ambulatory care

..of this combined technique can enable a "see and treat" protocol that would decrease the number of return clinic visits and patient anxiety as the long waits for histopathology diagnoses would be eliminated...

..of this combined technique can enable a "see and treat" protocol that would decrease the number of return clinic visits and patient anxiety as the long waits for histopathology diagnoses would be eliminated...

..Follow-up data collection will coincide with scheduled clinic visits to increase the likelihood of continued participation; use of extensive tracking information and escalating ..

..study, we attempted to identify predictors of nontherapeutic international normalized ratio results in 350 ambulatory care patients from a broad geographic region...

..The ability of Raman spectroscopy to enable a "see and treat" protocol would decrease the number of return clinic visits and patient anxiety as the long waits for histopathology diagnoses would be eliminated...

..The focal analysis will examine quality and access to care by using the numbers of ambulatory care sensitive (preventable), referral sensitive, and reference hospitalizations in a county...

..community pharmacy practice sites-Walgreens, Kerr Drug, Medicine Shoppe, and Massachusetts General Hospital ambulatory care pharmacies-plan to apply what has been learned from more than a dozen detailed socio-technical probabilistic ..

..the physician; and (c) again meet the VPA after the ambulatory visit to be instructed on the contents of the Ambulatory Care Plan and any changes in the medication regimen that have been made during the office visit...

..the physician; and (c) again meet the VPA after the ambulatory visit to be instructed on the contents of the Ambulatory Care Plan and any changes in the medication regimen that have been made during the office visit...

..the physician; and (c) again meet the VPA after the ambulatory visit to be instructed on the contents of the Ambulatory Care Plan and any changes in the medication regimen that have been made during the office visit...

..PUBLIC HEALTH RELEVANCE: Although ambulatory care accounts for the majority of health care encounters in the United States, relatively little attention has ..

..Children will be followed at monthly clinic visits from age 6 weeks to 18 months, and home visits will occur at the midpoint between study visits...

..visits will take place at enrollment and weeks 4, 12, 24, 36 and 48, generally in conjunction with routine CF clinic visits. Subjects will undergo lung function testing at enrollment, 24 and 48 weeks...

..needs by facilitating the availability of information following three types of care transitions into the ambulatory care setting...

..needs by facilitating the availability of information following three types of care transitions into the ambulatory care setting...

..Applicant's Description) The Division of Primary Care of Harvard Medical School (HMS), the Department of Ambulatory Care and Prevention of HMS and Harvard Pilgrim Health Care (HPHC), the Brigham and Women's Hospital (BWH), Dana ..

..Severe pain and damage in the affected tissue result in disability, repeated clinic visits and hospitalizations, along with significant health-care costs...

..visits will take place at enrollment and weeks 4, 12, 24, 36 and 48, generally in conjunction with routine CF clinic visits. Subjects will undergo lung function testing at enrollment, 24 and 48 weeks...

..g., five 30-min sessions/wk). We will conduct baseline and 6-month clinic visits to evaluate the effect of exercise on QOL and surrogate markers...

..needs to address medical management issues and self-management issues that occur both during and between clinic visits. An efficacious intervention that focuses on patient and family level components could have profound impacts ..

..Also, inconvenience of clinic visits and fear of injections restrict compliance in developed nations...

..Clinic based programs are often time and cost intensive, as they require a parent and child to attend lengthy clinic visits weekly for up to 6 months...

..and effectiveness of electronic transmission of prescriptions for federally controlled medications in the ambulatory care setting...

..Medicine, Surgery, Clinical Neurosciences (Neurology and Psychiatry), Pediatrics, Family Medicine, and Ambulatory Care; (2) to develop and implement web-based instructional technologies (ePortfolios) that enable students to ..

..and effectiveness of electronic transmission of prescriptions for federally controlled medications in the ambulatory care setting...

..patterns of child health care use are impacted by maternal depression, focusing on three separate aspects: ambulatory care sensitive conditions (expected to increase with depressive symptoms), ED visits as a substitute for primary ..

..325 Subjects were recruited (142 smokers, 81 passive smokers and 102 non-smokers), 750 clinic visits conducted, 3700 vacutainers of blood collected and 10,000 vials of plasma frozen...

..This project will test implementation of measurement based care (MBC) in an ambulatory care setting with an integrated clinical decision support system (CDSS) and an electronic health record (EHR-CDSS)...

..This project will test implementation of measurement based care (MBC) in an ambulatory care setting with an integrated clinical decision support system (CDSS) and an electronic health record (EHR-CDSS)...

..Emergency medical care, as an ambulatory care setting, is a known context of patient safety risk, making emergency medical care a high priority context for ..

..who attend them are stable psychiatrically, attendance is more frequent, visits are longer than outpatient clinic visits, and programming is focused on helping to improve patients' long-term health and overall recovery...

..evaluation of the impact of this statewide implementation program on EHR adoption by rural and non-rural ambulatory care practices in Massachusetts...

..Combined these two sites have over 200,000 outpatient clinic visits per year, over 150 daily inpatient admissions, and over 150 beds for inpatient admissions with ready access to ..

..Medicine, Surgery, Clinical Neurosciences (Neurology and Psychiatry), Pediatrics, Family Medicine, and Ambulatory Care; (2) to develop and implement web-based instructional technologies (ePortfolios) that enable students to ..

..the risk for eight specific major morbid events and their sequelae; (3) evaluate the risks for preventable or ambulatory care sensitive hospital episodes; and (4) model the late life course trajectories of hospitalization patterns ..

..the risk for eight specific major morbid events and their sequelae; (3) evaluate the risks for preventable or ambulatory care sensitive hospital episodes; and (4) model the late life course trajectories of hospitalization patterns ..

..by the applicant): Patients with known or suspected cancers transition through several different settings of ambulatory care in order to receive a timely diagnosis and treatment...

..trainees expend 30% of their effort in clinical training leading to sub-speciality Board eligibility in the ambulatory care and consult services of the Division of Endocrinology and Metabolism in the Department of Internal Medicine, ..

..Additionally, the intervention will be developed for delivery one-on-one at routine clinic visits with supplemental contact via the Internet...

..Although the transition of the fragile child from intensive care specialist to the ambulatory care provider begins at hospital discharge, it is incomplete until the child receives appropriate outpatient ..

..of chiropractic use patterns on physician visits, all-cause hospitalizations, hospitalization for ambulatory care sensitive conditions, Medicare payments, and mortality...

This three-year project seeks to improve care quality and safety in an ambulatory care setting through clinical decision support for evidence-based pharmacotherapy delivered as point-of-care reports to clinicbased practitioners and as po..

..recognition of cardiovascular risk factors and to improve self-management skills, including adherence with clinic visits. The tool will be culturally-sensitive and bilingual...

..For patients with a major ocular complication, all follow-up visits will be clinic visits. For patients without a major complication, follow-up visits will alternate between clinic follow-up visits ..

..For patients with a major ocular complication, all follow-up visits will be clinic visits. For patients without a major complication, follow-up visits will alternate between clinic follow-up visits ..

..recognition of cardiovascular risk factors and to improve self-management skills, including adherence with clinic visits. The tool will be culturally-sensitive and bilingual...

This three-year project seeks to improve care quality and safety in an ambulatory care setting through clinical decision support for evidence-based pharmacotherapy delivered as point-of-care reports to clinicbased practitioners and as ..

..of telephone calls by the parents to the Pediatric Ontology clinic both during and after hours, unscheduled clinic visits;) as well as parental use of healthcare services (i.e...

..Children and families will be assessed in clinic visits by a separate evaluation team at 6 to 12 months post randomization...

..will translate this pilot work into a computer system and protocol that can be readily deployed to ambulatory care settings, and will evaluate the efficacy of the resulting system as a mechanism to promote behavioral change ..

..will translate this pilot work into a computer system and protocol that can be readily deployed to ambulatory care settings, and will evaluate the efficacy of the resulting system as a mechanism to promote behavioral change ..

..plasma levels, daily recording of pill taking using an electronic medication dispensing unit, twice-weekly clinic visits, and regular contact with study psychiatrists...

..this rich collection of data along with the availability of serum samples which were collected over multiple clinic visits. Together, the proposed studies will address not only whether sleep deprivation and SDB are associated with ..

..linkage to addiction, mental health, benefits, and social services, life skills training and accompanied HCV clinic visits for up to 9 months...

..Internal Medicine practices at the University of Missouri-Columbia plan a phased implementation of selected ambulatory care HIT systems and functions...

..above, in addition to two in-person visits (over a two month period, to coincide with the patient's regular clinic visits) with a trained Health Educator who will tailor the cessation intervention to the patient's level of ..

..Provided by the Applicant): Recently, the National Quality Forum (NQF) endorsed 26 standardized measures of ambulatory care for national priority conditions the AQA "starter set")...

..Provided by the Applicant): Recently, the National Quality Forum (NQF) endorsed 26 standardized measures of ambulatory care for national priority conditions the AQA "starter set")...

..Although the transition of the fragile child from intensive care specialist to the ambulatory care provider begins at hospital discharge, it is incomplete until the child receives appropriate outpatient ..

..Internal Medicine practices at the University of Missouri-Columbia plan a phased implementation of selected ambulatory care HIT systems and functions...

..Internal Medicine practices at the University of Missouri-Columbia plan a phased implementation of selected ambulatory care HIT systems and functions...

..ongoing study we are conducting under the Agency for Healthcare Research and Quality program RFA-HS-07-003, Ambulatory Care Patient Safety Proactive Risk Assessment...

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..Integrated treatment protocols need to be implemented within drug treatment programs in order to improve the outcomes of adolescents with comorbid substance use and mental disorders...

..were enrolled in the primary care clinics at seven Veterans Affairs (VA) medical centers participating in the Ambulatory Care Quality Improvement Project (ACQUIP)...

..22) and self-report measures with only three dropouts...

..More recent immigrants are less likely to have any ambulatory care or emergency department visits, whereas all Hispanics born outside the United States are less likely to have ..

..Our results thus support the use of a lower cutoff on the HRSD than has been traditionally used to define remission...

..Studies to identify the best multistep treatment sequences for individual patients and the development of more broadly effective treatments are needed...

..Additional research is needed to better understand presentation of illness and modifiable factors that may influence outcomes...

..33-1.56). CONCLUSIONS: Cost-containment efforts may need to manage or prevent key comorbidities among patients with bipolar disorder and to evaluate the association between antipsychotic use and treatment outcomes and hospital services...

..It is correlated with overall depression severity and thus may not represent a distinct depressive subtype per se. The impact of irritability on course and treatment outcome merits further study...

..This surveillance suggests that Anthrax Vaccine Adsorbed has few, if any, clinically significant adverse effects...

..CONCLUSIONS: Anxious depression is associated with poorer acute outcomes than nonanxious depression following antidepressant treatment...

..CONCLUSIONS: Taking into consideration the static and the dynamic parameters of effectiveness of treatment, the superiority of inpatient treatment over day hospital has not been, therefore, definitely proven...

..02) as independent predictors of death. CAP remains a serious disease for elderly persons living in nursing homes. This population should benefit from immunization with pneumococcal and influenza vaccines...

..Replication is needed that includes a random allocation of patients to conditions to ensure that geographical factors did not account for the observed differences...

..INTERPRETATION AND CONCLUSIONS. Cancer was the most common reason cited for in-hospital treatment. Nevertheless, more than half of the patients with known cancer were safely and effectively treated at home...

..Those patterns can be classified into three groups as phase model consistent, partial rapid responders, or symptomatically highly impaired patients with each having typical change patterns...

..CONCLUSIONS: Self-report questionnaires represent a practical option for thoroughly and objectively evaluating the course of treatment and determining remission in depressed patients...

..Those with public insurance were overrepresented in primary care clinics; therefore, clinicians in these settings need to be particularly vigilant in recognizing depression and offering appropriate treatments...

..No major complications occurred as a result of same-day discharge, and two-thirds of the patients said that they preferred outpatient surgery...

..Depressogenic cognitions might be continuously activated by chronic distress in MDD subjects reporting axis II pathology, leading to stress exacerbation and eventually poorer treatment outcome...

..CONCLUSION: Currently, hospitalization in acute care hospitals is seldom used to care for persons with psoriasis...

..CONCLUSIONS: Defense styles became more adaptive and symptoms improved over time in patients who started with scores in the clinical range. Change in defense style predicts symptomatic change, but causation has not been established...

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..CONCLUSION: There are limits to which psychoeducational interventions can be simplified without loss of effectiveness in terms of relapse prevention in schizophrenia. Enhanced insight may be associated with increased suicidal ideation...

..Greater declines were seen in the 17 states with vaccination recommendations for hepatitis A...

..These results show that antidepressant efficacy trials tend to evaluate a subset of depressed individuals with a specific clinical profile...

..The placebo and WS 5570 groups had comparable adverse events. CONCLUSIONS: H. perforatum extract WS 5570 was found to be safe and more effective than placebo for the treatment of mild to moderate depression...

..Combined cost and diagnostic data are even more powerful and more operation ally useful, especially because the diagnostic information identifies the medical problems that may be managed to achieve better out comes and lower costs...

..These findings will help shape understanding of UTI treatment in relation to other urological disorders in women. The results raise various important future research questions...

..to examine postdeployment self-rated health (SRH) status and subsequent hospitalization, separation, and ambulatory care visits. Self-rated health was fair/poor for 1.5% and good for 20...

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..028 billion dollars in 2000. CONCLUSIONS: Health care use and economic data on UTIs in men revealed a number of intriguing trends. These results raise various important questions for future research...

OBJECTIVE: Metabolic decompensations (MD) are hospitalizations considered preventable with appropriate ambulatory care. We tested for associations between diabetes care and MD...

..CONCLUSIONS: The economic burden of blunt and penetrating trauma to third-party payors is high. Efforts to reduce the incidence of trauma may result in substantial economic savings to managed care systems...

..1-1.5) per 1000 low-risk individuals aged 18-49 years, to 10.6 (95% CI, 7.5-13.6) per 1000 high-risk individuals aged >or=65 years. Each year, circulation of influenza and RSV coincide with predictable increases in medical care use...

..Further systematic examination of the demographics and management of male reproductive dysfunction is warranted...

..Given the extensive gaps in our understanding of the diagnosis of and treatment for prostatitis, many of these expenditures may represent a waste of resources...

..The greatest part of the disease burden is likely not captured in this economic analysis...

..The present results therefore suggest a large unmet medical need among the population of adult Americans with OAB...

..The lower side effect burden and ease of use of T(3) augmentation suggest that it has slight advantages over lithium augmentation for depressed patients who have experienced several failed medication trials...

..Providing the sub-scales are used with caution, the ISSI seems to be a reliable tool for use with patients with severe mental disorders...

..81, 0.76-0.86). CONCLUSIONS: Controlling treatment costs for BPD patients requires focusing on patients with key comorbidities and monitoring the association between treatment regimen and resource use...

..CONCLUSIONS: Health professionals should be aware of the high rates of usage of CM and CT in asthmatic children and of parental attitudes to conventional and alternative therapies...

..In most other respects, early-onset SE was intermediate between recurrent major depression and late-onset SE. The implications of these findings for the now largely abandoned category of "involutional melancholia" are discussed...

..Further study of the EXIT 25 is justified with a larger sample of inpatients, although caution should be exercised when using the EXIT 25 in mildly impaired outpatients...

..Treatment clinical outcomes-posttreatment relapse and depressive symptoms-partially mediate the effect of treatment on health care utilization...

..For clinical purposes, it is important to recognise that there are large individual differences in outcome...

..Our findings demonstrate the value of qualitative research in evaluating complex interventions...

..with elevated symptom scores at day 7 or day 30 were significantly more likely to report pneumonia-related ambulatory care visits at the subsequent day 30 or day 90 interviews, respectively...

..Sustained periods of outpatient commitment may significantly improve adherence with community-based mental health treatment for persons with severe mental illness and thus may help improve other clinical outcomes affected by adherence...

..Also, patterns of ambulatory after-care following inpatient treatment need further scrutiny...

..16; 95% confidence interval [CI], 1.18-3.94) and years of smoking > 11 (OR, 2.59; 95% CI, 1.32-5.04). CONCLUSIONS: MDD with anger attacks was significantly associated with increased cholesterol levels and years of smoking...

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..Although outpatient care cannot be justified as a cost-saving mechanism, maintaining regular clinical monitoring of patients is important...

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..The results do not appear substantial or distinct enough to support singling out borderline personality disorder from the other personality disorders as a trauma-spectrum disorder or variant of PTSD...

..Therefore, vulnerability to psychosis should be evaluated when treatment intervention for patients with depressive symptoms is planned...

..Moreover, we conclude that the 10-item questionnaire can be used in Turkey to assess patients' knowledge about topical corticosteroids...

..CONCLUSION: A high rate of psychiatric disorders was found among inner-city asthma patients. Psychiatric diagnoses were associated with greater perceived impairment from asthma but not objective measurement of pulmonary function...