Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Health Transition”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,153 records · Page 64Linked to original sources
PubMed2004

Transitional care issues influencing access to health care: employability and insurability.

Addressing the issues of employability and insurability remains a challenge for young adults with CHD, their parents, and health care professionals who care for this patient group. Because of their chronic condition, these young persons require ongoing access to health care, throughout their adult lives. Because most individuals obtain insurance through their place of employment (unless it is obtained under a spouse's policy), adolescents with CHD should begin to look carefully at career options that are compatible with their interests and their physical abilities. If it is more appropriate, assistance with referral to vocational rehabilitation programs may be given. Finally, guidance should include how to avoid issues of discrimination during a job interview and when working at one's place of employment. Legislation now supports many workers as long as they can carry out the job for which they were hired. With the continuing rise in cost of health care and health insurance coverage, young persons with CHD must understand the high importance of maintaining health care coverage for their chronic health condition, usually through a group plan in their place of employment. Current legislation supports supplemental coverage and portability of coverage when changing jobs, which minimizes or eliminates waiting periods for pre-existing conditions. Suggestions for ongoing health care are included not only for care by a cardiologist but noncardiac care, including a primary care practitioner, dental care, and obstetric-gynecologic care. With the size and life expectancy of this patient group growing each year, the issues of employability and insurability must continually be addressed by health care professionals in conjunction with government policy makers and insurance representatives. As additional long-term survival data become available on the natural history of CHD, it is hoped that insurance requirements will be modified to afford this group the insurance coverage needed to obtain adequate medical and financial security, with facilitated access to appropriate, high quality, and affordable health care.

Adolescent↗
PubMed2005

Strategies for transition planning in Ontario's local health integration networks.

With the introduction of Local Health Integration Networks (LHINs) in Ontario, it is essential to support and encourage healthcare providers to communicate with each other across complex organizational boundaries. From the patient/client perspective, the LHINs will be successful when integration occurs at the point of care.

Community Health Services↗
PubMed2000

Distribution of accidents, injuries, and illnesses by family type. ALSPAC Study Team. Avon Longitudinal Study of Pregnancy and Childhood.

OBJECTIVE: To investigate whether family type and psychosocial risks indexed by family type were systematically associated with differences in health outcomes in children. DESIGN AND SUBJECTS: The study is based on a longitudinal, prospective study of a large (n = approximately 10 000) community sample of families, the Avon Longitudinal Study of Pregnancy and Childhood. MAIN OUTCOME MEASURES: Frequency of accidents, illnesses, and medical interventions. RESULTS: At 2 years of age, children in single-parent and stepfamilies were disproportionately likely to experience accidents and receive medical treatment for physical illnesses. In addition, children in single-parent families and stepfamilies were more likely to be hospitalized or receive attention from a hospital doctor for an injury or illness. Exposure to psychosocial risks also were elevated in single-parent families and stepfamilies, compared with intact or nonstepfamilies, and these factors primarily accounted for the connection between family type and children's physical health. CONCLUSIONS: The consequences of family transitions on children's health extend beyond traditional mental health and behavioral outcomes and include accident proneness, illness, and receipt of medical attention. The mediating processes are not entirely attributable to social class differences connected to family type and may instead be associated with a range of psychosocial risks that are more frequently found in single-parent families and stepfamilies, compared with intact or nonstepfamilies. Prevention and intervention efforts directed toward children at risk for poor behavioral and mental health adjustment secondary to family disruption should consider children's physical health and health-related behaviors.

Accident Proneness↗
PubMed2004

Family medicine as a model of transition from academic medicine to academic health care: Estonia's experience.

This paper presents the development of academic family medicine in an environment of traditional academic medicine at the Tartu University, Estonia. The introduction of university family medicine teachers to everyday practice and practitioners to academic teaching and research helps bridge the gap between theory and practice, and it shows changed approach to academic medicine.

Academic Medical Centers↗
PubMed1990

Worksite behavioral research. Results, sensitive methods, test batteries and the transition from laboratory data to human health.

Ample evidence demonstrates that many chemicals, at some concentration, affect the nervous system. Disastrous incidents resulting from food adulteration, medical experiments and pharmaceutical errors, and industrial and environmental exposures warn of the serious potential for neurotoxicants to affect human health. This article identifies the approximately 185 epidemiological behavioral neurotoxicology studies published through 1989 of extended workplace exposures to chemicals. Approximately 250 different tests have been administered to exposed workers in primarily cross sectional studies, and statistically significant decrements were reported in 43% of the approximately 1100 test/population administrations (virtually all 185 studies employed several of the 250 tests). In this research, 28 different chemicals as well as multiple chemical exposures have been studied. The most extensive findings are seen in research on carbon disulfide, lead, mercury, and multiple solvent exposures, although three or more independent studies also have been reported on workers exposed to styrene and organophosphates. Analyzing the consistent findings in these studies, they reveal a broad spectrum of cognitive, motor, and affective or personality changes. The most frequently reported functional deficits are in tests of intelligence, memory, spatial relations, coordination, and speed plus coordination. Individual behavioral measurement methods and significant test batteries that have been employed to assess changes in human nervous system functions to determine the degree of risk posed by new and established chemicals are described; two of those human behavioral test batteries are predicted to dominate research at the onset of the 1990's. There is a lack of parallelism between the human test methods found in these batteries and the US Environmental Protection Protection Agency (EPA) and Food and Drug Agency (FDA) guideline methods for pre-production screening of chemicals and food additives in animals, and it appears unlikely that the widely employed human and animal behavioral test batteries, as currently evaluated, could identify disease complexes newly suspected of having a chemical etiology.

Animals↗
PubMedDate not supplied

Relationship between individual-cow udder health status in early lactation and dairy cow characteristics in Brittany, France.

Data from a 4-year ecopathological survey involving 47 dairy farms in Brittany (France) were used to determine the individual animal characteristics associated with the udder health profiles of clinical and subclinical mastitis, and the presence of minor or major pathogens in milk during early lactation. Herd effect was taken into account and a within-herd analysis using factorial correspondence analysis and a decomposition of chi-square distance was performed. In primiparous cows, the main association observed was between milk production and intramammary infections with major pathogens. The dirtiness score showed contradictory relationships with udder health profiles. The indoor/outdoor transition period was unfavourable for udder health status; since the frequency rate of subclinical and clinical mastitis increased during this period. In multiparous cows, intramammary infections by minor or major pathogens were closely associated with non-infectious udder diseases, but the main effect was due to parity. Old cows were generally affected by higher somatic cell counts than younger cows regardless of whether the SCC were associated with clinical mastitis or not.

Animal Feed↗
PubMed1998

Community-based medical systems advancement in a hospital-primary health care centre in Crete, Greece: concepts, methods, and the new role of the general practitioner.

Modern health systems research and development emphasize the transition from hospital to primary health care. Importantly, this transition is projected to be coordinated and interactive, as facilitated, e.g., by improved information systems and collaboration between the involved parties, including Universities and health authorities. An ideal combination of this might accordingly be offered by a synthesis of a basic hospital and primary health care center in an area of suitable site, size, and structure. We believe that our institution, Nosokomion Neapolis, in; the moderate-size Cretan township of Neapolis (New-city) offers an interesting model example of this, because of its affiliation with the University of Heraklion and its international and EU-supported project status. In the present report we want to emphasize the elements that are particularly well suited and manageable and in many ways both opportunistic and conscientious "back to the future" instances of a successful Hospital/Primary Health Care integration. Specifically, we think that the advantages in local area epidemiology, prevention, and quality assurance are apparent, and nurture a--rather renewed that new-role of the general practitioner as both a holistic population doctor and a health systems researcher for the year 2,000 and beyond.

Academic Medical Centers↗
PubMed2006

Transition: a literature review.

AIM: This paper reports a comprehensive literature review exploring how the term 'transition' has been used in the health literature. BACKGROUND: The meaning of transition has varied with the context in which the term has been used. The last 3 decades have seen altered understandings in the concept of transition in the social science and health disciplines, with nurses contributing to more recent understandings of the transition process as it relates to life and health. METHOD: The CINAHL, Medline, Sociofile and Psychlit databases were accessed and papers published between 1994 and 2004 were retrieved to answer the questions 'How is the word transition used?' and 'What is the concept of transition informing?' Transition theoretical frameworks were also explored. FINDINGS: Widespread use of the word 'transition' suggests that it is an important concept. Transitional definitions alter according to the disciplinary focus, but most agree that transition involves people's responses during a passage of change. Transition occurs over time and entails change and adaptation, for example developmental, personal, relational, situational, societal or environmental change, but not all change engages transition. Reconstruction of a valued self-identity is essential to transition. Time is an essential element in transition and therefore longitudinal studies are required to explore the initial phase, midcourse experience and outcome of the transition experience. CONCLUSION: Transition is the way people respond to change over time. People undergo transition when they need to adapt to new situations or circumstances in order to incorporate the change event into their lives. Transition is a concept that is important to nursing; however, to further develop understandings, research must extend beyond single events or single responses. Longitudinal comparative and longitudinal cross-sectional inquiries are required to further develop the concept.

Adaptation, Psychological↗