Richard W. Besdine

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Because delay in time to surgery beyond 24–48 h has been observed in many studies to be associated with adverse outcomes, a survey in nine centers in Italy was undertaken to examine the impact of time to surgery on mortality and disability at 6 months after hospitalization. Delays in surgery for hip fracture have been reported to be associated with negative(More)
Comprehensive functional assessment in the elderly (CFAITE) is important in organizing and providing health care to elders in all health care settings, including the community, the nursing home and the acute-care hospital. The educational value of performing CFA coordinated with traditional discipline-specific diagnostic assessment resides in enhanced care(More)
We investigated the utilization of mammography as a screening test for breast cancer in a middle-income Connecticut suburban community of 30,000 people. The sampling frame was community-dwelling women aged 30 years and over who had telephones. Random digit telephone survey methods were used to identify a sample of 470 eligible subjects. Of those eligible to(More)
FRAIL OLDER PATIENTS AND THEIR FAMILIES ARE GENerally unprepared for the flurry of activity that occurs during a hospitalization and for how quickly they must decide where to go at discharge. Hospital discharge is not the time to undertake the extended process of long-term care planning and goals clarification. The biggest challenge patients and families(More)
A better understanding of the processes through which elderly individuals perceive, evaluate, and act on symptoms will enable physicians to respond more appropriately to the needs of older patients. This paper reviews existing evidence on how the experience of chronic disease and the atypical presentation of symptoms influence symptom recognition and(More)
Medicare coverage falls short of its original mandate of access to modern medicine and protection against the high costs of medical care. These shortfalls destabilize both health outcomes and the economic viability of older adults and their families. Our proposed revisions would promote, rather than discourage, optimal care for beneficiaries. By replacing(More)
Quality Partners of Rhode Island, the Medicare Quality Improvement Organization, was awarded a Medicare contract to implement a three-year care transitions program. The Safe Transitions Project aimed to improve the safety of patient care transitions by translating effective patient and provider interventions into sustainable systems change. After testing(More)