Baby Boomers and Beds: a Demographic Challenge for the Ages

Song, Zirui; Ferris, Timothy G.

doi:10.1007/s11606-017-4257-x

Cited by 24 publications

(15 citation statements)

References 3 publications

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“…In addition, the older population will double in the next few years. The so-called baby boomer generation (born from 1946 to 1964) is the main contributor to this growth ( 3 ). Accordingly, social, economic, and health problems are becoming critical ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Effects of Pilates Training on Physiological and Psychological Health Parameters in Healthy Older Adults and in Older Adults With Clinical Conditions Over 55 Years: A Meta-Analytical Review

2021

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This meta-analytical review aimed at comparing the impact of Pilates interventions (PIs) on physiological and psychological health parameters in healthy older adults and older adults with a clinical condition aged 55 years and older. The literature search was conducted in three databases (PubMed, Web of Science, SPORTDiscus). Randomized controlled trials that aimed at improving physiological and psychological health parameters in adults aged 55 years and older using Pilates as an intervention were screened for eligibility. The included data was extracted and assigned based on participants' health condition (clinical vs. non-clinical), as well as the respective control condition used in the study [inactive (IC) vs. active control group (AC)]. Statistical analyses were computed using a random-effects inverse-variance model. Fifty-one studies with a total of 2,485 participants (mean age: 66.5 ± 4.9 years) were included. Moderate effects (SMD: 0.55; 0.68) were found for physiological health parameters (muscle strength, balance, endurance, flexibility, gait, and physical functioning) in both experimental (clinical and non-clinical) conditions when compared to ICs (p < 0.003; p = 0.0001), and small to moderate effects (SMD: 0.27; 0.50) when compared to ACs (p = 0.04; p = 0.01). Moderate to large effects (SMD: 0.62; 0.83) were documented for psychological health parameters (quality of life, depression, sleep quality, fear of falling, pain, and health perception) in both conditions when compared to ICs (p < 0.001, p < 0.001). PIs induce small to large effects in physiological and psychological health parameters in older adults, regardless of their health condition. The substantial heterogeneity within the included studies complicated standardized comparison of the training modalities between the two target groups. Nonetheless, Pilates seems to be a safe, adaptable, and promising exercise approach for a heterogenous population of older adults.

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Section: Introductionmentioning

confidence: 99%

Effects of Pilates Training on Physiological and Psychological Health Parameters in Healthy Older Adults and in Older Adults With Clinical Conditions Over 55 Years: A Meta-Analytical Review

2021

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“…Shortages of hospital beds and workforce are frequently associated as common causes for lack of performance in healthcare services (Crisp & Chen, 2014;Song & Ferris, 2018). Nevertheless, TOC has proved with several successful cases its capacity to dramatically improve performance using the existing workforce; and, when necessary, usually hired an additional non-constraint, such as a medical assistant, at a reduced cost to leverage the constraint (the much expensive and scarce provider).…”

Section: Common Problems (Udes) Faced By Healthcare Servicesmentioning

confidence: 99%

“…Despite this unprecedented investment in healthcare, lack of capacity and timeliness are still problems affecting every country, even the wealthier (World Health Organization, 2010. Long wait lists for appointments (Ryu & Lee, 2017), emergency departments crowding (Morley et al, 2018), shortages of hospital beds (Song & Ferris, 2018), and cancellations of elective surgeries (Al Talalwah & McIltrot, 2019) are some examples of chronic problems. The delay of care is a significant issue, a persistent and undesirable characteristic of current healthcare systems (Murray & Berwick, 2003;Ryu & Lee, 2017).…”

Section: Introductionmentioning

confidence: 99%

Outcomes of managing healthcare services using the Theory of Constraints: A systematic review

2020

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Despite ever-increasing resources devoted to healthcare, lack of capacity and timeliness are still chronic problems worldwide. This systematic review aims to present an overview of the Theory of Constraints (TOC) implementations in healthcare services and their outcomes. We analysed 42 TOC implementations (15 full-text articles, 12 video proceedings, and 2 theses/ disserations) from major scientific electronic databases and TOC International Certification Organization Conferences. All implementations reported positive outcomes, both tangible and intangible. The two main improvements reported by authors were in productivity (98%; n = 41) -more patients treated -and in the timeliness of care (83%; n = 35). Furthermore, the selected studies reported dramatic improvements: 50% mean reductions in patient waiting time; 38% reduction in patient length of stay; 43% mean increase in operating room productivity and 34% mean increase in throughput. TOC implementations attained positive results in all levels of the health and social care chain. Most TOC recommendations and changes showed almost immediate results and required little or no additional cost to implement. Evidence supports TOC as a promising solution for the chronic healthcare problem, improving quality and timeliness, both necessary conditions for providing effective healthcare.

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“…This belief in the “lack of capacity due to a shortage of resources” is not an exclusive problem of EDs. It is present in many healthcare environments, such as primary care appointments [ 9 , 10 ], hospital admissions and discharges [ 11 ], and elective surgeries [ 12 ]. However, before paying for more resources, an underlying assumption needs to be checked: are currently available resources utilized as effectively as possible?…”

Section: Introductionmentioning

confidence: 99%

Identifying and Addressing the Underlying Core Problems in Healthcare Environments: An Illustration Using an Emergency Department Game

Bacelar-Silva

Cox

Baptista³

et al. 2021

IJERPH

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The emergency department (ED) crowding is a critical healthcare issue worldwide that leads to long waits and poorer healthcare outcomes. Goldratt’s theory of constraints (TOC) has been used effectively to improve such problematic environments for more than three decades. While most TOC solutions are simple, with many viewing them as purely common sense, they represent paradigm shifts in how to manage complex, uncertain, and silo environments. Goldratt used a simple dice game with a straight flow (I-shape) to illustrate the impact of dependent resources and statistical fluctuations in managing resources. Additionally, games help to overcome resistance to change and gain ownership by having participants develop their solutions. This new cooperative game illustrates an ED environment where patients may follow different care pathways according to their clinical needs, timeliness of care is measured in minutes, the demand is highly uncertain, and treatment must frequently start almost immediately. A Monte Carlo simulation validated the TOC solution to this ED game, achieving results similar to the real TOC’s implementations. Moreover, this article provides a thorough process to Socratically introduce TOC to healthcare professionals and others to recognize that the EDs’ (like other healthcare systems’) core problem is the traditional approach to managing them.

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Baby Boomers and Beds: a Demographic Challenge for the Ages

Cited by 24 publications

References 3 publications

Effects of Pilates Training on Physiological and Psychological Health Parameters in Healthy Older Adults and in Older Adults With Clinical Conditions Over 55 Years: A Meta-Analytical Review

Effects of Pilates Training on Physiological and Psychological Health Parameters in Healthy Older Adults and in Older Adults With Clinical Conditions Over 55 Years: A Meta-Analytical Review

Outcomes of managing healthcare services using the Theory of Constraints: A systematic review

Identifying and Addressing the Underlying Core Problems in Healthcare Environments: An Illustration Using an Emergency Department Game

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