Unmet need and psychological distress predict emergency department visits in community-dwelling elderly women: a prospective cohort study
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TLDR
Both unmet need and psychological distress were independent predictors of ED visits, and future investigations of un met need and health services utilization should include psychological distress to improve the internal validity of statistical models.Abstract:
Background
Unmet need to perform activities of daily living (ADL) is associated with increased use of urgent health services by the elderly. However, the reported associations may be confounded by psychological distress. We examine the independent effects of unmet need and psychological distress upon emergency department (ED) visits.read more
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Unmet need for social care among older people
TL;DR: Characteristics reflecting greater vulnerability were more strongly associated with the risk of experiencing unmet need for ADLs, and such vulnerability was greater for particular ADS, and for a higher number of ADS.
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Patients’ experiences of a multidisciplinary team-led community case management programme: a qualitative study
TL;DR: A programme of MDT-led case management was generally very well received by patients and their families, however, a number of factors were identified that could improve the implementation of the programme and further research needs to be undertaken to address these.
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Chinese community-dwelling elders' needs : Promoting ageing in place
TL;DR: In this article, the authors investigate older people's needs when ageing in place in order to provide evidence to inform policies and strategies promoting the option of aging in place, but little evidence is available about what older people think they need in terms of services and supports to remain at home.
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Patient priorities and the doorknob phenomenon in primary care: Can technology improve disclosure of patient stressors?
Marsha N. Wittink,Patrick G. Walsh,Sule Yilmaz,Michael Mendoza,Richard L. Street,Benjamin P. Chapman,Paul R. Duberstein +6 more
TL;DR: Customized Care improved the likelihood of stressor disclosure without affecting the length of the PCP visit and could be made available through patient portals, or on smart phones to prime patient-PCP discussion about difficult subjects, thereby improving the patient experience and efficiency of the visit.
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Reports of Elder Neglect by Older Adults, Their Family Caregivers, and Their Home Care Workers: A Test of Measurement Invariance
TL;DR: The findings advocate for the use of the 5-item neglect scale across different groups of informants and call for the evaluation of elder neglect within the constellation of the caregiving unit.
References
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Journal ArticleDOI
“Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician
Marshal F. Folstein,Marshal F. Folstein,Susan E B Folstein,Susan E B Folstein,Paul R. McHugh,Paul R. McHugh +5 more
TL;DR: A simplified, scored form of the cognitive mental status examination, the “Mini-Mental State” (MMS) which includes eleven questions, requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
A practical method for grading the cognitive state of patients for the clinician
TL;DR: The Mini-Mental State (MMS) as mentioned in this paper is a simplified version of the standard WAIS with eleven questions and requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
Journal ArticleDOI
Revisiting the behavioral model and access to medical care: does it matter?
TL;DR: The Behavioral Model of Health Services Use was initially developed over 25 years ago and is reviewed and assessed for continued relevance.
Journal ArticleDOI
The structure of coping.
TL;DR: Results indicate that individuals' coping interventions are most effective when dealing with problems within the close interpersonal role areas of marriage and child-rearing and least effective when deals with the more impersonal problems found in occupation.
Journal ArticleDOI
The stress process.
TL;DR: This study takes involuntary job disruptions as illustrating life events and shows how they adversely affect enduring role strains, economic strains in particular, which erode positive concepts of self, such as self-esteem and mastery.