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Biomedical subjects

R L Kane

Publications and source records attributed to R L Kane.

274 records · Page 16Linked to original sources

Adherence to health care regimens among elderly women.

This study examined selected components of nurse practitioners' care to determine which contributed most to the intent to adhere to the care plan. High and low levels of components of care (technical quality, psychosocial, and patient participation) were depicted by videotapes of a patient visit to a nurse practitioner. The videotapes were randomly selected and shown in 26 senior citizen nutrition centers in a metropolitan area. Elderly women indicated how likely they would be to adhere if they had been the patient in the tape. High psychosocial care was the only component significantly related to intent to adhere; however, the significance did not hold in an analysis of covariance when individual characteristics were controlled. Individual characteristics related to high intent to adhere were widowed marital status, religion, perceived importance of the examination, social network, and preexisting satisfaction with health care.

Aged↗

Patterns of care given migrant workers in Utah by private physicians and clinics.

This comparison of the care given migrant workers in Utah by private physicians with that provided by clinics demonstrates that clinics can provide more services and meet more of their needs. For a population group in need of an organization that can function specifically for them, the clinic offers many advantages. The clinic's role can also be expanded to become a focal point in the community for a comprehensive health care program for the disadvantaged. Although the cost of such a program may exceed the cost of traditional curative care from individual private physicians, the potential gains make it worth attempting. If long-term health is valued above short-term palliation, then the clinic would appear to be the best method of achieving this goal.

Adolescent↗

Hospital ownership of post-acute care: does it increase access to post-acute care services?

This study examines the relationship of hospital characteristics and access to post-acute care (PAC) using a comprehensive database that combines hospital characteristics with clinical and demographic information of patients. The data was drawn from 52 hospitals in three urban areas--Minneapolis/St. Paul, Houston, and Pittsburgh--and 2,572 patients within five diagnosis-related groups (DRGs). The analysis found hospital ownership of post-acute care significantly associated with use of PAC for patients discharged after hospitalization for stroke and chronic obstructive pulmonary disease (COPD). We found few significant hospital characteristics influencing use of PAC, but, as expected, for selected DRGs, patients were more likely to receive PAC if they were discharged from a hospital that either owned post-acute care or served a high proportion of Medicare patients. In general, patient characteristics were more consistent predictors of post-acute care use across the DRGs studied.

Activities of Daily Living↗