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Results for “continuity of care”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 19 recordsLinked to original sources
PubMed1978

Extension of emergency medical care: continuing emergency care clinic.

An alternative follow-up system, a Continuing Emergency Care clinic (CEC) was developed at The Medical College of Pennsylvania in an attempt to increase emergency department patient compliance for follow-up. One year after the CEC was in operation, in an attempt to determine variables influencing the effectiveness of the clinic, a total of 375 emergency department patients given follow-up appointments to the CEC were studied. Results showed that a change in the structure of the clinic appointment and a shift in the line of responsibility for follow-up care directly to the emergency physician are two major variables positively affecting patient compliance.

Adolescent↗
PubMed1978

A program for continuing care: implementation and outcome.

The authors used the records of the continuing-care program at a large public hospital in Los Angeles to determine the success of referrals for aftercare. A total of 552 patients discharged during an eight-month period were referred for continuing care; 418 of the patients kept their first appointment. Patients were most likely to keep their first appointment if it was set up for within three days of release from the hospital and if it was confirmed before discharge from the hospital. If an appointment could not be arranged within three days, a phone call to the patient improved the referral completion rate.

Aftercare↗
PubMed1976

The continuing care clinic: outpatient treatment of the chronically ill.

The need for continuing care of chronic psychiatric patients within the community is a pressing problem that calls for development and testing of new treatment methods. This paper describes one such method, the Continuing Care Clinic, an outpatient program for chronic patients who have not responded well to other outpatient treatment approaches. The clinic's structure, treatment rationale and procedures, and clinical results over a 31/2-year period are described. Among specific treatment features discussed are the use of multiple therapists, focus on available personality strengths and on reality issues, and patient-staff group interaction as an adjunct to individual psychotherapy.

Adaptation, Psychological↗
PubMed1977

A community-based continuing care program for the elderly disabled: an evaluation of planned intermittent hospital readmission.

Fifty of 217 patients on the Continuing Care Program of a Department of Geriatric Medicine have been studied in detail. All patients had sufficient disability to justify permanent admission to a traditional long stay or chronic unit. Utilizing flexible community-supporting services integrated with a hospital-based program of planned intermittent relief of the patients' supporters, patients were maintained in the community at an average cost of 79.5 hospital bed days per patient per annum. Within the near future, unprecedented numbers of persons over 75 years of age, with a high prevalence of chronic disability, will become the financial responsibility of health care systems of Western countries. The Continuing Care Program described may help contain the increasing demand for permanent admission to hospital and allow the disabled elderly citizen an alternative to institutionalization.

Aged↗
PubMed1979

Continuing care of the cancer patient as a social engineering problem.

Care of the cancer patient has become fractionated toward maintaining the physiological integrity of the patient's life support systems, e.g., the hematopoietic or neurological systems. The concept of total continuing care for the cancer patient is illustrated in this description of a pilot hospice project in a community medical center. The project also illustrates the concept of team support by the health care staff and volunteers. The total continuing care unit described provides support and care which makes living not just possible, but worthwhile, for cancer patients.

Ambulatory Care Facilities↗
PubMed1979

Paraprofessional role in a mental health continuing care program.

The authors report on a unique program in which paraprofessionals provide continuing care services to patients in a large public psychiatric hospital, both before and after discharge. Data from one hundred patients indicate that paraprofessional caseworkers effectively managed 85 percent of the patients' post-discharge problems without needing to directly involve their professional teammates.

Aftercare↗
PubMed1978

The use of fluphenazines in a continuing-care program.

The author describes his experience in using long-acting injectable fluphenazines with chronic schizophrenic patients in a continuing-care program in San Diego County. He has found the drug to be economical, long-lasting in therapeutic effect, and less likely than other drugs to produce serious side-effects, particularly tardive dyskinesia. In addition, use of injectables makes it possible to avoid depending on untrained operators of residential facilities to see that the patients take their drugs.

California↗
PubMed1979

An assessment of a continuing care program.

In mid-1977 the Kern County (Calif.) Department of Mental Health Services undertook a survey of residents and operators of group and family care homes in the county to obtain their views on how services in the homes might be improved and to assess the level of skills of the patients placed there. A total of 139 former patients and 26 operators agreed to be interviewed. The results showed that few of the patients had overt behavioral problems and most were capable of self-care. For the most part the patients were satisfied with the homes, although problems related to finances and lack of outside activities were cited by both patients and operators. The authors emphasize the importance of including such assessment of consumer satisfaction in planning mental health services.

Activities of Daily Living↗