ISSN:1084-3647    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

This study assessed the impact of a randomized trial of nursing-based case management for patients with chronic obstructive pulmonary disease, their caregivers, and nursing and medical staff. Sixty-six patients were matched by FEV1on admission to hospital, and randomized into an intervention or control group. Intervention group patients reported significantly less anxiety at 1 month postdischarge; however, this effect was not sustained. There was little difference between groups in terms of unplanned readmissions, depression, symptoms, support, and subjective well being. Interviews with patients and caregivers found that the case management improved access to resources and staff-patient communication. Interviews with nursing and medical staff found that case management improved communication between staff and enhanced patient care.

ISSN:1084-3647    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Case management programs are a common approach to managing the quality and cost of services in managed care organizations. Once developed these programs may grow stagnate as the managed care member population grows and changes. This article presents a redesign project initiated by a managed care organization located in a rural Southwest region of the United States. Nursing theory and case management standards of practice form the basis of the redesign project and will be discussed. The case management model, including roles and responsibilities of staff, are presented. Results and future implications are identified.

ISSN:1084-3647    

出版商:OVID    

年代:2002

数据来源: OVID

ISSN:1084-3647    

出版商:OVID    

年代:2002

数据来源: OVID

ISSN:1084-3647    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Healthcare consumers are demanding excellence in care and services from care providers, and payors are following in their expectations. Demonstration of quality outcomes and consumer satisfaction with services are now a priority and the primary competitive edge in healthcare. Hospitals and healthcare systems that invest in programs to determine how patients evaluate their experiences will have valuable information to make transformational changes in care delivery and services. The purpose of this article is to present an overview of consumer/patient satisfaction instruments, satisfaction measurement issues, research instruments, and commonly used vendor patient satisfaction survey programs.

ISSN:1084-3647    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Outcomes achieved by healthcare providers are a function of patient clinical and demographic characteristics, baseline health status, delivered treatments and interventions, and setting characteristics. This article describes a prospective, interdisciplinary study of the outcomes of selected surgeries using both generic and condition-specific data collection instruments. The results of several different analyses are discussed, which illustrate the usefulness of such an effort for patients, nurses and physicians, the institution, and the respective disciplines in general.

ISSN:1084-3647    

出版商:OVID    

年代:2002

数据来源: OVID