Health Systems in Transition

Barnes, Andrew J.; Rice, Thomas B.; Unruh, Lynn; Rosenau, Pauline M. Vaillancourt

doi:10.3138/9781487539320

Cited by 2 publications

(2 citation statements)

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“…This allowed funding to assist families in caring for older, dependent adults living at home for as long as possible (Barber, 2013). An overhaul of the U.S. healthcare system in 2010 introduced the Patient Protection and Affordable Care Act (PPACA) with the primary goal to increase health insurance coverage while decreasing the insurance cost (Rice, Rosenau, Unruh & Barnes; 2021). Following the PPACA in 2010, the state government of NY reformed the healthcare delivery system through the Medicaid Reform Team (MRT) 1115 Waiver Demonstration.…”

Section: Resultsmentioning

confidence: 99%

Policy programs and service delivery models for older adults and their caregivers: Comparing three provinces and two states

Peckham

Saragosa

King

et al. 2022

Health Social Care Comm

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Despite an increase in prevalence of complex chronic conditions and dementia, longterm care services are being continuously pushed out of institutional settings and into the home and community. The majority of people living with dementia in Canada and the United States (U.S.) live at home with support provided by family, friends or other unpaid caregivers. Ten dementia care policy programs and service delivery models across five different North American jurisdictions in Canada and the U.S. are compared deductively using a comparative policy framework originally developed by Richard Rose. One aim of this research was to understand how different jurisdictions have worked to reduce the fragmentation of dementia care. Another aim is to assess, relying on the theory of smart policy layering, the extent to which these policy efforts 'patch' health system structures or add to system redundancies. We find that these programs were introduced in a manner that did not fully consider how to patch current programs and services and thus risk creating further system redundancies.The implementation of these policy programs may have led to policy layers, and potentially to tension among different policies and unintended consequences. One approach to reducing these negative impacts is to implement evaluative efforts that assess 'goodness of fit'. The degree to which these programs have embedded theseThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Section: Resultsmentioning

confidence: 99%

Policy programs and service delivery models for older adults and their caregivers: Comparing three provinces and two states

Peckham

Saragosa

King

et al. 2022

Health Social Care Comm

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“…Escherichia coli is mostly found in the alimentary tract of healthy birds and animals as a commensal. Usually 10-15% of intestinal E. coli are Avian Pathogenic Escherichia coli (APEC) possessing various virulence factors (Barnes et al, 2003). However, infection flares up when bird's defence mechanisms are compromised by various factors such as bad management (Goswami et al, 2004), concurrent infections and immunosuppression.…”

Section: Introductionmentioning

confidence: 99%

Haematological changes induced by experimental Escherichia coli infection in layer chicken

2023

JoSVAS

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This study examined the haematological alterations in layer hens infected with experimental Escherichia coli (E. coli). Twenty laying chickens (20 weeks old) were acquired and randomly divided into two groups of ten layers each (infected and control). After challenging the infected group with 0.5 milliliters of bacterial aliquot containing 109 colony forming units (CFU) of the bacteria intratracheally, 1 ml of blood was collected from each group on days 0, 2, 4, 6, 14, 21, 28, 35, and 42 post-infections (pi) for haematology. The mean PCV of the infected group dropped significantly (p<0.05) to its lowest value of 17.0 ± 0.71% on day 4, and then ascended to a peak level of 24.6 ± 1.03% on day 28. In the infected group, the mean Total White Blood Cell count grew considerably (p<0.05) from day 2 (14.81 ± 3.28 × 109/L) to day 14 pi, when it peaked at 29.16 ± 0.81 × 109/L. From day 2 pi to the lowest value (1.63 ± 0.07 × 1012L) on day 14 pi, the mean Red Blood Cell count fell; from day 21 to the maximum value (2.55 ± 0.08 × 1012L) on day 28 pi, it improved. The infected group's mean lymphocyte counts rose from day 4 to a peak level (21.59 ± 0.92 × 109/L) on day 14 pi. After that, it declined, but continued to be significantly (p<0.05) higher than the control group up to day 42. In conclusion, E. coli infection in layer chickens induced haematological changes.

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Health Systems in Transition

Cited by 2 publications

References 0 publications

Policy programs and service delivery models for older adults and their caregivers: Comparing three provinces and two states

Policy programs and service delivery models for older adults and their caregivers: Comparing three provinces and two states

Haematological changes induced by experimental Escherichia coli infection in layer chicken

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