted to integrated burn programs without compromising patient care outcomes, although the lack of a cohesive burn team and the unavailability of beds designated for patients with burns ultimately resulted in a deemphasis of the burn program and consequent marked reduction in the number of patients with burns seen in the institution.

Burn Units↗
PubMedDate not supplied

Patient responses to being transferred during hospitalization.

When eight clinical nurse specialists and a nurse research consultant studied within-hospital transfers of patients, they found that most patients knew the reason for transfer and were neutral in reaction about it. There were no differences for sex, previous hospitalizations, frequency of transfer, age, or clinical nursing unit from which they were transferred.

Adolescent↗
PubMed1979

Early retransfer: a method of optimal bed utilization of NICU beds.

To facilitate increased utility of Neonatal Intensive Care Unit (NICU) beds, we adopted a policy of early discharge (ED) of infants less than 2000 g to the hospital of their birth after recovery from acute illness and when the infant was breathing room air and taking adequate oral feedings. An inservice teaching program at the primary hospitals preceded such policy. In a 24-month period, 446 infants were referred to the NICU. 111 of 446 died; 335 infants survived. 114 of 335 infants were less than 2000 g at birth; 42% (48 of 114) of them were discharged early to the hospital of their birth (ED); 58% were discharged late (LD) to their homes. 59.7% of the ED and 46.3% of the LD required assisted ventilation. Gestational age, birth weight, and final weight at discharge from hospitals were the same in both groups. None of the ED infants developed complications at the hospital of birth after retransfer. The length of NICU stay for LD was significantly higher 40 +/- 6 (p less than 0.001) than the ED; 20 +/- 2.2 days. In addition, a 15% increase in bed utilization was also noted because of ED. We conclude that ED of infants from the NICU 1) increases utilization of beds; 2) decreases the cost of health care; and 3) increases the participation of primary physicians.

Costs and Cost Analysis↗
PubMed1977

Getting care to nursing-home patients: a problem and a proposal.

Data abstracted from transportation company records showed that nursing home patients made an average of 3.6 trips per year for care out of the nursing home. The bulk of this care (55 per cent) was provided at University Hospital with over a quarter provided at private physicians' offices and community health centers. On the basis of chart abstracts over half the patients had been seen within the previous month, but the quality of that visit was open to question. A means of providing cost-effective primary medical care in the nursing homes using a team of nurse practitioner and social worker is proposed.

Community Health Services↗
PubMed1992

The perioperative care of orthopaedic and trauma patients in a high-dependency unit: a 2-year prospective audit.

There is an increasing trend towards the establishment of high-dependency units in large hospitals since it is thought that they conveniently 'fill the gap' between the intensive care unit and the routine wards. This paper prospectively reviews the results of management of 205 orthopaedic and trauma patients who passed through such a unit over a 2-year period. The unit was shown to provide effective and safe care for a group of particularly high-risk patients for whom care on a routine ward at times would be insufficient and for whom care on an intensive care unit is unnecessarily expensive and occasionally unavailable. The high-dependency unit as described in this paper represents an efficient use of resources for this group of patients.

Adolescent↗
PubMed1991

[Preparation for digestive endoscopies].

Endoscopic examinations are extremely valuable methods of exploration or even treatment in hepato-gastroenterology. Preparation for these examinations may be very simple in the case of oesophago-gastroduodenoscopy, since all that is required of the patients is to be fasting. In exploration of the colon, preparation is longer and more meticulous, and its quality will to a great extent condition the quality of the diagnosis obtained. Whenever endoscopic examinations are complemented by treatment, the precautions to be taken are sometimes more important and may amount to preoperative evaluation, including prophylactic antibiotic therapy. Pre-endoscopic preparation must also take into account some particular cases, such as patients with cardiac valve or children. The general practitioner plays a very important role in informing his patients about to undergo an endoscopic exploration or treatment. He must also tell them that precautions must be taken after endoscopy, notably in case of non-general anaesthesia.

Endoscopy, Digestive System↗
PubMed1990

The role of the high dependency unit in postoperative care: an update.

The current experience of a high dependency unit established 5 years ago for the postoperative care of high-risk patients undergoing surgery is reported. The resource implications and contributions to the safety and quality of post-operative care, particularly pain relief, are described.

Adolescent↗