Abstract：
:The Community Care Connections (CCC) program aims to align social and healthcare services to improve health outcomes in older adults with complex medical and social needs. This study assessed changes in healthcare utilization before and after CCC program participation. Between June 2016 and March 2019, 1214 adults with complete data who provided informed consent participated in the CCC program. CCC client data were linked with data on hospitalizations, emergency department (ED) visits, and observation stays 90 days before and after program start. Data analysis examined changes in health care utilization 90 days after program start, compared to 90 days before. Hospitalizations decreased by 30% (Change = -0.029, 95% Confidence Interval (CI) = -0.053, -0.005), ED visits decreased by 29% (Change = -0.114, 95% CI = -0.163, -0.066), and observation stays decreased by 23% (Change = -0.041, 95% CI = -0.073, -0.009) during the post period. ED visits decreased by 37% (Change = -0.140, 95% CI = -0.209, -0.070) for those with hypertension and by 30% (Change = -0.109, 95% CI = -0.199, -0.020) for those with high cholesterol, while observation stays decreased by 46% (Change = -0.118, 95% CI = -0.185, -0.052) for those with diabetes and by 44% (Change = -0.082, 95% CI = -0.150, -0.014) for those with high cholesterol during the post period. Connecting older adults with social services through the healthcare delivery system may lead to decreases in hospitalizations, ED visits, and observation stays. Implementation of cross-sector partnerships that address non-clinical factors that impact the health of older adults may reduce the use of costly healthcare services.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Fisher EM,Akiya K,Wells A,Li Y,Peck C,Pagán JAdoi
10.1016/j.ypmed.2020.106350subject
Has Abstractpub_date
2021-02-01 00:00:00pages
106350eissn
0091-7435issn
1096-0260pii
S0091-7435(20)30381-9journal_volume
143pub_type
杂志文章abstract：OBJECTIVE:We examined whether childhood candy cigarette use was associated with adult tobacco smoking. METHODS:25,887 U.S. adults from the Harris Poll Online (HPOL) were surveyed about current smoking status from November 2005 to May 2006. Respondents were randomly assigned to a yes/no item or a dose-response scale to...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2007.04.006
更新日期：2007-07-01 00:00:00
abstract：OBJECTIVE:To evaluate the effectiveness of the Life Style Modification Program for Physical Activity and Diet (LiSM-PAN) in comparison to a conventional healthcare program. METHOD:Subjects with risk factor(s) for chronic disease were allocated as a cluster to the LiSM group (n=92) or the Control group (n=85). The LiSM...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2007.05.004
更新日期：2007-08-01 00:00:00
abstract：OBJECTIVE:Examine if home environmental factors are associated with screen-viewing. METHODS:Data are for 2670, 3rd and 9th grade participants in Denmark, Portugal, Estonia and Norway collected between 1997 and 2000. Outcomes were spending >2 h after-school watching television (TV) and >1 h per day playing computer gam...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2008.07.016
更新日期：2008-11-01 00:00:00
abstract：OBJECTIVES:The aim of this study was to examine the relationship between walking or cycling to work and prevalence of metabolic syndrome (MetS) and its components. METHODS:Cross-sectional analysis of 6401 randomly selected individuals (3297 men and 3104 women) aged 20-74 years, who participated in the National Multice...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2010.09.003
更新日期：2010-12-01 00:00:00
abstract：BACKGROUND:In the fall of 1986 the North Karelia Project in cooperation with Finnish TV 2 arranged an eight-part nationwide smoking cessation TV program. The Project, also arranged a smoking cessation contest coinciding with the TV program in cooperation with four major voluntary public health organizations and the nat...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(92)90007-5
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVE:This study aims to measure the associations of physical activity and one of its components, sport and exercise, with at-risk substance use in a population of young men. METHOD:Baseline (2010-2012) and follow-up (2012-2013) data of 4748 young Swiss men from the Cohort Study on Substance Use Risk Factors (C-SU...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.03.022
更新日期：2014-07-01 00:00:00
abstract：:Despite rapid growth in resources devoted to physical activity promotion, the public health capacity to address physical inactivity is insufficient. Too few public health practitioners have the necessary skills to implement and evaluate evidence-based physical activity interventions, and schools of public health typic...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2009.06.027
更新日期：2009-10-01 00:00:00
abstract：BACKGROUND:Cancer-related health behaviours may be affected by barriers to healthcare seeking and beliefs about cancer. The aim was to assess anticipated barriers to healthcare seeking and beliefs about cancer in a sample of the Danish population and to assess the association with socio-economic position. METHODS:A po...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.12.007
更新日期：2015-02-01 00:00:00
abstract：INTRODUCTION:The study examined the association of neighborhood walkability to multiple activity-related outcomes and BMI among adolescents and evaluated socioeconomic status as an effect modifier. METHOD:Cross-sectional study, with adolescents recruited from neighborhoods that met criteria for a 2 × 2 matrix defined ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2018.02.009
更新日期：2018-05-01 00:00:00
abstract：:Asthma is a serious, chronic illness among U.S. children. Approximately 6% of all children under 18 years of age in the United States suffer from asthma--prevalence rates in our inner cities are even higher. The impact this disease has on children, their families, and society is profound and easily translatable into l...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1993.1051
更新日期：1993-07-01 00:00:00
abstract：:The dramatic increase in youth use of electronic nicotine delivery systems (ENDS; e.g., e-cigarettes) in the United States has focused regulatory efforts to address this concern while still encouraging smokers to switch completely to lower risk products or quit all tobacco product use. Increases in the minimum age for...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2020.106145
更新日期：2020-11-01 00:00:00
abstract：BACKGROUND:It is proposed that, historically, when the conditions are right for laboratory sciences to contribute to causal knowledge, they take the place of epidemiology as leaders in a given field. METHODS:Review examples of cholera, pellagra, and Kaposi's sarcoma. RESULTS:In the cases of cholera, pellagra, and Kap...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2011.07.018
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:Reducing adolescents' exposure to environmental tobacco smoke (ETS) is an important public health goal. This paper identifies the linkage between young people's exposure at home and household smoking restrictions, and suggests the promotion of such restrictions as a strategy to reduce health risks. METHODS:...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1997.0152
更新日期：1997-05-01 00:00:00
abstract：:Active travel (walking or cycling for transport) can generate personal and environmental benefits. We determined the frequency of participation in walking or cycling active travel by age and sex, as well as used multivariate analysis to find correlations with many other factors using a large cross-sectional 2016/17 su...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.03.043
更新日期：2019-06-01 00:00:00
abstract：:Some cancer survivors report spending 20% of their annual income on medical care. Undue financial burden that patients face related to the cost of care is referred to as financial hardship, which may be more prevalent among rural cancer survivors. This study examined contrasts in financial hardship among 1419 rural an...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.105881
更新日期：2019-12-01 00:00:00
abstract：:This report evaluates the effectiveness of various measures to control the size of illicit cigarette trade in Kenya. It is based on a literature review, a review of conference proceedings/materials, online searches, and analyses of data from the National Statistical Office of Kenya, ERC, and Euromonitor. I used both p...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.04.025
更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:Prior studies of recall accuracy for screening mammogram behavior have examined relatively homogeneous groups. Data are limited on possible systematic group differences, so we evaluated women's recall accuracy in two separate care systems in one city. Methods. Women 50 to 70 years old with and without screen...
journal_title：Preventive medicine
pub_type： 杂志文章,多中心研究
doi：10.1006/pmed.1999.0575
更新日期：1999-12-01 00:00:00
abstract：:In this paper we review the published literature with respect to cervical cancer screening intervention research. Mass media campaigns appear to work best in promoting cervical cancer screening when multiple media are used, when they promote specific screening programs that eliminate or reduce access barriers, or when...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1006/pmed.1997.0251
更新日期：1998-01-01 00:00:00
abstract：BACKGROUND:Neighborhood built environments (BE) include combinations of co-existing stimuli influencing physical activity (PA). Dealing with numerous environmental variables and complexity presents a significant challenge. The current analysis explored whether a range of reported BE features associated with adults' phy...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2011.02.020
更新日期：2011-05-01 00:00:00
abstract：BACKGROUND:Measles vaccination at ages 12-15 months is a routine part of standard health care in developed countries. Nonetheless, the prevention and control of measles outbreaks remain a challenge, owing to incomplete or variable compliance with immunization programs and primary vaccine failure (approximately 5%). In ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2000.0757
更新日期：2000-12-01 00:00:00
abstract：BACKGROUND:Studies on children and adolescents suggest a large increase in the role of snacking; however, little is know about changes in the snacking behavior of young adults. METHODS:USDA's nationally representative surveys from 1977-1978 to 1994-1996 are used to study snacking trends among 8,493 persons 19-29 years...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2000.0817
更新日期：2001-04-01 00:00:00
abstract：:Mental health has been recognized as a public health priority for nearly a century. Little is known, however, about what local health departments (LHDs) do to address the mental health needs of the populations they serve. Using data from the 2013 National Profile of Local Health Departments - a nationally representati...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2015.11.007
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:This study assesses the relative validity of a diet history interview in 56 free-living individuals with Type II diabetes mellitus. METHODS:The diet history interview was compared to a 3-day food record in a 1-year dietary intervention trial. The plausibility of energy intake data was examined throughout th...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章
doi：10.1016/s0091-7435(02)00054-3
更新日期：2003-04-01 00:00:00
abstract：:The Centers for Disease Control and Prevention recommend annual influenza vaccination of persons ≥6 months old. However, in 2016-17, only 43.3% of U.S. adults reported receiving an influenza vaccination. Limited awareness about the cost-effectiveness (CE) or the economic value of influenza vaccination may contribute t...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2019.05.022
更新日期：2019-09-01 00:00:00
abstract：OBJECTIVE:1) To determine the influenza vaccination coverage required to establish herd immunity, and 2) to assess whether the percentages of vaccination coverage proposed and those registered in the United States and Europe are sufficient to establish herd immunity. METHODS:The vaccination coverage required to establ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2012.02.015
更新日期：2012-07-01 00:00:00
abstract：BACKGROUND:Muscle-strengthening activity (MSA) (e.g. weight training), confers unique health benefits. While socioeconomic status (SES) correlates with leisure time physical activity, little is known about its relation with MSA. METHODS:Cross-sectional study of a representative sample of 8993 Australian adults (>18yea...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.06.020
更新日期：2017-09-01 00:00:00
abstract：OBJECTIVES:The aim of this study was to identify patterns of mammogram and Papanicolaou (Pap) screenings among Mexican American women ages 67 and over. METHODS:Data on 1,403 Mexican American women from the Hispanic Established Population for the Epidemiological Study of the Elderly, a cohort study of community-dwellin...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2001.0880
更新日期：2001-10-01 00:00:00
abstract：BACKGROUND:Obesity is a significant problem among US veterans. Diets high in fruits and vegetables (FV) can lower obesity risk. Health communication interventions are promising strategies for promoting healthy eating. We evaluated whether an enhanced intervention with tailored newsletters and motivational interviewing ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2010.06.010
更新日期：2010-09-01 00:00:00
abstract：:The agenda for behavioral and social science research in cancer prevention and control needs to be assessed and interpreted within the context of a changing health care system. These changes present potential opportunities and barriers to an evolving research agenda. Opportunities include access to defined populations...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1006/pmed.1997.0207
更新日期：1997-09-01 00:00:00
abstract：BACKGROUND:Utilization of mammography has increased steadily since the early 1990s. It is now important to expand the attention given to obtaining repeat examination. This study examines the prevalence and cross-sectional correlates of repeat mammography, among women aged 55-79, using a 12-month (N = 3,502) and a 24-mo...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2003.12.032
更新日期：2004-07-01 00:00:00
