#primarycare #healthquality

The Effect of Telehomecare on Patients’ Health-Related Quality of Life, Satisfaction, Disease Self-Management Skills, Provider Satisfaction, and Informal Caregiver Strain: Longitudinal Cohort and Cross-Sectional Study Background: Heart failure (HF) and chronic obstructive pulmonary disease (COPD) are responsible for a significant amount of the economic and chronic disease burden that impacts the Ontario health system. Telehomecare, a home self-management program launched by the Ontario Telemedicine Network (OTN), was created to improve access to quality care and limit health care use. However, few data are available on patient-, caregiver-, and provider-reported outcomes of telehomecare. Objective: This study aims to evaluate the impact of the OTN telehomecare program on the health-related quality of life (HRQoL), disease-management skills, and satisfaction of patients with HF and those with COPD; informal caregiver strain index; and nurse satisfaction with telehomecare. Methods: We used a prospective longitudinal cohort design, including patients with HF and those with COPD enrolled in Ontario’s telehomecare program, informal caregivers of patients in the program, and nurses providing services in telehomecare. Patients and informal caregivers were administered telephone surveys at baseline, month 3, month 6, and month 12 follow-up from July 2016 to December 2019. The outcomes for the longitudinal surveys were patient-perceived HRQoL, disease self-management skills, perception of telehomecare (ease of use and usefulness), satisfaction with telehomecare, and informal caregiver-perceived strain. Cross-sectional surveys were conducted with nurses to assess nurse perception and satisfaction with telehomecare. Participant data were analyzed using general linear mixed models in SAS Statistical Software (version 9.4; SAS Institute Inc). Results: Overall, a total of 194 patients (HF, n=117; COPD, n=77), 62 caregivers, and 24 nurses participated, with an overall response rate of 51% (280/551). The average age of patients with HF and those with COPD was 71 (SD 11.3) years and 70 (SD 11.1) years, respectively, and 52% (100/194) were men. A significant improvement in overall HRQoL was observed among patients with HF at month 12 (−18.37, P

JMIR Formative Res: The Effect of Telehomecare on Patients’ Health-Related Quality of Life, Satisfaction, Disease Self-Management Skills, Provider Satisfaction, and Informal Caregiver Strain: Longitudinal Cohort and… #Telehomecare #PatientCare #HealthQuality #ChronicDisease #HeartFailure

Gender Differences in the Digital Divide, Digital Back-Feeding, and Health-Related Quality of Life Among Rural Older Adults: Cross-Sectional Study Background: The digital divide has loomed as a global public issue in recent years. However, evidence is limited regarding whether the digital divide is associated with health-related quality of life (HRQOL) and whether digital back-feeding would buffer this association. Objective: This study aims to explore the role of digital back-feeding in the relationship between the digital divide and HRQOL among older men and women living in rural China. Methods: We used data from wave 3 of the Shandong Rural Elderly Health Cohort, conducted in 2022. A total of 3242 (n=1946, 60.02% women) rural older adults were included in the analysis. Moderating effect analysis was performed using Tobit regression models and margins plots. Results: A total of 71.01% (2302/3242) of the participants reported experiencing digital divide. Participants experiencing digital divide were significantly associated with lower HRQOL as measured by EQ-5D-5L scores (β=–0.020; P

New in JMIR Aging: Gender Differences in the Digital Divide, Digital Back-Feeding, and Health-Related Quality of Life Among Rural Older Adults: Cross-Sectional Study #DigitalDivide #RuralHealth #ElderlyCare #HealthQuality #DigitalInclusion

🧵 4/6
Top hashtags with #HealthLiteracy: #AgedCare #ResidentialAgedCare #HealthQuality

🌐 @holyunknown.bsky.social @robertmueller31.bsky.social @paleograssmyer.bsky.social @gumsstarches.bsky.social @creative-sam.bsky.social @haoyin.bsky.social

As you move into your later years... where your health and quality of life are concerned, what do you feel is more important to focus on now for you?

#Healthquality
#50plushealth
#qualityoflife

Director, Health Quality Simcoe - County of Simcoe Established in 1843, the County of Simcoe is a municipality comprised of sixteen towns and townships, serving a growing population of over 530,000 residents. As the largest county in Ontario, Simcoe p...

Director, Health Quality Simcoe
County of Simcoe
#healthquality #healthcarejob #hiring #jobs #careers #humanresources
jobs.longwoods.com/job/71266/di...

The Pressure to Control Blood Pressure Rhetoric vs Reality in "Controlling Blood Pressure" Quality Measure

If your dermatologist skips your BP on Dec 31, your #PCP gets penalized.

That’s the logic of the “Controlling #BloodPressure” metric—blame #doctors, ignore #SDOH, chase numbers. I break it down here:

www.pcplens.com/p/the-pressu...

#healthquality #healthpolicy #vbc #qualitymeasure #medsky

Rethinking Quality of Colon Cancer Screening Balancing hope, fear, and evidence in colorectal cancer prevention

1/10🚨 New article to challenge our approach to #colorectal #cancer #screening!

Hope drives screening, but are we causing harm through overdiagnosis? Read more #MedSky #PatientSafety #healthpolicy #healthquality #healthcare

www.pcplens.com/p/rethinking...

Changes and heterogeneity in quality-amenable excess mortality in Mexico: a systematic analysis for the years 2012, 2018, and 2021 Low quality of care has emerged as key policy concern in low and middle-income countries. This study explores the changes and heterogeneity in prevent…

Check out our paper on deaths due to healthcare quality in Mexico, co-authored with Sofia Castro Vargas and Sebastian Bauhoff, in The Lancet Regional Health – Americas!

www.sciencedirect.com/science/arti...

Some findings in the thread.

#healthquality #healthcare #mexico #qualityimprovement

1/6

How Can Health Systems Drive #QualityImprovement?

I had the privilege of facilitating a panel on #healthcare quality improvement, as we reflected on the in the successes, challenges, and key lessons of @saludmesoamerica.org.

Ten takeaways...

www.youtube.com/watch?v=oSB7...

1/5

#healthquality

Good morning! Welcome to Day 2 of the Quality Forum. #QF2025 #healthquality

First words as I hear from the wonderful, Nana Twum-Danso SVP, IHI

"It's about human connection."

Quality needs to get out of the boardroom and into clinics, units, and talking to patients and kin.

Solving Obesity with a Quality Measure How BMI screening & follow-up plan burdens PCPs without decreasing obesity

Are #BMI Screenings solving #obesity — or giving impression of progress but leaving #PCP drowning in #documentation.

Article: www.pcplens.com/p/solving-ob...

Video: www.pcplens.com/p/podcast-so...

#medsky #healthpolicy #healthcare #QualityMeasure #healthquality #primarycare #quality #vbc

#Qualityimprovement is a game that large organizations
play--not to improve #quality, but to #profit at expense of
small #Primary Care practices.

www.pcplens.com/p/podcast-th...

#healthcare #valuebasedcare #vbc #healthquality #medsky #healthpolicy

What if #QualityMetrics designed to improve #healthcare #quality are doing more harm than good?

Learn more about the paradox of #HealthQuality metrics and their unintended consequences.

www.pcplens.com/p/the-qualit...

#medsky #qualitymeasures #ValueBasedCare #vbc #managedcare #populationhealth

The Quality of Quality Measurement Measuring Our Way to Mediocrity

1/ #QualityMetrics in #healthcare are supposed to improve care—but what happens when they cause harm instead?

My deep dive “The Quality of Quality Metrics“
www.pcplens.com/p/the-qualit...

#medsky #internalmedicine #healthpolicy #healthpolitics #healthcarequality #healthquality