Suchergebnisse

AbstractA behavioral approach to partial hospitalization is based on several basic assumptions that help determine program content, assist in the selection of appropriate patients, and provide a foundation for treatment and treatment evaluation.

"By the time of his death, Herve Guibert had become a singular literary voice on the impact of AIDS in France. He was prolific. His oeuvre contained some twenty novels, including To the Friend Who Did Not Save My Life and The Compassion Protocol. He was thirty-six years old. In Cytomegalovirus, Guibert offers an autobiographical narrative of the everyday moments of his hospitalization because of complications of AIDS. Cytomegalovirus is spare, biting, and anguished. Guibert writes through the minutiae of living and of death--as a quality of invention, of melancholy, of small victories in the face of greater threats--at the moment when his sight (and life) is eclipsed. This new edition includes an Introduction and Afterword contextualizing Guibert's work within the history of the AIDS pandemic, its relevance in the contemporary moment, and the importance of understanding the quotidian aspects of terminal illness"--

Procedures of data collection on hospitalizations for Alzheimer's disease are compared among the countries of the European Union. Data were obtained from the national institutes of statistics and ministries of health. Information relates to the type of health institutions collecting data in a systematic way, procedures of codification and publication, collection of associated diagnoses, and characteristics of the patient. Coverage and coding practices differ markedly between countries. Where possible, levels of hospitalization rates for Alzheimer's disease (AD) are assessed. Hospitalization rates for AD increase significantly with age and do not differ much between males and females. Codification of diagnoses according to ICD-10 leads to a much lower level of hospitalization rates than following ICD-9. Data on outpatients and from private hospitals are presently not available and should be collected by the health system.

Procedures of data collection on hospitalizations for Alzheimer's disease are compared among the countries of the European Union. Data were obtained from the national institutes of statistics and ministries of health. Information relates to the type of health institutions collecting data in a systematic way, procedures of codification and publication, collection of associated diagnoses, and characteristics of the patient. Coverage and coding practices differ markedly between countries. Where possible, levels of hospitalization rates for Alzheimer's disease (AD) are assessed. Hospitalization rates for AD increase significantly with age and do not differ much between males and females. Codification of diagnoses according to ICD-10 leads to a much lower level of hospitalization rates than following ICD-9. Data on outpatients and from private hospitals are presently not available and should be collected by the health system.

AbstractA cognitive behavioral approach to partial hospitalization helps bridge the objective and systematic values of behaviorism with nonbehavioral approaches to treatment.

IntroductionDespite the existence of a universal health care system in Canada, there remains an inverse relationship between social class and health (Frohlich 2006). Those who identify as lower social class (operationalized with various indicators, including education, income, and occupation) have poorer outcomes across multiple health measures (Tang 2016).
Objectives and ApproachThis study examines the link between social class and health care utilization, specifically hospitalization, in Canada. First, we examine the relationship between different indicators of social class and rates of hospitalization; next, we look at cause-specific hospitalizations. Using the unique dataset that contains the linked data for the 2006 Census with the Discharge Abstract Database for 2006-9, we explore the following research questions:

Are the three main indicators of social class, education, income, and occupation, individually correlated with hospitalization rates overall, controlling for age and gender?
Are certain indicators of social class more highly correlated with hospitalization rates, controlling for other indicators?

ResultsWe access the linked files provided by Statistics Canada in the Prairie Research Data Centre. The long-form Census represents approximately 20\% of the Canadian population. The DAD includes data on hospitalizations in acute care facilities in Canada, with the exception of those in the province of Quebec. Approximately 4,650,000 long-form respondents were eligible for linkage to the DAD, and approximately 5.3\% of Census respondents were linked to at least one DAD record between 2006 and 2009. Our analyses are ongoing, but initial results suggest an inverse relationship between hospitalization and various measures of social class. Full results will be made available for presentation following vetting by Statistics Canada personnel.
Conclusion/ImplicationsThis data provides us with a unique opportunity to examine the relationship between the detailed and rich measures of social class collected in the long-form Census and the comprehensive hospitalization data provided by the DAD records. Results will have implications for hospital health care provision across Canada.