keyword
MENU ▼
Read by QxMD icon Read
search

"Multiple Chronic Conditions"

keyword
https://www.readbyqxmd.com/read/29471360/adverse-consequences-of-unmet-needs-for-care-in-high-need-high-cost-older-adults
#1
Scott R Beach, Richard Schulz, Esther M Friedman, Juleen Rodakowski, Grant Martsolf, Alton Everette James
Objectives: We explore adverse consequences of unmet needs for care among high-need/high-cost (HNHC) older adults. Method: Interviews with 4,024 community-dwelling older adults with ADL/IADL/mobility disabilities from the 2011 National Health and Aging Trends Study (NHATS). Reports of socio-demographics, disability compensatory strategies, and adverse consequences of unmet needs in the past month were obtained from older adults with multiple chronic conditions (MCC), probable dementia (DEM), and/or near end-of-life (EOL) and compared older adults not meeting these criteria...
February 17, 2018: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/29452247/persistent-candidemia-despite-appropriate-fungal-therapy-first-case-of-candida-auris-from-the-united-arab-emirates
#2
Adnan Alatoom, Mohammad Sartawi, Karen Lawlor, Laila AbdelWareth, Jens Thomsen, Ahmad Nusair, Imran Mirza
In this case, we report an elderly patient with multiple chronic conditions and prolonged intensive care units (ICU) stay who had recurrent Candida auris (C. auris) in blood despite antifungal therapy. C. auris was misidentified using conventional automated identification system as Candida haemulonii resulting in delayed diagnosis. The isolate showed increasing minimum inhibitory concentrations (MICs) to different antifungal drugs and persisted in the patient's blood before the patient deceased. This is the first case of C...
February 13, 2018: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/29432589/changing-change-adaptations-of-an-evidence-based-telehealth-cardiovascular-disease-risk-reduction-intervention
#3
Leah L Zullig, Felicia McCant, Mina Silberberg, Fred Johnson, Bradi B Granger, Hayden B Bosworth
Relatively few successful medication adherence interventions are translated into real-world clinical settings. The Prevention of Cardiovascular Outcomes in African Americans with Diabetes (CHANGE) intervention was originally conceived as a randomized controlled trial to improve cardiovascular disease-related medication adherence and health outcomes. The purpose of the study was to describe the translation of the CHANGE trial into two community-based clinical programs. CHANGE 2 was available to Medicaid patients with diabetes and hypertension whose primary care homes were part of a care management network in the Northern Piedmont region of North Carolina...
February 8, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29420543/does-the-chronic-care-model-meet-the-emerging-needs-of-people-living-with-multimorbidity-a-systematic-review-and-thematic-synthesis
#4
Kasey R Boehmer, Abd Moain Abu Dabrh, Michael R Gionfriddo, Patricia Erwin, Victor M Montori
BACKGROUND: The Chronic Care Model (CCM) emerged in the 1990s as an approach to re-organize primary care and implement critical elements that enable it to proactively attend to patients with chronic conditions. The chronic care landscape has evolved further, as most patients now present with multiple chronic conditions and increasing psychosocial complexity. These patients face accumulating and overwhelming complexity resulting from the sum of uncoordinated responses to each of their problems...
2018: PloS One
https://www.readbyqxmd.com/read/29420168/obstetric-outcomes-and-delivery-related-health-care-utilization-and-costs-among-pregnant-women-with-multiple-chronic-conditions
#5
Lindsay K Admon, Tyler N A Winkelman, Michele Heisler, Vanessa K Dalton
Our objective was to measure obstetric outcomes and delivery-related health care utilization and costs among pregnant women with multiple chronic conditions. We used 2013-2014 data from the National Inpatient Sample to measure obstetric outcomes and delivery-related health care utilization and costs among women with no chronic conditions, 1 chronic condition, and multiple chronic conditions. Women with multiple chronic conditions were at significantly higher risk than women with 1 chronic condition or no chronic conditions across all outcomes measured...
February 8, 2018: Preventing Chronic Disease
https://www.readbyqxmd.com/read/29404965/medication-profiles-of-patients-with-cognitive-impairment-and-high-anticholinergic-burden
#6
Ariel R Green, Liza M Reifler, Cynthia M Boyd, Linda A Weffald, Elizabeth A Bayliss
BACKGROUND: Drugs with anticholinergic properties are considered potentially inappropriate in patients with cognitive impairment because harms-including delirium, falls, and fractures-may outweigh benefits. OBJECTIVE: To highlight opportunities to improve clinical decision making and care for patients with cognitive impairment and multiple chronic conditions, we identified distinct subgroups of patients with mild cognitive impairment (MCI) and dementia who had high cumulative anticholinergic burden and specific patterns of anticholinergic use...
February 5, 2018: Drugs & Aging
https://www.readbyqxmd.com/read/29396271/at-the-intersection-of-chronic-disease-disability-and-health-services-research-a-scoping-literature-review
#7
REVIEW
Stephen P Gulley, Elizabeth K Rasch, Christina D Bethell, Adam C Carle, Benjamin G Druss, Amy J Houtrow, Amanda Reichard, Leighton Chan
BACKGROUND: There is a concerted effort underway to evaluate and reform our nation's approach to the health of people with ongoing or elevated needs for care, particularly persons with chronic conditions and/or disabilities. OBJECTIVE: This literature review characterizes the current state of knowledge on the measurement of chronic disease and disability in population-based health services research on working age adults (age 18-64). METHODS: Scoping review methods were used to scan the health services research literature published since the year 2000, including medline, psycINFO and manual searches...
January 10, 2018: Disability and Health Journal
https://www.readbyqxmd.com/read/29388533/chronic-disease-burden-predicts-food-insecurity-among-older-adults
#8
Jane Jih, Irena Stijacic-Cenzer, Hilary K Seligman, W John Boscardin, Tung T Nguyen, Christine S Ritchie
OBJECTIVE: Increased out-of-pocket health-care expenditures may exert budget pressure on low-income households that leads to food insecurity. The objective of the present study was to examine whether older adults with higher chronic disease burden are at increased risk of food insecurity. DESIGN: Secondary analysis of the 2013 Health and Retirement Study (HRS) Health Care and Nutrition Study (HCNS) linked to the 2012 nationally representative HRS. SETTING: USA...
February 1, 2018: Public Health Nutrition
https://www.readbyqxmd.com/read/29385967/a-self-management-support-program-for-older-australians-with-multiple-chronic-conditions-a-randomised-controlled-trial
#9
Richard L Reed, Leigh Roeger, Sara Howard, Jodie M Oliver-Baxter, Malcolm W Battersby, Malcolm Bond, Richard H Osborne
OBJECTIVE: To determine whether a clinician-led chronic disease self-management support (CDSMS) program improves the overall self-rated health level of older Australians with multiple chronic health conditions. DESIGN: Randomised controlled trial: participants were allocated to a clinician-led CDSMS group (including client-centred goal setting and the development of individualised care plans) or to a control group in which they received positive attention only. SETTING AND PARTICIPANTS: Patients aged 60 years or more with at least two chronic conditions, recruited between September 2009 and June 2010 from five general practices in Adelaide...
February 5, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29382633/prediction-of-incident-hypertension-within-the-next-year-prospective-study-using-statewide-electronic-health-records-and-machine-learning
#10
Chengyin Ye, Tianyun Fu, Shiying Hao, Yan Zhang, Oliver Wang, Bo Jin, Minjie Xia, Modi Liu, Xin Zhou, Qian Wu, Yanting Guo, Chunqing Zhu, Yu-Ming Li, Devore S Culver, Shaun T Alfreds, Frank Stearns, Karl G Sylvester, Eric Widen, Doff McElhinney, Xuefeng Ling
BACKGROUND: As a high-prevalence health condition, hypertension is clinically costly, difficult to manage, and often leads to severe and life-threatening diseases such as cardiovascular disease (CVD) and stroke. OBJECTIVE: The aim of this study was to develop and validate prospectively a risk prediction model of incident essential hypertension within the following year. METHODS: Data from individual patient electronic health records (EHRs) were extracted from the Maine Health Information Exchange network...
January 30, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29374478/operation-and-challenges-of-home-based-medical-practices-in-the-us-findings-from-six-aggregated-case-studies
#11
Gregory J Norman, Kristann Orton, Amy Wade, Andrea M Morris, Jill C Slaboda
BACKGROUND: Home-based primary care (HBPC) is a multidisciplinary, ongoing care strategy that can provide cost-effective, in-home treatment to meet the needs of the approximately four million homebound, medically complex seniors in the U.S. Because there is no single model of HBPC that can be adopted across all types of health organizations and U.S. geographic regions, we conducted a six-site HBPC practice assessment to better understand different operation structures, common challenges, and approaches to delivering HBPC...
January 27, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29374004/ehealth-technologies-multimorbidity-and-the-office-visit-qualitative-interview-study-on-the-perspectives-of-physicians-and-nurses
#12
Graham G Macdonald, Anne F Townsend, Paul Adam, Linda C Li, Sheila Kerr, Michael McDonald, Catherine L Backman
BACKGROUND: eHealth is a broad term referring to the application of information and communication technologies in the health sector, ranging from health records to telemedicine and multiple forms of health education and digital tools. By providing increased and anytime access to information, opportunities to exchange experiences with others, and self-management support, eHealth has been heralded as transformational. It has created a group of informed, engaged, and empowered patients as partners, equipped to take part in shared decision making and effectively self-manage chronic illness...
January 26, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29320911/turning-challenges-into-design-principles-telemonitoring-systems-for-patients-with-multiple-chronic-conditions
#13
Mehwish Sultan, Kerry Kuluski, Warren J McIsaac, Joseph A Cafazzo, Emily Seto
People with multiple chronic conditions often struggle with managing their health. The purpose of this research was to identify specific challenges of patients with multiple chronic conditions and to use the findings to form design principles for a telemonitoring system tailored for these patients. Semi-structured interviews with 15 patients with multiple chronic conditions and 10 clinicians were conducted to gain an understanding of their needs and preferences for a smartphone-based telemonitoring system. The interviews were analyzed using a conventional content analysis technique, resulting in six themes...
January 1, 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/29288180/identifying-and-understanding-the-health-and-social-care-needs-of-older-adults-with-multiple-chronic-conditions-and-their-caregivers-a-protocol-for-a-scoping-review
#14
Elana Commisso, Katherine S McGilton, Ana Patricia Ayala, Melissa K Andrew, Howard Bergman, Line Beaudet, Veronique Dubé, Mikaela Gray, Lori Hale, Margaret Keatings, Emily Gard Marshall, Janet McElhaney, Debra Morgan, Edna Parrott, Jenny Ploeg, Tara Sampalli, Douglas Stephens, Isabelle Vedel, Jennifer Walker, Walter P Wodchis, Martine T E Puts
INTRODUCTION: People are living longer; however, they are not necessarily experiencing good health and well-being as they age. Many older adults live with multiple chronic conditions (MCC), and complex health issues, which adversely affect their day-to-day functioning and overall quality of life. As a result, they frequently rely on the support of friend and/or family caregivers. Caregivers of older adults with MCC often face challenges to their own well-being and also require support...
December 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/29273001/how-general-practitioners-perceive-and-assess-self-care-in-patients-with-multiple-chronic-conditions-a-qualitative-study
#15
Mads Aage Toft Kristensen, Bibi Hølge-Hazelton, Frans Boch Waldorff, Ann Dorrit Guassora
BACKGROUND: It is not known how general practitioners (GPs) perceive the concept of self-care and how they assess self-care ability in patients with multiple chronic conditions. As a part of the strategy to improve the care of people living with chronic conditions, disease management programs in Denmark require GPs and other health care workers to assess and support patients' self-care ability. The aim of the present study was to explore GPs' perceptions and assessment of self-care ability in patients with multiple chronic conditions who have difficulty following a given treatment...
December 22, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/29236653/rectal-cancer-survivors-participation-in-productive-activities
#16
Mark C Hornbrook, Marcia Grant, Christopher Wendel, Joanna E Bulkley, Carmit K Mcmullen, Andrea Altschuler, Larissa Kf Temple, Lisa J Herrinton, Robert S Krouse
CONTEXT: Rectal cancer and its treatment impair survivors' productivity. OBJECTIVE: To assess determinants of market and nonmarket employment, job search, volunteering, and homemaking among survivors five years or longer after diagnosis. DESIGN: We mailed questionnaires to 1063 survivors who were members of Kaiser Permanente (Northern California, Northwest) during 2010 and 2011. MAIN OUTCOME MEASURES: Productive activities, functional health status, and bowel management at the time of the survey...
2017: Permanente Journal
https://www.readbyqxmd.com/read/29224692/the-contribution-of-musculoskeletal-disorders-in-multimorbidity-implications-for-practice-and-policy
#17
REVIEW
Stephen J Duffield, Benjamin M Ellis, Nicola Goodson, Karen Walker-Bone, Philip G Conaghan, Tom Margham, Tracey Loftis
People frequently live for many years with multiple chronic conditions (multimorbidity) that impair health outcomes and are expensive to manage. Multimorbidity has been shown to reduce quality of life and increase mortality. People with multimorbidity also rely more heavily on health and care services and have poorer work outcomes. Musculoskeletal disorders (MSDs) are ubiquitous in multimorbidity because of their high prevalence, shared risk factors, and shared pathogenic processes amongst other long-term conditions...
April 2017: Best Practice & Research. Clinical Rheumatology
https://www.readbyqxmd.com/read/29217389/competencies-for-engaging-high-needs-patients-in-primary-care
#18
Michael J Yedidia
BACKGROUND: Patients who heavily utilize hospitals and emergency departments frequently have complex needs requiring services spanning medical, behavioral, and social service sectors. This study identifies essential competencies for caring for high-needs patients and highlights their importance to primary care delivery. METHODS: Transcripts of in-depth interviews with 30 clinical and administrative staff at 23 complex care programs across the United States were analyzed using standard qualitative techniques...
December 4, 2017: Healthcare
https://www.readbyqxmd.com/read/29213140/effects-of-stress-on-the-development-and-progression-of-cardiovascular-disease
#19
REVIEW
Mika Kivimäki, Andrew Steptoe
Cardiovascular disease remains the leading cause of disease burden globally, which underlies the continuing need to identify new complementary targets for prevention. Over the past 5-10 years, the pooling of multiple data sets into 'mega-studies' has accelerated progress in research on stress as a risk and prognostic factor for cardiovascular disease. Severe stressful experiences in childhood, such as physical abuse and household substance abuse, can damage health and increase the risk of multiple chronic conditions in adulthood...
December 7, 2017: Nature Reviews. Cardiology
https://www.readbyqxmd.com/read/29196914/health-care-utilisation-amongst-older-adults-with-sensory-and-cognitive-impairments-in-europe
#20
David G Lugo-Palacios, Brenda Gannon
Worldwide, the high prevalence of multiple chronic conditions amongst older population has led to increased utilisation of health care and rising associated costs, becoming a major public health concern. Hearing, vision and cognitive disorders are common chronic conditions amongst older Europeans and recent studies have documented its high co-occurrence. While it has been shown separately that suffering either mental disorders or sensory (hearing and vision) impairments is associated with higher health care utilisation, the association between health care utilisation and the interaction of these conditions has received little attention in the literature...
December 1, 2017: Health Economics Review
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"