keyword
MENU ▼
Read by QxMD icon Read
search

"Multiple Chronic Conditions"

keyword
https://www.readbyqxmd.com/read/28713481/gerontechnologies-for-older-patients-with-heart-failure-what-is-the-role-of-smartphones-tablets-and-remote-monitoring-devices-in-improving-symptom-monitoring-and-self-care-management
#1
Ruth M Masterson Creber, Kathleen T Hickey, Mathew S Maurer
Older adults with heart failure have multiple chronic conditions and a large number and range of symptoms. A fundamental component of heart failure self-care management is regular symptom monitoring. Symptom monitoring can be facilitated by cost-effective, easily accessible technologies that are integrated into patients' lives. Technologies that are tailored to older adults by incorporating gerontological design principles are called gerontechnologies. Gerontechnology is an interdisciplinary academic and professional field that combines gerontology and technology with the goals of improving prevention, care, and enhancing the quality of life for older adults...
October 2016: Current Cardiovascular Risk Reports
https://www.readbyqxmd.com/read/28687265/contextualizing-myocardial-infarction-comorbidities-and-priorities-in-older-adults
#2
REVIEW
Ashok Krishnaswami, Mathew S Maurer, Karen P Alexander
Cardiovascular care for older adults has become increasingly complex due to a rise in the concurrent comorbidity burden that accompanies senescence. Internists, hospitalists, and cardiologists often encounter geriatric patients with multiple chronic conditions needing acute cardiovascular care. Abnormal cardiac biomarker levels in patients with multiple non-cardiac conditions are a common reason for older adults to enter the hospital. This type of acute coronary syndrome, defined as a non-ST segment elevation myocardial infarction or, more precisely, type 2 myocardial infarction, often leads to substantial consternation...
July 4, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28682181/being-with-a-person-in-our-care-person-centered-social-work-practice-that-is-authentically-person-centered
#3
Allyson M Washburn, Melanie Grossman
Person-centered care has emerged over the last several decades as the benchmark for providing quality care for diverse populations, including older adults with multiple chronic conditions that affect daily life. This paper critiques current conceptualizations of person-centered care, including the social work competencies recently developed by the Council on Social Work Education, finding that they do not fully incorporate certain key elements that would make them authentically person-centered. In addition to integrating traditional social work values and practice, social work's person-centered care should be grounded in the principles of classical Rogerian person-centered counseling and an expanded conceptualization of personhood that incorporates Kitwood's concepts for working with persons with dementia...
July 6, 2017: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/28676155/characteristics-and-spending-patterns-of-high-cost-non-elderly-adults-in-massachusetts
#4
Jose F Figueroa, Austin B Frakt, Zoe M Lyon, Xiner Zhou, Ashish K Jha
BACKGROUND: Given that health care costs in Massachusetts continue to grow despite great efforts to contain them, we seek to understand characteristics and spending patterns of the costliest non-elderly adults in Massachusetts based on type of insurance. METHODS: We used the Massachusetts All-Payer Claims Database (APCD) from 2012 and analyzed demographics, utilization patterns and spending patterns across payers (Medicaid, Medicaid managed care, and private insurers) for high cost patients (those in the top 10% of spending) and non-high cost patients (the remaining 90%)...
June 21, 2017: Healthcare
https://www.readbyqxmd.com/read/28651924/medication-understanding-among-patients-living-with-multiple-chronic-conditions-implications-for-patient-reported-measures-of-adherence
#5
R J Fredericksen, L Gibbons, S Brown, T C Edwards, F M Yang, E Fitzsimmons, K Alperovitz-Bichell, M Godfrey, A Wang, A Church, C Gutierrez, E Paez, L Dant, S Loo, M Walcott, M J Mugavero, K Mayer, W C Mathews, D L Patrick, P K Crane, H M Crane
BACKGROUND: Low health literacy is associated with poor medication adherence and poor health outcomes. Limited understanding of prescribed medications may decrease validity of patient-reported adherence measures. OBJECTIVES: To assess knowledge of names and purposes of prescribed medications among patients with multiple chronic conditions. METHODS: Individual interviews were conducted with a convenience sample of patients from six U.S. primary care clinics...
June 20, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28645553/a-mixed-methods-evaluation-of-an-integrated-medication-management-program-and-implications-for-implementation
#6
Shira H Fischer, Courtney K Armstrong, Erin L Duffy, Peter S Hussey
BACKGROUND: Improving medication adherence is a common and challenging issue. Taking medications as prescribed becomes particularly difficult for individuals with multiple chronic conditions. Poor adherence can lead to exacerbated health issues and prolonged disease severity. Medication Therapy Management is increasingly being used to help clinics improve medication adherence and reduce adverse events, but factors that enable implementation of such programs are not well identified. OBJECTIVE: To describe the factors associated with implementation of an innovative pharmacy program and to measure the impact of the intervention...
June 10, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28634168/contributions-of-children-with-multiple-chronic-conditions-to-pediatric-hospitalizations-in-the-united-states-a-retrospective-cohort-analysis
#7
Jay G Berry, Arlene S Ash, Eyal Cohen, Fareesa Hasan, Chris Feudtner, Matt Hall
BACKGROUND: Children with multiple chronic conditions (CMCC) are increasingly using hospital care. We assessed how much of US pediatric inpatient care is used by CMCC and which chronic conditions are the key drivers of hospital use. METHODS: A retrospective analysis of all 2.3 million US acute-care hospital discharges in 2012 for children age 0 to 18 years in the Kids' Inpatient Database. The ∼4.5 million US hospitalizations for pregnancy, childbirth, and newborn and neonatal care were not assessed...
June 20, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28625117/factors-associated-to-health-care-service-use-among-latino-day-laborers
#8
Javier Francisco Boyas, Nalini Junko Negi, Pamela Valera
Latino day laborers (LDLs) are at elevated risks for disease and injury because of the environments in which they work. Despite this recognition, a comprehensive examination of factors related to LDLs' health service use remains unexamined. Using the Andersen model, the current exploratory study examined predisposing (age, education level, location of educational training, legal status, and marital status), enabling (income, trust in medical personnel, whether the respondent has someone they consider their personal doctor, and whether their doctor speaks the same language, perceived barriers to care), and need (self-rated health, number of chronic conditions) variables to predict use of health services among a purposive sample of LDLs ( N = 150)...
July 2017: American Journal of Men's Health
https://www.readbyqxmd.com/read/28621152/racial-disparities-in-health-service-utilization-among-medicare-fee-for-service-beneficiaries-adjusting-for-multiple-chronic-conditions
#9
Krupa Gandhi, Eunjung Lim, James Davis, John J Chen
OBJECTIVE: To examine racial disparities in health services utilization in Hawaii among Medicare fee-for-service beneficiaries aged 65 years and above. METHOD: All-cause utilization of inpatient, outpatient, emergency, home health agency, and skilled nursing facility admissions were investigated using 2012 Medicare data. For each type of service, multivariable logistic regression model was used to investigate racial disparities adjusting for sociodemographic factors and multiple chronic conditions...
June 1, 2017: Journal of Aging and Health
https://www.readbyqxmd.com/read/28613257/dissemination-of-chronic-disease-self-management-education-cdsme-programs-in-the-united-states-intervention-delivery-by-rurality
#10
Matthew Lee Smith, Samuel D Towne, Angelica Herrera-Venson, Kathleen Cameron, Kristie P Kulinski, Kate Lorig, Scott A Horel, Marcia G Ory
Background: Alongside the dramatic increase of older adults in the United States (U.S.), it is projected that the aging population residing in rural areas will continue to grow. As the prevalence of chronic diseases and multiple chronic conditions among adults continues to rise, there is additional need for evidence-based interventions to assist the aging population to improve lifestyle behaviors, and self-manage their chronic conditions. The purpose of this descriptive study was to identify the geospatial dissemination of Chronic Disease Self-Management Education (CDSME) Programs across the U...
June 14, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28606493/patient-provider-relationship-as-mediator-between-adult-attachment-and-self-management-in-primary-care-patients-with-multiple-chronic-conditions
#11
Katja Brenk-Franz, Bernhard Strauß, Fabian Tiesler, Christian Fleischhauer, Nico Schneider, Jochen Gensichen
OBJECTIVE: The conceptual model of attachment theory has been applied to understand the predispositions of patients in medical care and the patient-provider relationship. In patients with chronic conditions insecure attachment was connected to poorer self-management. The patient-provider relationship is associated with a range of health related outcomes and self-management skills. We determined whether the quality of the patient-provider relationship mediates the link between adult attachment and self-management among primary care patients with multiple chronic diseases...
June 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/28598095/-depressive-symptoms-in-the-mid-and-old-aged-people-in-china
#12
Pei-Ya Cao, Hui-Qiang Luo, Li-Sha Hou, Xiao-Xia Yang, Xiao-Hui Ren
OBJECTIVES: To determine the prevalence and determinants of depressive symptoms in the mid- and old-aged people in China. METHODS: Data were extracted from the 2013 China Health and Retirement Longitudinal Study (CHARLS),which containthe Center Epidemiologic Studies-Depression scale(CES-D). Binary logistic regression models were developed to identify factors associated with the prevalence of depression symptoms. These included socio-economic status of the respondents (gender, age, education),health-related factors (chronic diseases, disability, accident injury, and fall in recent two years),and family events over the past two years (deaths of a parent, spouse or child)...
September 2016: Sichuan da Xue Xue Bao. Yi Xue Ban, Journal of Sichuan University. Medical Science Edition
https://www.readbyqxmd.com/read/28597203/assessing-patient-activation-among-high-need-high-cost-patients-in-urban-safety-net-care-settings
#13
Tessa M Napoles, Nancy J Burke, Janet K Shim, Elizabeth Davis, David Moskowitz, Irene H Yen
We sought to examine the literature using the Patient Activation Measure (PAM) or the Patient Enablement Instrument (PEI) with high-need, high-cost (HNHC) patients receiving care in urban safety net settings. Urban safety net care management programs serve low-income, racially/ethnically diverse patients living with multiple chronic conditions. Although many care management programs track patient progress with the PAM or the PEI, it is not clear whether the PAM or the PEI is an effective and appropriate tool for HNHC patients receiving care in urban safety net settings in the United States...
June 8, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28596096/hearing-loss-and-associated-medical-conditions-among-individuals-65-years-and-older
#14
Michael M McKee, Michelle L Stransky, Amanda Reichard
BACKGROUND: Hearing loss is prevalent, but few studies have investigated its associations with common medical conditions. OBJECTIVE: The objective was to assess the prevalence of medical conditions among individuals with hearing loss, compared to those without hearing loss, in people aged 65 years and older. METHODS: The National Health Interview Survey (NHIS) collects data on a variety of health-related topics, including disability. Three years of NHIS data (2011-2013; unweighted n = 53,111) were pooled to examine subpopulations of individuals with hearing loss...
June 1, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/28579761/barriers-and-facilitators-associated-with-colonoscopy-completion-in-individuals-with-multiple-chronic-conditions-a-qualitative-study
#15
Shahnaz Sultan, Melissa R Partin, Phalgoon Shah, Jennifer LeLaurin, Ivette Magaly Freytes, Chandylen L Nightingale, Susan F Fesperman, Barbara A Curbow, Rebecca J Beyth
BACKGROUND: A recommendation to undergo a colonoscopy, an invasive procedure that requires commitment and motivation, planning (scheduling and finding a driver) and preparation (diet restriction and laxative consumption), may be uniquely challenging for individuals with multiple chronic conditions (MCCs). This qualitative study aimed to describe the barriers and facilitators to colonoscopy experienced by such patients. MATERIALS AND METHODS: Semistructured focus groups were conducted with male Veterans who were scheduled for outpatient colonoscopy and either failed to complete the procedure or completed the examination...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28576755/access-to-electronic-personal-health-records-among-patients-with-multiple-chronic-conditions-a-secondary-data-analysis
#16
Alexandra J Greenberg, Angela L Falisi, Lila J Finney Rutten, Wen-Ying Sylvia Chou, Vaishali Patel, Richard P Moser, Bradford W Hesse
BACKGROUND: In the United States, national incentives for offering access to electronic personal health records (ePHRs) through electronic means are geared toward creating a culture of patient engagement. One group of patients who stand to benefit from online access to ePHRs is the growing population with multiple chronic conditions (MCC). However, little is known about the current availability and use of ePHRs and patient portals among those managing MCC. OBJECTIVE: The aim was to determine the associations between number of chronic conditions and sociodemographic characteristics and usage of ePHRs, and to assess how the public's use of ePHRs varies across subpopulations, including those with MCC...
June 2, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28575200/the-role-of-senior-housing-in-hospitalizations-among-vulnerable-older-adults-with-multiple-chronic-conditions-a-longitudinal-perspective
#17
Sojung Park, BoRin Kim, Eunsun Kwon
Background and Objectives: This study focuses on vulnerable elders (i.e., those with moderate or low incomes who live alone) and examines to what extent a senior housing environment moderates the effects of multiple chronic conditions (MCCs) on hospitalization over time. Research Design and Methods: Data came from six waves (2002-2012) of the Health Retirement Study (N = 1,401 individuals, 3,705 observations). Mixed-effect multinomial logistic regression modeling estimated the effects of senior housing on changes in hospitalization...
June 2, 2017: Gerontologist
https://www.readbyqxmd.com/read/28575026/childhood-chronic-conditions-and-health-related-quality-of-life-findings-from-a-large-population-based-study
#18
Guannan Bai, Marieke Houben-van Herten, Jeanne M Landgraf, Ida J Korfage, Hein Raat
The objective of this study was to assess the impact of health-related quality of life (HRQOL) across prevalent chronic conditions, individually and comorbid, in school-aged children in the Netherlands. 5301 children aged 4-11 years from the Dutch Health Interview Survey were included. Parents completed questionnaires regarding child and parental characteristics. HRQOL of children was measured using the Child Health Questionnaire Parent Form 28 (CHQ-PF28). Independent-t tests were used to assess differences in the mean scores of the CHQ-PF28 summary scales and profile scales between children with a prevalent chronic condition (excluding or including children with multiple chronic conditions) and children without a chronic condition...
2017: PloS One
https://www.readbyqxmd.com/read/28561726/caring-for-the-older-population-with-advanced-lung-cancer
#19
Carolyn J Presley, Craig H Reynolds, Corey J Langer
The management of advanced lung cancer is changing rapidly, with new drug approvals occurring almost monthly. The average age of a newly diagnosed patient with advanced lung cancer remains around age 70. Caring for the older adult with advanced cancer differs from the care of younger adults. Chronologic age often does not accurately reflect the physiologic and functional status of older adults. Selecting treatment based on age alone results in undertreatment and overtreatment of many older adults. Addressing issues such as multiple chronic conditions, polypharmacy, geriatric syndromes, and heterogeneity in functional status among an expanding menu of treatment options for advanced disease is increasingly difficult, particularly among older adults historically underrepresented in clinical trials...
2017: American Society of Clinical Oncology Educational Book
https://www.readbyqxmd.com/read/28556622/predictors-of-hospitalization-length-of-stay-and-costs-of-care-among-adults-with-dermatomyositis-in-the-united-states
#20
Michael C Kwa, Kaveh Ardalan, Anne E Laumann, Jonathan I Silverberg
OBJECTIVE: To determine the prevalence and risk factors for hospitalization with dermatomyositis and assess inpatient burden of dermatomyositis. METHODS: Data on 72,651,487 hospitalizations from the 2002-2012 Nationwide Inpatient Sample (NIS), a 20% stratified sample of all acute-care hospitalizations in the United States, was analyzed. ICD-9-CM coding was used to identify hospitalizations with a diagnosis of dermatomyositis. RESULTS: There were 9,687 and 43,188 weighted admissions with a primary or secondary diagnosis of dermatomyositis, respectively...
May 26, 2017: Arthritis Care & Research
keyword
keyword
27633
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"