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相关概念视频

Primary Healthcare Services01:30

Primary Healthcare Services

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
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Levels of Health Promotion and Illness Prevention01:26

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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
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Preventive Healthcare Services01:30

Preventive Healthcare Services

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Principles of Disease Surveillance01:26

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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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Healthcare Agencies II01:17

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There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
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Methods Of Healthcare Delivery System01:26

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
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公共卫生 公共卫生

Zaldy S Tan1,2, Nabeel Qureshi1,3, Nancy Sicotte1

  • 1Cedars-Sinai Medical Center, Los Angeles, CA, USA.

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概括
此摘要是机器生成的。

一个医院查计划在老年患者中发现了23%的痴呆病例. 早期识别认知障碍可以改善患者护理并降低医疗保健成本.

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科学领域:

  • 老年学是指老年学的学科.
  • 神经学 神经学
  • 医疗保健服务研究 医疗服务研究

背景情况:

  • 超过40%的老年医院患者患有阿尔茨海默病或相关痴呆症 (ADRD),诊断不足是常见的.
  • 医院设置经常错过ADRD病例,影响患者的护理和结果.

研究的目的:

  • 实施和评估一项全面的项目,用于识别住院患者的认知障碍.
  • 根据认知障碍状态来评估医疗保健利用的差异.

主要方法:

  • 修改了电子健康记录 (EHR) 以标记患有ADRD的患者.
  • 使用4AT查的65岁以上的患者进行了查,随后进行了AD8痴呆症面试以获得阳性查.
  • 分析了查率,并使用回归模型来根据认知状态比较停留时间,再入院和之前的利用情况.

主要成果:

  • 查计划发现了22.6%的痴呆症病例,标记了454名患者的痴呆症面试结果.
  • 患有ADRD或阳性查的患者年龄较大,非白人,从医疗服务中入院,并且先前医疗保健利用率较高.
  • 未被诊断的认知障碍与更长的住院时间和更多的先前住院相关;被诊断的ADRD与更高的90天再入院有关.

结论:

  • 一个系统的查计划显著提高了住院老年人的可能痴呆症的识别.
  • 早期和系统地识别认知障碍可以提高患者的治疗结果,优化医疗保健资源的使用,降低护理费用.