Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.
The interactions between physician and patient.
The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.
Design of patient care wherein institutional resources and personnel are organized around patients rather than around specialized departments. (From Hospitals 1993 Feb 5;67(3):14)
Programs of training in medicine and medical specialties offered by hospitals for graduates of medicine to meet the requirements established by accrediting authorities.
A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.
Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)
Any group of three or more full-time physicians organized in a legally recognized entity for the provision of health care services, sharing space, equipment, personnel and records for both patient care and business management, and who have a predetermined arrangement for the distribution of income.
The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.
The different methods of scheduling patient visits, appointment systems, individual or group appointments, waiting times, waiting lists for hospitals, walk-in clinics, etc.
The interactions between individuals of different generations. These interactions include communication, caring, accountability, loyalty, and even conflict between related or non-related individuals.
The misinterpretation of a real external, sensory experience.
The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.
A medical specialty concerned with the diagnosis and treatment of diseases of the internal organ systems of adults.
Interactions between health personnel and patients.
Insurance providing benefits for the costs of care by a physician which can be comprehensive or limited to surgical expenses or for care provided only in the hospital. It is frequently called "regular medical expense" or "surgical expense".
Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.
Those physicians who have completed the education requirements specified by the American Academy of Family Physicians.
Physicians who are employed to work exclusively in hospital settings, primarily for managed care organizations. They are the attending or primary responsible physician for the patient during hospitalization.
Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.
Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)
Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.
Brief accounts or narratives of an incident or event.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.
The transferring of patient care responsibility from one health-care professional to another.
Visits made by patients to health service providers' offices for diagnosis, treatment, and follow-up.
Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.
Communication, in the sense of cross-fertilization of ideas, involving two or more academic disciplines (such as the disciplines that comprise the cross-disciplinary field of bioethics, including the health and biological sciences, the humanities, and the social sciences and law). Also includes problems in communication stemming from differences in patterns of language usage in different academic or medical disciplines.
A method of data collection and a QUALITATIVE RESEARCH tool in which a small group of individuals are brought together and allowed to interact in a discussion of their opinions about topics, issues, or questions.
A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)
Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.
Anxiety experienced by an individual upon separation from a person or object of particular significance to the individual.
The term "United States" in a medical context often refers to the country where a patient or study participant resides, and is not a medical term per se, but relevant for epidemiological studies, healthcare policies, and understanding differences in disease prevalence, treatment patterns, and health outcomes across various geographic locations.
Organized services in a hospital which provide medical care on an outpatient basis.
Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups.
Patient-based medical care provided across age and gender or specialty boundaries.
Confidence in or reliance on a person or thing.
A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.
Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.
I'm sorry for any confusion, but the term "Delaware" is not a medical concept or condition that has a defined meaning within the medical field. It is a state in the United States. If you have any questions about a specific medical topic or condition, I would be happy to help answer those!
Practice of a health profession by an individual, offering services on a person-to-person basis, as opposed to group or partnership practice.
Elements of limited time intervals, contributing to particular results or situations.
Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.
The reciprocal interaction of two or more professional individuals.
Great Britain is not a medical term, but a geographical name for the largest island in the British Isles, which comprises England, Scotland, and Wales, forming the major part of the United Kingdom.
Hospitals which provide care for the military personnel and usually for their dependents.
Professional nurses who have received postgraduate training in midwifery.
The practice of assisting women in childbirth.
The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.
Public attitudes toward health, disease, and the medical care system.
A traditional term for all the activities which a physician or other health care professional normally performs to insure the coordination of the medical services required by a patient. It also, when used in connection with managed care, covers all the activities of evaluating the patient, planning treatment, referral, and follow-up so that care is continuous and comprehensive and payment for the care is obtained. (From Slee & Slee, Health Care Terms, 2nd ed)
Professionals qualified by graduation from an accredited school of nursing and by passage of a national licensing examination to practice nursing. They provide services to patients requiring assistance in recovering or maintaining their physical or mental health.
Organized services to provide health care for children.
A pathological constriction that can occur above (supravalvular stenosis), below (subvalvular stenosis), or at the AORTIC VALVE. It is characterized by restricted outflow from the LEFT VENTRICLE into the AORTA.
Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.
The selection, appointing, and scheduling of personnel.
Services designed for HEALTH PROMOTION and prevention of disease.
The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)
Those facilities which administer health services to individuals who do not require hospitalization or institutionalization.
Schedules of medical and nursing procedures, including diagnostic tests, medications, and consultations designed to effect an efficient, coordinated program of treatment. (From Mosby's Medical, Nursing & Allied Health Dictionary, 4th ed)
Microscopy using an electron beam, instead of light, to visualize the sample, thereby allowing much greater magnification. The interactions of ELECTRONS with specimens are used to provide information about the fine structure of that specimen. In TRANSMISSION ELECTRON MICROSCOPY the reactions of the electrons that are transmitted through the specimen are imaged. In SCANNING ELECTRON MICROSCOPY an electron beam falls at a non-normal angle on the specimen and the image is derived from the reactions occurring above the plane of the specimen.
Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.
Studies in which variables relating to an individual or group of individuals are assessed over a period of time.
The period of history before 500 of the common era.
The use of community resources, individual case work, or group work to promote the adaptive capacities of individuals in relation to their social and economic environments. It includes social service agencies.
Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Patient involvement in the decision-making process in matters pertaining to health.
Disorders in which the essential feature is a severe disturbance in mood (depression, anxiety, elation, and excitement) accompanied by psychotic symptoms such as delusions, hallucinations, gross impairment in reality testing, etc.
'Hospital bed capacity, under 100' refers to the maximum number of hospital beds available for patient care that is less than one hundred, indicating a smaller healthcare facility or a specific unit within a larger hospital with limited bed resources.
A territory of Australia consisting of Canberra, the national capital and surrounding land. It lies geographically within NEW SOUTH WALES and was established by law in 1988.
Transfer from pediatric to adult care.
Computer-based systems for input, storage, display, retrieval, and printing of information contained in a patient's medical record.
Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).
A malabsorption syndrome resulting from extensive operative resection of the SMALL INTESTINE, the absorptive region of the GASTROINTESTINAL TRACT.
Facilities which administer the delivery of psychologic and psychiatric services to people living in a neighborhood or community.
Providing for the full range of personal health services for diagnosis, treatment, follow-up and rehabilitation of patients.
An interval of care by a health care facility or provider for a specific medical problem or condition. It may be continuous or it may consist of a series of intervals marked by one or more brief separations from care, and can also identify the sequence of care (e.g., emergency, inpatient, outpatient), thus serving as one measure of health care provided.
Providers of initial care for patients. These PHYSICIANS refer patients when appropriate for secondary or specialist care.
A province of eastern Canada. Its capital is Quebec. The region belonged to France from 1627 to 1763 when it was lost to the British. The name is from the Algonquian quilibek meaning the place where waters narrow, referring to the gradually narrowing channel of the St. Lawrence or to the narrows of the river at Cape Diamond. (From Webster's New Geographical Dictionary, 1988, p993 & Room, Brewer's Dictionary of Names, 1992, p440)
Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.
Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.
Social and economic factors that characterize the individual or group within the social structure.
Planning, organizing, and administering activities in an office.
The services rendered by members of the health profession and non-professionals under their supervision.
The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.
The valve between the left ventricle and the ascending aorta which prevents backflow into the left ventricle.
Description of pattern of recurrent functions or procedures frequently found in organizational processes, such as notification, decision, and action.
Facilities which administer the delivery of health care services to people living in a community or neighborhood.
A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.
The creation and maintenance of medical and vital records in multiple institutions in a manner that will facilitate the combined use of the records of identified individuals.
Individuals responsible for various duties pertaining to the medical office routine.
Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.
The science pertaining to the interrelationship of psychologic phenomena and the individual's response to the physical properties of sound.
The concept concerned with all aspects of providing and distributing health services to a patient population.
Individuals participating in the health care system for the purpose of receiving therapeutic, diagnostic, or preventive procedures.
Interaction between the patient and nurse.
Specialized healthcare delivered as a follow-up or referral from a PRIMARY CARE provider.
Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)
The comparative science dealing with the physical characteristics of humans as related to their origin, evolution, and development in the total environment.
A theoretical technique utilizing a group of related constructs to describe or prescribe how individuals or groups of people choose a course of action when faced with several alternatives and a variable amount of knowledge about the determinants of the outcomes of those alternatives.
The total amount of work to be performed by an individual, a department, or other group of workers in a period of time.
Various branches of nursing practice limited to specialized areas.
Any sound which is unwanted or interferes with HEARING other sounds.
The controlling of access to health services, usually by primary care providers; often used in managed care settings to reduce utilization of expensive services and reduce referrals. (From BIOETHICS Thesaurus, 1999)
Components of a national health care system which administer specific services, e.g., national health insurance.
Recording of pertinent information concerning patient's illness or illnesses.
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
Hospital department which is responsible for the administration and provision of x-ray diagnostic and therapeutic services.
The interference of one perceptual stimulus with another causing a decrease or lessening in perceptual effectiveness.
The capability to perform acceptably those duties directly related to patient care.
Medical care provided after the regular practice schedule of the physicians. Usually it is designed to deliver 24-hour-a-day and 365-day-a-year patient care coverage for emergencies, triage, pediatric care, or hospice care.
A readily reversible suspension of sensorimotor interaction with the environment, usually associated with recumbency and immobility.
An occupation limited in scope to a subsection of a broader field.
A tumor made up of nerve cells and nerve fibers. (Dorland, 27th ed)
I'm sorry for any confusion, but 'England' is not a medical term and does not have a medical definition. England is a country that is part of the United Kingdom, known for its rich history, cultural heritage, and contributions to medical science. However, in a medical context, it may refer to the location of a patient, healthcare provider, or research study, but it is not a term with a specific medical meaning.
Province of Canada consisting of the island of Newfoundland and an area of Labrador. Its capital is St. John's.
Usually a written medical and nursing care program designed for a particular patient.
Interfacility or intrahospital transfer of patients. Intrahospital transfer is usually to obtain a specific kind of care and interfacility transfer is usually for economic reasons as well as for the type of care provided.
Physicians who serve in a medical and administrative capacity as head of an organized medical staff and who also may serve as liaison for the medical staff with the administration and governing board.
Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.
Organizations and individuals cooperating together toward a common goal at the local or grassroots level.
The attainment or process of attaining a new level of performance or quality.
Physicians whose practice is not restricted to a specific field of MEDICINE.
Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.
An infant during the first month after birth.
Surgical creation of an external opening into the ILEUM for fecal diversion or drainage. This replacement for the RECTUM is usually created in patients with severe INFLAMMATORY BOWEL DISEASES. Loop (continent) or tube (incontinent) procedures are most often employed.
Periods of sleep manifested by changes in EEG activity and certain behavioral correlates; includes Stage 1: sleep onset, drowsy sleep; Stage 2: light sleep; Stages 3 and 4: delta sleep, light sleep, deep sleep, telencephalic sleep.
The surgical construction of an opening between the colon and the surface of the body.
A course of study offered by an educational institution.
A plant genus of the family Lamiaceae. The species of Coleus should be distinguished from PLECTRANTHUS BARBATUS - which is also known as Coleus forskohlii.
Practical experience in medical and health-related services that occurs as part of an educational program wherein the professionally-trained student works outside the academic environment under the supervision of an established professional in the particular field.
Theoretical representations that simulate the behavior or activity of systems, processes, or phenomena. They include the use of mathematical equations, computers, and other electronic equipment.
Human females who are pregnant, as cultural, psychological, or sociological entities.
A mass of histologically normal tissue present in an abnormal location.
Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.

Follow-up care in general practice of patients with myocardial infarction or angina pectoris: initial results of the SHIP trial. Southampton Heart Integrated Care Project. (1/1531)

OBJECTIVE: We aimed to assess the effectiveness of a nurse-led programme to ensure that follow-up care is provided in general practice after hospital diagnosis of myocardial infarction (MI) or angina pectoris. METHODS: We conducted a randomized controlled trial with stratified random allocation of practices to intervention and control groups within all 67 practices in Southampton and South-West Hampshire, England. The subjects were 422 adult patients with a MI and 175 patients with a new diagnosis of angina recruited during hospital admission or chest pain clinic attendance between April 1995 and September 1996. Intervention involved a programme of secondary preventive care led by specialist liaison nurses in which we sought to improve communication between hospital and general practice and to encourage general practice nurses to provide structured follow-up. The main outcome measures were: extent of general practice follow-up; attendance for cardiac rehabilitation; medication prescribed at hospital discharge; self-reported smoking, diet and exercise; and symptoms of chest pain and shortness of breath. Follow-ups of 90.1 % of subjects at 1 month and 80.6% at 4 months were carried out. RESULTS: Median attendance for nurse follow-up in the 4 months following diagnosis was 3 (IQR 2-5) in intervention practices and 0 (IQR 0-1) in control practices; the median number of visits to a doctor was the same in both groups. At hospital discharge, levels of prescribing of preventive medication were low in both intervention and control groups: aspirin 77 versus 74% (P = 0.32), cholesterol lowering agents 9 versus 10% (P = 0.8). Conversely, 1 month after diagnosis, the vast majority of patients in both groups reported healthy lifestyles: 90 versus 84% reported eating healthy food (P = 0.53); 73 versus 67% taking regular exercise (P = 0.13); 89 versus 92% not smoking (P = 0.77). Take up of cardiac rehabilitation was 37% in the intervention group and 22% in the control group (P = 0.001); the median number of sessions attended was also higher (5 versus 3 out of 6). CONCLUSIONS: The intervention of a liaison nurse is effective in ensuring that general practice nurses follow-up patients after hospital discharge. It does not alter the number of follow-up visits made by the patient to the doctor. Levels of prescribing and reported changes in behaviour at hospital discharge indicate that the main tasks facing practice nurses during follow-up are to help patients to sustain changes in behaviour, to encourage doctors to prescribe appropriate medication and to encourage patients to adhere to medication while returning to an active life. These are very different tasks to those traditionally undertaken by practice nurses in relation to primary prevention, where the emphasis has been on identifying risk and motivating change. Assessment of the effectiveness of practice nurses in undertaking these new tasks requires a longer follow-up.  (+info)

Follow-up of breast cancer in primary care vs specialist care: results of an economic evaluation. (2/1531)

A randomized controlled trial (RCT) comparing primary-care-centred follow-up of breast cancer patients with the current standard practice of specialist-centred follow-up showed no increase in delay in diagnosing recurrence, and no increase in anxiety or deterioration in health-related quality of life. An economic evaluation of the two schemes of follow-up was conducted concurrent with the RCT Because the RCT found no difference in the primary clinical outcomes, a cost minimization analysis was conducted. Process measures of the quality of care such as frequency and length of visits were superior in primary care. Costs to patients and to the health service were lower in primary care. There was no difference in total costs of diagnostic tests, with particular tests being performed more frequently in primary care than in specialist care. Data are provided on the average frequency and length of visits, and frequency of diagnostic testing for breast cancer patients during the follow-up period.  (+info)

Management of primary antibody deficiency by consultant immunologists in the United Kingdom: a paradigm for other rare diseases. (3/1531)

Variation in clinical practice and its effect on outcome is little known for rare diseases such as primary antibody deficiency. As part of a national audit a survey of all 30 consultant immunologists in the United Kingdom dealing with primary antibody deficiency syndromes in adults and children was carried out in 1993 to ascertain their practices in diagnosis and management. Consensus guidelines were published after the survey was completed. Comparison of the survey results of clinical practice at the time the guidelines were published with the standards identified highlighted that the practice of a minority of specialists was at variance with their peers and with the consensus document, particularly in the use of intramuscular immunoglobulin, the dose and frequency of intravenous immunoglobulin, and target trough immunoglobulin G concentration, which has implications for the quality of patient care. However, much closer agreement existed in the key areas of management, such as diagnosis and selection of intravenous immunoglobulin. The approach and the problems identified are relevant to the management of other rare diseases, in which diagnosis and management is complex and there are few specialists with the necessary knowledge to undertake such care. This survey, the first attempted audit of practice, shows that within a motivated group of specialists highly significant differences in practice may exist and the authors emphasise the importance of setting clear guidelines against which care can be assessed.  (+info)

Patients' satisfaction with care after stroke: relation with characteristics of patients and care. (4/1531)

OBJECTIVES: To evaluate stroke patients' satisfaction with care received and to identify characteristics of patients and care which are associated with patients' dissatisfaction. DESIGN: Cross sectional study. SETTING: Sample of patients who participated in a multicentre study on quality of care in 23 hospitals in the Netherlands. PATIENTS: 327 non-institutionalised patients who had been in hospital six months before because of stroke. MAIN MEASURES: Data were collected on (a) characteristics of patients: socio-demographic status, cognitive function (mini mental state examination), disability (Barthel index), handicap (Rankin scale), emotional distress (emotional behavior subscale of the sickness impact profile) and health perception; (b) characteristics of care: use of various types of formal care after stroke, unmet care demands perceived by patients, unmet care demands confirmed by their general practitioners, continuity of care, and secondary prevention, and (c) patients' satisfaction with care received. RESULTS: 40% of the study sample were dissatisfied with at least one type of care received. Multivariate analyses showed that unmet care demands perceived by patients (odds ratio (OR) 3.2, 95% confidence interval (95% CI) 1.8-5.7) and emotional distress (OR 1.8, 95% CI 1.1-3.0) were the main variable associated with dissatisfaction. CONCLUSIONS: Patients' satisfaction was primarily associated with emotional distress and unmet care demands perceived by patients. No association was found between patients' satisfaction on the one hand and continuity of care or secondary prevention on the other; two care characteristics that are broadly accepted by professional care givers as important indicators of quality of long term care after stroke. IMPLICATIONS: In view of these findings discussion should take place about the relative weight that should be given to patients' satisfaction as an indicator of quality of care, compared with other quality indicators such as continuity of care and technical competence. More research is needed to find which dimensions of quality care are considered the most important by stroke patients and professional care givers.  (+info)

Integrating MCH/FP and STD/HIV services: current debates and future directions. (5/1531)

The issue of integrating MCH/FP and STD/HIV services has gained an increasingly high priority on public health agendas in recent years. In the prevailing climate of health sector reform, policy-makers are likely to be increasingly pressed to address the broader concept of "reproductive health' in the terms consolidated at the Cairo International Conference on Population and Development, and the UN Conference on Women in Beijing. Integrated MCH/FP and STD/HIV services could be regarded as a significant step towards providing integrated reproductive health services, but clarity of issues and concerns is essential. A number of rationales have emerged which argue for the integration of these services, and many concerns have been voiced. There is little consensus, however, on the definition of "integrated services' and there are few documented case studies which might clarify the issues. This paper reviews the context in which rationales for "integrated services' emerged, the issues of concern and the case studies available. It concludes by suggesting future directions for research, noting in particular the need for country-specific and multi-dimensional frameworks and the appropriateness of a policy analysis approach.  (+info)

The three dimensions of managed care pharmacy practice. (6/1531)

Our goal is to provide a framework for pharmacy in an evolving healthcare marketplace by identifying and discussing the three dimensions of pharmacy practice: (1) pharmacy practice across the continuum of care; (2) the major elements of pharmacy practice; and (3) the evolution of pharmacy during the five stages of the development of managed care. The framework was devised under the proposition that there is a substantial consistency in what patients need or should expect from pharmacists. As integrated health systems develop, pharmacists must apply their skills and knowledge across the continuum of care to ensure that they play an integral part in the systems. In a managed care environment characterized by change and the development of integrated health systems, pharmacists have opportunities to become involved directly in patient care in such areas as disease prevention, home healthcare, primary care, and subacute care. Information systems, hospital drug distribution, clinical pharmacy, and the fiscal environment comprise the major elements of pharmacy practice within an integrated health system, and the way in which each of these elements evolves as the healthcare market adapts to managed care is critical to pharmacy practice. If the pharmacy profession can demonstrate its ability to manage disease and health, improve outcomes, and reduce costs within the evolving healthcare system, pharmacists will play a vital role in the managed healthcare market in the approaching new millennium.  (+info)

Development of a heart failure center: a medical center and cardiology practice join forces to improve care and reduce costs . (7/1531)

Congestive heart failure (CHF) is a rapidly growing and expensive cardiovascular disorder. Conventional care for CHF is ineffective and results in a cycle of "crisis management" that includes repeated emergency department visits, hospitalizations, and physician visits. Recently, a number of outpatient coronary care centers that provide consistent, aggressive outpatient therapies and extensive patient education have emerged and are successfully breaking this cycle of dependence on hospital services. One such effort is the Heart Institute's Heart Failure Center, the result of a partnership between a private-practice cardiology group and our tertiary-care medical center. Our program includes not only patient education and outpatient infusions of inotropic agents, but an electronic linkage to the emergency department and home healthcare services. Preliminary data show that 16 months after the program was initiated, hospital admissions decreased by 30%, hospital days by 42% and average length of stay by 17%. An effective outpatient heart failure program can alleviate the economic burden of CHF and improve the quality of patient care.  (+info)

Physicians in training as quality managers: survival strategy for academic health centers. (8/1531)

Being responsible for medical education places academic health centers at a disadvantage in competing for managed care contracts. Although many suggestions have been made for changing medical education to produce physicians who are better prepared for the managed care environment, few studies have shown how physicians in training can actually contribute to the competitiveness of an academic health center. We present three examples of engaging trainees in projects with a population-based perspective that demonstrate how quality improvement for the academic health center can be operationalized and even led by physicians in training. In addition to gaining experience in a managed care skill that is increasingly important for future employment, physicians in training can simultaneously improve the quality of care delivered through the academic health center.  (+info)

Continuity of patient care is a concept in healthcare that refers to the consistent and seamless delivery of medical services to a patient over time, regardless of changes in their location or healthcare providers. It emphasizes the importance of maintaining clear communication, coordination, and information sharing among all members of a patient's healthcare team, including physicians, nurses, specialists, and other caregivers.

The goal of continuity of patient care is to ensure that patients receive high-quality, safe, and effective medical treatment that is tailored to their individual needs and preferences. This can help to reduce the risk of medical errors, improve patient outcomes, enhance patient satisfaction, and decrease healthcare costs.

There are several types of continuity that are important in patient care, including:

1. Relational continuity: This refers to the ongoing relationship between a patient and their primary care provider or team, who knows the patient's medical history, values, and preferences.
2. Management continuity: This involves the coordination and management of a patient's care across different settings, such as hospitals, clinics, and long-term care facilities.
3. Informational continuity: This refers to the sharing of accurate and up-to-date information among all members of a patient's healthcare team, including test results, medication lists, and treatment plans.

Continuity of patient care is particularly important for patients with chronic medical conditions, who require ongoing monitoring and management over an extended period. It can also help to reduce the risk of fragmented care, which can occur when patients receive care from multiple providers who do not communicate effectively with each other. By promoting continuity of care, healthcare systems can improve patient safety, quality of care, and overall health outcomes.

Physician-patient relations, also known as doctor-patient relationships, refer to the interaction and communication between healthcare professionals and their patients. This relationship is founded on trust, respect, and understanding, with the physician providing medical care and treatment based on the patient's needs and best interests. Effective physician-patient relations involve clear communication, informed consent, shared decision-making, and confidentiality. A positive and collaborative relationship can lead to better health outcomes, improved patient satisfaction, and increased adherence to treatment plans.

Patient satisfaction is a concept in healthcare quality measurement that reflects the patient's perspective and evaluates their experience with the healthcare services they have received. It is a multidimensional construct that includes various aspects such as interpersonal mannerisms of healthcare providers, technical competence, accessibility, timeliness, comfort, and communication.

Patient satisfaction is typically measured through standardized surveys or questionnaires that ask patients to rate their experiences on various aspects of care. The results are often used to assess the quality of care provided by healthcare organizations, identify areas for improvement, and inform policy decisions. However, it's important to note that patient satisfaction is just one aspect of healthcare quality and should be considered alongside other measures such as clinical outcomes and patient safety.

Patient-centered care is a healthcare approach that places the patient at the center of the care experience and considers their preferences, values, and needs in making clinical decisions. It is based on partnership between the patient and healthcare provider, with open communication, mutual respect, and shared decision-making. Patient-centered care aims to improve the quality of care, increase patient satisfaction, and lead to better health outcomes by addressing not only the medical needs but also the emotional, social, and cultural factors that affect a patient's health.

Internship: In medical terms, an internship is a supervised program of hospital-based training for physicians and surgeons who have recently graduated from medical school. The duration of an internship typically ranges from one to three years, during which the intern engages in a variety of clinical rotations in different departments such as internal medicine, surgery, pediatrics, obstetrics and gynecology, psychiatry, and neurology. The primary aim of an internship is to provide newly graduated doctors with hands-on experience in patient care, diagnosis, treatment planning, and communication skills under the close supervision of experienced physicians.

Residency: A residency is a structured and intensive postgraduate medical training program that typically lasts between three and seven years, depending on the specialty. Residents are licensed physicians who have completed their internship and are now receiving advanced training in a specific area of medicine or surgery. During this period, residents work closely with experienced attending physicians to gain comprehensive knowledge and skills in their chosen field. They are responsible for managing patient care, performing surgical procedures, interpreting diagnostic tests, conducting research, teaching medical students, and participating in continuing education activities. Residency programs aim to prepare physicians for independent practice and board certification in their specialty.

Family practice, also known as family medicine, is a medical specialty that provides comprehensive and continuous care to patients of all ages, genders, and stages of life. Family physicians are trained to provide a wide range of services, including preventive care, diagnosis and treatment of acute and chronic illnesses, management of complex medical conditions, and providing health education and counseling.

Family practice emphasizes the importance of building long-term relationships with patients and their families, and takes into account the physical, emotional, social, and psychological factors that influence a person's health. Family physicians often serve as the primary point of contact for patients within the healthcare system, coordinating care with other specialists and healthcare providers as needed.

Family practice is a broad and diverse field, encompassing various areas such as pediatrics, internal medicine, obstetrics and gynecology, geriatrics, and behavioral health. The goal of family practice is to provide high-quality, patient-centered care that meets the unique needs and preferences of each individual patient and their family.

Primary health care is defined by the World Health Organization (WHO) as:

"Essential health care that is based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford. It forms an integral part both of the country's health system, of which it is the central function and main focus, and of the overall social and economic development of the community. It is the first level of contact of individuals, the family and community with the national health system bringing health care as close as possible to where people live and work, and constitutes the first element of a continuing health care process."

Primary health care includes a range of services such as preventive care, health promotion, curative care, rehabilitation, and palliative care. It is typically provided by a team of health professionals including doctors, nurses, midwives, pharmacists, and other community health workers. The goal of primary health care is to provide comprehensive, continuous, and coordinated care to individuals and families in a way that is accessible, affordable, and culturally sensitive.

A group practice is a medical organization where multiple healthcare professionals, such as physicians, nurses, and allied health professionals, collaborate to provide comprehensive medical care for patients. These practitioners share resources, expenses, and responsibilities while maintaining their own individual practices within the group. The goal of a group practice is to enhance patient care through improved communication, coordination, and access to a wide range of medical services.

Health services accessibility refers to the degree to which individuals and populations are able to obtain needed health services in a timely manner. It includes factors such as physical access (e.g., distance, transportation), affordability (e.g., cost of services, insurance coverage), availability (e.g., supply of providers, hours of operation), and acceptability (e.g., cultural competence, language concordance).

According to the World Health Organization (WHO), accessibility is one of the key components of health system performance, along with responsiveness and fair financing. Improving accessibility to health services is essential for achieving universal health coverage and ensuring that everyone has access to quality healthcare without facing financial hardship. Factors that affect health services accessibility can vary widely between and within countries, and addressing these disparities requires a multifaceted approach that includes policy interventions, infrastructure development, and community engagement.

The term "appointments and schedules" is commonly used in the medical field to refer to the planned or designated times for patients to see healthcare professionals for medical services. Here are the definitions of each term:

1. Appointment: A prearranged meeting between a patient and a healthcare professional at a specific time and date. An appointment is typically made in advance, either by the patient or the healthcare professional's office staff, to ensure that both parties are available to meet at the designated time.
2. Schedule: A list of appointments or activities that are planned for a specific period, such as a day, week, or month. In a medical setting, a schedule may include appointments for patients to see their healthcare professionals, as well as times for procedures, tests, and other medical services.

Together, appointments and schedules help ensure that healthcare professionals can provide timely and efficient care to their patients. They also allow patients to plan their visits to the doctor's office or hospital around their own busy schedules.

Intergenerational relations, in the context of healthcare and social sciences, refer to the interactions, relationships, and connections between different generations within a family or society. These relations can encompass various aspects such as communication, support, values, and attitudes. In the medical field, intergenerational relations may be studied to understand the impact of health policies, healthcare practices, and disease prevalence across different age groups. It can also help in identifying and addressing health disparities and creating age-friendly healthcare systems.

An illusion is a perception in the brain that does not match the actual stimulus in the environment. It is often described as a false or misinterpreted sensory experience, where the senses perceive something that is different from the reality. Illusions can occur in any of the senses, including vision, hearing, touch, taste, and smell.

In medical terms, illusions are sometimes associated with certain neurological conditions, such as migraines, brain injuries, or mental health disorders like schizophrenia. They can also be a side effect of certain medications or substances. In these cases, the illusions may be a symptom of an underlying medical condition and should be evaluated by a healthcare professional.

It's important to note that while illusions are often used in the context of entertainment and art, they can also have serious implications for individuals who experience them frequently or as part of a medical condition.

Quality of health care is a term that refers to the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. It encompasses various aspects such as:

1. Clinical effectiveness: The use of best available evidence to make decisions about prevention, diagnosis, treatment, and care. This includes considering the benefits and harms of different options and making sure that the most effective interventions are used.
2. Safety: Preventing harm to patients and minimizing risks associated with healthcare. This involves identifying potential hazards, implementing measures to reduce errors, and learning from adverse events to improve systems and processes.
3. Patient-centeredness: Providing care that is respectful of and responsive to individual patient preferences, needs, and values. This includes ensuring that patients are fully informed about their condition and treatment options, involving them in decision-making, and providing emotional support throughout the care process.
4. Timeliness: Ensuring that healthcare services are delivered promptly and efficiently, without unnecessary delays. This includes coordinating care across different providers and settings to ensure continuity and avoid gaps in service.
5. Efficiency: Using resources wisely and avoiding waste, while still providing high-quality care. This involves considering the costs and benefits of different interventions, as well as ensuring that healthcare services are equitably distributed.
6. Equitability: Ensuring that all individuals have access to quality healthcare services, regardless of their socioeconomic status, race, ethnicity, gender, age, or other factors. This includes addressing disparities in health outcomes and promoting fairness and justice in healthcare.

Overall, the quality of health care is a multidimensional concept that requires ongoing evaluation and improvement to ensure that patients receive the best possible care.

Internal Medicine is a medical specialty that deals with the prevention, diagnosis, and treatment of internal diseases affecting adults. It encompasses a wide range of medical conditions, including those related to the cardiovascular, respiratory, gastrointestinal, hematological, endocrine, infectious, and immune systems. Internists, or general internists, are trained to provide comprehensive care for adult patients, managing both simple and complex diseases, and often serving as primary care physicians. They may also subspecialize in various fields such as cardiology, gastroenterology, nephrology, or infectious disease, among others.

Professional-patient relations, also known as physician-patient relationships or doctor-patient relationships, refer to the interactions and communications between healthcare professionals and their patients. It is a critical aspect of healthcare delivery that involves trust, respect, understanding, and collaboration. The American Medical Association (AMA) defines it as "a ethical relationship in which a physician, by virtue of knowledge and skills, provides medical services to a patient in need."

Professional-patient relations encompass various elements, including:

1. Informed Consent: Healthcare professionals must provide patients with adequate information about their medical condition, treatment options, benefits, risks, and alternatives to enable them to make informed decisions about their healthcare.
2. Confidentiality: Healthcare professionals must respect patients' privacy and maintain the confidentiality of their medical information, except in specific circumstances where disclosure is required by law or necessary for patient safety.
3. Communication: Healthcare professionals must communicate effectively with patients, listening to their concerns, answering their questions, and providing clear and concise explanations about their medical condition and treatment plan.
4. Empathy and Compassion: Healthcare professionals must demonstrate empathy and compassion towards their patients, recognizing their emotional and psychological needs and providing support and comfort when necessary.
5. Cultural Competence: Healthcare professionals must be aware of and respect cultural differences among their patients, adapting their communication style and treatment approach to meet the unique needs of each patient.
6. Shared Decision-Making: Healthcare professionals and patients should work together to make medical decisions based on the best available evidence, the patient's values and preferences, and the healthcare professional's expertise.
7. Continuity of Care: Healthcare professionals must ensure continuity of care for their patients, coordinating with other healthcare providers and ensuring that patients receive appropriate follow-up care.

Professional-patient relations are essential to achieving positive health outcomes, improving patient satisfaction, and reducing medical errors and adverse events. Healthcare professionals must maintain ethical and professional standards in their interactions with patients, recognizing the power imbalance in the relationship and striving to promote trust, respect, and collaboration.

Physician services insurance refers to a type of health insurance coverage that helps pay for medically necessary services provided by licensed physicians. This can include office visits, hospital care, diagnostic tests, and treatments for injuries and illnesses. The specific services covered and the amount reimbursed will depend on the terms of the individual's insurance policy. Some policies may also have restrictions on which providers are considered in-network and covered under the plan. It is important to understand the details of one's coverage to know what is included and what out-of-pocket costs may be required.

The "attitude of health personnel" refers to the overall disposition, behavior, and approach that healthcare professionals exhibit towards their patients or clients. This encompasses various aspects such as:

1. Interpersonal skills: The ability to communicate effectively, listen actively, and build rapport with patients.
2. Professionalism: Adherence to ethical principles, confidentiality, and maintaining a non-judgmental attitude.
3. Compassion and empathy: Showing genuine concern for the patient's well-being and understanding their feelings and experiences.
4. Cultural sensitivity: Respecting and acknowledging the cultural backgrounds, beliefs, and values of patients.
5. Competence: Demonstrating knowledge, skills, and expertise in providing healthcare services.
6. Collaboration: Working together with other healthcare professionals to ensure comprehensive care for the patient.
7. Patient-centeredness: Focusing on the individual needs, preferences, and goals of the patient in the decision-making process.
8. Commitment to continuous learning and improvement: Staying updated with the latest developments in the field and seeking opportunities to enhance one's skills and knowledge.

A positive attitude of health personnel contributes significantly to patient satisfaction, adherence to treatment plans, and overall healthcare outcomes.

"Family Physicians" are medical doctors who provide comprehensive primary care to individuals and families of all ages. They are trained to diagnose and treat a wide range of medical conditions, from minor illnesses to complex diseases. In addition to providing acute care, family physicians also focus on preventive medicine, helping their patients maintain their overall health and well-being through regular checkups, screenings, and immunizations. They often serve as the patient's main point of contact within the healthcare system, coordinating care with specialists and other healthcare professionals as needed. Family physicians may work in private practices, community health centers, hospitals, or other healthcare settings.

A hospitalist is a specialized medical doctor who practices hospital medicine, focusing on the general medical care of hospitalized patients. Hospitalists are trained in internal medicine or pediatrics and are experts in managing acute illnesses, coordinating care between different specialists, and ensuring timely and safe transitions of care between inpatient and outpatient settings. They typically do not have outpatient clinical responsibilities and are available to manage patient issues around the clock while they are hospitalized. Hospitalists play a crucial role in improving the quality, safety, and efficiency of inpatient medical care.

Ambulatory care is a type of health care service in which patients are treated on an outpatient basis, meaning they do not stay overnight at the medical facility. This can include a wide range of services such as diagnosis, treatment, and follow-up care for various medical conditions. The goal of ambulatory care is to provide high-quality medical care that is convenient, accessible, and cost-effective for patients.

Examples of ambulatory care settings include physician offices, community health centers, urgent care centers, outpatient surgery centers, and diagnostic imaging facilities. Patients who receive ambulatory care may have a variety of medical needs, such as routine checkups, chronic disease management, minor procedures, or same-day surgeries.

Overall, ambulatory care is an essential component of modern healthcare systems, providing patients with timely and convenient access to medical services without the need for hospitalization.

Qualitative research is a methodological approach in social sciences and healthcare research that focuses on understanding the meanings, experiences, and perspectives of individuals or groups within a specific context. It aims to gather detailed, rich data through various techniques such as interviews, focus groups, observations, and content analysis. The findings from qualitative research are typically descriptive and exploratory, providing insights into processes, perceptions, and experiences that may not be captured through quantitative methods.

In medical research, qualitative research can be used to explore patients' experiences of illness, healthcare providers' perspectives on patient care, or the cultural and social factors that influence health behaviors. It is often used in combination with quantitative methods to provide a more comprehensive understanding of complex health issues.

Health care surveys are research tools used to systematically collect information from a population or sample regarding their experiences, perceptions, and knowledge of health services, health outcomes, and various other health-related topics. These surveys typically consist of standardized questionnaires that cover specific aspects of healthcare, such as access to care, quality of care, patient satisfaction, health disparities, and healthcare costs. The data gathered from health care surveys are used to inform policy decisions, improve healthcare delivery, identify best practices, allocate resources, and monitor the health status of populations. Health care surveys can be conducted through various modes, including in-person interviews, telephone interviews, mail-in questionnaires, or online platforms.

An anecdote, in the context of medicine and healthcare, is a short narrative or description of a particular event or experience regarding a patient or a medical treatment. Anecdotes are often used in clinical settings to illustrate a point or to share a personal observation about a patient's response to a therapy.

However, anecdotes are generally considered to be a lower level of evidence than rigorous scientific studies because they are based on individual experiences and may not be representative of the broader population. Anecdotes can be subject to bias, including recall bias and confirmation bias, and may not account for other factors that could have influenced the outcome.

Therefore, while anecdotes can provide interesting insights and generate hypotheses for further investigation, they should not be used as the sole basis for making clinical decisions or recommendations. Instead, anecdotal evidence should be considered in conjunction with more rigorous scientific research to inform medical practice.

A questionnaire in the medical context is a standardized, systematic, and structured tool used to gather information from individuals regarding their symptoms, medical history, lifestyle, or other health-related factors. It typically consists of a series of written questions that can be either self-administered or administered by an interviewer. Questionnaires are widely used in various areas of healthcare, including clinical research, epidemiological studies, patient care, and health services evaluation to collect data that can inform diagnosis, treatment planning, and population health management. They provide a consistent and organized method for obtaining information from large groups or individual patients, helping to ensure accurate and comprehensive data collection while minimizing bias and variability in the information gathered.

In the medical context, communication refers to the process of exchanging information, ideas, or feelings between two or more individuals in order to facilitate understanding, cooperation, and decision-making. Effective communication is critical in healthcare settings to ensure that patients receive accurate diagnoses, treatment plans, and follow-up care. It involves not only verbal and written communication but also nonverbal cues such as body language and facial expressions.

Healthcare providers must communicate clearly and empathetically with their patients to build trust, address concerns, and ensure that they understand their medical condition and treatment options. Similarly, healthcare teams must communicate effectively with each other to coordinate care, avoid errors, and provide the best possible outcomes for their patients. Communication skills are essential for all healthcare professionals, including physicians, nurses, therapists, and social workers.

A patient handoff, also known as sign-out or handover, is the transfer of responsibility and accountability for a patient's care between healthcare providers. It typically occurs during shift changes, when one provider (e.g., physician, nurse) ending their shift transfers care of their patients to another provider who will be taking over the next shift.

The purpose of a patient handoff is to ensure continuity and safety of care by communicating essential information about the patient's condition, treatment plan, ongoing concerns, and any other relevant details that the oncoming provider should be aware of. Effective patient handoffs involve clear communication, active listening, and the use of standardized tools or checklists to facilitate the exchange of information.

Proper patient handoff procedures are critical in preventing medical errors, improving patient safety, and ensuring high-quality care during transitions of care.

In the context of medical terminology, "office visits" refer to patients' appointments or consultations with healthcare professionals in their respective offices or clinics. These visits may include various services such as physical examinations, diagnosis, treatment planning, prescribing medications, providing referrals, and offering counseling or education on health-related topics. Office visits can be for routine checkups, follow-up appointments, or addressing acute or chronic medical concerns. It is important to note that office visits do not include services provided in a hospital setting, emergency department, or other healthcare facilities.

A Patient Care Team is a group of healthcare professionals from various disciplines who work together to provide comprehensive, coordinated care to a patient. The team may include doctors, nurses, pharmacists, social workers, physical therapists, dietitians, and other specialists as needed, depending on the patient's medical condition and healthcare needs.

The Patient Care Team works collaboratively to develop an individualized care plan for the patient, taking into account their medical history, current health status, treatment options, and personal preferences. The team members communicate regularly to share information, coordinate care, and make any necessary adjustments to the care plan.

The goal of a Patient Care Team is to ensure that the patient receives high-quality, safe, and effective care that is tailored to their unique needs and preferences. By working together, the team can provide more comprehensive and coordinated care, which can lead to better outcomes for the patient.

Interdisciplinary communication in a medical context refers to the exchange of information and ideas between professionals from different healthcare disciplines, such as doctors, nurses, pharmacists, social workers, and therapists. This form of communication is essential for coordinating patient care, making informed treatment decisions, and ensuring that all members of the healthcare team are aware of the patient's needs, goals, and progress. Effective interdisciplinary communication can help to improve patient outcomes, increase patient satisfaction, and reduce medical errors. It typically involves clear, concise, and respectful communication, often through regular meetings, shared documentation, and collaborative decision-making processes.

"Focus groups" is a term from the field of social science research, rather than medicine. It does not have a specific medical definition. However, focus groups are sometimes used in medical research to gather data and insights from a small group of people on a specific topic or product. This can include gathering feedback on patient experiences, testing prototypes of medical devices or treatments, or exploring attitudes and perceptions related to health issues. The goal is to gain a deeper understanding of the perspectives and needs of the target population through facilitated group discussion.

I'm sorry for any confusion, but "Ontario" is not a medical term. It is the name of a province in Canada, similar to how "California" is the name of a state in the United States. If you have any questions related to medical terminology or health conditions, I would be happy to try and help answer those for you!

I'm happy to help, but it seems there might be some confusion in your question. "Interviews" is a broad topic that isn't typically a medical term or subject. However, interviews can certainly be a part of medical settings and procedures, such as job interviews for healthcare positions, patient interviews during medical consultations, or research interviews in clinical studies.

In the context of medical education, an interview might refer to the process by which medical schools evaluate applicants for admission, known as the medical school interview. This is a critical component of the application process and typically involves one-on-one conversations between the applicant and an admissions committee member or a series of multiple mini-interviews (MMIs) with various evaluators.

If you could provide more context or clarify what you mean by "Interviews as Topic" in a medical setting, I'd be happy to help further!

Separation anxiety is a condition in which an individual experiences excessive and disproportionate fear or distress when separated from a person or place that they are attached to. This condition is commonly diagnosed in children, but it can also affect adults. The anxiety experienced during separation may manifest as excessive worrying, crying, clinginess, panic attacks, or physical symptoms such as nausea, headaches, or rapid heartbeat. In order for a diagnosis of separation anxiety disorder to be made, the symptoms must cause significant distress and impairment in social, occupational, or other areas of functioning.

I'm sorry for any confusion, but "United States" is a geopolitical entity, specifically the name of the country consisting of 50 states, and it is not a medical term or concept. Therefore, I can't provide a medical definition for it. If you have any questions related to health, medicine, or biology, I would be happy to try to help answer those!

An outpatient clinic in a hospital setting is a department or facility where patients receive medical care without being admitted to the hospital. These clinics are typically designed to provide specialized services for specific medical conditions or populations. They may be staffed by physicians, nurses, and other healthcare professionals who work on a part-time or full-time basis.

Outpatient clinics offer a range of services, including diagnostic tests, consultations, treatments, and follow-up care. Patients can visit the clinic for routine checkups, management of chronic conditions, rehabilitation, and other medical needs. The specific services offered at an outpatient clinic will depend on the hospital and the clinic's specialty.

Outpatient clinics are often more convenient and cost-effective than inpatient care because they allow patients to receive medical treatment while continuing to live at home. They also help reduce the burden on hospitals by freeing up beds for patients who require more intensive or emergency care. Overall, outpatient clinics play an essential role in providing accessible and high-quality healthcare services to patients in their communities.

Organizational models in the context of medicine refer to frameworks that are used to describe, analyze, and improve the structure, processes, and outcomes of healthcare organizations. These models provide a systematic way of understanding how different components of an organization interact with each other and how they contribute to the overall performance of the system.

Examples of organizational models in healthcare include:

1. The Donabedian model: This model focuses on the structure, process, and outcome of healthcare as interrelated components that influence the quality of care.
2. The Baldrige Performance Excellence Program: This model provides a framework for organizations to evaluate their performance and identify areas for improvement in seven categories: leadership, strategic planning, customer focus, measurement, analysis, and knowledge management; workforce focus; process management; and results.
3. The Institute of Medicine's (IOM) six aims for improvement: The IOM has identified six aims that should be the focus of healthcare quality improvement efforts: safety, timeliness, patient-centeredness, effectiveness, efficiency, and equity.
4. The Lean management system: This model is a process improvement approach that focuses on eliminating waste and maximizing value for customers through continuous improvement and respect for people.
5. The Six Sigma methodology: This model is a data-driven approach to quality improvement that seeks to reduce variation and defects in processes through the use of statistical tools and techniques.

These are just a few examples of organizational models used in healthcare. Each model has its own strengths and limitations, and organizations may choose to adopt one or more models depending on their specific needs and goals.

"General practice" in the context of medicine refers to the provision of primary care services that are delivered by a general practitioner (GP) or family physician. These healthcare professionals offer broad-based, first-contact care for a wide range of health issues and conditions, regardless of age, gender, or type of disease. They provide continuous and comprehensive care to individuals and families in their communities, acting as the entry point into the healthcare system and coordinating care with other specialists when needed. General practice emphasizes prevention, health promotion, early intervention, and management of acute and chronic conditions.

I'm sorry for any confusion, but "trust" is a general concept and not a medical term with a specific definition. It can be used in various contexts, including healthcare relationships between patients and healthcare providers. In this context, trust refers to the confidence and reliance that patients have on the competence, professionalism, honesty, and integrity of their healthcare providers.

However, if you're looking for a medical term related to "trust," there is a psychological concept called "interpersonal trust" which can be assessed using the "Trust Scale." Interpersonal trust refers to an individual's general willingness to rely on and be vulnerable to others across various situations. This concept might be relevant in some medical or healthcare research contexts, particularly those involving patient-provider communication, adherence to treatment plans, and therapeutic relationships.

Pediatrics is a branch of medicine that deals with the medical care and treatment of infants, children, and adolescents, typically up to the age of 18 or sometimes up to 21 years. It covers a wide range of health services including preventive healthcare, diagnosis and treatment of physical, mental, and emotional illnesses, and promotion of healthy lifestyles and behaviors in children.

Pediatricians are medical doctors who specialize in this field and have extensive training in the unique needs and developmental stages of children. They provide comprehensive care for children from birth to young adulthood, addressing various health issues such as infectious diseases, injuries, genetic disorders, developmental delays, behavioral problems, and chronic conditions like asthma, diabetes, and cancer.

In addition to medical expertise, pediatricians also need excellent communication skills to build trust with their young patients and their families, and to provide education and guidance on various aspects of child health and well-being.

A cross-sectional study is a type of observational research design that examines the relationship between variables at one point in time. It provides a snapshot or a "cross-section" of the population at a particular moment, allowing researchers to estimate the prevalence of a disease or condition and identify potential risk factors or associations.

In a cross-sectional study, data is collected from a sample of participants at a single time point, and the variables of interest are measured simultaneously. This design can be used to investigate the association between exposure and outcome, but it cannot establish causality because it does not follow changes over time.

Cross-sectional studies can be conducted using various data collection methods, such as surveys, interviews, or medical examinations. They are often used in epidemiology to estimate the prevalence of a disease or condition in a population and to identify potential risk factors that may contribute to its development. However, because cross-sectional studies only provide a snapshot of the population at one point in time, they cannot account for changes over time or determine whether exposure preceded the outcome.

Therefore, while cross-sectional studies can be useful for generating hypotheses and identifying potential associations between variables, further research using other study designs, such as cohort or case-control studies, is necessary to establish causality and confirm any findings.

I am not aware of any medical definition for the term "Delaware." Delaware is one of the 50 states in the United States, located on the East Coast. It is named after the Delaware River and Delaware Bay, which were named after Thomas West, 3rd Baron De La Warr, who was an English nobleman and colonial governor.

If you have any specific medical context or terminology related to Delaware that you would like me to help define or explain, please let me know!

In medical terms, "private practice" refers to the provision of healthcare services by a licensed and trained medical professional (such as a doctor, nurse practitioner, or dentist) who operates independently and is not employed by a hospital, clinic, or other health care institution. In private practice, these professionals offer their medical expertise and treatments directly to patients on a fee-for-service basis or through insurance billing. They are responsible for managing their own schedules, appointments, staff, and finances while maintaining compliance with relevant laws, regulations, and professional standards.

Private practices can vary in size and structure, ranging from solo practitioners working alone to larger group practices with multiple healthcare providers sharing resources and expertise. The primary advantage of private practice is the autonomy it provides for medical professionals to make decisions regarding patient care, treatment options, and business management without interference from external entities.

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

Quality Assurance in the context of healthcare refers to a systematic approach and set of activities designed to ensure that health care services and products consistently meet predetermined standards of quality and safety. It includes all the policies, procedures, and processes that are put in place to monitor, assess, and improve the quality of healthcare delivery.

The goal of quality assurance is to minimize variability in clinical practice, reduce medical errors, and ensure that patients receive evidence-based care that is safe, effective, timely, patient-centered, and equitable. Quality assurance activities may include:

1. Establishing standards of care based on best practices and clinical guidelines.
2. Developing and implementing policies and procedures to ensure compliance with these standards.
3. Providing education and training to healthcare professionals to improve their knowledge and skills.
4. Conducting audits, reviews, and evaluations of healthcare services and processes to identify areas for improvement.
5. Implementing corrective actions to address identified issues and prevent their recurrence.
6. Monitoring and measuring outcomes to evaluate the effectiveness of quality improvement initiatives.

Quality assurance is an ongoing process that requires continuous evaluation and improvement to ensure that healthcare delivery remains safe, effective, and patient-centered.

Interprofessional relations, in the context of healthcare, refers to the interactions and collaborative practices between different healthcare professionals (such as physicians, nurses, pharmacists, therapists, social workers, etc.) when providing care for patients. It involves developing and maintaining positive and effective communication, respect, trust, and collaboration among various healthcare disciplines to ensure coordinated, safe, and high-quality patient care. The goal of interprofessional relations is to enhance collaborative practice, improve patient outcomes, and promote a supportive work environment.

I'm sorry for any confusion, but the term "Great Britain" is not a medical concept or condition. It is a geographical and political term referring to the largest island in the British Isles, on which the majority of England, Scotland, and Wales are located. It's also used to refer to the political union of these three countries, which is called the United Kingdom. Therefore, it doesn't have a medical definition.

"Military hospitals" are healthcare facilities that are operated by the military or armed forces of a country. They provide medical care and treatment for active duty military personnel, veterans, and at times, their families. These hospitals can be located within military bases or installations, or they may be deployed in field settings during military operations or humanitarian missions. Military hospitals are staffed with healthcare professionals who have received additional training in military medicine and are responsible for providing a range of medical services, including emergency care, surgery, rehabilitation, and mental health services. They also often conduct research in military medicine and trauma care.

A Nurse-Midwife, according to the American College of Nurse-Midwives (ACNM), is a certified nurse-midwife (CNM) who has successfully completed a graduate-level education program accredited by the Accreditation Commission for Midwifery Education (ACME) and passed a national certification examination to receive the professional designation of CNM. Nurse-midwives are licensed, independent healthcare providers who practice in a variety of settings including hospitals, medical offices, clinics, community health systems, and birth centers.

Nurse-midwives offer primary care, gynecological care, family planning services, preconception care, pregnancy care, childbirth care, and postpartum care to women throughout the lifespan. They focus on promoting normal physiologic processes, providing education, counseling, and patient advocacy, and collaborating with other healthcare professionals when necessary. Nurse-midwives are recognized for their expertise in providing safe, evidence-based, woman-centered care.

Midwifery is the health profession that involves providing care to childbearing individuals and their newborns during pregnancy, labor, birth, and postpartum period. Midwives offer a range of services including: conducting physical examinations, monitoring the health of the fetus and mother, providing education and counseling on pregnancy-related topics, managing common complaints and complications, and collaborating with other healthcare professionals when necessary. They promote normal childbirth and work to minimize technological interventions, while ensuring the safety and well-being of both the mother and baby. Midwifery is based on the principles of informed choice, continuity of care, and evidence-based practice.

**Referral:**
A referral in the medical context is the process where a healthcare professional (such as a general practitioner or primary care physician) sends or refers a patient to another healthcare professional who has specialized knowledge and skills to address the patient's specific health condition or concern. This could be a specialist, a consultant, or a facility that provides specialized care. The referral may involve transferring the patient's care entirely to the other professional or may simply be for a consultation and advice.

**Consultation:**
A consultation in healthcare is a process where a healthcare professional seeks the opinion or advice of another professional regarding a patient's medical condition. This can be done in various ways, such as face-to-face meetings, phone calls, or written correspondence. The consulting professional provides their expert opinion to assist in the diagnosis, treatment plan, or management of the patient's condition. The ultimate decision and responsibility for the patient's care typically remain with the referring or primary healthcare provider.

An "attitude to health" is a set of beliefs, values, and behaviors that an individual holds regarding their own health and well-being. It encompasses their overall approach to maintaining good health, preventing illness, seeking medical care, and managing any existing health conditions.

A positive attitude to health typically includes:

1. A belief in the importance of self-care and taking responsibility for one's own health.
2. Engaging in regular exercise, eating a balanced diet, getting enough sleep, and avoiding harmful behaviors such as smoking and excessive alcohol consumption.
3. Regular check-ups and screenings to detect potential health issues early on.
4. Seeking medical care when necessary and following recommended treatment plans.
5. A willingness to learn about and implement new healthy habits and lifestyle changes.
6. Developing a strong support network of family, friends, and healthcare professionals.

On the other hand, a negative attitude to health may involve:

1. Neglecting self-care and failing to take responsibility for one's own health.
2. Engaging in unhealthy behaviors such as sedentary lifestyle, poor diet, lack of sleep, smoking, and excessive alcohol consumption.
3. Avoidance of regular check-ups and screenings, leading to delayed detection and treatment of potential health issues.
4. Resistance to seeking medical care or following recommended treatment plans.
5. Closed-mindedness towards new healthy habits and lifestyle changes.
6. Lack of a support network or reluctance to seek help from others.

Overall, an individual's attitude to health can significantly impact their physical and mental well-being, as well as their ability to manage and overcome any health challenges that may arise.

Case management is a collaborative process that involves the assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's health needs through communication and available resources to promote patient safety, quality of care, and cost-effective outcomes. It is commonly used in healthcare settings such as hospitals, clinics, and long-term care facilities to ensure that patients receive appropriate and timely care while avoiding unnecessary duplication of services and managing costs.

The goal of case management is to help patients navigate the complex healthcare system, improve their health outcomes, and enhance their quality of life by coordinating all aspects of their care, including medical treatment, rehabilitation, social support, and community resources. Effective case management requires a team-based approach that involves the active participation of the patient, family members, healthcare providers, and other stakeholders in the decision-making process.

The specific duties and responsibilities of a case manager may vary depending on the setting and population served, but typically include:

1. Assessment: Conducting comprehensive assessments to identify the patient's medical, psychosocial, functional, and environmental needs.
2. Planning: Developing an individualized care plan that outlines the goals, interventions, and expected outcomes of the patient's care.
3. Facilitation: Coordinating and facilitating the delivery of services and resources to meet the patient's needs, including arranging for appointments, tests, procedures, and referrals to specialists or community agencies.
4. Care coordination: Ensuring that all members of the healthcare team are aware of the patient's care plan and providing ongoing communication and support to ensure continuity of care.
5. Evaluation: Monitoring the patient's progress towards their goals, adjusting the care plan as needed, and evaluating the effectiveness of interventions.
6. Advocacy: Advocating for the patient's rights and needs, including access to healthcare services, insurance coverage, and community resources.

Overall, case management is a critical component of high-quality healthcare that helps patients achieve their health goals while managing costs and improving their overall well-being.

I'm happy to help, but it seems there might be a slight misunderstanding in your question. "Nurses" is not a medical term per se, but rather a job title or professional role within the healthcare field. Here's a brief description of what nurses do:

Nurses are healthcare professionals who work closely with patients to provide and coordinate care, education, and support. They play a critical role in promoting health, preventing illness, and helping patients cope with various medical conditions. Nurses can be found in various settings such as hospitals, clinics, private practices, long-term care facilities, community health centers, and patient homes.

There are different nursing specialties and levels of education, including:

1. Registered Nurse (RN): Typically holds an associate's or bachelor's degree in nursing and has passed a licensing exam. RNs provide direct patient care, administer medications, and coordinate treatment plans.
2. Advanced Practice Registered Nurse (APRN): Has completed additional education and training beyond the RN level, often earning a master's or doctoral degree. APRNs can specialize in areas such as nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, or certified nurse-midwife.
3. Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN): Holds a diploma or certificate from a practical nursing program and has passed a licensing exam. LPNs/LVNs provide basic patient care under the supervision of RNs and physicians.

These definitions are not exhaustive, but they should give you an idea of what nurses do and their roles within the healthcare system.

Child health services refer to a range of medical and supportive services designed to promote the physical, mental, and social well-being of children from birth up to adolescence. These services aim to prevent or identify health problems early, provide treatment and management for existing conditions, and support healthy growth and development.

Examples of child health services include:

1. Well-child visits: Regular checkups with a pediatrician or other healthcare provider to monitor growth, development, and overall health.
2. Immunizations: Vaccinations to protect against infectious diseases such as measles, mumps, rubella, polio, and hepatitis B.
3. Screening tests: Blood tests, hearing and vision screenings, and other diagnostic tests to identify potential health issues early.
4. Developmental assessments: Evaluations of a child's cognitive, emotional, social, and physical development to ensure they are meeting age-appropriate milestones.
5. Dental care: Preventive dental services such as cleanings, fluoride treatments, and sealants, as well as restorative care for cavities or other dental problems.
6. Mental health services: Counseling, therapy, and medication management for children experiencing emotional or behavioral challenges.
7. Nutrition counseling: Education and support to help families make healthy food choices and promote good nutrition.
8. Chronic disease management: Coordinated care for children with ongoing medical conditions such as asthma, diabetes, or cerebral palsy.
9. Injury prevention: Programs that teach parents and children about safety measures to reduce the risk of accidents and injuries.
10. Public health initiatives: Community-based programs that promote healthy lifestyles, provide access to healthcare services, and address social determinants of health such as poverty, housing, and education.

Aortic valve stenosis is a cardiac condition characterized by the narrowing or stiffening of the aortic valve, which separates the left ventricle (the heart's main pumping chamber) from the aorta (the large artery that carries oxygen-rich blood to the rest of the body). This narrowing or stiffening prevents the aortic valve from opening fully, resulting in reduced blood flow from the left ventricle to the aorta and the rest of the body.

The narrowing can be caused by several factors, including congenital heart defects, calcification (hardening) of the aortic valve due to aging, or scarring of the valve due to rheumatic fever or other inflammatory conditions. As a result, the left ventricle must work harder to pump blood through the narrowed valve, which can lead to thickening and enlargement of the left ventricular muscle (left ventricular hypertrophy).

Symptoms of aortic valve stenosis may include chest pain or tightness, shortness of breath, fatigue, dizziness or fainting, and heart palpitations. Severe aortic valve stenosis can lead to serious complications such as heart failure, arrhythmias, or even sudden cardiac death. Treatment options may include medications to manage symptoms, lifestyle changes, or surgical intervention such as aortic valve replacement.

I couldn't find a specific medical definition for "Personnel Staffing and Scheduling," but I can provide you with a general definition that is widely used in the healthcare industry.

"Personnel Staffing and Scheduling" refers to the process of managing and allocating healthcare personnel resources to ensure appropriate staffing levels and schedules to meet the demand for patient care services. It involves determining the right number and mix of qualified healthcare professionals, such as physicians, nurses, therapists, and other support staff, required to provide safe and high-quality patient care.

Effective personnel staffing and scheduling aim to match the supply of healthcare personnel with the demand for patient care services while considering factors such as patient acuity, skill mix, workload, and productivity. It also involves addressing issues related to employee satisfaction, work-life balance, fatigue management, and regulatory compliance.

Proper personnel staffing and scheduling are critical in ensuring that healthcare organizations can deliver safe, high-quality care to their patients while maintaining the well-being and job satisfaction of their employees.

Preventive health services refer to measures taken to prevent diseases or injuries rather than curing them or treating their symptoms. These services include screenings, vaccinations, and counseling aimed at preventing or identifying illnesses in their earliest stages. Examples of preventive health services include:

1. Screenings for various types of cancer (e.g., breast, cervical, colorectal)
2. Vaccinations against infectious diseases (e.g., influenza, pneumococcal pneumonia, human papillomavirus)
3. Counseling on lifestyle modifications to reduce the risk of chronic diseases (e.g., smoking cessation, diet and exercise counseling, alcohol misuse screening and intervention)
4. Screenings for cardiovascular disease risk factors (e.g., cholesterol levels, blood pressure, body mass index)
5. Screenings for mental health conditions (e.g., depression)
6. Preventive medications (e.g., aspirin for primary prevention of cardiovascular disease in certain individuals)

Preventive health services are an essential component of overall healthcare and play a critical role in improving health outcomes, reducing healthcare costs, and enhancing quality of life.

Health services research (HSR) is a multidisciplinary field of scientific investigation that studies how social factors, financing systems, organizational structures and processes, health technologies, and personal behaviors affect access to healthcare, the quality and cost of care, and ultimately, our health and well-being. The goal of HSR is to inform policy and practice, improve system performance, and enhance the health and well-being of individuals and communities. It involves the use of various research methods, including epidemiology, biostatistics, economics, sociology, management science, political science, and psychology, to answer questions about the healthcare system and how it can be improved.

Examples of HSR topics include:

* Evaluating the effectiveness and cost-effectiveness of different healthcare interventions and technologies
* Studying patient-centered care and patient experiences with the healthcare system
* Examining healthcare workforce issues, such as shortages of primary care providers or the impact of nurse-to-patient ratios on patient outcomes
* Investigating the impact of health insurance design and financing systems on access to care and health disparities
* Analyzing the organization and delivery of healthcare services in different settings, such as hospitals, clinics, and long-term care facilities
* Identifying best practices for improving healthcare quality and safety, reducing medical errors, and eliminating wasteful or unnecessary care.

Ambulatory care facilities are healthcare providers where patients receive medical services, treatments, or procedures that do not require an overnight hospital stay. These facilities are often used for diagnosis, observation, and outpatient care such as same-day surgery, preventive health screenings, and minor procedures. They can include a wide range of settings like physician offices, community clinics, urgent care centers, dialysis centers, and surgical centers. The goal of ambulatory care facilities is to provide high-quality medical services in a convenient and cost-effective manner for patients who do not require hospitalization.

Critical pathways, also known as clinical pathways or care maps, are specialized treatment plans for specific medical conditions. They are designed to standardize and improve the quality of care by providing evidence-based guidelines for each stage of a patient's treatment, from diagnosis to discharge. Critical pathways aim to reduce variations in care, promote efficient use of resources, and enhance communication among healthcare providers. These pathways may include recommendations for medications, tests, procedures, and follow-up care based on best practices and current research evidence. By following critical pathways, healthcare professionals can ensure that patients receive timely, effective, and coordinated care, which can lead to better outcomes and improved patient satisfaction.

Electron microscopy (EM) is a type of microscopy that uses a beam of electrons to create an image of the sample being examined, resulting in much higher magnification and resolution than light microscopy. There are several types of electron microscopy, including transmission electron microscopy (TEM), scanning electron microscopy (SEM), and reflection electron microscopy (REM).

In TEM, a beam of electrons is transmitted through a thin slice of the sample, and the electrons that pass through the sample are focused to form an image. This technique can provide detailed information about the internal structure of cells, viruses, and other biological specimens, as well as the composition and structure of materials at the atomic level.

In SEM, a beam of electrons is scanned across the surface of the sample, and the electrons that are scattered back from the surface are detected to create an image. This technique can provide information about the topography and composition of surfaces, as well as the structure of materials at the microscopic level.

REM is a variation of SEM in which the beam of electrons is reflected off the surface of the sample, rather than scattered back from it. This technique can provide information about the surface chemistry and composition of materials.

Electron microscopy has a wide range of applications in biology, medicine, and materials science, including the study of cellular structure and function, disease diagnosis, and the development of new materials and technologies.

Home care services, also known as home health care, refer to a wide range of health and social services delivered at an individual's residence. These services are designed to help people who have special needs or disabilities, those recovering from illness or surgery, and the elderly or frail who require assistance with activities of daily living (ADLs) or skilled nursing care.

Home care services can include:

1. Skilled Nursing Care: Provided by registered nurses (RNs), licensed practical nurses (LPNs), or licensed vocational nurses (LVNs) to administer medications, wound care, injections, and other medical treatments. They also monitor the patient's health status, provide education on disease management, and coordinate with other healthcare professionals.
2. Therapy Services: Occupational therapists, physical therapists, and speech-language pathologists help patients regain strength, mobility, coordination, balance, and communication skills after an illness or injury. They develop personalized treatment plans to improve the patient's ability to perform daily activities independently.
3. Personal Care/Assistance with Activities of Daily Living (ADLs): Home health aides and personal care assistants provide assistance with bathing, dressing, grooming, toileting, and other personal care tasks. They may also help with light housekeeping, meal preparation, and shopping.
4. Social Work Services: Provided by licensed social workers who assess the patient's psychosocial needs, connect them to community resources, and provide counseling and support for patients and their families.
5. Nutritional Support: Registered dietitians evaluate the patient's nutritional status, develop meal plans, and provide education on special diets or feeding techniques as needed.
6. Telehealth Monitoring: Remote monitoring of a patient's health status using technology such as video conferencing, wearable devices, or mobile apps to track vital signs, medication adherence, and symptoms. This allows healthcare providers to monitor patients closely and adjust treatment plans as necessary without requiring in-person visits.
7. Hospice Care: End-of-life care provided in the patient's home to manage pain, provide emotional support, and address spiritual needs. The goal is to help the patient maintain dignity and quality of life during their final days.
8. Respite Care: Temporary relief for family caregivers who need a break from caring for their loved ones. This can include short-term stays in assisted living facilities or hiring professional caregivers to provide in-home support.

Longitudinal studies are a type of research design where data is collected from the same subjects repeatedly over a period of time, often years or even decades. These studies are used to establish patterns of changes and events over time, and can help researchers identify causal relationships between variables. They are particularly useful in fields such as epidemiology, psychology, and sociology, where the focus is on understanding developmental trends and the long-term effects of various factors on health and behavior.

In medical research, longitudinal studies can be used to track the progression of diseases over time, identify risk factors for certain conditions, and evaluate the effectiveness of treatments or interventions. For example, a longitudinal study might follow a group of individuals over several decades to assess their exposure to certain environmental factors and their subsequent development of chronic diseases such as cancer or heart disease. By comparing data collected at multiple time points, researchers can identify trends and correlations that may not be apparent in shorter-term studies.

Longitudinal studies have several advantages over other research designs, including their ability to establish temporal relationships between variables, track changes over time, and reduce the impact of confounding factors. However, they also have some limitations, such as the potential for attrition (loss of participants over time), which can introduce bias and affect the validity of the results. Additionally, longitudinal studies can be expensive and time-consuming to conduct, requiring significant resources and a long-term commitment from both researchers and study participants.

I'm not a medical professional, but the term "History, Ancient" is not a medical term per se. However, in a broader context, it could refer to the study of ancient medical practices, theories, and beliefs that existed in civilizations prior to the Middle Ages or Classical Antiquity. This might include the examination of ancient texts, artifacts, and archaeological evidence to understand how illnesses were treated and viewed in these historical periods. It forms an essential part of the evolution of medical knowledge and practices over time.

Social work is a professional field of practice that promotes social change, problem-solving in human relationships, and the empowerment and liberation of people to enhance well-being. According to the International Federation of Social Workers (IFSW), social work involves "the application of social sciences, theory, knowledge, and skills to effect positive changes in individuals, groups, communities, and societies."

Social workers are trained to work with individuals, families, groups, and communities to address a wide range of social, emotional, and practical needs. They help people navigate complex systems, access resources, and advocate for their rights. Social workers may be employed in various settings, including hospitals, mental health clinics, schools, community centers, and government agencies.

In medical settings, social work is often focused on helping patients and their families cope with illness, disability, or injury. Medical social workers provide counseling, support, and advocacy to help patients and families navigate the healthcare system, access needed resources, and make informed decisions about treatment options. They may also assist with discharge planning, coordinating care transitions, and connecting patients with community-based services.

Medical social work is a specialized area of practice that requires knowledge and skills in areas such as psychosocial assessment, crisis intervention, case management, and advocacy. Medical social workers must be able to communicate effectively with healthcare professionals, patients, and families, and have a deep understanding of the social determinants of health and the impact of illness on individuals and communities.

I'm sorry for any confusion, but "Netherlands" is not a medical term. It is a country located in Western Europe, known for its artistic heritage, elaborate canal system, and legalized marijuana and prostitution. If you have any questions about medical terms or concepts, I would be happy to help with those!

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Patient participation refers to the active involvement of patients in their own healthcare process. This includes:

1. Making informed decisions about their health and treatment options in partnership with healthcare professionals.
2. Communicating effectively with healthcare providers to ensure their needs, preferences, and values are taken into account.
3. Monitoring their own health status and seeking appropriate care when needed.
4. Providing feedback on the quality of care they receive to help improve healthcare services.

Patient participation is considered a key component of patient-centered care, which aims to treat patients as whole persons with unique needs, values, and preferences, rather than simply treating their medical conditions. It is also an essential element of shared decision-making, where patients and healthcare providers work together to make informed decisions based on the best available evidence and the patient's individual circumstances.

Affective disorders, psychotic are a category of mental health conditions characterized by significant disturbances in mood, thinking, and behavior. These disorders combine the symptoms of both mood disorders (such as depression or bipolar disorder) and psychotic disorders (such as schizophrenia).

In psychotic affective disorders, individuals experience severe changes in their mood, such as prolonged periods of depression or mania, along with psychotic features like hallucinations, delusions, or disorganized thinking and speech. These symptoms can significantly impair a person's ability to function in daily life and may require intensive treatment, including medication and therapy.

Examples of psychotic affective disorders include:

1. Psychotic Depression: A severe form of major depressive disorder that includes psychotic symptoms like delusions or hallucinations, often with a theme of guilt or worthlessness.
2. Bipolar Disorder with Psychotic Features: During manic or depressive episodes, some individuals with bipolar disorder may experience psychotic symptoms such as delusions or hallucinations. These symptoms can vary in intensity and may require hospitalization and intensive treatment.
3. Schizoaffective Disorder: A mental health condition that includes features of both schizophrenia and a mood disorder, such as depression or bipolar disorder. Individuals with this disorder experience psychotic symptoms like hallucinations and delusions, along with significant changes in mood.

It is essential to seek professional help if you suspect you or someone you know may have a psychotic affective disorder. Early intervention and treatment can significantly improve outcomes and quality of life.

Hospital bed capacity refers to the total number of beds that are available for patient care within a hospital. When referring to "under 100," it simply means that the hospital has fewer than 100 beds in total. This includes all types of beds, such as intensive care unit (ICU) beds, step-down units, and medical-surgical beds.

A low bed capacity can impact the ability of a hospital to provide timely and appropriate care to patients, particularly during periods of high demand or in emergency situations. Factors that can affect hospital bed capacity include patient volume, staffing levels, available resources, and physical space constraints. It is important for hospitals to manage their bed capacity effectively to ensure that they can meet the needs of their patients and provide high-quality care.

The Australian Capital Territory (ACT) is a federal territory of Australia that serves as the country's capital and is home to the city of Canberra. It is not a state, but rather a separate territorial jurisdiction that is self-governing, with its own legislative assembly responsible for local governance.

The ACT was established in 1911 as the site for Australia's capital city, following a compromise between the two largest cities in the country at the time, Sydney and Melbourne, which both sought to be named the national capital. The territory covers an area of approximately 2,358 square kilometers (910 square miles) and has a population of around 430,000 people.

The ACT is home to many important government buildings and institutions, including Parliament House, the High Court of Australia, and the Australian War Memorial. It also boasts a diverse range of natural attractions, such as the Namadgi National Park and the Tidbinbilla Nature Reserve, which offer opportunities for hiking, camping, and wildlife viewing.

In medical terms, the ACT has its own healthcare system and infrastructure, with several hospitals, clinics, and medical centers located throughout the territory. The Australian Government provides funding for public health services in the ACT, while private health insurance is also available to residents. The territory's main hospital, Canberra Hospital, offers a range of specialist medical services, including emergency care, cancer treatment, and mental health services.

"Transition to adult care" is a process that involves preparing and moving adolescent patients with chronic medical conditions from pediatric to adult healthcare systems. This transition aims to ensure continuity and developmentally appropriate care, while promoting self-management and advocacy skills in young adults. It typically occurs between the ages of 18 to 25, but the exact timing depends on the individual's physical and mental maturity, as well as their specific medical condition and healthcare needs. The goal is to help young adults navigate the complex adult healthcare system independently and successfully.

A Computerized Medical Record System (CMRS) is a digital version of a patient's paper chart. It contains all of the patient's medical history from multiple providers and can be shared securely between healthcare professionals. A CMRS includes a range of data such as demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, and radiology reports. The system facilitates the storage, retrieval, and exchange of this information in an efficient manner, and can also provide decision support, alerts, reminders, and tools for performing data analysis and creating reports. It is designed to improve the quality, safety, and efficiency of healthcare delivery by providing accurate, up-to-date, and comprehensive information about patients at the point of care.

Short Bowel Syndrome (SBS) is a malabsorption disorder that occurs when a significant portion of the small intestine has been removed or is functionally lost due to surgical resection, congenital abnormalities, or other diseases. The condition is characterized by an inability to absorb sufficient nutrients, water, and electrolytes from food, leading to diarrhea, malnutrition, dehydration, and weight loss.

The small intestine plays a crucial role in digestion and absorption of nutrients, and when more than 50% of its length is affected, the body's ability to absorb essential nutrients becomes compromised. The severity of SBS depends on the extent of the remaining small intestine, the presence or absence of the ileocecal valve (a sphincter that separates the small and large intestines), and the functionality of the residual intestinal segments.

Symptoms of Short Bowel Syndrome include:

1. Chronic diarrhea
2. Steatorrhea (fatty stools)
3. Dehydration
4. Weight loss
5. Fat-soluble vitamin deficiencies (A, D, E, and K)
6. Electrolyte imbalances
7. Malnutrition
8. Anemia
9. Bacterial overgrowth in the small intestine
10. Osteoporosis due to calcium and vitamin D deficiencies

Treatment for Short Bowel Syndrome typically involves a combination of nutritional support, medication, and sometimes surgical interventions. Nutritional management includes oral or enteral feeding with specially formulated elemental or semi-elemental diets, as well as parenteral nutrition (intravenous feeding) to provide essential nutrients that cannot be absorbed through the gastrointestinal tract. Medications such as antidiarrheals, H2 blockers, proton pump inhibitors, and antibiotics may also be used to manage symptoms and prevent complications. In some cases, intestinal transplantation might be considered for severe SBS patients who do not respond to other treatments.

Community Mental Health Centers (CMHCs) are mental health facilities that provide a range of comprehensive and accessible mental health services to a specific geographic community or catchment area. They are designed to serve as the primary point of contact for individuals seeking mental health care and aim to provide coordinated, continuous, and person-centered care.

CMHCs typically offer a variety of services, including:

1. Outpatient mental health treatment: This includes individual, group, and family therapy sessions with licensed mental health professionals such as psychiatrists, psychologists, social workers, and counselors.
2. Crisis intervention and emergency services: CMHCs often have 24-hour crisis hotlines and mobile crisis teams that can respond to mental health emergencies in the community.
3. Psychiatric evaluation and medication management: Psychiatrists or nurse practitioners at CMHCs can assess individuals for psychiatric disorders, provide diagnoses, and prescribe and manage psychotropic medications as needed.
4. Prevention and early intervention services: CMHCs may offer programs that focus on mental health promotion, suicide prevention, and early identification and treatment of mental health issues in children and adolescents.
5. Case management and care coordination: CMHC staff can help individuals navigate the mental health system, connect with community resources, and coordinate care across various providers and services.
6. Rehabilitation and recovery services: CMHCs may provide vocational training, educational support, and other rehabilitative services to help individuals with mental illness achieve their personal goals and maximize their independence.
7. Community outreach and engagement: CMHCs often engage in activities that promote mental health awareness, reduce stigma, and increase access to care within the communities they serve.

The goal of CMHCs is to provide accessible, high-quality mental health services that are integrated with primary care and other community-based services, ensuring that individuals receive the support they need to manage their mental health concerns and improve their overall well-being.

Comprehensive health care is a type of medical care that aims to meet the majority of an individual's physical, emotional, and social needs, through a coordinated and integrated system of preventative, acute, and long-term care services. It is designed to provide a continuum of care that is accessible, efficient, and effective in addressing the whole person's health status, including all aspects of prevention, diagnosis, treatment, and management of both physical and mental health conditions.

Comprehensive health care may include a wide range of services such as preventative screenings, routine check-ups, immunizations, acute care for illnesses or injuries, chronic disease management, mental health counseling, rehabilitation, and end-of-life care. It is typically delivered through a network of healthcare providers, including primary care physicians, specialists, hospitals, clinics, and community-based organizations, who work together to provide coordinated and patient-centered care.

The goal of comprehensive health care is to improve health outcomes, enhance quality of life, and reduce health disparities by addressing the social determinants of health, such as poverty, education, housing, and nutrition, that can impact an individual's overall health status. It recognizes that healthcare is just one component of a larger system of factors that influence a person's health and well-being, and seeks to create a more holistic approach to medical care that addresses the full range of factors that contribute to good health.

An "episode of care" is a term commonly used in the healthcare industry to describe the period of time during which a patient receives medical treatment for a specific condition, injury, or health issue. It typically includes all the services provided by one or more healthcare professionals or facilities during the course of treating that particular condition or health problem. This may include various aspects such as diagnosis, treatment, follow-up care, and any necessary readmissions related to that specific condition.

The purpose of defining an episode of care is to help measure the quality, effectiveness, and cost of healthcare services for a given condition or procedure. By analyzing data from episodes of care, healthcare providers, payers, and policymakers can identify best practices, improve patient outcomes, and make more informed decisions about resource allocation and reimbursement policies.

Primary care physicians are medical professionals who provide first-contact and continuous care for patients with acute and chronic physical, mental, and social health problems. They serve as the patient's main point of entry into the healthcare system and act as the patient's advocate in coordinating access to and delivery of appropriate healthcare services. Primary care physicians may include general practitioners, family medicine specialists, internists, pediatricians, and geriatricians.

Primary care involves the widest scope of healthcare, including all ages of patients, patients of all socioeconomic and geographic origins, and patients seeking to maintain optimal health, as well as those with all types of acute and chronic physical, mental and social health issues. Primary care includes disease prevention, health promotion, patient education, and diagnosis and treatment of acute and chronic illnesses.

Primary care physicians are trained to recognize a wide range of health problems and to provide initial treatment or make referrals to medical subspecialists or other healthcare professionals as needed. They may also provide ongoing, person-centered care, including chronic disease management, and they play an important role in coordinating the care provided by other healthcare professionals and specialists.

Primary care physicians are often based in community settings such as private practices, community health centers, or hospital outpatient departments, and they may work in teams with nurses, social workers, mental health professionals, and other healthcare providers to provide comprehensive, patient-centered care.

I'm sorry for any confusion, but "Quebec" is not a medical term. It is a place name, referring to the Canadian province of Quebec. If you have any questions about medical terms or concepts, I would be happy to help answer those!

Healthcare Quality Indicators (QIs) are measurable elements that can be used to assess the quality of healthcare services and outcomes. They are often based on evidence-based practices and guidelines, and are designed to help healthcare providers monitor and improve the quality of care they deliver to their patients. QIs may focus on various aspects of healthcare, such as patient safety, clinical effectiveness, patient-centeredness, timeliness, and efficiency. Examples of QIs include measures such as rates of hospital-acquired infections, adherence to recommended treatments for specific conditions, and patient satisfaction scores. By tracking these indicators over time, healthcare organizations can identify areas where they need to improve, make changes to their processes and practices, and ultimately provide better care to their patients.

Medicaid is a joint federal-state program that provides health coverage for low-income individuals, including children, pregnant women, elderly adults, and people with disabilities. Eligibility, benefits, and administration vary by state, but the program is designed to ensure that low-income individuals have access to necessary medical services. Medicaid is funded jointly by the federal government and the states, and is administered by the states under broad federal guidelines.

Medicaid programs must cover certain mandatory benefits, such as inpatient and outpatient hospital services, laboratory and X-ray services, and physician services. States also have the option to provide additional benefits, such as dental care, vision services, and prescription drugs. In addition, many states have expanded their Medicaid programs to cover more low-income adults under the Affordable Care Act (ACA).

Medicaid is an important source of health coverage for millions of Americans, providing access to necessary medical care and helping to reduce financial burden for low-income individuals.

Socioeconomic factors are a range of interconnected conditions and influences that affect the opportunities and resources a person or group has to maintain and improve their health and well-being. These factors include:

1. Economic stability: This includes employment status, job security, income level, and poverty status. Lower income and lack of employment are associated with poorer health outcomes.
2. Education: Higher levels of education are generally associated with better health outcomes. Education can affect a person's ability to access and understand health information, as well as their ability to navigate the healthcare system.
3. Social and community context: This includes factors such as social support networks, discrimination, and community safety. Strong social supports and positive community connections are associated with better health outcomes, while discrimination and lack of safety can negatively impact health.
4. Healthcare access and quality: Access to affordable, high-quality healthcare is an important socioeconomic factor that can significantly impact a person's health. Factors such as insurance status, availability of providers, and cultural competency of healthcare systems can all affect healthcare access and quality.
5. Neighborhood and built environment: The physical conditions in which people live, work, and play can also impact their health. Factors such as housing quality, transportation options, availability of healthy foods, and exposure to environmental hazards can all influence health outcomes.

Socioeconomic factors are often interrelated and can have a cumulative effect on health outcomes. For example, someone who lives in a low-income neighborhood with limited access to healthy foods and safe parks may also face challenges related to employment, education, and healthcare access that further impact their health. Addressing socioeconomic factors is an important part of promoting health equity and reducing health disparities.

I'm sorry for any confusion, but "Office Management" is not a medical term. It refers to the administrative and operational functions of an office or organization, including tasks such as coordinating staff, overseeing budgets and expenses, maintaining records, and ensuring efficient workflow. However, in a medical setting, office management responsibilities may include scheduling appointments, managing patient records, handling insurance claims, and communicating with patients and healthcare providers.

Patient care is a broad term that refers to the prevention, diagnosis, and treatment of illnesses or injuries, as well as the promotion of health and the maintenance of mental and physical well-being. It involves a wide range of services and activities, including:

1. Medical history taking and physical examination
2. Diagnostic tests and procedures
3. Treatment planning and implementation
4. Patient education and counseling
5. Collaboration with other healthcare professionals
6. Continuity of care and follow-up
7. Emotional support and empathy
8. Respect for patient autonomy and dignity
9. Advocacy for patients' rights and needs
10. Coordination of care across different settings and providers.

Patient care can be provided in various settings, such as hospitals, clinics, nursing homes, home health agencies, and community-based organizations. It can be delivered by a variety of healthcare professionals, including physicians, nurses, physician assistants, social workers, physical therapists, occupational therapists, and others.

The ultimate goal of patient care is to help patients achieve the best possible outcomes in terms of their health and well-being, while also respecting their values, preferences, and cultural backgrounds.

Patient discharge is a medical term that refers to the point in time when a patient is released from a hospital or other healthcare facility after receiving treatment. This process typically involves the physician or healthcare provider determining that the patient's condition has improved enough to allow them to continue their recovery at home or in another appropriate setting.

The discharge process may include providing the patient with instructions for ongoing care, such as medication regimens, follow-up appointments, and activity restrictions. The healthcare team may also provide educational materials and resources to help patients and their families manage their health conditions and prevent complications.

It is important for patients and their families to understand and follow the discharge instructions carefully to ensure a smooth transition back to home or another care setting and to promote continued recovery and good health.

The aortic valve is the valve located between the left ventricle (the lower left chamber of the heart) and the aorta (the largest artery in the body, which carries oxygenated blood from the heart to the rest of the body). It is made up of three thin flaps or leaflets that open and close to regulate blood flow. During a heartbeat, the aortic valve opens to allow blood to be pumped out of the left ventricle into the aorta, and then closes to prevent blood from flowing back into the ventricle when it relaxes. Any abnormality or damage to this valve can lead to various cardiovascular conditions such as aortic stenosis, aortic regurgitation, or infective endocarditis.

I'm happy to help, but I need to clarify that "workflow" is not a medical term per se. It is a term used in many fields, including healthcare, to describe a series of steps or tasks that are necessary to complete a process or task. In the context of healthcare, workflows often refer to the processes and procedures involved in delivering care to patients.

A medical definition of "workflow" might be:

The sequence of tasks or activities involved in providing clinical care to patients, including assessment, diagnosis, treatment planning, intervention, monitoring, and follow-up. Workflows may involve multiple healthcare providers, such as physicians, nurses, therapists, and other staff members, and may be supported by technology, such as electronic health records (EHRs) or other clinical information systems. Effective workflow design is critical to ensuring safe, timely, and efficient care delivery.

Community Health Centers (CHCs) are primary care facilities that provide comprehensive and culturally competent health services to medically underserved communities, regardless of their ability to pay. CHCs are funded through various sources, including the federal government's Health Resources and Services Administration (HRSA). They aim to reduce health disparities and improve health outcomes for vulnerable populations by providing access to high-quality preventive and primary care services.

CHCs offer a range of services, such as medical, dental, and behavioral health care, as well as enabling services like case management, transportation, and language interpretation. They operate on a sliding fee scale basis, ensuring that patients pay based on their income and ability to pay. CHCs also engage in community outreach and education to promote health awareness and prevention.

"State Medicine" is not a term that has a widely accepted or specific medical definition. However, in general terms, it can refer to the organization, financing, and delivery of healthcare services and resources at the national or regional level, overseen and managed by the government or state. This can include public health initiatives, regulation of healthcare professionals and institutions, and the provision of healthcare services through publicly funded programs.

In some contexts, "State Medicine" may also refer to the practice of using medical treatments or interventions as a means of achieving political or social objectives, such as reducing crime rates or improving economic productivity. However, this usage is less common and more controversial.

Medical record linkage is the process of connecting and integrating electronic health records or other forms of medical records from different sources, time points, or healthcare providers for an individual patient. The goal is to create a comprehensive, longitudinal medical history for that person, which can improve continuity of care, support clinical decision-making, enable epidemiological research, and facilitate public health surveillance.

Record linkage typically involves the use of deterministic (exact match) or probabilistic (statistical) algorithms to identify and merge records belonging to the same individual based on various identifiers, such as name, date of birth, gender, and other demographic information. It is essential to maintain privacy, confidentiality, and data security throughout this process, often requiring strict adherence to legal and ethical guidelines.

Medical secretaries are administrative professionals who work in healthcare settings, such as hospitals, clinics, or private medical practices. Their primary role is to provide support to medical staff by handling various administrative tasks. Although I couldn't find a specific medical definition for "medical secretary," I can offer you a detailed job description based on common responsibilities and duties associated with this profession:

1. Scheduling appointments and managing patient records: Medical secretaries coordinate schedules for patients and healthcare professionals, maintain accurate and confidential patient records, and ensure that medical information is up-to-date and securely stored.
2. Communication: They serve as a liaison between patients, healthcare providers, and other medical staff, handling inquiries, providing information, and facilitating communication via phone, email, or in-person interactions.
3. Document preparation and management: Medical secretaries prepare and distribute various documents, such as correspondence, reports, referral letters, and medical records. They also manage document filing systems, both physical and electronic, to ensure easy access and organization.
4. Billing and insurance processing: They are responsible for managing financial transactions related to patient care, including generating invoices, submitting insurance claims, and handling billing inquiries and disputes.
5. Organizational skills: Medical secretaries maintain a well-organized workspace and workflow, prioritizing tasks and meeting deadlines to support the efficient operation of the medical practice or department.
6. Meeting and event coordination: They arrange meetings, conferences, and continuing education events for medical staff, handling logistics, registration, and communication with attendees.
7. Ad hoc duties: Medical secretaries may perform various ad hoc tasks as needed, such as ordering supplies, maintaining equipment, or providing general office support.
8. Professionalism and confidentiality: They adhere to strict professional standards, including maintaining patient confidentiality and demonstrating respect, empathy, and discretion in all interactions.

While there may not be a specific medical definition for "medical secretary," the above job description outlines the essential roles and responsibilities associated with this profession within healthcare settings.

Health services needs refer to the population's requirement for healthcare services based on their health status, disease prevalence, and clinical guidelines. These needs can be categorized into normative needs (based on expert opinions or clinical guidelines) and expressed needs (based on individuals' perceptions of their own healthcare needs).

On the other hand, health services demand refers to the quantity of healthcare services that consumers are willing and able to pay for, given their preferences, values, and financial resources. Demand is influenced by various factors such as price, income, education level, and cultural beliefs.

It's important to note that while needs represent a population's requirement for healthcare services, demand reflects the actual utilization of these services. Understanding both health services needs and demand is crucial in planning and delivering effective healthcare services that meet the population's requirements while ensuring efficient resource allocation.

Psychoacoustics is a branch of psychophysics that deals with the study of the psychological and physiological responses to sound. It involves understanding how people perceive, interpret, and react to different sounds, including speech, music, and environmental noises. This field combines knowledge from various areas such as psychology, acoustics, physics, and engineering to investigate the relationship between physical sound characteristics and human perception. Research in psychoacoustics has applications in fields like hearing aid design, noise control, music perception, and communication systems.

The "delivery of health care" refers to the process of providing medical services, treatments, and interventions to individuals in order to maintain, restore, or improve their health. This encompasses a wide range of activities, including:

1. Preventive care: Routine check-ups, screenings, immunizations, and counseling aimed at preventing illnesses or identifying them at an early stage.
2. Diagnostic services: Tests and procedures used to identify and understand medical conditions, such as laboratory tests, imaging studies, and biopsies.
3. Treatment interventions: Medical, surgical, or therapeutic treatments provided to manage acute or chronic health issues, including medications, surgeries, physical therapy, and psychotherapy.
4. Acute care services: Short-term medical interventions focused on addressing immediate health concerns, such as hospitalizations for infections, injuries, or complications from medical conditions.
5. Chronic care management: Long-term care and support provided to individuals with ongoing medical needs, such as those living with chronic diseases like diabetes, heart disease, or cancer.
6. Rehabilitation services: Programs designed to help patients recover from illnesses, injuries, or surgeries, focusing on restoring physical, cognitive, and emotional function.
7. End-of-life care: Palliative and hospice care provided to individuals facing terminal illnesses, with an emphasis on comfort, dignity, and quality of life.
8. Public health initiatives: Population-level interventions aimed at improving community health, such as disease prevention programs, health education campaigns, and environmental modifications.

The delivery of health care involves a complex network of healthcare professionals, institutions, and systems working together to ensure that patients receive the best possible care. This includes primary care physicians, specialists, nurses, allied health professionals, hospitals, clinics, long-term care facilities, and public health organizations. Effective communication, coordination, and collaboration among these stakeholders are essential for high-quality, patient-centered care.

In medical terms, a patient is an individual who receives medical attention, treatment, or care from a healthcare professional or provider. This could be in the context of seeking help for a specific health concern, receiving ongoing management for a chronic condition, or being under observation as part of preventative healthcare. The term "patient" implies a level of trust and vulnerability, where the individual places their health and well-being in the hands of a medical expert. It's important to note that patients have rights and responsibilities too, including informed consent, confidentiality, and active participation in their own care.

Nurse-patient relations refer to the interactions and relationships between registered nurses (RNs) or licensed practical nurses (LPNs) and their patients. This relationship is based on trust, respect, and collaboration, with the goal of providing safe, effective, and compassionate care that promotes the physical, emotional, and psychological well-being of the patient.

The nurse-patient relationship involves several key elements, including:

1. Communication: Effective communication is essential in the nurse-patient relationship. Nurses must listen actively to their patients, understand their needs and concerns, and provide clear and concise information about their care.
2. Empathy: Nurses should demonstrate empathy and compassion towards their patients, recognizing their feelings and emotions and providing emotional support when needed.
3. Autonomy: Nurses should respect their patients' autonomy and self-determination, involving them in decision-making about their care and promoting their independence whenever possible.
4. Confidentiality: Nurses must maintain confidentiality and protect their patients' privacy, ensuring that sensitive information is shared only with those who have a legitimate need to know.
5. Advocacy: Nurses should advocate for their patients, ensuring that they receive the care and resources they need to achieve optimal health outcomes.

Overall, nurse-patient relations are critical to the delivery of high-quality healthcare and can significantly impact patient satisfaction, adherence to treatment plans, and clinical outcomes.

In medical terms, secondary care refers to the level of health care services provided by medical specialists and other health professionals who do not have immediate access to patients. It is usually the next level of care following primary care, which is often provided by general practitioners or family doctors. Secondary care typically includes more complex and specialized treatments, such as those provided in hospitals or specialty clinics, and may involve collaboration between multiple healthcare providers.

Examples of secondary care services include consultations with medical specialists, diagnostic tests, surgeries, and other procedures that require specialized equipment or expertise. These services are usually accessed through referral from a primary care provider, who will assess the patient's needs and determine whether they require more specialized care.

Overall, secondary care is an essential component of healthcare systems around the world, providing patients with access to the specialized care they need to manage complex medical conditions and maintain their health and well-being.

A chronic disease is a long-term medical condition that often progresses slowly over a period of years and requires ongoing management and care. These diseases are typically not fully curable, but symptoms can be managed to improve quality of life. Common chronic diseases include heart disease, stroke, cancer, diabetes, arthritis, and COPD (chronic obstructive pulmonary disease). They are often associated with advanced age, although they can also affect children and younger adults. Chronic diseases can have significant impacts on individuals' physical, emotional, and social well-being, as well as on healthcare systems and society at large.

Physical anthropology is a subfield of anthropology that focuses on the study of human biological variation and evolution, both in the past and in the present. It draws upon various scientific disciplines such as genetics, anatomy, physiology, and paleontology to understand the biological origins and development of our species, Homo sapiens.

Physical anthropologists study a wide range of topics, including human and primate evolution, population genetics, skeletal biology, forensic anthropology, and bioarchaeology. They often work with fossil remains, archaeological sites, and living populations to investigate questions related to human adaptation, health, migration, and diversity.

By examining the biological aspects of human existence, physical anthropologists aim to contribute to a more comprehensive understanding of what it means to be human, both in terms of our shared characteristics as a species and the unique variations that make each individual and population distinct.

Decision theory is a branch of mathematical and philosophical study that deals with the principles and methods for making decisions under uncertainty. It provides a framework for analyzing and comparing different decision alternatives based on their potential outcomes, risks, and uncertainties. Decision theory takes into account various factors such as probabilities, utilities, values, and preferences to help individuals or organizations make rational and informed choices.

In medical context, decision theory is often applied to clinical decision-making, where healthcare providers need to evaluate different treatment options for patients based on their individual needs, risks, and benefits. Decision theory can help clinicians to weigh the potential outcomes of different treatments, consider the patient's values and preferences, and make evidence-based decisions that maximize the overall health and well-being of the patient.

Decision theory can also be used in public health policy, healthcare management, and medical research to evaluate the effectiveness and efficiency of different interventions, programs, or policies. By providing a systematic and rigorous approach to decision-making, decision theory can help to improve the quality and transparency of healthcare decisions, reduce uncertainty and bias, and promote better outcomes for patients and populations.

In the context of healthcare, workload refers to the amount and complexity of tasks or responsibilities that a healthcare professional is expected to perform within a given period. This can include direct patient care activities such as physical assessments, treatments, and procedures, as well as indirect care activities like documentation, communication with other healthcare team members, and quality improvement initiatives.

Workload can be measured in various ways, including the number of patients assigned to a provider, the amount of time spent on direct patient care, or the complexity of the medical conditions being managed. High workloads can impact the quality of care provided, as well as healthcare professional burnout and job satisfaction. Therefore, it is essential to monitor and manage workload effectively to ensure safe and high-quality patient care.

Nursing specialties refer to specific areas of practice within the nursing profession that require additional education, training, and expertise beyond the basic nursing degree. These specialties allow nurses to focus their career on a particular population, disease, or type of care, and may include areas such as:

1. Pediatrics: Nursing care for infants, children, and adolescents.
2. Gerontology: Nursing care for older adults.
3. Oncology: Nursing care for patients with cancer.
4. Critical Care: Nursing care for critically ill patients in intensive care units.
5. Perioperative Nursing: Nursing care for patients undergoing surgery.
6. Neonatal Nursing: Nursing care for newborns who require specialized medical care.
7. Psychiatric-Mental Health Nursing: Nursing care for patients with mental health disorders.
8. Rehabilitation Nursing: Nursing care for patients recovering from illness or injury.
9. Occupational Health Nursing: Nursing care focused on promoting and maintaining the health and well-being of workers.
10. Public Health Nursing: Nursing care focused on improving the health of communities and populations.

Nurses who specialize in these areas may hold additional certifications, such as Certified Pediatric Nurse (CPN) or Critical Care Registered Nurse (CCRN), which demonstrate their expertise and commitment to providing high-quality care in their chosen specialty.

In the context of medicine, particularly in audiology and otolaryngology (ear, nose, and throat specialty), "noise" is defined as unwanted or disturbing sound in the environment that can interfere with communication, rest, sleep, or cognitive tasks. It can also refer to sounds that are harmful to hearing, such as loud machinery noises or music, which can cause noise-induced hearing loss if exposure is prolonged or at high enough levels.

In some medical contexts, "noise" may also refer to non-specific signals or interfering factors in diagnostic tests and measurements that can make it difficult to interpret results accurately.

"Gatekeeping" is a term used in the context of healthcare to describe the process by which healthcare professionals control access to certain services, treatments, or medications for their patients. This can involve evaluating whether a patient's condition meets specific criteria before approving referrals to specialists, prescribing certain medications, or ordering diagnostic tests.

The goal of gatekeeping is to ensure that patients receive appropriate and necessary care while avoiding unnecessary or redundant treatments that may not be medically indicated or could expose the patient to potential harm. However, it can also be perceived as a barrier to care if it results in delays or denials of needed services, particularly if the criteria for approval are overly restrictive or not well-communicated to patients.

Gatekeeping is often used in managed care organizations and health maintenance organizations (HMOs) to control costs and ensure that healthcare resources are used efficiently. However, it can also be a component of primary care practice more broadly, as primary care providers serve as the initial point of contact for many patients seeking medical care and can help coordinate their overall care plan.

National health programs are systematic, large-scale initiatives that are put in place by national governments to address specific health issues or improve the overall health of a population. These programs often involve coordinated efforts across various sectors, including healthcare, education, and social services. They may aim to increase access to care, improve the quality of care, prevent the spread of diseases, promote healthy behaviors, or reduce health disparities. Examples of national health programs include immunization campaigns, tobacco control initiatives, and efforts to address chronic diseases such as diabetes or heart disease. These programs are typically developed based on scientific research, evidence-based practices, and public health data, and they may be funded through a variety of sources, including government budgets, grants, and private donations.

Medical records are organized, detailed collections of information about a patient's health history, including their symptoms, diagnoses, treatments, medications, test results, and any other relevant data. These records are created and maintained by healthcare professionals during the course of providing medical care and serve as an essential tool for continuity, communication, and decision-making in healthcare. They may exist in paper form, electronic health records (EHRs), or a combination of both. Medical records also play a critical role in research, quality improvement, public health, reimbursement, and legal proceedings.

Reproducibility of results in a medical context refers to the ability to obtain consistent and comparable findings when a particular experiment or study is repeated, either by the same researcher or by different researchers, following the same experimental protocol. It is an essential principle in scientific research that helps to ensure the validity and reliability of research findings.

In medical research, reproducibility of results is crucial for establishing the effectiveness and safety of new treatments, interventions, or diagnostic tools. It involves conducting well-designed studies with adequate sample sizes, appropriate statistical analyses, and transparent reporting of methods and findings to allow other researchers to replicate the study and confirm or refute the results.

The lack of reproducibility in medical research has become a significant concern in recent years, as several high-profile studies have failed to produce consistent findings when replicated by other researchers. This has led to increased scrutiny of research practices and a call for greater transparency, rigor, and standardization in the conduct and reporting of medical research.

A Radiology Department in a hospital is a specialized unit where diagnostic and therapeutic imaging examinations are performed using various forms of radiant energy, including X-rays, magnetic fields, ultrasound, and radio waves. The department is staffed by radiologists (physicians who specialize in the interpretation of medical images) and radiologic technologists who operate the imaging equipment.

The Radiology Department provides a range of services, such as:

1. Diagnostic Radiology: Uses various imaging techniques to diagnose and monitor diseases and injuries, including X-ray, computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, and mammography.
2. Interventional Radiology: Utilizes image guidance to perform minimally invasive procedures, such as biopsies, tumor ablations, and angioplasty.
3. Nuclear Medicine: Uses small amounts of radioactive materials to diagnose and treat diseases, including bone scans, thyroid studies, and positron emission tomography (PET) scans.
4. Radiation Therapy: Treats cancer using high-energy radiation beams targeted at tumors to destroy cancer cells while minimizing damage to surrounding healthy tissue.

The primary goal of the Radiology Department is to provide accurate and timely diagnostic information, support clinical decision-making, and contribute to improved patient outcomes through effective imaging services.

Perceptual masking, also known as sensory masking or just masking, is a concept in sensory perception that refers to the interference in the ability to detect or recognize a stimulus (the target) due to the presence of another stimulus (the mask). This phenomenon can occur across different senses, including audition and vision.

In the context of hearing, perceptual masking occurs when one sound (the masker) makes it difficult to hear another sound (the target) because the two sounds are presented simultaneously or in close proximity to each other. The masker can make the target sound less detectable, harder to identify, or even completely inaudible.

There are different types of perceptual masking, including:

1. Simultaneous Masking: When the masker and target sounds occur at the same time.
2. Temporal Masking: When the masker sound precedes or follows the target sound by a short period. This type of masking can be further divided into forward masking (when the masker comes before the target) and backward masking (when the masker comes after the target).
3. Informational Masking: A more complex form of masking that occurs when the listener's cognitive processes, such as attention or memory, are affected by the presence of the masker sound. This type of masking can make it difficult to understand speech in noisy environments, even if the signal-to-noise ratio is favorable.

Perceptual masking has important implications for understanding and addressing hearing difficulties, particularly in situations with background noise or multiple sounds occurring simultaneously.

Clinical competence is the ability of a healthcare professional to provide safe and effective patient care, demonstrating the knowledge, skills, and attitudes required for the job. It involves the integration of theoretical knowledge with practical skills, judgment, and decision-making abilities in real-world clinical situations. Clinical competence is typically evaluated through various methods such as direct observation, case studies, simulations, and feedback from peers and supervisors.

A clinically competent healthcare professional should be able to:

1. Demonstrate a solid understanding of the relevant medical knowledge and its application in clinical practice.
2. Perform essential clinical skills proficiently and safely.
3. Communicate effectively with patients, families, and other healthcare professionals.
4. Make informed decisions based on critical thinking and problem-solving abilities.
5. Exhibit professionalism, ethical behavior, and cultural sensitivity in patient care.
6. Continuously evaluate and improve their performance through self-reflection and ongoing learning.

Maintaining clinical competence is essential for healthcare professionals to ensure the best possible outcomes for their patients and stay current with advances in medical science and technology.

After-hours care refers to medical services provided during the evening, overnight, and weekend hours when most primary care practices are closed. This care may be provided in a variety of settings, including urgent care centers, retail clinics, hospital emergency departments, or through telemedicine services. After-hours care is intended to provide patients with access to medical treatment for acute illnesses or injuries that cannot wait until regular business hours. It is important for patients to understand the level of care provided during after-hours visits and to follow up with their primary care provider as needed.

Sleep is a complex physiological process characterized by altered consciousness, relatively inhibited sensory activity, reduced voluntary muscle activity, and decreased interaction with the environment. It's typically associated with specific stages that can be identified through electroencephalography (EEG) patterns. These stages include rapid eye movement (REM) sleep, associated with dreaming, and non-rapid eye movement (NREM) sleep, which is further divided into three stages.

Sleep serves a variety of functions, including restoration and strengthening of the immune system, support for growth and development in children and adolescents, consolidation of memory, learning, and emotional regulation. The lack of sufficient sleep or poor quality sleep can lead to significant health problems, such as obesity, diabetes, cardiovascular disease, and even cognitive decline.

The American Academy of Sleep Medicine (AASM) defines sleep as "a period of daily recurring natural rest during which consciousness is suspended and metabolic processes are reduced." However, it's important to note that the exact mechanisms and purposes of sleep are still being researched and debated among scientists.

In the context of medicine, specialization refers to the process or state of a physician, surgeon, or other healthcare professional acquiring and demonstrating expertise in a particular field or area of practice beyond their initial general training. This is usually achieved through additional years of education, training, and clinical experience in a specific medical discipline or subspecialty.

For instance, a doctor who has completed medical school and a general residency program may choose to specialize in cardiology, dermatology, neurology, orthopedics, psychiatry, or any other branch of medicine. After completing a specialized fellowship program and passing the relevant certification exams, they become certified as a specialist in that field, recognized by professional medical organizations such as the American Board of Medical Specialties (ABMS) or the Royal College of Physicians and Surgeons of Canada (RCPSC).

Specialization allows healthcare professionals to provide more focused, expert care for patients with specific conditions or needs. It also contributes to the development and advancement of medical knowledge and practice, as specialists often conduct research and contribute to the evidence base in their respective fields.

A neuroma is not a specific type of tumor, but rather refers to a benign (non-cancerous) growth or swelling of nerve tissue. The most common type of neuroma is called a Morton's neuroma, which typically occurs between the third and fourth toes in the foot. It develops as a result of chronic irritation, compression, or trauma to the nerves leading to the toes, causing them to thicken and enlarge.

Morton's neuroma can cause symptoms such as pain, numbness, tingling, or burning sensations in the affected area. Treatment options for Morton's neuroma may include rest, ice, orthotics, physical therapy, medication, or in some cases, surgery. It is essential to consult a healthcare professional if you suspect you have a neuroma or are experiencing related symptoms.

I'm sorry for any confusion, but "England" is not a medical term or concept. It is one of the four constituent countries that make up the United Kingdom, along with Wales, Scotland, and Northern Ireland. England is located in the southern part of Great Britain, which is the largest island of the British Isles.

If you have any questions related to medicine or healthcare, I would be happy to try to help answer them for you!

I'm sorry for any confusion, but "Newfoundland and Labrador" is not a medical term or concept. It is a geographical term referring to a province on the eastern coast of Canada. The name refers to the island of Newfoundland and the mainland region of Labrador, which together make up the tenth provincial division of Canada. If you have any medical questions or terms that you would like defined, I'd be happy to help!

Patient care planning is a critical aspect of medical practice that involves the development, implementation, and evaluation of an individualized plan for patients to receive high-quality and coordinated healthcare services. It is a collaborative process between healthcare professionals, patients, and their families that aims to identify the patient's health needs, establish realistic goals, and determine the most effective interventions to achieve those goals.

The care planning process typically includes several key components, such as:

1. Assessment: A comprehensive evaluation of the patient's physical, psychological, social, and environmental status to identify their healthcare needs and strengths.
2. Diagnosis: The identification of the patient's medical condition(s) based on clinical findings and diagnostic tests.
3. Goal-setting: The establishment of realistic and measurable goals that address the patient's healthcare needs and align with their values, preferences, and lifestyle.
4. Intervention: The development and implementation of evidence-based strategies to achieve the identified goals, including medical treatments, therapies, and supportive services.
5. Monitoring and evaluation: The ongoing assessment of the patient's progress towards achieving their goals and adjusting the care plan as needed based on changes in their condition or response to treatment.

Patient care planning is essential for ensuring that patients receive comprehensive, coordinated, and personalized care that promotes their health, well-being, and quality of life. It also helps healthcare professionals to communicate effectively, make informed decisions, and provide safe and effective care that meets the needs and expectations of their patients.

A "patient transfer" is a medical procedure that involves moving a patient from one location, piece of medical equipment, or healthcare provider to another. This can include:

1. Transferring a patient from a bed to a stretcher, wheelchair, or other mobility device.
2. Moving a patient from a hospital bed to a surgical table or imaging machine such as an MRI or CT scanner.
3. Transporting a patient between healthcare facilities, such as from a hospital to a rehabilitation center or long-term care facility.
4. Transferring a patient between medical teams during the course of their treatment, like when they are moved from the emergency department to the intensive care unit.

Patient transfers require careful planning and execution to ensure the safety and comfort of the patient, as well as to prevent any potential injuries or complications for both the patient and the healthcare providers involved in the process. Proper techniques, equipment, and communication are essential for a successful patient transfer.

Physician executives are medical doctors who hold senior leadership positions within healthcare organizations, such as hospitals, health systems, or insurance companies. They are responsible for making strategic decisions that affect the overall operations and financial performance of the organization, while also ensuring high-quality patient care.

Physician executives may have titles such as Chief Medical Officer (CMO), Chief Executive Officer (CEO), or Vice President of Medical Affairs. Their duties can include developing clinical policies and procedures, overseeing medical staff affairs, managing risk and compliance issues, and leading quality improvement initiatives.

To become a physician executive, one typically needs to have significant experience as a practicing physician, as well as additional training in leadership, management, and business administration. Many physician executives hold advanced degrees such as an MBA or a Master's in Health Administration.

A needs assessment in a medical context is the process of identifying and evaluating the health needs of an individual, population, or community. It is used to determine the resources, services, and interventions required to address specific health issues and improve overall health outcomes. This process often involves collecting and analyzing data on various factors such as demographics, prevalence of diseases, access to healthcare, and social determinants of health. The goal of a needs assessment is to ensure that resources are allocated effectively and efficiently to meet the most pressing health needs and priorities.

Community networks, in the context of public health and medical care, typically refer to local or regional networks of healthcare providers, organizations, and resources that work together to provide integrated and coordinated care to a defined population. These networks can include hospitals, clinics, primary care providers, specialists, mental health services, home health agencies, and other community-based organizations.

The goal of community networks is to improve the overall health outcomes of the population they serve by ensuring that individuals have access to high-quality, coordinated care that meets their unique needs. Community networks can also help to reduce healthcare costs by preventing unnecessary hospitalizations and emergency department visits through better management of chronic conditions and prevention efforts.

Effective community networks require strong partnerships, clear communication, and a shared commitment to improving the health of the community. They may be organized around geographic boundaries, such as a city or county, or around specific populations, such as individuals with chronic illnesses or low-income communities.

Quality improvement (QI) in a healthcare setting is a systematic and continuous approach to improving patient care and outcomes by identifying and addressing gaps or deficiencies in care processes, protocols, and systems. It involves the use of evidence-based practices, data analysis, and performance measurement to drive changes that lead to improvements in the quality, safety, and efficiency of healthcare services.

QI aims to reduce variations in practice, eliminate errors, prevent harm, and ensure that patients receive the right care at the right time. It is a collaborative process that involves healthcare professionals, patients, families, and other stakeholders working together to identify opportunities for improvement and implement changes that lead to better outcomes. QI initiatives may focus on specific clinical areas, such as improving diabetes management or reducing hospital-acquired infections, or they may address broader system issues, such as improving patient communication or reducing healthcare costs.

QI is an ongoing process that requires a culture of continuous learning and improvement. Healthcare organizations that prioritize QI are committed to measuring their performance, identifying areas for improvement, testing new approaches, and sharing their successes and failures with others in the field. By adopting a QI approach, healthcare providers can improve patient satisfaction, reduce costs, and enhance the overall quality of care they provide.

A General Practitioner (GP) is a medical doctor who provides primary care and treats a wide range of health conditions in patients of all ages. They serve as the first point of contact for individuals seeking healthcare services and provide ongoing, person-centered care, including prevention, diagnosis, treatment, and management of acute and chronic illnesses. GPs often collaborate with specialists, hospitals, and other healthcare professionals to ensure their patients receive comprehensive and coordinated care. They are trained to recognize a wide variety of diseases and conditions, and to handle a majority of health problems that present in their patients. General practitioners may also provide health education, lifestyle advice, and counseling to promote overall well-being and disease prevention.

A jejunostomy is a surgical procedure where an opening (stoma) is created in the lower part of the small intestine, called the jejunum. This stoma allows for the passage of nutrients and digestive enzymes from the small intestine into a tube or external pouch, bypassing the mouth, esophagus, stomach, and upper small intestine (duodenum).

Jejunostomy is typically performed to provide enteral nutrition support in patients who are unable to consume food or liquids by mouth due to various medical conditions such as dysphagia, gastroparesis, bowel obstruction, or after certain surgical procedures. The jejunostomy tube can be used for short-term or long-term nutritional support, depending on the patient's needs and underlying medical condition.

A newborn infant is a baby who is within the first 28 days of life. This period is also referred to as the neonatal period. Newborns require specialized care and attention due to their immature bodily systems and increased vulnerability to various health issues. They are closely monitored for signs of well-being, growth, and development during this critical time.

An ileostomy is a surgical procedure in which the end of the small intestine, called the ileum, is brought through an opening in the abdominal wall (stoma) to create a path for waste material to leave the body. This procedure is typically performed when there is damage or removal of the colon, rectum, or anal canal due to conditions such as inflammatory bowel disease (Crohn's disease or ulcerative colitis), cancer, or trauma.

After an ileostomy, waste material from the small intestine exits the body through the stoma and collects in a pouch worn outside the body. The patient needs to empty the pouch regularly, typically every few hours, as the output is liquid or semi-liquid. Ileostomies can be temporary or permanent, depending on the underlying condition and the planned course of treatment. Proper care and management of the stoma and pouch are essential for maintaining good health and quality of life after an ileostomy.

Sleep stages are distinct patterns of brain activity that occur during sleep, as measured by an electroencephalogram (EEG). They are part of the sleep cycle and are used to describe the different types of sleep that humans go through during a normal night's rest. The sleep cycle includes several repeating stages:

1. Stage 1 (N1): This is the lightest stage of sleep, where you transition from wakefulness to sleep. During this stage, muscle activity and brain waves begin to slow down.
2. Stage 2 (N2): In this stage, your heart rate slows, body temperature decreases, and eye movements stop. Brain wave activity becomes slower, with occasional bursts of electrical activity called sleep spindles.
3. Stage 3 (N3): Also known as deep non-REM sleep, this stage is characterized by slow delta waves. It is during this stage that the body undergoes restorative processes such as tissue repair, growth, and immune function enhancement.
4. REM (Rapid Eye Movement) sleep: This is the stage where dreaming typically occurs. Your eyes move rapidly beneath closed eyelids, heart rate and respiration become irregular, and brain wave activity increases to levels similar to wakefulness. REM sleep is important for memory consolidation and learning.

The sleep cycle progresses through these stages multiple times during the night, with REM sleep periods becoming longer towards morning. Understanding sleep stages is crucial in diagnosing and treating various sleep disorders.

A colostomy is a surgical procedure that involves creating an opening, or stoma, through the abdominal wall to divert the flow of feces from the colon (large intestine) through this opening and into a pouch or bag worn outside the body. This procedure is typically performed when a portion of the colon has been removed due to disease or injury, such as cancer, inflammatory bowel disease, or trauma.

There are several types of colostomies, including end colostomy, loop colostomy, and double-barrel colostomy, which differ in terms of the location and configuration of the stoma. The type of colostomy performed will depend on the individual's medical condition and the specific goals of the surgery.

After a colostomy, patients will need to learn how to care for their stoma and manage their bowel movements using specialized equipment and techniques. With proper care and management, most people are able to lead active and fulfilling lives after a colostomy.

In the context of medical education, a curriculum refers to the planned and organized sequence of experiences and learning opportunities designed to achieve specific educational goals and objectives. It outlines the knowledge, skills, and attitudes that medical students or trainees are expected to acquire during their training program. The curriculum may include various components such as lectures, small group discussions, clinical rotations, simulations, and other experiential learning activities. It is typically developed and implemented by medical education experts and faculty members in consultation with stakeholders, including learners, practitioners, and patients.

'Coleus' is a plant genus that belongs to the family Lamiaceae. It is native to tropical regions of Africa, Asia, and Australia. The plants in this genus are grown for their ornamental leaves, which come in various colors and patterns. While 'Coleus' species have been used in traditional medicine in some cultures, there is no widely accepted medical definition or specific medicinal use of the term 'Coleus' in modern Western medicine.

It is worth noting that one species of Coleus, Coleus forskohlii, has been studied for its potential medicinal properties. The root extract of this plant contains a compound called forskolin, which has been found to have various effects on the body, such as increasing cyclic AMP (a cellular messenger) levels and relaxing smooth muscles. However, more research is needed before any definitive medical claims can be made about its effectiveness or safety.

Preceptorship is a period of structured guidance and support provided to a novice or trainee healthcare professional, usually following the completion of their initial training, to help them develop the necessary skills and knowledge to practice safely and effectively in their chosen field. The preceptee works under the supervision of an experienced practitioner, known as a preceptor, who provides direct oversight, assessment, and feedback on their performance. Preceptorship aims to promote the integration and application of theoretical knowledge into clinical practice, enhance confidence, and promote the development of competence in the areas of communication, critical thinking, professionalism, and patient safety.

The term "Theoretical Models" is used in various scientific fields, including medicine, to describe a representation of a complex system or phenomenon. It is a simplified framework that explains how different components of the system interact with each other and how they contribute to the overall behavior of the system. Theoretical models are often used in medical research to understand and predict the outcomes of diseases, treatments, or public health interventions.

A theoretical model can take many forms, such as mathematical equations, computer simulations, or conceptual diagrams. It is based on a set of assumptions and hypotheses about the underlying mechanisms that drive the system. By manipulating these variables and observing the effects on the model's output, researchers can test their assumptions and generate new insights into the system's behavior.

Theoretical models are useful for medical research because they allow scientists to explore complex systems in a controlled and systematic way. They can help identify key drivers of disease or treatment outcomes, inform the design of clinical trials, and guide the development of new interventions. However, it is important to recognize that theoretical models are simplifications of reality and may not capture all the nuances and complexities of real-world systems. Therefore, they should be used in conjunction with other forms of evidence, such as experimental data and observational studies, to inform medical decision-making.

'Pregnant women' refers to female individuals who have conceived and are in the process of carrying a developing fetus inside their womb (uterus) until childbirth. This state is typically marked by various physiological changes, including hormonal fluctuations, weight gain, and growth of the uterus and breasts, among others. Pregnancy usually lasts for about 40 weeks, starting from the first day of the woman's last menstrual period (LMP) and is divided into three trimesters. Each trimester is characterized by different developmental milestones in the fetus. Regular prenatal care is essential to monitor the health and wellbeing of both the mother and the developing fetus, and to address any potential complications that may arise during pregnancy.

A choristoma is a type of growth that occurs when normally functioning tissue is found in an abnormal location within the body. It is not cancerous or harmful, but it can cause problems if it presses on surrounding structures or causes symptoms. Choristomas are typically congenital, meaning they are present at birth, and are thought to occur due to developmental errors during embryonic growth. They can be found in various organs and tissues throughout the body, including the brain, eye, skin, and gastrointestinal tract.

Physician's practice patterns refer to the individual habits and preferences of healthcare providers when it comes to making clinical decisions and managing patient care. These patterns can encompass various aspects, such as:

1. Diagnostic testing: The types and frequency of diagnostic tests ordered for patients with similar conditions.
2. Treatment modalities: The choice of treatment options, including medications, procedures, or referrals to specialists.
3. Patient communication: The way physicians communicate with their patients, including the amount and type of information shared, as well as the level of patient involvement in decision-making.
4. Follow-up care: The frequency and duration of follow-up appointments, as well as the monitoring of treatment effectiveness and potential side effects.
5. Resource utilization: The use of healthcare resources, such as hospitalizations, imaging studies, or specialist consultations, and the associated costs.

Physician practice patterns can be influenced by various factors, including medical training, clinical experience, personal beliefs, guidelines, and local availability of resources. Understanding these patterns is essential for evaluating the quality of care, identifying potential variations in care, and implementing strategies to improve patient outcomes and reduce healthcare costs.

Cook, R. I., Render, M., & Woods, D. D. (2000). Gaps in the continuity of care and progress on patient safety. British Medical ... Advances in Health Care Management. Vol. 7. pp. 33-68. doi:10.1016/S1474-8231(08)07003-1. ISBN 978-1-84663-954-8.{{cite book ... Health Care Management Review, 29(2): 90-97. Chiles, J. R. (2002). Inviting disaster: Lessons from the edge of technology. New ... Rasmussen, J. (1999). The concept of human error: Is it useful for the design of safe systems in health care? In C. Vincent & B ...
Those barriers to medical care complicate patients monitoring and continuity in treatment.[citation needed] In the US, ... This self-care focus extends to the nursing of patients with chronic diseases, replacing a more holistic role for nursing with ... Lack of access and delay in receiving care result in worse outcomes for patients from minorities and underserved populations. ... Foregrounding the problem of distance from healthcare facility, the study recommends patients increase their request for care. ...
... transitional care is defined as a set of actions designed to ensure the coordination and continuity of health care as patients ... Continuity of health care (also called continuum of care) is to what degree the care is coherent and linked, in turn depending ... and long-term care facilities. Transitional care is based on a comprehensive plan of care and the availability of health care ... Cook RI, Render M, Woods DD (March 2000). "Gaps in the continuity of care and progress on patient safety". BMJ. 320 (7237): 791 ...
Continuity of care and long-term follow-up is crucial in successful patient outcomes. Aside from diagnosing and treating acute ... implications for patient safety and continuity of care". JAMA. 297 (8): 831-841. doi:10.1001/jama.297.8.831. ISSN 1538-3598. ... They provide care to both hospitalized (inpatient) and ambulatory (outpatient) patients and often contribute significantly to ... "Future hospital: Caring for medical patients" (PDF). Royal College of Physicians. 16 September 2013. Retrieved 3 February 2014 ...
The patient-focused continuity of care of primary nursing also affects the patient's family. Penni Weston, primary nursing ... In team nursing, "the tasks got done, but patients often went home poorly taught (to take care of themselves) and the caring ... In the 1920s and earlier, nearly all nursing was home care nursing, in which the nurse alone managed the patient's care. ... Nursing Practice in Primary Care and Patients' Experience of Care 2018 Jan 22 John Nelson and Marie Manthey Explore the Model ...
Specifically, if complications arise, this requirement presumes a continuity of care for the patient. The court's ruling, ... Evers also vetoed a bill that would sentence doctors to life in prison for failing to provide infants with medical care if they ... These laws, now on the books in eight states, require doctors to tell patients receiving a medication abortion, a safe and ... Admitting privileges require physicians providing abortion to obtain the right to admit patients at local hospitals - although ...
... patient strategies for coping with an absence of care coordination and continuity". Sociology of Health & Illness. 38 (6): 854- ... Kato D, Kawachi I, Saito J, Kondo N (October 2021). "Complex Multimorbidity and Incidence of Long-Term Care Needs in Japan: A ... general and person-centered concept that allows focusing on all of the patient's symptoms and providing a more holistic care. ... The UK's National Institute for Health and Care Research (NIHR) uses the term multiple long-term conditions (MLTC) as it is ...
Branches of this section include: department level, patient care, infrastructure, business continuity, security, and HazMat. ... This allows the hospital to handle a surge in patients and render life-saving care to the greatest number of patients. FEMA, ( ... direct maintenance and supply operations to ensure patient care, supplies, equipment, and utilities for essential hospital ... Medical care branch director Infrastructure branch director HAZMAT branch director Security branch director Business continuity ...
"Gaps in the continuity of care and progress on patient safety". BMJ. 320 (7237): 791-794. doi:10.1136/bmj.320.7237.791. PMC ... Health care quality, Health care brands, Health, Public health education, Universal health care, Health sciences, Primary care) ... In this system, providers are given incentives to close gaps in care and provide better quality care for patients. Expand the ... Philosophy of healthcare Primary care Primary health care Public health Publicly funded health care Single-payer health care ...
Without the necessary intermediate care and continuity in therapy, many patients regress when released from the hospital. Prior ... he is unable to provide adequate follow-up care. Not only does this break the continuity of care, but it also obstructs ... Once treatment at a mental health facility is completed, the patient is handed back into the care of his fellow villagers and ... Another problem is the lack of intermediate care once a patient is released from the hospital. Services such as support groups ...
Continuity. After guiding patients to healthcare providers, care navigators maintain communication and continuity with patients ... both the patient and care navigator brainstorm next steps, establishing a plan that is specific to the patient's needs. Care ... Patient history and needs are identified. Both the patient and the care navigator think through short- and long-term goals and ... which can often leave patients with more questions than answers. Care navigators work closely with patients and families ...
Furthermore, remote dispensing terminal manufacturers state that this technology can facilitate patient continuity of care ... limiting the pharmacist's ability to detect a patient's nonverbal cues. A patient with alcohol on his or her breath would go ... Hands-on patient training on inhalers and glucose meters is not feasible with remote dispensing, and administration of ... Remote dispensing is used in health care environments to describe the use of automated systems to dispense (package and label) ...
... is focused on patient management through multidisciplinary teamwork while creating longitudinal continuity in patient care. ... Primary care Reason for encounter Health care provider Ambulatist Ambulatory care nursing Ambulatory as a medical term National ... Ambulatory care or outpatient care is medical care provided on an outpatient basis, including diagnosis, observation, ... strategies for increased patient and caregiver engagement have been heralded as potentially beneficial in both patient care as ...
Generally, the doctor-patient relationship is facilitated by continuity of care in regard to attending personnel. Special ... The doctor-patient relationship is a central part of health care and the practice of medicine. A doctor-patient relationship is ... Transitions of patients between health care practitioners may decrease the quality of care in the time it takes to reestablish ... An example of how body language affects patient perception of care is that the time spent with the patient in the emergency ...
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System (PDF) ( ... and continuity of care. The VA OIG Office of Investigations opened investigations at 93 sites of care in response to ... implementing universal primary care, which increased patients treated by 24%, had a 48% increase in ambulatory care visits, and ... Providing care for non-veteran civilian or military patients in case hospitals overflowed in a crisis was added as a role by ...
... care documentation is advancing structured communication between healthcare professionals to ensure the continuity of patient ... The patient's health record is a legal document that contains details regarding patient's care and progress. The types of ... Point of care documentation facilitates the continuity of high quality care and improves communication between nurses and other ... Without a structured care plan that is closely followed, care tends to become fragmented. Point of care (POC) documentation is ...
... use communication skills to assist patients in adapting to common health problems, provide continuity of care, demonstrate ... Aside from routine patient care, healthcare technicians will complete many duties outside of direct care. The indirect care ... Qualified members performing direct patient care can have the opportunity work directly with patients and assist with their ... Registered Nurses and Health Technicians Experience Caring for Chronic Pain Patients in Primary Care Clinics". The Open Nursing ...
... the work week include disruptions in continuity of care and limiting training gained through involvement in patient care. ... explained to patients, and applied to patient care. Residents should participate in scholarly activity. The sponsoring ... It does allow up to six hours for inpatient and outpatient continuity and transfer of care. However, interns and residents may ... The first year of practical patient-care-oriented training after medical school has long been termed "internship". Even as late ...
The patient summary contains a core data set of the most relevant administrative, demographic, and clinical information facts ... adopted the CCD rather than the Continuity of Care Record since it is a newer format that harmonizes the Continuity of Care ... the CCD and Continuity of Care Record (CCR) were both selected as acceptable extract formats for clinical care summaries. To be ... CCD and Continuity of Care Record (CCR) are often seen as competing standards. Google Health supported a subset of CCR until ...
They work 12-hour shifts to ensure continuity of care but also aim to prevent excessive physician fatigue. Patients who have ... Safety engineering features such as low bed height and a patient position monitor that alerts staff when a patient is moving in ... "Robot connects patients to doctors across regions" Archived 23 March 2012 at the Wayback Machine By Brittany Edney, News 14. 2 ... Carteret Health Care (formerly Carteret General Hospital) is a 135-bed, non-profit hospital in Morehead City, North Carolina. ...
Residents also must provide care for a panel of continuity patients in an outpatient "model practice" for the entire period of ... dental surgery and community hearing care providers. The balance of care between primary care and secondary care - which ... Many family physicians deliver babies in addition to taking care of patients of all ages. In order to become board certified, ... There are also moves to employ care navigators, sometimes an enhanced role for a receptionist, to direct patients to different ...
Each patient is assigned a specific physician to provide the continuity of care that is essential for a healthy doctor-patient ... The Health Center provides each patients with a primary care physician who will treat and track the patient's health as long as ... Typical volunteer positions include signing in patients, answering telephones, filing, charting, and assisting patients in ... close to 100 physician and non-physician volunteers donate their time to assist in the care of the Health Center's patients. ...
... information continuity is the process by which information relevant to a patient's care is made available to both the patient ... to facilitate ongoing health care management and continuity of care. This is an extension of the concept of "Continuity of Care ... "Relational continuity." Information continuity in the information technology sense may exist alongside physical care continuity ... Information continuity will become more and more important as patients in health care systems expect that their treating ...
In her clinical practise, Darcy was increasingly concerned that there was no continuity between leaving in patient care and ... At the time there was very little online support for people with mental health conditions, and accessing care was particularly ... She recognised that very few clinicians had the appropriate training to treat patients with the condition. She pioneered the ... exploring symptom change and the patients' perspective (Thesis). Dublin: University College Dublin. OCLC 605278740. Harris, ...
... care documentation, and the patient's care plan. These represent a "snapshot" of a patient's health data that can be useful or ... The Continuity of Care Document (CCD) is an HL7 CDA implementation of the Continuity of Care Record (CCR). A CCR document can ... Header Patient Identifying Information Patient Financial and Insurance Information Health Status of the Patient Care ... aims to increase the role of the patient in managing their health and reduce error while improving continuity of patient care. ...
... especially to strengthen the first level of care and ensure the continuity of the model; and (ix) strengthening activities to ... ensure quality care and patient safety in health facilities. Expenditure on health was 8.7% of GDP in 2014. Only 2.9% of the ... The Ministry of Health in Honduras provides care to almost 90% of the population, but there is still little provision for the ... Prior to 2015, there was no law that legally defined the national health care model or mechanisms for regulating it. That year ...
Key dashboards and monitors enable them to coordinate and provide better care for patients at a systemic level. One of the ... NEHR has become the digital backbone of Singapore's healthcare system and a critical node for continuity of care. The ... The National Electronic Health Record (NEHR) is a secure system that collects and organizes patient health care records into a ... Teo, Joyce (27 July 2023). "Hospital care at home, nudges to remind S'pore residents to take care of health to be the norm". ...
... interrupted continuity of care and increased errors. Also, most studies show that residents see more patients now, despite ... Some studies show that about 40% of this work is not direct patient care, but ancillary care, such as paperwork. Trainee ... with up to 6 additional hours for continuity of care and education; No new patients to be accepted after 24 hours of continuous ... at a maximum of 24 consecutive hours of direct patient care with an additional 4 hours for transition of care (sign out, ...
... and clinicians to meet high standards of patient care through electronic participation in a patient's continuity of care with ... the Indiana Network for Patient Care (INPC) is a secure network that provides patient records to participating doctors. The ... and over 400 long-term and post-acute care facilities downloading care summaries for their patients. The CliniSync HIE ... In this method patients give implicit consent to join an HIE when they agree to use the services of a health care provider who ...
Forrest CB, Shadmi E, Nutting PA, Starfield B. Specialty referral completion among primary care patients: results from the ASPN ... 2007; 5:361-7. Starfield B, Horder J. Interpersonal continuity: old and new perspectives. Br J Gen Pract. 2007; 57(540):527-9. ... Managed Care. June 2008. Arvantes J. Barbara Starfield, M.D., Focuses on Primary Care and Health Care Reform. AAFP News Now. 9/ ... 2010; 25:758-9. Starfield B. Primary care, specialist care, and chronic care: can they interlock? Chest. 2010; 137:8-10. ...
... provides care for adults and children with physical and mental health care needs and assure continuity of care for patients ... Joseph's Health At Home is based in Liverpool, New York; among its services is a Military and Veterans Health Care Program. In ... Joseph's Health is a non-profit regional health care system based in Syracuse, N.Y. In February 2019 St. Joseph's Health ... Joseph's Health for easier access to specialty care; it retains its own separate identity. (In 2021 Rome Memorial Hospital ...
For example, if infrequent visits (associated with less continuity) are for distinct illnesses, is quality of care affected by ... Our study raises questions about the relationship between chronological continuity and quality of care. ... Sequential continuity of care by general practitioners: which patients change doctor? Med J Aust. 1996 Apr 15;164(8):463-6. doi ... For example, if infrequent visits (associated with less continuity) are for distinct illnesses, is quality of care affected by ...
Continuity of care and the physician-patient relationship: the importance of continuity for adult patients with asthma. J Fam ... be more of a measure of longitudinal continuity. Smith46 measured continuity of care in a small subset of the patients enrolled ... or patient satisfaction with care. An analysis of the relationship between interpersonal continuity and care outcomes, ... patient satisfaction. INTRODUCTION. Continuity of care is considered to be a core principle of family medicine1,2 and primary ...
Continuity of care:.... *Continuity of care: influence of general practitioners knowledge about their patients on use of ... Continuity of care: influence of general practitioners knowledge about their patients on use of resources in consultations. ... Continuity of care: influence of general practitioners knowledge about their patients on use of resources in consultations.. ... Continuity of care: influence of general practitioners knowledge about their patients on use of resources in consultations. ...
Satisfaction can be defined in terms of patient-, provider-, and practice-level factors and is influenced by continuity of care ... Further, continuity of care was a significant predictor of satisfaction with military health care. ... this study found that both the number of moves and assigned providers were significantly associated with continuity of care in ... Military family health and health care satisfaction has been a neglected area of study in this population. ...
Patient continuity in primary care has a huge impact on public health by reducing the separation of care, and making care ... The AHN primary care service line wanted to see if any of the factors that play a part in patient continuity affected the ... Menon, Monica (2019) Patient continuity in primary care (Allegheny Health Network). Master Essay, University of Pittsburgh. ... Problem Statement: Allegheny Health Network (AHN) is an advocate of patient continuity with the health care advantages ...
... has become a primary point of concern for care providers in both developed and developing countries, which is regarded as the ... Measuring patient-perceived continuity of care for patients with long-term conditions in primary care. BMC Fam Pract. 2014;15: ... Concordance between continuity of care reported by patients and measured from administrative data. Med Care Res Rev. 2014;71(2 ... We invited 3 experts who majored in continuity of care, chronic diseases care and primary care, respectively and two doctors, ...
2007 Attend this Unique Emergency Management and Business Continuity Event! Partners: Illinois Homeland Security ... How remote patient monitoring safeguards patient care and optimizes workflows. * Sponsored byAMAROK LLC ...
Both personal and longitudinal continuity of care with a GP are important to private patients. Respondents who chose to visit ... and reported behaviours of private fee-paying patients towards continuity of GP care and universal registration for patients. ... Main outcomes were attendance of respondents at primary health care facilities and their attitudes towards continuity of care ... 96% preferred their personal medical care to be provided within one general practice. 16% of respondents had consulted a GP ...
... yet they were not more likely to feel like the primary care provider. Lack of increased involvement in key patient care and ... Residents perceived that they had greater autonomy and continuity with patients as they become more senior, ... yet they were not more likely to feel like the primary care provider. Lack of increased involvement in key patient care and ... Residents continuity experiences were in hospital-based and community settings. Numbers of patients seen increased between PGY ...
... adds one more layer to the patient-centered approach to continuity of care. Continuity of care is… ... Remote patient monitoring (RPM) adds one more layer to the patient-centered approach to continuity of care. Continuity of care ... Continuity of care requires precise and current patient data within the care team. RPM provides the most recent information ... RPM Bridges the Gaps in Continuity of Care. RPM creates a bridge that allows physicians to provide care wherever the patient is ...
1. Improve the Continuity of Care. Now, I admit that Im lucky. I am reasonably healthy with no chronic conditions. After my ... Our patients demand it. I demand it. As a patient, I deserve better. YOUR patients deserve better. Every. Single. One. ... 2. Offer Coordinated Home Care and Telehealth Services. I havent been back for my follow-up. Maybe that makes me a bad patient ... Home care and telehealth services save time, money, and energy for both patients and medical caregivers - without any decrease ...
1. Improve the Continuity of Care. Now, I admit that Im lucky. I am reasonably healthy with no chronic conditions. After my ... Our patients demand it. I demand it. As a patient, I deserve better. YOUR patients deserve better. Every. Single. One. ... 2. Offer Coordinated Home Care and Telehealth Services. I havent been back for my follow-up. Maybe that makes me a bad patient ... Home care and telehealth services save time, money, and energy for both patients and medical caregivers - without any decrease ...
... they will need contingency plans to ensure patient safety in the event of system failures. This survey of 50 institutions with ... but most had only partly implemented comprehensive safety plans to avoid patient harm during these instances. ... Contingency planning for electronic health record-based care continuity: a survey of recommended practices.. Citation Text:. ... Sittig DF, Gonzalez D, Singh H. Contingency planning for electronic health record-based care continuity: a survey of ...
Patient complexity, prescriber continuity and acute care. In: Journal of general internal medicine. 2014 ; Vol. 29, No. 9. pp. ... Patient complexity, prescriber continuity and acute care. / Yunyongying, Pete; Gove, Maria. In: Journal of general internal ... Yunyongying P, Gove M. Patient complexity, prescriber continuity and acute care. Journal of general internal medicine. 2014 Sep ... Yunyongying, P & Gove, M 2014, Patient complexity, prescriber continuity and acute care, Journal of general internal medicine ...
... is to improve continuity of care between patients and providers and reduce the utilization of non-primary care services like ... the Patient Aligned Care Team (PACT), at one large Veterans Affairs (VAs) primary care clinic, determine the characteristics ... associated with high levels of continuity, and assess the association between continuity and ED visits. ... the emergency department (ED). OBJECTIVE: To characterize continuity under the Veterans Health Administrations PCMH model - ...
Remote Patient Monitoring from the ED for Concussion Care Continuity Concussion is a common injury in the emergency department ... Remote Patient Monitoring from the ED for Concussion Care Continuity. Concussion is a common injury in the emergency department ... Assess the feasibility of a remote patient monitoring mobile eHealth tool to facilitate specialist access and care continuity. ... for those patients, provide an expedited care hand-off to specialists who can initiate active rehabilitation strategies. ...
Continuity Of Care Among Diabetes Patients And .... Continuity Of Care Among Diabetes Patients And Their Health Providers In ... Factors associated with high relational continuity of care: high flexible continuity of care and low longitudinal continuity ... High relational continuity of care translated into high satisfaction of diabetes care received from health care providers. Good ... Longitudinal continuity of care was the least experienced by patients (mean=0.5). Most patients (98.3%) were satisfied with ...
... we need to get the history from the patient. ... Why medical students need more continuity of care training. ... Poor transitions in care result in unsafe patient care. Maria Maldonado, MD ... Obtaining formal interpretation is one of the essential cornerstones to providing patient-centered care for our patients with ... Care for patients with limited English proficiency begins with medical interpretation. Maria Maldonado, MD ...
Explore Health Care. Learn how we are healing patients through science & compassion ... Natalie Gonzalez, Clerkship Coordinator, Family and Community Medicine Clerkship, Continuity of Care Clerkship. Tamara ... Erika Schillinger, MD, Vice Chief for Education, Primary Care and Population Health, Executive Director, Patient & Family ... Stanford Medicine Primary Care and Population Health - Department of Medicine Site Nav Menu ...
Our interprofessional team met virtually to address the concerns of a patient about their symptoms of Long Covid. We discuss ... Establishing Virtual Continuity of Care for a Patient with Long Covid Using a Multidisciplinary Approach. ... Our interprofessional team met virtually to address the concerns of a patient about their symptoms of Long Covid. We discuss ...
Oleh Terleckyj talks about his role as an internal medicine doctor and the importance of continuity and collaboration in ... Continuity of care for patients. p.p1 {margin: 0.0px 0.0px 8.0px 0.0px; font: 11.0px Trebuchet MS; color: #000000; -webkit- ... This is excellent for patients and their families because they get to hear from their primary care doctor and the specialist at ... Ready to Safely Care for You Swedish Hospital is operating under enhanced safety protocols to provide a comfortable and safe ...
Does your business continuity plan account for your primary space being unavailable? ... HealthcareProtect sensitive data & improve patient care. *. Technology & SaaSEdge data centers & big data storage solutions ... What is business continuity workspace?. Business continuity workspace is off-site seating or suites used when access to your ... Business continuity workspace is a key element of your disaster recovery and business continuity plan. Because not all ...
... and a concerted approach is required to achieve continuity and optimise patient outcomes. Continuity of care has been ... for-patients-with-coronary-artery-disease-a-practical-guide-to-enhance-patient-outcomes-through-continuity-of-care ... a practical guide to enhance patient outcomes through continuity of care. Clinical Medicine Insights: Cardiology. 11, pp. 1 - 7 ... a practical guide to enhance patient outcomes through continuity of care. Journal article ...
Patients who do not receive continuity of care from their general practitioner--are they a vulnerable group?. K G Sweeney and D ... BACKGROUND: Continuity of care is much valued by general practitioners but little is known about those patients who do not ... AIM: This study set out to identify and describe a group of patients who did not receive continuity of care from the general ... Patients who do not receive continuity of care from their general practitioner--are they a vulnerable group? ...
The View of Patients and Professionals about Urban Family Physician Program ... Continuity of Care Evaluation: The View of Patients and Professionals about Urban Family Physician Program. ... and one of the four aspects of the delivery of primary care services is continuity of care (COC). This study aimed to determine ... About 80% of patients consultation times were up to 10 min. 29% of FPs knew the past problems and illnesses of the patients. ...
... which cares for both general pulmonary and subspecialty patients. The fellows continuity clinic takes place here. ... including acute in-patient care, long-term institutional care, community-based care and research. ... and based on comprehensive continuity care as the best model for learning and delivering health care. The pediatric clinic has ... While patients benefit from comprehensive services and community-focused care, the partnership is also a boon to the clinical ...
Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic ... open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic ... Continuity of Care in Swiss Cancer Patients Using Claims Data Blozik E, Bähler C, Näpflin M, Scherer M ... Measuring the Patient Experience of Mental Health Care: A Systematic and Critical Review of Patient-Reported Experience ...
... usual provider continuity of care) or PPC (usual PPC continuity of care). "Shared patient fraction" was defined as the mean ... CPD = community patient degree; SPF = shared patient fraction; UPPCC = usual PPC continuity of care. ... Continuity of care and patient loyalty were stable; in 2014, 50% of patients saw the same provider and 78% saw a provider in ... continuity of care, patient loyalty, and patient sharing.. Methods. Data source. We analysed data drawn from publicly released ...
... direct care and concierge medicine have reshaped healthcare for patients and physicians. But it may still have drawbacks. ... patients couldnt get continuity of care. I rarely saw the same patient twice to help them achieve remission for their ... I see every patient every time, so theres continuity of care, theres no jumping around between different doctors, and theres ... In addition, many patients now know that direct care is available and that its a choice that patients can seek out having ...
... aims to help physicians improve quality of care by using questionnaires that ask patients to describe how they feel about ... patient-reported outcome measures most useful in primary care,. *selection of a patient-reported outcome measure for primary ... patient empanelment,. *quality improvement,. *clinical data registries,. *continuity of care and. *team documentation. ... Just administering a patient-reported outcome measure might get a patient to talk about something he or she had not previously ...
  • Proving the value of interpersonal continuity would require us to show that outcomes or efficiency of care is somehow better when this attribute is present, but which clinical outcomes are most important to analyze and which are most amenable to methodologically sound analysis? (annfammed.org)
  • If interpersonal continuity of care improves diabetes outcomes, does it necessarily follow that hypertension outcomes would also be improved? (annfammed.org)
  • Main outcomes were attendance of respondents at primary health care facilities and their attitudes towards continuity of care and registration with a GP. (biomedcentral.com)
  • Continuity of care improves patient outcomes and satisfaction. (medekrpm.com)
  • The software aims to put patients at the heart of every decision, strengthening relationships and improving outcomes. (rackspace.com)
  • The risk of fragmented care in CR may be great, and a concerted approach is required to achieve continuity and optimise patient outcomes. (edu.au)
  • You'll also join a team that has a proven track record of delivering outstanding patient outcomes and promoting high levels of patient satisfaction. (sc.edu)
  • The latest topic in the AAFP Transformation in Practice Series -- Improve Care with Patient-Reported Outcomes -- aims to do just that. (aafp.org)
  • Members would do well to dip a toe in the water as far as measuring patient outcomes and asking patients how their treatments are affecting them,' said Pogones. (aafp.org)
  • Pogones added that many physicians likely already are informally addressing patient outcomes in more subjective assessments by asking simple questions such as 'How are you feeling? (aafp.org)
  • This comes despite a £450m investment to improve outcomes in cancer care, detailed in the government's 2011 strategy for cancer, and the pledge that GPs need to be able to access the tests directly and that it is the role of CCGs to commission them. (gponline.com)
  • Hospital medicine outcomes are often hampered by suboptimal continuity of care. (the-hospitalist.org)
  • A complex adaptive healthcare system (CAHS) is a care delivery enterprise with diverse clinical and administrative agents acting spontaneously, interacting in nonlinear networks where agents and patients are information processors, and actively co-evolve with their environment with the purposed to produce safe and reliable patient-centered outcomes. (wikipedia.org)
  • A nursing assessment was carried out from the beginning and a care plan was made based on the NANDA (North American Nursing Diagnosis Association), NOC (Nursing Outcomes Classification), NIC (Nursing Interventions Classification) taxonomy. (elsevier.es)
  • Patient-focused interventions facilitated successful treatment retention and improved programmatic outcomes. (cdc.gov)
  • Proactive planning and implementation of simple tools retained patients on treatment during periods of travel restrictions and relocations, improving programmatic outcomes. (cdc.gov)
  • In addition, The world health report 2008 2 noted that, in rich and in poor countries alike, a health sector organized according to the tenets of primary health care had the greatest potential for producing better health outcomes, improving health equity and responding to social expectations. (who.int)
  • If we take a population of a million people who live in a certain area and "transplant" them into another place, country or continent, the health outcomes of these same individuals in this new "population" could be radically different depending on the environmental conditions, type of health care and socioeconomic differences between the two places. (cdc.gov)
  • Future research in this area should address whether the same is true for all patients or only for those who seek ongoing relationships with physicians in primary care. (annfammed.org)
  • Continuity of care is considered to be a core principle of family medicine 1, 2 and primary care, 3 but conclusive proof regarding its value has eluded primary care and health policy researchers. (annfammed.org)
  • 5, 7, 24, 30, 33 Others have suggested that a personal model of primary care may be an outdated concept. (annfammed.org)
  • Motivation: Patient continuity in primary care has a huge impact on public health by reducing the separation of care, and making care unified. (pitt.edu)
  • The AHN primary care service line wanted to see if any of the factors that play a part in patient continuity affected the patients of AHN when deciding which provider to choose. (pitt.edu)
  • General practice in Ireland is currently undergoing changes under government policy with the aim of establishing a stronger role for the primary care team, a greater team-based approach and an enhanced capacity for primary care in the areas of disease prevention, rehabilitation and personal social services to complement the existing diagnosis and treatment focus[ 9 ]. (biomedcentral.com)
  • The Government Health Strategy proposes to achieve this through the introduction of an inter-disciplinary team-based approach to primary care provision. (biomedcentral.com)
  • These changes may lead to further challenges to the GP-patient relationship, as patients may receive continuity of care from the primary care team as opposed to the individual GP, a concept described elsewhere[ 10 ]. (biomedcentral.com)
  • 30% of the population receive means-tested free primary care (known as General Medical Services (GMS)) and are registered with a GP. (biomedcentral.com)
  • Compared to PGY-1 residents, PGY-2 and PGY-3 residents were more likely to report more encounters with established patients, but were not more likely to feel like the primary care provider. (nih.gov)
  • Residents perceived that they had greater autonomy and continuity with patients as they become more senior, yet they were not more likely to feel like the primary care provider. (nih.gov)
  • BACKGROUND: One major goal of the Patient-Centered Medical Home (PCMH) is to improve continuity of care between patients and providers and reduce the utilization of non-primary care services like the emergency department (ED). (thepcc.org)
  • OBJECTIVE: To characterize continuity under the Veterans Health Administration's PCMH model - the Patient Aligned Care Team (PACT), at one large Veterans Affair's (VA's) primary care clinic, determine the characteristics associated with high levels of continuity, and assess the association between continuity and ED visits. (thepcc.org)
  • DESIGN: Retrospective, observational cohort study of patients at the West Haven VA (WHVA) Primary Care Clinic from March 2011 to February 2012. (thepcc.org)
  • MAIN MEASURES: Our exposure variable was continuity of care -a patient seeing their assigned primary care provider (PCP) at each clinic visit. (thepcc.org)
  • CONCLUSIONS: Strong continuity of care is associated with decreased ED utilization in a PCMH model and improving continuity may help reduce the utilization of non-primary care services. (thepcc.org)
  • Though there's not much data about physicians in private practice using formal language interpretation, I suspect the data that an internal medicine resident and I gleaned from a QI project in another institution can be generalized to many primary care physicians and specialists in private practice. (kevinmd.com)
  • We sat down with Dr. Terleckyj to learn how close relationships at Swedish Hospital helps him deliver the highest quality primary care to his patients. (swedishcovenant.org)
  • This is excellent for patients and their families because they get to hear from their primary care doctor and the specialist at the same time. (swedishcovenant.org)
  • A responsibility of the family physician (FP) and one of the four aspects of the delivery of primary care services is continuity of care (COC). (ac.ir)
  • Between September 2015 and March 2016, we conducted a cross‑sectional study using Primary Care Evaluation Tool questionnaires with multistage stratified cluster sample of FPs (n = 141) and patients (n = 710) in two provinces in Iran, Fars and Mazandaran. (ac.ir)
  • A strong primary care system that delivers appropriate care at the right time and in the right place is the bedrock of the Australian health care system. (mja.com.au)
  • General practitioners are the major providers of primary care and serve as gatekeepers to specialist care and other components of the health care system. (mja.com.au)
  • This brand-new product, the seventh in the series , explores the use of patient-reported outcome measures -- those standardized questionnaires used to measure the impact of care on a patient -- and how they ultimately can improve the quality of care provided in the primary care setting. (aafp.org)
  • The tools, developed with input from primary care physicians, are designed to be used by the entire care team and to promote discussion among those team members. (aafp.org)
  • An estimated 2060 direct primary care (DPC) practices operate in the United States, and direct care specialty practices are on the rise too. (medscape.com)
  • Physicians who adopt direct care appear to be more satisfied, which may be a boon to primary care, which is facing severe shortages. (medscape.com)
  • His latest is Slowing the Churn in Direct Primary Care (While Also Keeping Your Sanity) . (medscape.com)
  • Low mood is a common presentation in primary care and can be a sign of a mental health. (gponline.com)
  • HIV-infected persons receive ongoing primary care within the CID one-stop shopping model and experience seamless transitions between diagnosis, assessment, and treatment. (bmc.org)
  • The CID staff creates an individualized treatment plan for each patient receiving HIV treatment and primary care. (bmc.org)
  • and Jack Westfall, MD, MPH, Director of the Robert Graham Center for Policy Studies in Family Medicine and Primary Care, for their thoughtful interviews on the topic of Primary Care and Patient Safety, which helped lay the groundwork for this Perspective. (ahrq.gov)
  • The Agency for Healthcare Research and Quality (AHRQ) recognizes that revitalizing the nation's primary care system is foundational to achieving high-quality, safe, accessible, efficient healthcare for all Americans. (ahrq.gov)
  • 1 , 2 AHRQ defines high-quality primary care as "the provision of whole-person, integrated, accessible, and equitable healthcare by interprofessional teams who are accountable for addressing the majority of an individual's health and wellness needs across settings and through sustained relationships with patients, families, and communities. (ahrq.gov)
  • 3 Setting a definition for primary care, and other important concepts in the essay, allows readers to build a common understanding about their structure, which provides a basis for exploration of their convergence. (ahrq.gov)
  • AHRQ, as one of the lead federal agencies in primary care research, funds research to understand how to implement this vision of primary care throughout the nation. (ahrq.gov)
  • Primary care can address acute problems, diagnose and manage chronic illness, deliver primary and secondary prevention, and provide trusted medical advice to improve health and well-being. (ahrq.gov)
  • What makes primary care different from most other specialties is its role in coordinating and integrating a patient's care across the healthcare system. (ahrq.gov)
  • Through primary care, patients can develop a long-standing relationship with their clinician and receive whole-person, comprehensive care. (ahrq.gov)
  • In addition to its role in managing most common patient conditions, primary care can prevent harms such as diagnostic delays, medication-related safety events, and avoidable hospital admissions and readmissions. (ahrq.gov)
  • 5 , 6 Primary care, like other predominantly outpatient-based specialties, is vulnerable to safety issues in the ambulatory care setting. (ahrq.gov)
  • There is an opportunity to begin looking more closely at the alignment between the functions of primary care and patient safety as a component of quality care and at AHRQ's approach to addressing both. (ahrq.gov)
  • For example, primary care providers can improve diagnostic safety through the use of relationship-based principles, e.g., promoting enhanced caring and listening. (ahrq.gov)
  • Primary care practices can consider using systems engineering methods or lean workflow redesigns to improve communication processes and performance. (ahrq.gov)
  • INPS develops, deploys and supports the Vision clinical system, which is used extensively within primary care settings and the wider healthcare environment throughout the UK. (inps4.co.uk)
  • ANCOR is sharing this announcement by the Administration for Community Living (ACL) as a reminder that the Centers for Medicare and Medicaid Services' (CMS) webinars on changes in Medicare's primary care fee for service model are fast approaching - one already happened on April 30, the other will be on May 16. (ancor.org)
  • HHS Secretary Azar and CMS Administrator Verma have announced the CMS Primary Cares Initiative, a new set of payment models that will transform primary care to deliver better value for patients throughout the health care system. (ancor.org)
  • According to the American Medical Association (AMA), there's a primary care doctor shortage, especially in underserved areas. (usa.edu)
  • 1, 4- , 10 Recently, 3 of these dimensions were organized into a hierarchy ranging from the availability of accurate information from one health care encounter to another (informational continuity), through a pattern of health care utilization at a particular site of care (longitudinal continuity), to a personal doctor-patient relationship characterized by loyalty and trust (interpersonal continuity). (annfammed.org)
  • 12 Interpersonal continuity refers to a special type of longitudinal continuity in which an ongoing personal relationship between the patient and clinician is characterized by personal trust and responsibility. (annfammed.org)
  • Both personal and longitudinal continuity of care with a GP are important to private patients. (biomedcentral.com)
  • There are different aspects of continuity of care, with three of these aspects having been organised into a hierarchy ranging from the availability of accurate information from one health care encounter to another (informational continuity), through a pattern of health care utilization at a particular site of care (longitudinal continuity), to a personal doctor-patient relationship characterized by loyalty and trust (interpersonal continuity)[ 2 , 3 ]. (biomedcentral.com)
  • Longitudinal continuity of care was the least experienced by patients (mean=0.5). (afribary.com)
  • Factors associated with high relational continuity of care: high flexible continuity of care and low longitudinal continuity Conclusion Experience of continuity of care among diabetics is high excluding longitudinal continuity of care. (afribary.com)
  • RESULTS--Accumulated knowledge was a substantial factor in saving time, especially in consultations with children, the elderly, patients with psychosocial problems, and those with chronic diseases. (bmj.com)
  • Chronic conditions had a negative relationship with care of continuity. (pitt.edu)
  • Conclusion: AHN should take steps to investigate why chronic conditions had a negative relationship with care of continuity and why payer mix and overall standard had no relationship with care of continuity. (pitt.edu)
  • The numbers of patients with one or more chronic diseases are increasing and these patients are prone to go through referral among different medical settings and communicate with various health care providers [ 2 ], which lead to the potential risk of "fragmentation of health care" [ 3 ]. (biomedcentral.com)
  • RPM adds another link that connects the patient with the care team and reduces the fragmentation that can sometimes occur, especially in chronic care management. (medekrpm.com)
  • For people dealing with chronic health issues, remote patient monitoring (RPM) has emerged as a powerful solution. (medekrpm.com)
  • The Harvard School of Public Health conducted a national survey of patients' experience trying to get influenza vaccine during the 2004 shortage, finding that 37% of adults aged 65 years and older and 54% of adults younger than 65 years with chronic disease had been unable to get the vaccine. (annfammed.org)
  • However, current care cannot be isolated from past and future care for people with more serious or chronic problems, who are the heaviest users of the service. (bmj.com)
  • Specifically, in her comments, she mentions that telehealth options should be tailored to the needs of patients, ensuring that access to chronic disease management as well as services should be maintained in order to prevent illnesses and a progression of infirmity. (cdc.gov)
  • Help where help is needed : continuity of care for people with chronic mental illness. (who.int)
  • Patients who do not receive continuity of care from their general practitioner--are they a vulnerable group? (bjgp.org)
  • BACKGROUND: Continuity of care is much valued by general practitioners but little is known about those patients who do not receive continuity of care. (bjgp.org)
  • AIM: This study set out to identify and describe a group of patients who did not receive continuity of care from the general practitioner with whom they were personally registered. (bjgp.org)
  • METHOD: A total of 110 patients (71 female and 39 male) were identified, who did not receive continuity of care, defined as four consecutive face to face consultations which did not take place with the doctor with whom they were registered. (bjgp.org)
  • This group was compared with an age and sex matched control group who did receive continuity of care, using general practice records, for demographic characteristics, morbidity, relationship problems, number of 'difficult' consultations, failure to attend appointments, and use of an accident and emergency department and of open access clinics. (bjgp.org)
  • Does Your Business Continuity Plan Account for Backup Workspace? (tierpoint.com)
  • Vision Business Continuity is designed for practices whose clinical data is hosted within a remote data centre. (inps4.co.uk)
  • Multiple logistic regression was used to determine the strength of association of factors associated with relational continuity of care. (afribary.com)
  • High relational continuity of care translated into high satisfaction of diabetes care received from health care providers. (afribary.com)
  • Good adherence to medication and high team continuity of care positively influenced attainment of high relational continuity of care. (afribary.com)
  • Continuity of care' has been described as the delivery of services in a coherent, logical, and timely fashion and which entails 3 specific domains: informational, management, and relational continuity. (edu.au)
  • CONCLUSIONS Although the available literature reflects persistent methodologic problems, a consistent and significant positive relationship exists between interpersonal continuity of care and patient satisfaction. (annfammed.org)
  • CONCLUSIONS The 2004 vaccine shortage had a severe impact on influenza immunization rates in private physician's offices, disrupting continuity of care. (annfammed.org)
  • As CGCAPHS (Clinician and Group Consumer Assessment of Healthcare Providers and Systems) rank and rank of access decreased, there was increased patient continuity. (pitt.edu)
  • What Are the Benefits of Remote Patient Monitoring for Healthcare Practices? (medekrpm.com)
  • They become actively engaged in their own healthcare and see the same information their care provider does. (medekrpm.com)
  • I've read plenty of blog posts about the patient experience, and I don't expect to fix all of our healthcare problems with this article, but this is a call to action. (rackspace.com)
  • We're not just talking about young people (or overly optimistic spry 40-something's like me) - a DuetHealth survey found 89% of patients aged 55 and older said they want to manage their own healthcare and will need technology access to do so. (rackspace.com)
  • As a physician practicing in a direct-care model for several years, I've witnessed some significant changes in the healthcare landscape. (medscape.com)
  • In addition, DPC may incentivize physicians to build a patient population of healthier patients with limited healthcare needs. (medscape.com)
  • Another change: DTC healthcare companies as well as conventional healthcare providers have had to become more media savvy with social media and websites that provide additional information and interaction to keep patients engaged and coming back regularly, adds Comite. (medscape.com)
  • Discover how applying AI to healthcare can optimize the patient experience, drive efficiencies and reduce the burden of cardiovascular diseases on the global healthcare system. (techtarget.com)
  • Adverse effect (medicine) Adverse event Evidence-based medicine Hospital accreditation Iatrogenesis Iatrogenic disorder International healthcare accreditation Latent human error Medical error Nursing care Patient safety organization Peter Pronovost Root cause analysis Serious adverse event Swiss Cheese model of accident causation in human systems Palmieri, P. A., DeLucia, P. R., Ott, T. E., Peterson, L. T., & Green, A. (2008). (wikipedia.org)
  • AHRQ's broad definition of patient safety includes "prevention of diagnostic errors, medical errors, injury or other preventable harm to a patient during the process of healthcare, and reduction of risk of unnecessary harm associated with healthcare. (ahrq.gov)
  • Quality healthcare is defined by the Institute of Medicine as the delivery of safe, effective, patient-centered, timely, efficient, and equitable care. (ahrq.gov)
  • Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nurses from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. (elsevier.es)
  • Vision 360 is a complete IT solution that builds local healthcare communities around centrally stored, shared patient records. (inps4.co.uk)
  • Vision 360 brings these people together into a cohesive local healthcare community, where authorised clinicians and other healthcare workers have access to the same detailed patient summaries. (inps4.co.uk)
  • We argue that an effective healthcare organisation has to embody all dimensions of continuity, alongside good access and systematic care. (bmj.com)
  • Ensuring optimal and continuous care for patients is a major challenge in the German healthcare system. (dfki.de)
  • If you're a patient, please refer your questions to your healthcare provider. (cdc.gov)
  • Patients' perception of satisfaction is an aspect of healthcare quality that is being increasingly recognised for its importance. (bvsalud.org)
  • Previous authors have addressed different aspects of continuity and have proposed definitions with multiple dimensions. (annfammed.org)
  • PURPOSE We wanted to review the medical literature regarding the relationship between interpersonal continuity of care and patient satisfaction and suggest future strategies for research on this topic. (annfammed.org)
  • METHODS A search of the MEDLINE database from 1966 through April 2002 was conducted to find articles focusing on interpersonal continuity of patient care. (annfammed.org)
  • The resulting articles were screened to select those focusing on the relationship between interpersonal continuity in the doctor-patient relationship and patient satisfaction. (annfammed.org)
  • RESULTS Thirty articles were found that addressed the relationship between interpersonal continuity and patient satisfaction with medical care. (annfammed.org)
  • Nineteen of the 22, including 4 clinical trials, reported significantly higher satisfaction when interpersonal continuity was present. (annfammed.org)
  • 11 For family physicians the concept of interpersonal continuity holds particular importance. (annfammed.org)
  • 20 As these changes occur, health policy planners are looking for evidence supporting the value of interpersonal continuity. (annfammed.org)
  • A logical starting point is to examine the degree to which interpersonal continuity improves patient satisfaction. (annfammed.org)
  • Interpersonal continuity of care has been a common subject for review articles and philosophy articles in the medical literature. (annfammed.org)
  • 4- 11, 13, 15, 20, 22- , 36 Several of these articles have concluded that interpersonal continuity improves patient satisfaction. (annfammed.org)
  • This article describes our efforts to examine systematically the evidence regarding the association between interpersonal continuity and one aspect of care quality, the level of patient satisfaction. (annfammed.org)
  • Interpersonal continuity holds particular importance for many general practitioners (GPs) and has been described as an ongoing therapeutic relationship between patient and GP, with the patient looking to the practitioner as their most valued source of care[ 4 ]. (biomedcentral.com)
  • Vision Patient Call Display allows clinicians to provide patients with accurate and reliable information, directly from their clinician workstation. (inps4.co.uk)
  • METHODS Using 1998-2004 Medicare claims data, we monitored the physician continuity rate (proportion of patients receiving influenza immunization from a physician in 1 year who received a subsequent immunization from the same physician the subsequent year) and other clinician rate (proportion of patients with claims from 1 physician in 1 year with a claim from another clinician the subsequent year) in West Virginia Medicare beneficiaries from 2000-2004. (annfammed.org)
  • We examined vaccine claim trends by clinician and surveys of self-reported immunization to determine whether patients received vaccine from nonphysician clinicians or went without immunization each year. (annfammed.org)
  • Information on socio-demographic characteristics and four dimensions of continuity of care and patients' satisfaction was obtained using ODK software and exported to Stata 15 for analysis. (afribary.com)
  • To identify individual and social characteristics of patients making sequential visits to a different rather than the same general practitioner (GP). (nih.gov)
  • Logistic regression analysis showed that younger age, good physical functioning, good self-rated health, normal body mass index, shiftwork and a longer time interval between visits were significantly associated with less continuity of care. (nih.gov)
  • For example, if infrequent visits (associated with less continuity) are for distinct illnesses, is quality of care affected by information or treatment from a previous visit? (nih.gov)
  • That allows them to make data-driven clinical care decisions even between office visits. (medekrpm.com)
  • RESULTS: The patients encompassed 42,969 total clinic visits, and 3185 (24%) of them had 15,458 ED visits. (thepcc.org)
  • Likewise, the adjusted rate of ED visits was 544/1000 person-year (PY) for patients with continuity vs. 784/1000 PY for patients without continuity (p = 0.001). (thepcc.org)
  • Of particular concern, less than half of youth concussion patients have a follow-up visit with any medical provider after visiting the ED. A potential opportunity exists during ED concussion visits to identify patients at high risk of experiencing PPCS and, for those patients, provide an expedited care hand-off to specialists who can initiate active rehabilitation strategies. (chop.edu)
  • A recent study showed that follow-up care, including downstream emergency care, was higher after telephone-only versus video visits, but some treatment measures, like lab order rates, were lower. (techtarget.com)
  • the components of quality preterm follow-up on the health of premature children include hospital discharge planning, home care plan organization, follow-up through home visits and telecare, health promotion and disease prevention, integration between health and education services, specialized follow-up of complications, and parental support. (bvsalud.org)
  • A Continuity of Care Document (CCD) is an electronic, patient-specific document detailing a patient's medical history. (techtarget.com)
  • This study aimed to determine the COC of health care in urban health centers. (ac.ir)
  • The agency will be giving more flexibility to ambulatory surgery centers (ASCs) to provide hospital-level care. (the-hospitalist.org)
  • The exercise starts 60 minutes after the assessment team notifies one or more hospitals or other patient-care facilities that they need to stand up their facility command centers. (phe.gov)
  • The Centers for Medicare & Medicaid Services (CMS) considers influenza immunization rates a measure of quality of care in various settings, and it has charged its quality improvement organization contractors with promoting vaccination. (annfammed.org)
  • The company says its technology serves more than 100 million patients in hospitals, ambulatory centers, home care, hospice, long-term care facilities and behavioral health sites. (techtarget.com)
  • The Centers for Medicare & Medicaid Services' (CMS) asked for suggestions on cutting administrative burdens on physicians and others in health care. (ama-assn.org)
  • From 1993 through 1995, the Hospital Infections Program, Centers for Disease Control and Prevention (CDC), investigated three outbreaks of bloodstream infections (BSI) in patients receiving infusion therapy in their homes. (cdc.gov)
  • This recent trend has been attributed to several factors, including the human immunodeficiency virus (HIV) epidemic, the occurrence of TB in foreign-born persons from countries that have a high prevalence of TB, and the transmission of Mycobacterium tuberculosis in congregate settings (e.g., health-care facilities, correctional facilities, drug-treatment centers, and homeless shelters). (cdc.gov)
  • Core members are defined in the 2017-2022 Health Care Preparedness and Response Capabilities as acute care hospitals, EMS, emergency management agencies, and public health agencies. (phe.gov)
  • The CST tests a coalition's ability to work in a coordinated way using their own systems and plans to find appropriate destinations for patients by using a simulated evacuation of inpatient facilities (that collectively represent at least 20 percent of a coalition's staffed acute care bed capacity). (phe.gov)
  • Continuity is often of little immediate concern to young healthy people consulting with minor, acute problems. (bmj.com)
  • The response to remote mental health and psychosocial support services, such as hotline support, faced challenges due to the unacceptance of indirect communication methods by patients who demanded direct face-to-face services. (who.int)
  • The Commission's analysis of underlying social, economic, and political causes of ill-health, and of the methods most likely to provide solutions, makes a convincing case for, and endorses, a renewed focus on primary health care. (who.int)
  • Methods: In May 2021, we performed a systematic literature search (from 2000 onward) in five databases (CINAHL (Ebsco), Cochrane Library, Embase (Ovid), Medline (Ovid) and PsycINFO (Ovid)) regarding self-management in patients with IA. (lu.se)
  • Methods: Participants were 205 women receiving care for breast cancer at a Tertiary Hospital in Ghana. (bvsalud.org)
  • Satisfaction can be defined in terms of patient-, provider-, and practice-level factors and is influenced by continuity of care, which is often poor in transient military populations. (umd.edu)
  • Graphs were then made comparing the care of continuity index scores with these factors trying to see if there was a trend that the research stated. (pitt.edu)
  • This study aimed to adapt Nijmegen continuity questionnaire (NCQ) into a Chinese version (NCQ-C) and to delineate the status of COC as well as explore its influencing factors for hypertensive patients in China. (biomedcentral.com)
  • The related factors of COC should arouse care providers' attention. (biomedcentral.com)
  • However, the number of patients required to make DPC profitable depends on various factors, including the practice's overhead, the fee structure, and the services offered. (medscape.com)
  • The nature of relationship-based care provides the opportunity to potentially identify many, if not all, of patients' determinants of health, from the health services themselves to the social and environmental factors that affect their health. (ahrq.gov)
  • Political and cultural factors in achieving continuity with a primary health care provider at an Indian Health Service hospital. (cdc.gov)
  • The health status of any individual is intimately tied not only to his or her biology, and clinical care, but also to geopolitical, environmental and socioeconomic factors. (cdc.gov)
  • For these patients, there is general agreement that continuity matters across all three of its core dimensions-informational, management, and relationship continuity (box 1). (bmj.com)
  • To determine how pediatric residents' perceptions of continuity clinic experiences vary by level of training, after controlling for the effect of continuity setting. (nih.gov)
  • PATIENTS: The 13,495 patients with established care at the Clinic, having at least one visit, one year before March 2011. (thepcc.org)
  • Residents complete their internship in a combined ophthalmology and internal medicine program, spending four months in ophthalmology, including one half-day a week at Moran's Continuity Clinic and four and a half days at the VA Salt Lake City hospital. (utah.edu)
  • Women infected with HIV who become pregnant are able to receive comprehensive HIV-specific care throughout the prenatal period in the Positive HOPE (HIV-OB Program and Education) Clinic. (bmc.org)
  • The team of physicians and staff at the Hope Clinic provide specialized obstetrical care for women infected with HIV that are pregnant or planning to become pregnant. (bmc.org)
  • Objective: recently a new form of nurse clinic for people with rheumatic diseases has been introduced into Dutch health care. (nivel.nl)
  • Design: validated measurements tools (QUOTE and QCC) were used, before and after patients visited a clinic, to determine patient perceptions about the quality and continuity of care. (nivel.nl)
  • Setting: the study was carried out at five locations in The Netherlands where a home care organization and a general hospital collaborated closely and had joint responsibility for a transmural rheumatology nurse clinic. (nivel.nl)
  • Results: Average age, Highmark Medicare, Medicare, emergency department, and ease of scheduling appointment had a positive relationship with care of continuity. (pitt.edu)
  • Gateway Medicare, Highmark Insurance, and UPMC Insurance, and overall standard for patient experience had no relationship with care of continuity. (pitt.edu)
  • The new Network analysis of 21 years of Medicare claims indicates that general practice communities have generally increased in size, continuity of care and patient loyalty have remained stable, and greater sharing of patients by GPs is associated with greater patient loyalty. (mja.com.au)
  • Rebates are provided to patients by the national health insurance scheme according to the Medicare Benefits Schedule (MBS), and patients may seek care from several providers and at multiple locations. (mja.com.au)
  • 11 Changes in the American health care system during the past decade have made it increasingly difficult to establish such long-term trusting relationships between physicians and patients. (annfammed.org)
  • With this technology, physicians have direct access to patient data. (medekrpm.com)
  • RPM creates a bridge that allows physicians to provide care wherever the patient is at the moment and when they need it most. (medekrpm.com)
  • One of the biggest challenges for physicians is patient engagement. (medekrpm.com)
  • Swedish Hospital is operating under enhanced safety protocols to provide a comfortable and safe environment for our patients, physicians, nurses and hospital staff. (swedishcovenant.org)
  • PROMs (patient-reported outcome measures) help physicians learn more about issues that are important to the patient. (aafp.org)
  • Physicians who practice within these alternative models enjoy personal relationships with their patients, provide extended appointment times, and eschew fee-for-service billing. (medscape.com)
  • For physicians, a lack of scalability may be an issue, as well as being self-limiting in how many patients are served. (medscape.com)
  • Keeping a physician's patient load more palatable and allowing physicians who practice under these alternative models more flexibility to serve their patients best continues to drive physician interest in direct care. (medscape.com)
  • The magnitude and variety of the patient population offers the physicians extensive opportunity for clinical research and offers patients the opportunity to benefit by participating in that research. (bmc.org)
  • Recognizing the importance of individual physicians in influencing patient behavior, WVMI has targeted increasing the vaccination rates of these physicians, both directly through audit and feedback and professional education, and indirectly through media and individualized communications with beneficiaries. (annfammed.org)
  • 5 Although subsequent self-reports suggest patients and physicians may have responded appropriately to this recommendation when vaccine was available at all, 6 it is not clear how widespread shortages affected individual physician practices or the patients they serve. (annfammed.org)
  • The AMA Update covers a range of health care topics affecting the lives of physicians and patients. (ama-assn.org)
  • The most common mistake physicians make is assuming too soon that the patient is stable. (medscape.com)
  • Warning signs for physicians that a patient has relapsed include missing appointments or attending AA meetings less frequently. (medscape.com)
  • Dr. Lee's work at the Permanente Federation is focused on expanding the accessibility of health information and decision support tools for patients as well as levering and enhancing the technology available to physicians to improve the quality and efficiency of care. (cdc.gov)
  • However, programme uptake remains low, systematic progression through the traditional CR phases is often lacking, and communication between health care providers is frequently suboptimal, resulting in fragmented care. (edu.au)
  • OBJECTIVE--To examine the relation between general practitioners' knowledge about their patients and the use of resources in consultations. (bmj.com)
  • Continuity of care is the hallmark objective of most private practices. (medekrpm.com)
  • By incorporating objective visio-vestibular deficits into risk models, and utilizing a remote patient monitoring (RPM) tool to improve specialist access and care continuity, we plan to begin the process of matching novel therapies to those most in need of their benefits. (chop.edu)
  • Ultimately, our objective is to reduce recovery times and the related physical, cognitive, and emotional morbidity for pediatric concussion patients. (chop.edu)
  • Objective: The aim of this study is to determine the extent of continuity (Relational, Longitudinal, Flexible and Team) and satisfaction of care between diabetic patients and their care providers. (afribary.com)
  • These objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Reviews, Patient Care and Letters to the Editor. (elsevier.es)
  • Our results also suggest that some GPs, because of the demography of their practices (more young people, a higher proportion of shift workers), may be disadvantaged by continuity-based reward systems. (nih.gov)
  • Practices that could not see patients in person still had the option to monitor their care via remote technology. (medekrpm.com)
  • Our novel approach to the analysis of routinely collected data allows continuous monitoring of the characteristics of Australian general practices and their influence on patient care. (mja.com.au)
  • The implications Our new approach to analysing routinely collected data allows continuous monitoring of the characteristics of Australian general practices and how these characteristics affect patient care. (mja.com.au)
  • many probably use the patient health questionnaire on depression known as the PHQ-9 in their practices. (aafp.org)
  • Because DPC practices have fewer patients than do traditional models, each patient's fee is crucial for profitability. (medscape.com)
  • A 2020 study found that DCPs have a patient load of fewer than 1000 patients vs 2500 in a traditional practice. (medscape.com)
  • From day one, interns manage a patient's care under the supervision of a board-certified ophthalmologist. (utah.edu)
  • Using a modified patient satisfaction survey, this study found that both the number of moves and assigned providers were significantly associated with continuity of care in military spouses. (umd.edu)
  • Continuity of care (COC) has become a primary point of concern for care providers in both developed and developing countries, which is regarded as the "cornerstone of care" and an "essential element" of good health care. (biomedcentral.com)
  • Therefore, continuity of care (COC) gradually became a primary point of concern for care providers in both developed and developing countries. (biomedcentral.com)
  • Around mid-1970s, COC was thought to be the synonym of building relationships with the same health care providers [ 12 , 13 ]. (biomedcentral.com)
  • From the 1990s on, with much more in-depth and integrated understanding, providers realized that research on COC would benefit from a much stronger focus on the patients' perspective [ 16 ] and tended to endorse COC a multi-facial definition. (biomedcentral.com)
  • Although there has been an existing care among diabetics and their health providers, there is the need to know the extent of continuity of care between diabetics and their health providers. (afribary.com)
  • Most patients (98.3%) were satisfied with diabetes care they received from health care providers. (afribary.com)
  • Numbers and characteristics of PPCs (including numbers of providers, patients and claims), proportion of bulk-billed claims, continuity of care, patient loyalty, patient sharing. (mja.com.au)
  • Ultimately, the health system undertook a survey of all its health care providers, to determine whether others had similar experiences with patients or families, and had to deal with rude comments or were rejected as caregivers based on their race, gender, or religion. (the-hospitalist.org)
  • As a result, the health system's policy on patient responsibility was changed to protect all health care providers from threats, violence, disrespectful communication, or harassment by patients, families, and other visitors. (the-hospitalist.org)
  • We listened to our health care providers on the frontlines of the pandemic. (cms.gov)
  • In August 2016, we published a point-counterpoint viewpoint asking a crucial question that has been on the minds of researchers, health care providers and the public health community: "will precision medicine improve population health? (cdc.gov)
  • Process measures or patient reported experience measures (PREMs) for comparing performance across providers? (lu.se)
  • Primary health care involves a sustained partnership between patients and providers that addresses the majority of a population's health needs over time. (bvsalud.org)
  • Conclusion: The participants were quite satisfied with the services provided as well as the quality of care provided by the different service providers of the health care facility. (bvsalud.org)
  • 96% preferred their personal medical care to be provided within one general practice. (biomedcentral.com)
  • There is strong support for a system of universal patient registration within general practice. (biomedcentral.com)
  • Continuity of care is traditionally considered a core value of general practice [ 1 ]. (biomedcentral.com)
  • Access to general practice for patients is usually rapid. (biomedcentral.com)
  • Patients in Ireland currently access general practice in two ways. (biomedcentral.com)
  • The Bettering the Evaluation and Care of Health (BEACH) survey 3 was the only national study of general practice activity, describing the characteristics and activity of a representative sample (13% of practising GPs), but the program ended in 2016. (mja.com.au)
  • One of the greatest strengths of general practice is its gatekeeper role, allowing only appropriate work to go through to secondary care. (gponline.com)
  • Most patients believe continuity of care is important and that general practice should. (gponline.com)
  • Assess the feasibility of a remote patient monitoring mobile eHealth tool to facilitate specialist access and care continuity. (chop.edu)
  • The study group patients were more likely than controls not to attend appointments which they had made, to use the accident and emergency department repeatedly, and to have used other open access clinics. (bjgp.org)
  • CONCLUSION: Lack of continuity of care is associated with some additional morbidity, an increased number of relationship problems, 'difficult' consultations, and non-attendances, and an increase in the use of open access clinics. (bjgp.org)
  • More patients are seeking these services because they appreciate the personalized care and enhanced access to their doctors. (medscape.com)
  • and lack of access to care. (ahrq.gov)
  • The current focus on increasing access makes it more difficult for patients to see the same doctor. (bmj.com)
  • 1 2 But there is less agreement about which dimensions matter most, or the right relation between continuity and access. (bmj.com)
  • The AMA's 28-page response is chock-full of suggestions for positive change, but first sets its sight on prior authorization, the time-consuming cost-control process that often restricts or delays access to treatments, drugs and services that patients need. (ama-assn.org)
  • 10. Rising social expectations regarding health and health care, fuelled by modernization, greater access to information and improved health literacy, are driving demand for more people-centred access, better community health protection and more effective participation in decisions that affect health. (who.int)
  • The characteristics of this group of patients represent a syndrome which merits further study. (bjgp.org)
  • Then a total of 448 patients completed questionnaires and 24-h ambulatory blood pressure monitoring (ABPM). (biomedcentral.com)
  • It's a questionnaire that's given directly to the patient,' said Pogones. (aafp.org)
  • Conclusion: in this study, a control group (e.g. patients who received standard rheumatologist care) was not available. (nivel.nl)
  • Conclusion: HPs provided self-management support to patients with IA in various ways, but there were gaps between the patients' support needs and the identified interventions. (lu.se)
  • Sequential continuity of care by general practitioners: which patients change doctor? (nih.gov)
  • Residents' continuity experiences were in hospital-based and community settings. (nih.gov)
  • Can Remote Patient Monitoring Predict Hospital Readmission? (medekrpm.com)
  • That means that in addition to seeing patients in my office, I can also admit them to Swedish Hospital and round on them during their stay. (swedishcovenant.org)
  • If my patient is admitted to the hospital and I visit their room, I'm often seeing their specialist right there. (swedishcovenant.org)
  • Our dentistry program is structured to provide training in the management of medically, physically and mentally compromised patients in a hospital environment. (sc.edu)
  • Our graduates practice in all types of settings: the office, the hospital, the home, the classroom, in long-term care facilities and on the athletic field. (sc.edu)
  • The exercise's foundation comes from a real-world health care system disaster challenge-the evacuation of a hospital or other patient care facility. (phe.gov)
  • These devices are used in both home and hospital settings and are perceived to be safe for patients and effective in reducing needlestick injuries. (cdc.gov)
  • To better define the epidemiology of BSIs in the home-care setting, in 1995 the Hospital Infections Program conducted a prospective multicenter study of home infusion therapy patients. (cdc.gov)
  • Capacity building of partners, including the social care sector, to provide MHPSS services to vulnerable populations such as the elderly in care homes, internally displaced persons, refugees, the homeless, people with disabilities and poor families. (who.int)
  • During the pandemic, many persons with DRTB in Dharavi relocated, threatening continuity of care. (cdc.gov)
  • These data may be helpful in formulating recommendations to program directors with regard to determining which Accreditation Council for Graduate Medical Education competencies should be emphasized and evaluated in the continuity experience. (nih.gov)
  • When I got the formal medical interpreter on the line, the first thing my patient said was, "I want to talk about my dizziness. (kevinmd.com)
  • If we want to ensure accurate medical information, we need to get the history from the patient. (kevinmd.com)
  • The FPs hadn't kept their patients' medical records routinely. (ac.ir)
  • Almost 88% of FPs have written referral letters for all referred patients but 57% of them got medical feedback from specialists. (ac.ir)
  • We believe that the best medical education occurs in settings offering the safest, high-quality care. (sc.edu)
  • Prisma Health's vision to provide the care and compassion we want for our families and ourselves, combined with the dedication of our faculty to quality teaching, help ensure the type of supportive, collegial learning environment that is so crucial to the process of medical education. (sc.edu)
  • Florence Comite, MD, founder of the Comite Center for Precision Medicine & Health in New York City and Palo Alto, tells Medscape Medical News that patient needs and demands have changed since these models began. (medscape.com)
  • Boston Medical Center is committed to empowering all patients to thrive, through our innovative and equitable care. (bmc.org)
  • At Boston Medical Center, research efforts are imperative in allowing us to provide our patients with quality care. (bmc.org)
  • Medical services offered include care from a team of nurses and doctors specializing HIV/AIDS who are at the forefront of HIV/AIDS research and treatment. (bmc.org)
  • However, in comparison with patients' experiences of standard medical care in other (comparable) research, patients' experiences in this study were very positive. (nivel.nl)
  • Among the various medical professionals who play critical roles in patient care and treatment are doctors (MDs), physician assistants (PAs), nurse practitioners (NPs) with a Master of Science in Nursing (MSN) and nurse practitioners with a Doctor of Nursing Practice (DNP). (usa.edu)
  • ChangeMedEd® brings together leaders and innovators in medical education and related health care fields to accelerate change in medical education across the continuum. (ama-assn.org)
  • Nearly eight million people in the United States received medical care at home in 1996 ( 4 ) , and an estimated 774,113 (10%) of these patients had at least one indwelling medical device ( 5 ) . (cdc.gov)
  • Use of a medical device is the greatest predictor (exogenous) of health-care-associated infection. (cdc.gov)
  • Hospitals were once thought to be places of refuge during catastrophic hurricanes, but recent disasters such as Hurricanes Katrina and Sandy have demonstrated that some hospitals are unable to ensure the safety of patients and staff and the continuity of medical care at key times. (cdc.gov)
  • That added comfort means a better patient experience. (medekrpm.com)
  • We must tie all three together - technology, data, and process - to focus on the patient experience, measure it and improve it. (rackspace.com)
  • I've helped businesses like yours implement and use Health Cloud to enable their staff with tools to deliver a better patient experience. (rackspace.com)
  • CCGs investing in this way should expect to be reducing cancer waiting times, improving patients' experience and making the most of GPs' role as gatekeepers. (gponline.com)
  • We are committed to providing the best experience possible for our patients and visitors. (bmc.org)
  • Objectives: 1) to identify the evidence for self-management support needs of patients with IA, and 2) to identify the content (theory/theoretical approach, mode of delivery, duration and frequency) of self-management interventions that target patients with IA. (lu.se)
  • Results: Out of 11,748 records identified, we included 31 articles describing patients' support needs and 33 articles describing the content of self-management interventions. (lu.se)
  • Only a few self-management interventions focused on patients' need for support in relation to work, and to family and friends. (lu.se)
  • Future studies should seek to investigate various modes of delivery, frequency and duration, to develop effective interventions that meet patients' support needs. (lu.se)
  • and (ii) specialized rheumatology nurses' and rheumatologists perceptions about the quality and continuity of care in the clinics. (nivel.nl)
  • Hospitals and specialists may be more likely to partner with a practice that offers this technology to patients. (medekrpm.com)
  • With RPM, clinicians treat patients without requiring them to travel to the office or practice. (medekrpm.com)
  • Mr. O was my new patient but had been known to our practice for several years. (kevinmd.com)
  • During 1994-2014, Australian GP practice communities have generally increased in size, but continuity of care and patient loyalty have remained stable. (mja.com.au)
  • You go from a salary as an employed doctor to a DPC doctor where it may take 2 years to start making a good living," says Douglas Farrago, MD, a DC family practice doctor who has written three books on direct care. (medscape.com)
  • The Infectious Disease practice offers both adult and pediatric care. (bmc.org)
  • Its objectives are to promote the dissemination of knowledge, promote the development of evidence in care and contribute to the integration of research in clinical practice. (elsevier.es)
  • Once patients have made the list, they should practice responses to their high-risk situations. (medscape.com)
  • RESULTS: Patients in the study group were more likely to be under the age of 65 years than all patients on the doctor's list. (bjgp.org)
  • No patient should be allowed to request a "white" doctor based on the current doctor's complexion, country of origin,sex, etc. (the-hospitalist.org)
  • 29% of FPs knew the past problems and illnesses of the patients. (ac.ir)
  • From 40% to 50% of the patients stated that their FPs asked them for their desire about prescribed medicine and gave clear explanation about their illnesses. (ac.ir)
  • The physician can refer the patient to a specialist and provide that professional with current and accurate data to support the need. (medekrpm.com)
  • Maria Maldonado is an internal medicine physician and director, Education for Cross Cultural and Patient Centered Communication, Icahn School of Medicine at Mount Sinai, New York City, NY. (kevinmd.com)
  • December 02, 2019 04:40 pm Sheri Porter - What family physician wouldn't want to take patient communications to a higher level and get patients more involved in their health care? (aafp.org)
  • She explained to AAFP News that the process starts when a physician collects data from the patient. (aafp.org)
  • It's intended to describe how the patient feels about what's going on with his or her health and is not subject to interpretation by the physician or caregiver. (aafp.org)
  • These tools are intended to open up communication so the physician can better understand what impact this disease or this treatment is having on the patient. (aafp.org)
  • When Dr. Polimera explained the situation to physician leadership, she was asked whether she was still comfortable taking care of the patient, and she said yes. (the-hospitalist.org)
  • We wrote this course on patient-reported outcome measures because these types of measures are showing up in payment programs. (aafp.org)
  • Given the increasing numbers of ethical and legal issues arising from the COVID-19 epidemic, particularly in respect of patient-doctor confidentiality, doctors must explain to patients how the measures taken to combat the spread of the virus impact on their confidentiality. (bvsalud.org)
  • This article examines the rationale and strategies for surveillance of health-care-associated infections in home-care settings, the challenges of nonhospital-based surveillance, and the feasibility of developing a national surveillance system. (cdc.gov)
  • This relationship can enhance communication, manage clinical information, facilitate transitions in care, and engage patients and their families in care. (ahrq.gov)
  • To optimize management process of hypertensive patients and achieved optimal management effectiveness, China passed the notice on the pilot work of hierarchical diagnosis and treatment for patients with hypertension in 2015 [ 20 ]. (biomedcentral.com)
  • Advances in Health Care Management. (wikipedia.org)
  • the review brought out triggering and converging elements for primary health care management. (bvsalud.org)
  • By performing a scoping review, we aimed to describe patients' self-management needs and how health professionals (HPs) can provide effective self-management support to patients with inflammatory arthritis (IA). (lu.se)
  • Patients' support needs were sorted into six topics: 1) disease impact and the pharmacological treatment, 2) care continuity and relations with HPs, 3) the importance of non-pharmacological treatment, 4) the need for support from family and friends, 5) support needs related to work issues, and 6) contextual preferences for self-management support. (lu.se)
  • Overall, 7% of these patients had one or more BSIs during a median of 44 days of catheter use (range 1 to 395 catheter days). (cdc.gov)
  • Study participants: a total of 128 patients, six specialist rheumatology nurses and four rheumatologists. (nivel.nl)
  • The GP who refers directly for a scan could expect to resolve the case within days, or pass on only the most appropriate cases, meaning clinics are only seeing the patients most likely to need their help and overall waiting times are reduced. (gponline.com)
  • Continuity of care refers to how an individual's health care is connected over time. (bmj.com)
  • Our study raises questions about the relationship between chronological continuity and quality of care. (nih.gov)
  • Patient safety and quality of care are improved, which leads to the overall improvement of public health as well. (pitt.edu)
  • Put simply, RPM improves the capacity of clinicians to treat patients and provide a better quality of care. (medekrpm.com)
  • You can use this software to weave together all of your technology tools, removing data silos, enabling home services, and leveraging data from multiple sources to improve your quality of care. (rackspace.com)
  • the quality of care of the health care facility was good (mean score = 3.45). (bvsalud.org)
  • While patients benefit from comprehensive services and community-focused care, the partnership is also a boon to the clinical teaching and research missions of the University. (sc.edu)
  • As the DTC category has grown, we're seeing much more specialization - companies offering very targeted services vs generalized care. (medscape.com)
  • That continuity of care helps maintain a strong patient-doctor relationship. (swedishcovenant.org)
  • There is a need for continuity of care through a good therapeutic relationship, maintained throughout the care process until reaching clinical stabilization. (elsevier.es)
  • CAD was significantly predicted by patients' English language reading ability, shared decision making and good doctor-patient relationship. (bvsalud.org)