Publications by authors named "Suhna Lee"

Hospital readmissions remain frequent, and are partly attributable to patients' social needs. The authors sought to examine whether local community levels of social capital are associated with hospital readmission rates. Social capital refers to the connections among members of a society that foster norms of reciprocity and trust, which may influence the availability of support for postdischarge recovery after hospitalization.

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Article Synopsis
  • The study aimed to evaluate if patients with chronic diseases would meet more health goals with the assistance of lay "care guides" compared to those receiving standard care.
  • Results showed that patients with care guides achieved 82.6% of their goals, significantly higher than the 79.1% for the usual care group, indicating that care guides positively impact patient outcomes.
  • Despite some limitations in the study's design, the findings support integrating care guides into primary care teams to enhance chronic disease management.
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Background: Improving the efficiency and effectiveness of primary care treatment of patients with chronic illness is an important goal in reforming the U.S. health care system.

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Lay persons ("care guides") without previous clinical experience were hired by a primary care clinic, trained for 2 weeks, and assigned to help 332 patients and their providers manage their diabetes, hypertension, and congestive heart failure. One year later, failure by these patients to meet nationally recommended guidelines was reduced by 28%, P < .001.

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Objective: To test the feasibility and assess the preliminary impact of a unique statewide quality improvement (QI) training program designed for public health departments.

Data Sources/study Setting: One hundred and ninety-five public health employees/managers from 38 local health departments throughout Minnesota were selected to participate in a newly developed QI training program and 65 of those engaged in and completed eight expert-supported QI projects over a period of 10 months from June 2007 through March 2008.

Study Design: As part of the Minnesota Quality Improvement Initiative, a structured distance education QI training program was designed and deployed in a first large-scale pilot.

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