Mayo Clinic proceedings
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Mayo Clinic proceedings · Mar 2017
Favorable Cardiovascular Health Is Associated With Lower Health Care Expenditures and Resource Utilization in a Large US Employee Population: The Baptist Health South Florida Employee Study.
To examine the association of favorable cardiovascular health (CVH) status with 1-year health care expenditures and resource utilization in a large health care employee population. ⋯ Favorable CVH profile is associated with significantly lower total medical expenditures and health care utilization in a large, young, ethnically diverse, and fully insured employee population.
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Mayo Clinic proceedings · Mar 2017
ReviewCardiac Rehabilitation for Women: A Systematic Review of Barriers and Solutions.
Cardiac rehabilitation (CR) services improve various clinical outcomes in patients with cardiovascular disease, but such services are underutilized, particularly in women. The aim of this study was to identify evidence-based barriers and solutions for CR participation in women. A literature search was carried out using PubMed, EMBASE, Cochrane, OVID/Medline, and CINAHL to identify studies that have assessed barriers and/or solutions to CR participation. ⋯ A small number of studies suggest that incentive-based strategies, as well as home-based programs, may contribute to improving CR attendance and completion rates. A systematic approach to CR referral, including automatic CR referral, may help overcome barriers to CR referral in women and should be implemented in clinical practice. However, more studies are needed to help identify the best methods to improve CR attendance and completion of CR rates in women.
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Mayo Clinic proceedings · Mar 2017
Skilled Nursing Facility Use and Hospitalizations in Heart Failure: A Community Linkage Study.
To examine the effect of skilled nursing facility (SNF) use on hospitalizations in patients with heart failure (HF) and to examine predictors of hospitalization in patients with HF admitted to a SNF. ⋯ Approximately 40% of patients with HF were admitted to a SNF at some point after diagnosis. Compared with SNF nonusers, SNF users were more likely to be hospitalized. Characteristics associated with hospitalization in SNF users were mostly noncardiovascular, including reduced ability to perform activities of daily living. These findings underscore the effect of physical functioning on hospitalizations in patients with HF in SNFs and the importance of strategies to improve physical functioning.
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Mayo Clinic proceedings · Mar 2017
Relationship Between Cardiac Rehabilitation Participation and Health Service Expenditures Within a Universal Health Care System.
To examine the relationship between cardiac rehabilitation participation and health service expenditures in Ontario, Canada. ⋯ Participation in cardiac rehabilitation is associated with lower long-term health service utilization expenditures within a publicly funded health care system.