This study includes 150 patients, 65 of which receive integrated health care. Results show that more than a half of these patients do not need readmission, whereas 67% of patients receiving conventional health care are readmitted in hospital. Previous studies assessing home health care did not obtain conclusive results. The main limitations were the lack of standardisation of the interventions and the lack of homogeneity of patients. In this new work, highly precise criteria for the inclusion of patients have been defined, and intervention protocols have been highly detailed. Protocols were not identical in both countries participating in the study, what reinforces the positive results obtained. Differences among both countries have permitted to conclude that a higher number of home health care appointments does not imply better results on the health of patients. The Belgian system implied more home care assistance than the Catalan system, but no differences were observed in the results. This works is presented as a conclusion of the European project CHRONIC, a pioneer European telemedicine research project started on January 2000 that closes with this publication.
The design of integrated health care of these initiatives makes health specialists much more accessible to patients, primarily thanks to an only telephonic switchboard for these patients. Furthermore, COPD patients receive an informative course on their disease, which gives them more autonomy. Results of this study are along the same line of those obtained with the Home Care Programme promoted by Hospital Clínic during the first trimester of 2006 aimed to patients with COPD and cardiac insufficiency. Patients included in this programme evolved from a 9-day admission to a 2-day admission. This programme, which emphasizes specialised nursing and medical cooperation, was initially supported by CATSalut, but now and until 31 December the project will be supported by Hospital Clínic. Home care health reflects the fructuous relationship between hospital care and research in Hospital Clínic, and could be a major tool of health management in several chronic diseases in the future. 60% of patients admitted in emergencies have a chronic pathology; therefore, the fact of giving assistance to these patients at the correct health care levels can be a decisive factor in third level hospitals, such as Hospital Clínic, in order not to collapse the centre.
Àlex Argemí Saburit | alfa
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Reflecting the structure of composites found in nature and the ancient world, researchers at the University of Illinois at Urbana-Champaign have synthesized thin carbon nanotube (CNT) textiles that exhibit both high electrical conductivity and a level of toughness that is about fifty times higher than copper films, currently used in electronics.
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The nearby, giant radio galaxy M87 hosts a supermassive black hole (BH) and is well-known for its bright jet dominating the spectrum over ten orders of magnitude in frequency. Due to its proximity, jet prominence, and the large black hole mass, M87 is the best laboratory for investigating the formation, acceleration, and collimation of relativistic jets. A research team led by Silke Britzen from the Max Planck Institute for Radio Astronomy in Bonn, Germany, has found strong indication for turbulent processes connecting the accretion disk and the jet of that galaxy providing insights into the longstanding problem of the origin of astrophysical jets.
Supermassive black holes form some of the most enigmatic phenomena in astrophysics. Their enormous energy output is supposed to be generated by the...
The probability to find a certain number of photons inside a laser pulse usually corresponds to a classical distribution of independent events, the so-called...
Microprocessors based on atomically thin materials hold the promise of the evolution of traditional processors as well as new applications in the field of flexible electronics. Now, a TU Wien research team led by Thomas Müller has made a breakthrough in this field as part of an ongoing research project.
Two-dimensional materials, or 2D materials for short, are extremely versatile, although – or often more precisely because – they are made up of just one or a...
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