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Biomedical subjects

R Eldar

Publications and source records attributed to R Eldar.

At least 37 records · Page 2Linked to original sources
PubMed1996

A community-oriented programme for rehabilitation of persons with arthritis.

A community-oriented programme for rehabilitation of persons with arthritis is described. It combines an 8-week ambulatory rehabilitation course (including patient education) at a rehabilitation institution, with long-term self-rehabilitation (at patients' homes), supervised by primary-care nurses. Sixty persons (mean age 54; 80% females) with a 13-year average duration of arthritis, were suffering pain, physical limitations, difficulties in social activities, tension and a tendency to depression. They had completed the course and a 12-month self-rehabilitation at home, and were assessed with the Arthritis Impact Measurement Scales (AIMS) questionnaire on admission to the course, at its completion and 1 year thereafter. Assessment upon completion of the course showed improvement in all areas studied. Measurements at follow-up showed that the majority carried out self-rehabilitation activities and preserved the improved functional status. The programme provided a much-needed service to arthritis sufferers living in the community, and promoted both the reorientation of institution-based rehabilitation professionals towards the community and self-rehabilitation and the cooperation between the institution and primary care.

Activities of Daily Living↗
PubMed1995

The introduction of a quality assurance programme into hospitals in Israel. A concerted action programme on quality assurance (COMAC) in Israeli hospitals (1990-1993).

OBJECTIVE: To describe the introduction of the COMAC Quality Assurance Programme into hospitals in Israel. DESIGN: Outline of the programme in general, and in Israel in particular, and description of the experience of implementing and evaluating the programme. SETTING: Sixteen general hospitals on a local level and the country coordinating team on a national level, during 28 months (March 1991 to June 1993). RESULTS: Fourteen hospitals, out of the 16 (or 87%) completed all the programme's phases. In most of these 14 hospitals there occurred an improvement in the quality assurance infrastructure (in general, and in the addressed topics in particular), an increase in committees designed to exert a monitoring function related to the quality of care and the acquisition of competence for the performance of quality assurance activities. CONCLUSION: The COMAC programme had a meaningful impact on Israeli hospitals participating in it.

Hospitals, General↗
PubMed1995

Implementation and evaluation of a quality assurance programme.

Describes the three stages of implementation of a quality assurance programme (preparatory, development of quality assurance structure and process, appearance of quality assurance outcomes). Observes that it is advantageous to implement the programme by providing external support to internal quality assurance efforts. Mentions the way of conducting a formative and a summative evaluation of a programme as well as the factors that influence the effectiveness of a programme.

Data Collection↗
PubMed1994

[Concerted action program for quality assurance of European community hospitals as applied in Israel].

The concerted action program on quality assurance (QA) of the European Community (COMAC) was implemented in 14 hospitals in Israel. It was focused on prevention of pressure sores, preoperative assessment, prophylactic use of antibiotics in elective surgery and proper keeping of medical and nursing records. Mechanisms for quality assessment and interventions for improvement and monitoring were implemented. Improvement in QA infrastructure, processes of care in the project topics, and in QA awareness were found. Management involvement, previous motivation for professional improvement, behavioral strategies for change and having highly respected QA leaders were found to contribute to the development of effective QA. Professional associations and national authorities should be responsible for establishing support systems as well as promoting legislation, formulating guidelines, recommending allotment of resources, and developing educational programs.

Europe↗
PubMed1993

Quality of rehabilitation care in two inpatient geriatric settings.

The study assessed the quality of care in 410 geriatric patients admitted for rehabilitation following a hip fracture (53%) or stroke (47%) to two types of inpatient setting: geriatric departments in general hospitals (GDs) and free-standing geriatric hospitals (GHs), 45% and 55% of patients, respectively. The assessment of care was based on two outcome criteria, change in functional status (Barthel Index) and patient destination on discharge. Findings suggest that rehabilitation performed in GHs had some advantage over that in GDs although the cost of stay in GHs is half of that in GDs, and GHs seem to be also more cost-efficient. The finding indicates one way in which assessment of quality contributes to health policy and planning.

Activities of Daily Living↗
PubMed1991

Assessment chart for inpatient rehabilitation following stroke.

In order to enable comparison of the post-stroke patient's functional status between different points during the rehabilitation process, an assessment chart was developed; this covered cognitive, basic and integrated functions. The chart was applied by two independent examiners on 36 patients, with a mean age of 60, admitted consecutively for rehabilitation following stroke. The results of the assessment using the chart were compared with those measured with the Kenny Self Evaluation System. There was a positive correlation both between the Kenny System and the developed chart and the two examiners. It is felt that the chart meets the demands of easy applicability, numerical scoring and comprehensiveness. It is sufficiently sensitive to reflect the progress of patients during rehabilitation and enables re-evaluation of initial treatment plans focusing on the needs of the individual patient. The developed chart may serve as a useful tool in the evaluation of stroke inpatients during their rehabilitation.

Activities of Daily Living↗
PubMed1990

[The road accident epidemic].

Nearly 23,000 persons were injured in 1988 on our country's roads. Of these, some 500 were killed and 3600 severely injured. Despite the magnitude of the problem, the health care system is not sufficiently effective in the field of road accident prevention and mitigation of the human damage, nor is it sufficiently involved in the work of organizations active in these fields. There is an urgent need to establish a health authority in this area, linked to the Ministry of Health, consisting of experts from clinical and academic institutions and representatives of the medical profession. This authority should be responsible for the coordination, initiation and implementation of all health and medical activities in the field of road accident prevention and in improving the care rendered the victims.

Accidents, Traffic↗
PubMed1989

The quality of antihypertensive care.

The study involved 82 hypertensive patients under 65 years of age who suffered a stroke and did not have other risk factors for stroke but high blood pressure. The purpose of the study was to disclose possible deficiencies and to indicate areas for improvement in providers' practices. The process and intermediate outcome of care were judged to be satisfactory in only 4 patients out of the 75 known as hypertensives prior to the stroke (5.2%). There was no association between the structure of care and its process or outcome. The findings of the study are being used in the efforts to improve practices. It is suggested that the described approach could be applied by rehabilitation medicine to assessments of quality of care of conditions known to be risk factors of impairments that lead to disabilities, thereby contributing to quality assurance and disability prevention.

Adult↗
PubMed1989

Patient assessment of care in a pain management unit.

Seventy individuals, 40 females and 30 males with a mean age of 58.5, suffering from protracted pain and associated incapacitation (due, mainly, to rheumatoid or osteoarthrotic conditions) were treated as outpatients with the purpose of relieving their pain and improving their function. The quality of care provided was evaluated based on the outcome approach, using patient assessment of the reduction of their pain and improvement of their limitations--complemented by the assessment of the physician who treated them--and their satisfaction with the care as the measurements of their assessments. The results of the assessment indicate that on completion of treatment 23% of patients had no pain, while the pain level of the rest decreased by 64% with only three still suffering from severe pain and none from very severe pain. In the majority of patients considerable improvement of the associated functional limitation was achieved. There was a high degree of satisfaction with care received in 90% of patients.

Adult↗
PubMed1987

Diagnostic radiology in disaster medicine: implications for design, planning and organization of X-ray departments.

Diagnostic radiology plays an important role in the evaluation of disaster casualties; these are referred to X-ray departments, shortly after their arrival at hospital, in large numbers, frequently overwhelming facilities and resources of the department. The study of relevant literature and the experience of the authors suggest that there are implications for design, planning and organization of X-ray departments to be considered in disaster-prone areas. Departments should be sited as near as possible to triage areas, on the same floor, with broad, unobstructed passages. There should be provision for easy passage of equipment and trolleys through doors and corridors and large circulation areas, working rooms and waiting spaces with plugs, for electricity, piped oxygen and suction and devices for hanging infusion sets. Two entrances to the department would enable one-way flow through the department. All work should be done in the department and examinations performed with mobile units avoided. A radiologist at the entrance to the department and a control post at the exit ensure adequate processing of casualties. Interpretation and reporting should be done by assigned radiologists dictating directly to typists; films and reports should accompany casualties.

Disaster Planning↗
PubMed1985

Preference of hospital employees for work-related outcomes.

A list of five possible work-related outcomes was compiled and included in a questionnaire. This was administered to 490 employees, categorized into seven occupational groups, in three different hospitals in Manila, The Philippines. Responses were compared among work outcomes, identical occupational groups and three hospitals; the most valued outcome was established for all respondents. Findings indicate that variables apt to motivate employees depend on the occupational group to which they belong, the kind of work they perform and the type of hospital in which they work. These findings have implications for the ability of hospital administrators to motivate their employees to perform in a manner that meets expected standards.

Career Mobility↗