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Continuum of Care

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  • Topic: Continuum of care
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Postdischarge Environmental and Socioeconomic Factors and the Likelihood of Early Hospital Readmission Among Community-Dwelling Medicare Beneficiaries

August 1, 2008 | Journal Article

Older Americans are more likely to be readmitted to a hospital quickly if they live alone, lack self-management skills, have limited education, or do not receive the help they need for daily living functions, according to analysis of recent Medicare data.

Bringing the Table to the Community

December 7, 2011 | Story

The San Francisco partnership created the first-ever plan to improve community-based aging services. A coordinating council reporting to the mayor guided implementation, including bringing aging services into public housing and influencing policy.

New Research Briefs Examine Obesity Epidemic Among Latino Youths

December 6, 2011 | Book

Briefs analyze factors contributing to Latino childhood obesity, recommend policies to help prevent it.

Active Living by Design featured in a Special Supplement of the American Journal of Preventive Medicine

December 11, 2009 | Journal Article

This special issue of the AJPM features research from RWJF's Active Living by Design (ALbD) program and its 15 community partnerships.

Collecting Data to Identify Disparities and Measure Heart Care Quality

March 24, 2010 | Story

Duke University Hospital and the health system wanted to improve cardiac care for African-American and Latino populations by identifying and analyzing disparities and developing tools that would better serve them.

Improving Heart Care through Better Data and Communications

March 24, 2010 | Story

A multidisciplinary team redesigned Montefiore Medical Center's patient registration system to collect data on race, ethnicity and preferred language, and developed a procedure to provide faster treatment for heart attack patients.

Combining Better Systems and Intensive Patient Education for Better Heart Care

March 24, 2010 | Story

Del Sol Medical Center improved its patient chart review and discharge processes, and enhanced its heart failure center, with support from Expecting Success.

How Does Community Design Impact Health?

January 26, 2010 | Story

Zhu learned that walking to school is a complicated matter. But she quickly discovered that choosing to walk to school "is such a complex problem that it cannot be simplified into a single index.

What Is the Impact on Children's Physical Activity if Play Grounds Are Renovated?

January 26, 2010 | Story

The study did not reveal a substantial increase in very active children in renovated playgrounds. Instead, Brink says, "what we saw was a major reduction in sedentary behavior and a substantial increase in moderate behavior."

Physician Faculty Scholar Explores Latinos' Access to Preventive Care

December 2, 2009 | Story

Michael Dulin finds Spanish speakers less likely to get colorectal cancer screenings.

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