Association between the number of blood cultures and appropriateness of care for suspected bacteremic urinary tract infection in the elderly

BackgroundHealth care improvement efforts should be aligned in order to make a meaningful impact on health systems. Appropriate care delivery could be a unifying goal to help coordinate efforts to improve health outcomes and ensure system sustainability. A more complete understanding of how appropriate care is currently conceived in research and clinical practice could help inform a more integrated and holistic concept of appropriate care that could guide health care policy and delivery practices. We examined the current understanding of appropriate care by identifying its use and definitions in recently published literature.MethodsAn integrated review of the practices, goals and perspectives of appropriate care in English language peer-reviewed articles published from 2011 to 2016. Inductive content analysis was used to describe emerging themes of appropriate care in articles meeting inclusion criteria.ResultsThis integrative review included empirical studies, reviews, and commentaries with various health care settings, cultural contexts, and perspectives. Conceptualizations of appropriate care varied, however most descriptions fell into five main categories: evidence-based care, clinical expertise, patient-centeredness, resource use, and equity. These categories were often used in combination, indicating an integrated understanding of appropriate care.ConclusionsAn understanding of how appropriate care is conceptualized in research and policy can help inform an integrated approach to appropriate care delivery in policy and practice according to the relevant priorities and circumstances.

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What is appropriate care? An integrative review of emerging themes in the literature

Robertson‐Preidler

Biller‐Andorno

Johnson

2017

BMC Health Serv Res

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Risk factors for uroseptic shock in hospitalized patients aged over 80 years with urinary tract infection

Hsiao¹,

Chen²,

Lee³

et al. 2020

Ann Transl Med

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Association between the number of blood cultures and appropriateness of care for suspected bacteremic urinary tract infection in the elderly

Cited by 2 publications

References 34 publications

What is appropriate care? An integrative review of emerging themes in the literature

What is appropriate care? An integrative review of emerging themes in the literature

Risk factors for uroseptic shock in hospitalized patients aged over 80 years with urinary tract infection

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