United States rural hospital quality in the Hospital Compare database—Accounting for hospital characteristics

Cardiovascular medication utilization and adherence among adults living in rural and urban areas: a systematic review and meta-analysis

“…The included studies were published over a 21-year time span (1990 to 2011) and had quality scores based on the STROBE checklist that ranged from 8.5 to 21 (median 17.5) out of a total of 22 possible items (0.5 points given for partial reporting). Two reports provided data on the same study [44,48], and six studies included data for more than one patient cohort [43,49,54,66,71,72]. Thus, 58 patient populations (or cohorts) were included in our study.…”

“…Exploring rural–urban differences was the primary objective of 18 studies (35%) [2,27,28,30,31,35,36,39,43,44,49,51,54,59,68,69,71,73]. Seven studies reported medication adherence (the proportion of doses taken as prescribed over a specific time period) or persistence (the length of continuous treatment) [76], and 47 reported outcomes related to medication utilization.…”

“…Forty seven (92%) studies [2,8,9,27-36,38-47,49,51-69,71-73,75] evaluated cardiovascular medication utilization with 20 (39%) studies specifically evaluating utilization of ASA or other anti-thrombotic agents, 34 (67%) evaluating antihypertensive use, and 11 (22%) evaluating the use of lipid lowering agents (Additional file 1: Table S3). Substantial variation in the use of cardiovascular medications was observed between studies and between rural versus urban sub-populations within each study.…”

A model of sustainable development of scientific research health institutions, providing high-tech medical care

“…[12][13]. Уже накоплен опыт внедрения систе-мы менеджмента качества стандарта ИСО 9001 в амбулаторно-поликлиническом звене [14][15][16][17], консультативно-диагностическом центре [18][19], стационаре [20][21][22][23][24][25][26], а также медицинских науч-но-исследовательских институтах различного профиля [27][28][29].…”

Provider and Nursing Perceptions and Practices

“…3 Guideline implementation is often delayed and may be more problematic in smaller, community hospitals. 4 Research shows this is often linked to lack of awareness, familiarity, and agreement. 5 When implementing any new evidencebased practice in patient care, it is important to identify and address existing barriers for optimal uptake.…”