Explanipedia

Implications for End-of-Life Care: Comparative Analysis of Advance Directives Laws in Taiwan and the United States Open

Yufang Tu, Yuchi Young, Melissa O’Connor · 2025

This study explores end-of-life care decisions across cultures by comparing advance directives (ADs) laws in the United States (U.S.) and Taiwan. Specifically, it examines the U.S.’s 1991 Patient Self-Determination Act (PSDA) and Taiwan’s …

CHOOSING TO FORGO: LIFE-SUSTAINING TREATMENT DECISIONS FOR SELVES AND RELATIVES AMONG TAIWANESE ADULTS Open

Duan‐Rung Chen, Su‐I Hou, Yuchi Young · 2024

Psychology Medicine

Purpose Since its implementation in 2019, less than 2% of adults in Taiwan have signed Advance Directives (ADs) under the Patient Right to Autonomy Act (PRAA). This research explores how the public views the PRAA and its effect on the deci…

CHOOSING TO FORGO: LIFE-SUSTAINING TREATMENT DECISIONS FOR SELVES AND RELATIVES AMONG TAIWANESE ADULTS Open

Duan‐Rung Chen, Su‐I Hou, Yuchi Young · 2024

Psychology Medicine

Purpose Since its implementation in 2019, less than 2% of adults in Taiwan have signed Advance Directives (ADs) under the Patient Right to Autonomy Act (PRAA). This research explores how the public views the PRAA and its effect on the deci…

ASSESSING THE INFLUENCE OF NURSING HOME SIZE AND CARE MODELS ON COVID-19: CASE AND MORTALITY RATES Open

Yuchi Young, Yichun Liu, Ashley Shayya, Wan-Yu Chiu, Wan‐Hsiang Hsu , et al. · 2024

Medicine

The COVID-19 pandemic disproportionately affected older adults in nursing homes, emphasizing the need for comparing various long-term care options. This study compares COVID-19 prevalence and mortality rates in traditional nursing homes, G…

COMPARING ADVANCE DIRECTIVES LAWS IN TAIWAN AND THE UNITED STATES: IMPACT ON END-OF-LIFE CARE Open

Yufang Tu, Yuchi Young, Melissa O’Connor · 2024

Political science

The current study addresses increasing multicultural concerns regarding autonomy in end-of-life care decisions by comparing Advance Directives (AD) laws in the US, under the 1991 Patient Self-Determination Act (PSDA), and Taiwan, with its …

COMPARING COVID-19 CASES AND MORTALITY RATES: THE GREEN HOUSE VERSUS THE TRADITIONAL NURSING HOME IN THE UNITED STATES Open

Yuchi Young, Virgile Barnes, Taylor Perre, Wan‐Hsiang Hsu, Ashley Shayya , et al. · 2023

Medicine Mathematics Sociology

Introduction The COVID-19 pandemic has posed significant challenges to nursing home (NH) care. However, Green Houses (GH), with their small size and unique care model, may offer a solution for infection control and COVID-19 prevention. Thi…

AMERICANS AND TAIWANESE: A COMPARISON OF BELIEFS IN AND PREFERENCES FOR ADVANCE DIRECTIVES BY SOCIODEMOGRAPHICS Open

Yuchi Young, Duan‐Rung Chen, Ashley Shayya, Taylor Perre, Virgile Barnes , et al. · 2023

Psychology Medicine Political science

Introduction Advance directives (ADs) are legal documents that allow individuals to express their end-of-life wishes. However, cultural differences related to collectivism and family values may impact AD beliefs and preferences. This study…

Gaps in the System: Supporting People Living with Dementia Open

Madeline King, Allie Peckham, Husayn Marani, Monika Roerig, Seles Yung , et al. · 2023

Psychology Medicine

Persons living with dementia and their caregivers often face challenges in accessing support for their complex needs. This study aims to understand how program administrators, people living with dementia, unpaid caregivers, and decision-ma…

DO DIFFERENT ADVANCE DIRECTIVES CREATE CONFUSION ON A PATIENT'S WISHES? (MOLST VERSUS FIVE WISHES) Open

Taylor Perre, Yuchi Young · 2022

Psychology Medicine

Introduction. The objective of this study is to compare perspectives of young adults toward advance directives (ADs) and their preferences for life-sustaining treatment and care options. Methods. Participants include graduate students (n=3…

COVID-19 CASE AND MORTALITY RATES IN GREEN HOUSES AND TRADITIONAL NURSING HOMES IN NEW YORK STATE Open

Yuchi Young, Ashley Shayya, Thomas O’Grady, Ya‐Mei Chen · 2022

Medicine Physics Sociology

Introduction. Green Houses (GHs) have features that distinguish them from traditional nursing homes (NHs) including small size, home-like settings, humane model of care, and a sense of community. Literature shows these features have contri…

EXPLORING FIVE WISHES AND END-OF-LIFE CARE PLANNING IN YOUNG ADULTS Open

Taylor Perre, Arianna M. Stone, Yuchi Young · 2022

Psychology Medicine Computer science

Introduction. Advance care planning (ACP) allows individuals to plan ahead and express their preferences for medical treatment and care options to health care providers, family, and loved ones before they are no longer able to make or voic…

Policy programs and service delivery models for older adults and their caregivers: Comparing three provinces and two states Open

Allie Peckham, Marianne Saragosa, Madeline King, Monika Roerig, James C. Shaw , et al. · 2022

Business Psychology Medicine

Despite an increase in prevalence of complex chronic conditions and dementia, long-term care services are being continuously pushed out of institutional settings and into the home and community. The majority of people living with dementia …

A Comparison of Long-Term Care Use by Community-Dwelling Older Adults With and Without Dementia Open

Yuchi Young, Arianna Stone, Kuo‐Piao Chung, Chien‐Jen Chen, Yen‐Po Yeh · 2021

Medicine Mathematics

Introduction. This study compares long-term care (LTC) use among community-dwelling older adults with and without dementia. Methods. Participants (n=14,483) were aged 65+ residents of Changhua County, Taiwan who qualified for LTC services.…

Do young adults see value in advance directives? Open

Arianna M. Stone, Yuchi Young, Taylor Perre, Kuo‐Piao Chung, Chen Yamei · 2021

Psychology Medicine Political science

Many Americans avoid end-of-life care planning; only 26% have completed an advance directive (AD). An AD promotes end-of-life care with dignity allowing individuals to make end-of-life treatment and care decisions before they are unable to…

Transformation of Saudi Arabia’s Health System and Its Impact on Population Health: What Can the USA Learn? Open

Yuchi Young, Amani Alharthy, Akiko S. Hosler · 2021

Medicine Political science Sociology

Objective: The objective of this study was to describe the historic transformation of the Kingdom of Saudi Arabia (KSA) health system and analyze the impact of transformation on selected health outcomes in KSA. Methods: Secondary data from…

Impact of Health Systems on Life Expectancy in Taiwan, Singapore, and the USA: Similarities and Differences Open

Ya‐Mei Chen, Yuchi Young, Patrick Schumacher · 2020

Business Medicine Economics

Like Singapore, Taiwan has universal health care and universal long-term care (LTC). The USA has neither. Those who need LTC in the US pay out of pocket, buy private LTC insurance or spend down to qualify for Medicaid; there are inherent i…

Who Are the Heavy Users of Acute and Long-Term Care Services in Changhua County, Taiwan? Open

Yuchi Young, Ye-Mei Chen, Kuo-Piao Chen, Chien‐Jen Chen, Li‐Chun Chang , et al. · 2020

Medicine Mathematics Economics

Identification of heavy health care users among community-dwelling older adults can lead to strategic care planning and management that positively impacts health care use and costs. This study aims to identify risk factors associated with …

Person-Centered Health Care: An Approach That Integrates Acute and Long-Term Care Open

Yuchi Young, Ye-Mei Chen, Kuo‐Piao Chung, Patrick Schumacher, Chien‐Jen Chen , et al. · 2020

Psychology Medicine Computer science

The concept of person-centered health care (PCHC) shifts from the individual’s diagnosis to the holistic health and individual social needs. PCHC is defined by WHO as “empowering people to take charge of their own health rather than being …

Person-Centered Health Care: An Approach That Integrates Acute and Long-Term Care Open

Yuchi Young, Barbara Resnick · 2020

Medicine Political science Psychology

The world population is aging. The proportion of the population over 60 will nearly double from 12% in 2015 to 22% in 2050. Global life expectancy has more than doubled from 31 years in 1900 to 72.6 years in 2019. The need for long-term ca…

Disparities in the Access to Different Types of Long-Term Care Services in Taiwan Open

Ya‐Mei Chen, Yuchi Young, Shih‐Cyuan Wu, Chien‐Jen Chen, Yen‐Po Yeh , et al. · 2020

Medicine Business Political science

Taiwan implemented version 1.0 of its 10-Year Long-Term Care Plan (TLTCP 1.0) in 2007, and version 2.0 (TLTCP 2.0) in 2017. The aim was to develop a system of home- and community-based services (HCBS) for long-term care (LTC). This study a…

PRELIMINARY YEAR-ONE RESULTS OF A 5-YEAR PROJECT TO DEVELOP AND IMPLEMENT PATIENT- AND FAMILY-CENTERED CARE MODEL Open

Ya‐Mei Chen, Yuchi Young, Dulmaa Munkhtogoo, Ming-Ting Yang, Hsin‐Yun Tsai , et al. · 2019

Medicine Engineering Economics

Objective. The overarching goal of this 5-year study is to develop and evaluate an innovative patient- and family-centered care (PFCC) model to address the challenges of quality care and high cost care in Changhua County, Taiwan. The year-…

PERMANENT TRANSITION OF HOMECARE RECIPIENTS WITH DEMENTIA TO NURSING HOMES IN NYS: RISK FACTORS Open

Yuchi Young, Maksim Papenkov, Wan-Hsaing Hsu, Faryal Shahid, Yen‐Hong Kuo · 2019

Medicine Economics

Objective. To determine predictors associated with the permanent transition to nursing homes among home care recipients with dementia. Methods. Retrospective cohort study (01/2007-12/2012). Study participants (n=48,338) include older adult…

A FEASIBILITY STUDY: THE DEVELOPMENT OF WEARABLE TECHNOLOGY FOR INJURY PREVENTION AMONG DIRECT CARE WORKERS Open

Yuchi Young, Yuchi Young, Mitch Leventhal, Jonathan Muckell, Peter E Raymond , et al. · 2019

Medicine Computer science Physics

Objectives: 1) create metrics for lifting techniques and transferring mechanisms, 2) calibrate sensors for data collection 3) identify potential injurious posture among home health aides (HHAs) while transferring patients. Participants: 7 …

Do Nursing Home Residents With Dementia Receive Pain Interventions? Open

Taeko Nakashima, Yuchi Young, Wan‐Hsiang Hsu · 2019

Medicine Mathematics

This study compares pain interventions received by nursing home residents with and without dementia. Secondary data analyses of cross-sectional data from 50,673 nursing home residents in New York State were collected by the Minimum Data Se…

Dementia: Formal Care, Assistance, and Caregivers Open

Yuchi Young, B. Maher, Taeko Nakashima · 2018

Medicine Business Economics

Introduction. The disease burden of dementia extends far beyond the healthcare and social needs of the person with dementia; its associated long-term care cost is prohibitive. To promote better care planning, this study aims to determine t…

DO NURSING HOME RESIDENTS WITH AND WITHOUT DEMENTIA RECEIVE SIMILAR PAIN INTERVENTIONS FOR ARTHRITIS? Open

Taeko Nakashima, Yuchi Young, Wan‐Hsiang Hsu · 2018

Medicine

Purpose: This study examines whether nursing home residents with and without dementia received similar pain interventions for arthritis. Methods: Study subjects were New York State nursing home residents age 65+ with arthritis (n=3,188). M…

DETECTING IMPROPER TRANSFER TECHNIQUES TO REDUCE CAREGIVER INJURIES Open

Yuchi Young, Marcia Leventhal, Jonathan Muckell, Phil Raymond, F. Erlich , et al. · 2017

Medicine Computer science

Background: Home health aides (HHAs) often suffer injuries as a result of improperly lifting and transferring patients from one location to another. The objective of this pilot study was to find innovative solutions to prevent work-related…

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