Preventive care processes
A mobile pediatric asthma clinic combined with home visits generated small, short-term increases in symptom-free days in preschool children, and no improvements in other key outcomes.
A nonprofit organization enhances access to medical, dental, and personal care for individuals with disabilities by training them to overcome their fears, offering procedures by trained providers, sponsoring patient education programs, and training local health care professionals on caring for those with disabilities.
Low-income African-American women at risk for cardiovascular disease received culturally appropriate motivational counseling and support tied to their readiness for change, leading to reductions in dietary fat intake.
An electronic monitoring system confirms that providers conduct proper hand hygiene before patient contact, leading to a 61-percent decline in overall health care–associated infections and a 91-percent decline in non- Clostridium difficile infections.
A portable clinic uses specially designed equipment to bring full-service dental care to elementary schools serving impoverished, immigrant, and uninsured children.
Public health nurses provide case management services to women with one or more chronic conditions who receive Temporary Assistance for Needy Families, leading to enhanced access to mental health services, fewer depressive symptoms, and improved functional status.
Two safety net clinics offered low-income Hispanic patients with both diabetes and depression culturally appropriate care (including medication and/or psychotherapy) and ongoing support led by trained, bilingual social workers, leading to improvements in medication adherence, depression-related symptoms, and patient satisfaction.
Hospital-based interdisciplinary teams conduct daily reviews of real-time information on all inpatients ages 65 and older to identify and address risk factors that can lead to negative outcomes; the program reduced use of urinary catheters and increased use of physical therapy and social work evaluations.
A culturally tailored smoking cessation program significantly reduces tobacco use among members of an American Indian tribe.
A large employer offers a comprehensive wellness program combined with financial incentives to use its various components, leading to broad participation, improvements in health-related behaviors and risk factors, and a leveling off of overall health care costs.