JAMA internal medicine
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JAMA internal medicine · Apr 2016
Observational StudyPreventability and Causes of Readmissions in a National Cohort of General Medicine Patients.
Readmission penalties have catalyzed efforts to improve care transitions, but few programs have incorporated viewpoints of patients and health care professionals to determine readmission preventability or to prioritize opportunities for care improvement. ⋯ Approximately one-quarter of readmissions are potentially preventable when assessed using multiple perspectives. High-priority areas for improvement efforts include improved communication among health care teams and between health care professionals and patients, greater attention to patients' readiness for discharge, enhanced disease monitoring, and better support for patient self-management.
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JAMA internal medicine · Mar 2016
Randomized Controlled Trial Comparative StudyA Mind-Body Program for Older Adults With Chronic Low Back Pain: A Randomized Clinical Trial.
Treatment of chronic low back pain (LBP) in older adults is limited by the adverse effects of analgesics. Effective nonpharmacologic treatment options are needed. ⋯ A mind-body program for chronic LBP improved short-term function and long-term current and most severe pain. The functional improvement was not sustained, suggesting that future development of the intervention could focus on durability.
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JAMA internal medicine · Mar 2016
Randomized Controlled Trial Multicenter Study Comparative StudyComprehensive Geriatric Assessment and Transitional Care in Acutely Hospitalized Patients: The Transitional Care Bridge Randomized Clinical Trial.
Older adults acutely hospitalized are at risk of disability. Trials on comprehensive geriatric assessment (CGA) and transitional care present inconsistent results. ⋯ A systematic CGA, followed by the transitional care bridge program, showed no effect on ADL functioning in acutely hospitalized older patients.