Hospitalized patients who meet specific criteria at discharge are referred to the transitional care clinic team consisting of a nurse practitioner and/or physician and a clinical pharmacist. In collaboration with the providers, the pharmacist reviews medications for appropriateness, assesses adherence, recommends medication changes and provides education. The purpose of this study was to measure the effect of an outpatient transitional care clinical pharmacist on 30-day re-admissions in an urban setting serving a population of low socioeconomic status. After receiving IRB approval, this single-center retrospective study analyzed records of 573 patient visits of which nearly 75% included a clinical pharmacist interaction. Rates of 30-day re-admissions were not statistically different among the two groups, however, it was found that each added co-morbidity significantly increased the patients' 30-day re-admission rate by 26%.
Influence of socioeconomic and land use factors on households travel behavior are important to develop a travel demand forecasting model. This paper examines the relative importance of these factors on household daily trips generation rate and household kilometers travelled. Linear regression models have been developed in this regard. Data used to develop these models have been collected from household's survey among different zones of Sylhet City Corporation (SCC) area and other secondary sources. From the model output, it has been found that land use parameters (accessibility and entropy) have significant contribution on trip production, trip attraction and household kilo meters travelled along with the socioeconomic characteristics of the people living in SCC area. The model framework developed in this paper can help to formulate comprehensive transport and land use policy for the different cities of Bangladesh as well as for other developing countries, particularly those in Asia, which share similar socioeconomic characteristics.
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