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121 records – page 1 of 13.

[Advanced medical therapy at home. Home at any cost?].

https://arctichealth.org/en/permalink/ahliterature215782
Source
Tidsskr Nor Laegeforen. 1995 Feb 28;115(6):695-6
Publication Type
Article
Date
Feb-28-1995
Author
H. Flaatten
Author Affiliation
Anestesi- og intensivavdeling, Haukeland Sykehus, Bergen.
Source
Tidsskr Nor Laegeforen. 1995 Feb 28;115(6):695-6
Date
Feb-28-1995
Language
Norwegian
Publication Type
Article
Keywords
Home Care Services - economics
Home Care Services, Hospital-Based - economics
Humans
Intensive Care - economics
Norway
United States
PubMed ID
7900126 View in PubMed
Less detail

An easy to use and affordable home-based personal eHealth system for chronic disease management based on free open source software.

https://arctichealth.org/en/permalink/ahliterature93163
Source
Stud Health Technol Inform. 2008;136:83-8
Publication Type
Article
Date
2008
Author
Burkow Tatjana M
Vognild Lars K
Krogstad Trine
Borch Njål
Ostengen Geir
Bratvold Astrid
Risberg Marijke Jongsma
Author Affiliation
Norwegian Centre for Telemedicine, UNN, Tromsø, Norway. tatjana.m.burkow@telemed.no
Source
Stud Health Technol Inform. 2008;136:83-8
Date
2008
Language
English
Publication Type
Article
Keywords
Adult
Attitude to Computers
Chronic Disease - economics - rehabilitation
Computer Security
Computer-Assisted Instruction
Cost-Benefit Analysis
Diabetes Mellitus, Type 2 - rehabilitation
Female
Home Care Services, Hospital-Based
Humans
Internet
Male
Medical Records Systems, Computerized
Microcomputers
Middle Aged
Norway
Pulmonary Disease, Chronic Obstructive - rehabilitation
Remote Consultation
Self Care
Self-Help Groups
Software
Television
Therapy, Computer-Assisted
User-Computer Interface
Abstract
This paper describes an easy to use home-based eHealth system for chronic disease management. We present the design and implementation of a prototype for home based education, exercises, treatment and following-up, with the TV and a remote control as user interface. We also briefly describe field trials of the system for patients with COPD and diabetes, and their experience with the technology.
PubMed ID
18487712 View in PubMed
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An economic evaluation of home care for children with newly diagnosed diabetes: results from a randomized controlled trial.

https://arctichealth.org/en/permalink/ahliterature205981
Source
Med Care. 1998 Apr;36(4):586-98
Publication Type
Article
Date
Apr-1998
Author
G E Dougherty
L. Soderstrom
A. Schiffrin
Author Affiliation
Intensive Ambulatory Care Service, Montreal Children's Hospital, and Department of Pediatrics, McGill University, Québec, Canada.
Source
Med Care. 1998 Apr;36(4):586-98
Date
Apr-1998
Language
English
Publication Type
Article
Keywords
Adolescent
Child
Child Health Services - economics
Child, Preschool
Cost of Illness
Diabetes Mellitus, Type 1 - diagnosis - economics - therapy
Female
Health Care Costs - statistics & numerical data
Home Care Services, Hospital-Based - economics
Hospitalization - economics
Hospitals, Pediatric - economics
Humans
Male
Program Evaluation
Quebec
Treatment Outcome
Abstract
This study was undertaken to determine the health and cost effects of using home care to treat newly diagnosed Type I diabetic children rather than traditional inpatient hospital care. There had been no well-designed evaluations of home care for such children, and very few for children with other health conditions.
Sixty-three children seen at the Montreal Children's Hospital were randomly assigned at diagnosis to home care or traditional inpatient care. The children in the former group were discharged once their metabolic condition stabilized; insulin adjustments and teaching were done in their homes by a trained nurse. The children in the latter group remained hospitalized for insulin adjustments and teaching. All were followed for 24 months. The cost effects were estimated using hospital and parental data.
Social costs were only $48 higher with home care. It had little effect on social costs, because the increased costs of health care services with home care ($768) were largely offset by parental cost savings ($720). Home care improved the children's metabolic outcomes without adversely affecting their psychosocial outcomes.
Using home care to reduce hospital stays for children with newly diagnosed Type I diabetes improved the children's health outcomes without significantly increasing social costs.
PubMed ID
9544598 View in PubMed
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[Approaches potentiating cardioprotective effect of ambulatory physical training in patients with ischemic heart disease and multivessel coronary artery involvement after coronary stenting].

https://arctichealth.org/en/permalink/ahliterature261053
Source
Kardiologiia. 2014;54(10):19-25
Publication Type
Article
Date
2014
Author
N P Liamina
E V Kotel'nikova
E A Biziaeva
É S Karpova
Source
Kardiologiia. 2014;54(10):19-25
Date
2014
Language
Russian
Publication Type
Article
Keywords
Cardiotonic Agents - administration & dosage
Coronary Vessels - physiopathology - surgery
Echocardiography - methods
Electrocardiography - methods
Exercise Therapy - methods
Exercise Tolerance
Female
Home Care Services, Hospital-Based - organization & administration
Humans
Male
Middle Aged
Monitoring, Physiologic - methods
Myocardial Ischemia - diagnosis - physiopathology - surgery
Percutaneous Coronary Intervention - methods - rehabilitation
Prospective Studies
Russia
Severity of Illness Index
Stents
Treatment Outcome
Trimetazidine - administration & dosage
Vasodilator Agents - administration & dosage
Abstract
Cardiorehabilitation of patients with multivessel coronary lesions is an obligatory component of ambulatory stage of care. With the aim of potentiating cardioprotective and antiischemic impact of rehabilitative preventive measures in 36 patients with ischemic heart disease (IHD) and multivessel coronary artery involvement who had undergone percutaneous coronary intervention we studied cardioprotective and antiischemic effect of long-term (24 weeks) administration of 70 mg/day trimetazidine in combination with moderate intensity physical training with the use of distance surveillance by a physician. The chosen therapeutic approach in patients with residual ischemia after incomplete anatomical revascularization provided early persistent formation of cardioprotective and antiischemic effect proven by increase of tolerance to physical exercise, improvement of diastolic function, and positive dynamics of both ECG parameters and biochemical markers of myocardial ischemia.
PubMed ID
25675716 View in PubMed
Less detail

Appropriateness of domiciliary oxygen delivery.

https://arctichealth.org/en/permalink/ahliterature196579
Source
Chest. 2000 Nov;118(5):1303-8
Publication Type
Article
Date
Nov-2000
Author
G H Guyatt
D A McKim
P. Austin
R. Bryan
J. Norgren
B. Weaver
R S Goldstein
Author Affiliation
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
Source
Chest. 2000 Nov;118(5):1303-8
Date
Nov-2000
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Carbon Dioxide - blood
Confidence Intervals
Cross-Sectional Studies
Exercise Test
Female
Forced Expiratory Volume - physiology
Home Care Services, Hospital-Based
Humans
Logistic Models
Lung Diseases, Obstructive - physiopathology - therapy
Male
Ontario
Oxygen - administration & dosage - blood
Oxygen Consumption - physiology
Oxygen Inhalation Therapy
Patient Selection
Physical Exertion - physiology
Questionnaires
Referral and Consultation
Respiratory Therapy
Rest - physiology
Abstract
Almost every country in the developed world has a domiciliary oxygen program. Whether recipients meet program criteria has not been rigorously studied.
Cross-sectional survey.
Two hundred thirty-seven patients receiving domiciliary oxygen in the Ontario Ministry of Health Home Oxygen Program (HOP).
A respiratory therapist visited the patients' homes and administered questionnaires, obtained resting arterial blood gas measurements, and conducted a standardized home exercise test while monitoring oxygen saturation using an oximeter.
We evaluated the extent to which patients met HOP criteria that are based on the inclusion criteria of randomized trials showing the life-prolonging effects of domiciliary oxygen. We also assessed the extent to which the patients' oxygen prescription was consistent with the results of rest and exercise testing.
Ninety-six of 237 participants (40.5%; 95% confidence interval, 34.3 to 46.8) did not meet criteria for home oxygen. Patients aged 70 years old (70 of 132 patients; 53.0%). The proportion of patients meeting criteria was similar whether the referring physician was a specialist (71 of 112 patients; 62.5%) or a primary-care physician (69 of 123 patients; 56. 1%). A very important health benefit from oxygen was identified among 82% of those who met criteria and 88% of those who did not. Patients received higher flow rates than our criteria suggested were appropriate. Agreement between the independently assessed oxygen prescription at rest and the patients' report of oxygen use was extremely poor (chance-corrected agreement [kappa], 0.17), as was agreement concerning optimal exercise flow rates (kappa, 0.26).
Current procedures for administration and reimbursement of home oxygen result in a large proportion of recipients not meeting criteria, as well as the prescription of excessive oxygen flow rates. These results are likely to apply to many jurisdictions and suggest a large potential for more efficient resource allocation.
Notes
Comment In: Chest. 2001 Jul;120(1):318-911451861
PubMed ID
11083678 View in PubMed
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[Artificial ventilation in the home. Experiences from a department of pulmonary medicine, UllevÄl hospital]

https://arctichealth.org/en/permalink/ahliterature73079
Source
Tidsskr Nor Laegeforen. 1995 Feb 28;115(6):699-702
Publication Type
Article
Date
Feb-28-1995
Author
H. Mellem
B. Bendz
Author Affiliation
Lungemedisinsk avdeling, Ullevål sykehus, Oslo.
Source
Tidsskr Nor Laegeforen. 1995 Feb 28;115(6):699-702
Date
Feb-28-1995
Language
Norwegian
Publication Type
Article
Keywords
Adult
Costs and Cost Analysis
English Abstract
Female
Home Care Services - economics - organization & administration
Home Care Services, Hospital-Based - economics - organization & administration
Humans
Male
Middle Aged
Norway
Respiration, Artificial - methods
Ventilators, Mechanical
Abstract
31 adult patients have been treated with home mechanical ventilation. 17 were poliomyelitis patients, eight myopathies, the rest had miscellaneous diagnoses. Median duration of treatment is five years (range one month--38 years). Of the 26 patients who are still alive, ten have a tracheostomy and 16 are ventilated non-invasively. In the group with the most severe functional disability (n = 12) the median cost of home care was NOK 656,460 per year. The median cost was NOK 140,000 for the group with moderate need of home care (n = 4) and NOK 0 in the self-sufficient group (n = 10). Both the total number of patients treated with home mechanical ventilation and the fraction of patients requiring both high-cost home care and hospitalisation will increase. A new national plan is needed for organising and financing both the hospital services and health care in the community.
PubMed ID
7900129 View in PubMed
Less detail

[Assessment of diagnostic scales in cardiovascular patients being at home social service from the position of geriatric syndromes].

https://arctichealth.org/en/permalink/ahliterature266127
Source
Adv Gerontol. 2014;27(4):645-50
Publication Type
Article
Date
2014
Author
T L Olenskaia
K I Proshchaev
A N Il'nitskii
V V Krivetskii
S S Sultanova
V I Poliakov
O V Briantseva
A V Polev
Source
Adv Gerontol. 2014;27(4):645-50
Date
2014
Language
Russian
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Attitude to Health
Cardiovascular Diseases - psychology
Cognition Disorders - psychology
Depressive Disorder - psychology
Female
Geriatric Assessment - methods
Health Services for the Aged
Home Care Services, Hospital-Based
Humans
Male
Psychiatric Status Rating Scales
Quality of Life
Questionnaires
Russia
Self-Assessment
Abstract
The obtained data, from a position of geriatric syndromes, testify to need of including of simple estimated scales of a self-rating of health and cognitive disorders in the program of inspection of the elderly patients being on home social service. The special attention in group of elderly patients with arterial hypertension should be paid to widowers who have a low self-rating of health.
PubMed ID
25946837 View in PubMed
Less detail

121 records – page 1 of 13.