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.
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.
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.
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.
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)
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)

The Center for Effective Global Action (CEGA) is the University of Californias premiere center for research on global development. CEGAs faculty affiliates use two powerful techniques-rigorous evaluation and economic analysis-to measure the impacts of large-scale social and economic development projects.
In Phase I, a systematic literature review and interviews with patient/clients and their families provided conceptual material to develop draft items for two components of an instrument to measure continuity - a patient/client self-report component and a component containing items to be rated by a trained observer on health event information collected prospectively. Draft items for the patient/client report component were pre-tested with patients/clients and mental healthcare professionals and then piloted in a sample of 317 patients/clients in three regions. Draft items for the observer component were validity-tested by seven raters on five case scenarios developed from health records. Both components were found to have reasonable validity and reliability, although there was much variability among items in performance.. The resulting instrument - the Alberta Continuity of Services Scale for Mental Health - was then used in a 17-month cohort study of adult service recipients with severe and ...
The International Association for K-12 Online Learning (iNACOL) has launched a new web site to help schools deliver continuity of learning in the event of a swine flu outbreak or other pandemic. iNACOLs Continuity of Learning web site provides free resources to help schools, districts, and states prepare for the H1N1 flu pandemic or other natural disasters. The sites toolkit of online resources includes a Readiness Assessment questionnaire; Continuity of Learning planning frameworks; case studies with sample state and district contingency plans; archived events, such as webinars and presentations, on continuity of learning and how online learning can help; steps that districts can take to prepare for short-term and long-term closures prompted by the H1N1 virus; and a section where service providers (companies and organizations) can link to resources they offer for continuity of learning. Interest in online learning solutions for [providing] continuity of learning is … high [among] school ...
MICHAEL F. EASLEY GOVERNOR EXECUTIVE ORDER NO. 102 CONTINUITY OF OPERATIONS AND CONTINUITY OF GOVERNMENT PLANNING WHEREAS, natural and man-made emergencies and disasters can hinder the ability of State agencies to deliver essential services to the people of North Carolina; and WHEREAS, the purpose of Continuity of Operations and Continuity of Government planning is to ensure survival of a constitutional form of government and the continuity of essential State functions under all circumstances; and WHEREAS, effective State agency planning is vital to the implementation and operation of coordinated and well-managed Continuity of Operations and Continuity of Government plans; and WHEREAS, it is imperative that all State agencies have in place a viable Continuity of Operations capability which outlines the performance of their essential functions during any emergency or situation that may disrupt normal operations; and WHEREAS, North Carolina General Statute § 147-33.89 requires that each State ...
Personal continuity in general practice is considered to be a prerequisite of high quality patient care based on shared knowledge and mutual understanding. Not much is known about how personal continuity is reflected in the content of GP - patient communication. We explored whether personal continuity of care influences the content of communication during the consultation. Personal continuity was defined as the degree of familiarity between GP and patient, rated by both the GP and the patient. 394 videotaped consultations between GPs and patients aged 18 years and older were analyzed. GP - patient communication was evaluated with an observation checklist, which rated the following topics of conversation: (1) medical issues, (2) psychological themes, and (3) the social environment of the patient. For each of these topics we coded whether or not it received attention, and was built upon prior knowledge. Data were analyzed using multilevel logistic regression analyses. No relationship was found between GP
Restoration of bowel continuity after Hartmanns procedure is considered technically challenging and is associated with high morbidity and mortality. This is the main reason why restoration of intestinal continuity is often not attempted. Over the past decade, considerable international experience has gained on this topic with new minimally invasive techniques being developed. This review details the evolution of minimally invasive techniques in restoration of colonic continuity after Hartmanns procedure. A comprehensive search of PubMed and Embase was done. Different restoration modalities were included. Eight studies, from six different countries, in which multiport laparoscopic restoration of continuity was compared to conventional open restoration of bowel continuity, were included. In the total of 254 patients, continuity was restored laparoscopically compared with 255 patients in which continuity was performed in open fashion. Restoration of bowel continuity via trephine access was also reported;
Define Continuity Army Council. Continuity Army Council synonyms, Continuity Army Council pronunciation, Continuity Army Council translation, English dictionary definition of Continuity Army Council. Noun 1. Continuity Army Council - a terrorist organization formed in Ireland in 1994 as a clandestine armed wing of Sinn Fein CIRA, Continuity Irish...
Bad news: But suppose you are in that highly unusual situation of being an older person with multiple chronic diseases and needing the personal continuity of being seen by the same clinician each time, not only for your own safety but your sanity too. If I have to tell another doctor the same story again I shall go mad! Supposing your healthcare record needs to flag that up? We dont have a code for that!!! No not one. Typing continuity into a read code search engine will give you codes for disorders in continuity of bone or heart valves but nothing on continuity of personal care! The nearest you can get is the code XaKZN Provision of continuing care, but even this is more about Continuing Healthcare Funding than continuity of care. Our coding system has evolved to reflect successive governments obsession with access to appointments to the exclusion of continuity despite a wealth of evidence that continuity delivers on quality, cost, safety and patient satisfaction. There are hundreds of ...
Authors contributions. M. Aller was responsible for the supervision of the fieldwork, design, implementation and interpretation of data analysis and writing of the paper. Ingrid Vargas contributed to the study conception, design and implementation and writing of the paper. I. Sánchez designed the sample and I. García collaborated in the statistical analyses. J. Coderch participated providing operational and methodological support to the field work; and together with J.R. Llopard, L. Colomés and M. Ferrán participated as experts in healthcare systems in all project phases. M.L. Vázquez was responsible for the study design and supervision of all phases of the research and writing the article. All authors participated in data interpretation, reviewed draft versions of the paper and approved the final version.. Conflicts of interests. None.. Acknowledgments. The authors are most grateful to Silvina Berra, Maribel Pasarín, Josep María Argimon and Soledad Romea for their support to the ...
Respondents were asked to give their personal view of Business Continuity Awareness Week. The majority (75 percent) think that it is useful, with 43 percent stating that it should continue as it is. However, 32 percent think that, while it is useful, it could be improved. A further 11 percent of respondents said that Business Continuity Awareness Week is not useful as it is but could become so if it was changed / improved. No respondents thought that Business Continuity Awareness Week is not useful and should be discontinued. The remaining 14 percent answered that they did not know or did not have an opinion about Business Continuity Awareness Week. The respondents who thought that Business Continuity Awareness Week could be improved were asked to make suggestions about how it could be. These responses can be read here, verbatim apart from being spell checked ...
We study the continuity of the maximum-entropy inference map for two observables in finite dimensions. We prove that the continuity is equivalent to the strong continuity of the set-valued inverse numerical range map. This gives a continuity condition in terms of analytic eigenvalue functions which implies that discontinuities are very rare. It shows also that the continuity of the MaxEnt inference method is independent of the prior state.
ZCZC MIATCDEP4 ALL TTAA00 KNHC DDHHMM TROPICAL DEPRESSION FOUR-E DISCUSSION NUMBER 2 NWS TPC/NATIONAL HURRICANE CENTER MIAMI FL 8 AM PDT SUN JUL 06 2003 THE INITIAL POSITION OF TD-04E IS RATHER UNCERTAIN DUE TO CIRRUS BLOWOFF TO THE EAST WHICH IS OBSCURING THE LOW-LEVEL CENTER. HAVING SAID THAT...THE CYCLONE LOCATION FOR THIS ADVISORY WAS BASED ON CONTINUITY WITH THE PREVIOUS FORECAST TRACK USING AN INITIAL MOTION OF 295/10...WHICH IS CLOSE TO THE AVERAGE MOTION OF THE NHC MODEL GUIDANCE...AND ASSUMING THE CENTER IS NEAR THE EAST SIDE OF THE DEEPEST CONVECTION DUE TO EASTERLY SHEAR. LITTLE CHANGE WAS MADE TO THE PREVIOUS FORECAST TRACK OTHER THAN TO BRING IT SOUTHWARD JUST A TAD AND ALSO TO ADD A 120-HOUR FORECAST POSITION. THE PREVIOUS SHIPS INTENSITY FORECAST HAD THE CYCLONE DISSIPATING IN 96-120 HOURS. HOWEVER...THAT OUTPUT WAS BASED ON THE MUCH FASTER MEDIUM BAM MODEL. THE OFFICIAL FORECAST MOVES THE DEPRESSION SLOWER THAN ALL THE BAM MODELS AND IS A BLEND OF THE GFS...UKMET...AND THE ...
NHS hospitals are often overwhelmed by people presenting to hospital for care that is unexpected, in particular attending their A&E departments, and subsequently being admitted to hospital as an emergency. In considering reasons for this, it is natural to consider the potential influence of factors related to general practices where these people are registered. Sometimes the way practices are organised make their patients end up needing unplanned care from hospitals when they fall ill. In particular, we wish to determine whether having continuity of care (usually seeing the same doctor) can reduce the risk of having an unplanned hospital admission. We will use data from the Clinical Practice Research Datalink (CPRD), a nationally representative sample of general practices with data on every patient consultation. It is linked to another dataset, Hospital Episode Statistics (HES), which tell us about patients stays in hospital. This current pilot project will investigate whether the linked ...
We identified three types of continuity in every discipline-informational, management, and relational (box). The importance attached to each type differs according to the providers and the context of care, and each can be viewed from either a person focused or disease focused perspective.. Informational continuity-Information is the common thread linking care from one provider to another and from one healthcare event to another. Information can be disease or person focused. Documented information tends to focus on the medical condition,22 but knowledge about the patients preferences, values, and context is equally important for bridging separate care events and ensuring that services are responsive to needs. This type of knowledge is usually accumulated in the memory of providers who interact with the patient.. Management continuity is especially important in chronic or complex clinical diseases that require management from several providers who could potentially work at cross purposes. ...
Business Continuity Planning. April 29, 2005 Edmonton Sean Lawson, CBCP Linc Group Corp. Resources. DRI Canada - www.dri.ca Business Continuity Institute - www.thebci.org Disaster Recovery Information Exchange - West ( www.drie-west.org ) Slideshow 6658943 by aaron-roberts
The Emergency Planning and Business Continuity conference will provide participants with a platform to discuss how best to develop emergency response and business continuity plans to prepare and effectively combat unexpected incidents.
Business Continuity Consultancy and Management BCCManagement announce that a Corporate Partnership has been formed with The Business Continuity Institutes BCI to bring its customers the practice of the highest standards of Business
Maintain business continuity and recover critical business applications with business continuity and enterprise risk management services from IBM.
A business continuity application is software used to help develop, manage or implement an organizations business continuity plan and maintain its operations during a crisis or other unexpected disruption.
Citrix wants you to understand its continuity goals and plans. We are focused on rapid recovery and timely resumption of company and cloud service operations ...
LOS ANDES UNIVERSITY and HOSPITAL reduce their costs, improve continuity and operational availability using a SAP Hosting Service
Northwestern Universitys business continuity planning efforts are coordinated, facilitated, and overseen by the Business Continuity Planning Office. At Northwestern, we recognized Business Continuity is a shared responsibility across the institution and community. All Northwestern administrative, academic, and research areas are responsible for developing a business continuity plan in an effort to minimize the impact caused by an interruption of operations. ...
During this crisis and for the unknown risks ahead, the foundation of an effective business continuity plan is characterized by elasticity, flexibility, and scalability of your communications and customer engagement infrastructure.
Business continuity is an organizations capability to maintain mission-critical functionality during and after a disaster, such as service outages, security breaches or other threats.
Continuity Software helps leading organizations worldwide, including 6 of the top 10 US banks, to achieve resilience for their hybrid and multi-cloud IT environments. As a global leader in IT resilience assurance, our solutions proactively prevent outages, data loss and security breaches on critical IT infrastructure. As a result, unplanned infrastructure outages are dramatically reduced by an average of 80% and configuration errors are resolved before they turn into costly service incidents.. ...
Buy Approximation Theory Moduli of Continuity and Global Smoothness Preservation by George A. Anastassiou at TextbookX.com. ISBN/UPC: 9780817641511. Save an average of 50% on the marketplace.
Fully integrated calls and online meetings, GoToConnect is the only business continuity solution you need to stay in business - no matter where youre working from. Try GoToConnect today!
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Continuity is a part of high-quality patient care. The purpose of this study was to analyse what factors are important in the continuity of patients care, and how well continuity is achieved in different stages of the ...
Health, ...MONDAY April 1 (HealthDay News) -- Timely follow-up care with a docto...Chest pain is the most common reason patients go to the ER accounting...In this study researchers analyzed data from nearly 57000 adults av...Only 17 percent of the patients were evaluated by a cardiologist withi...,Follow-Up,Care,After,Chest,Pain,Called,Crucial,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news
So I just got a call from my doctors office that shes called in Gabapentin. I can pick it up tomorrow. This is the same doctor who utterly refuses t...
my psych eval It sounds like you saw the same doctor I did,lol They sent me because I listed Elavil as a med that I am on. I do take it for depression, but more for the effect it has on my pain. I can tell a real.... ...
This conference will provide a deeper look into the dynamic and complex relation between construction, codes, language, expression, on one side and the crisis of representations, traumas, discontinuities and tensions in discourses, on the other.
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These turbulent times are changing the lives of consumers and businesses alike, reinforcing the need for public and private companies and organizations to become more ...
Life constantly reminds us to expect the unexpected. Still, as organized and prepared as we strive to make our surroundings, there is no playbook dedicated to…
The ongoing Covid-19 pandemic has shown how important it is for companies to operate remotely. In fact, its the difference between completing a task or facing extensive delays for businesses re...
Between 1989 and 1996, four Tie-In Novels were published for Red Dwarf, but in a different continuity (which split into two continuities itself after the …
Solution: I think you might be asking the wrong question a bit? These days, if you can avoid developing for a specific-OS, the better off you will be. Going a
Urosphere has 300m² of offices and laboratories in order to offer customers an optimized organization and a quality level suited to their requirements. We also have 350m² of animal care facilities to ensure business continuity and a high level of quality.. ...
The Plan-Do-Check-Act (PDCA) process can continually improve the effectiveness of an organizations business continuity management system, allowing it to meet ISO standards.
Does your company have a business continuity (BC) plan? If it does, its headed in the right direction. If not, its wise that you start putting one together now. Test your BC IQ and see if you know what a good, solid BC plan should include. Continue Reading ...
Note that, by default, the function prop.test() used the Yates continuity correction, which is really important if either the expected successes or failures is < 5. If you dont want the correction, use the additional argument correct = FALSE in prop.test() function. The default value is TRUE. (This option must be set to FALSE to make the test mathematically equivalent to the uncorrected z-test of a proportion.) ...
There is something reassuring, too (at least, I find it so), in these renewals of former admirations. We all endeavour, as Spinoza says, to persist in our own being; and that endeavour is, he adds, the very essence of our existence. When, therefore, we find that what delighted us once can still delight us: that though the objects of our admiration may be intermittent, yet they move in fixed orbits, and their return is certain, these reappearances will suggest that we have after all maintained something of our own integrity; that a sort of system lies beneath the apparent variability of our interests; that there is, so to speak, a continuity within ourselves, a core of meaning which has not disintegrated with the years. ...
COMTICS also offers the highest level of cyberprotection. Designed to meet the specific requirements of operations at sea, including high availability despite the risk of combat damage, COMTICS is built on a redundant all-IP architecture to ensure operational continuity under all circumstances ...
MULTI FUNCTION TESTERS 6010A/6011A KYORITSUDescription 6010A :Continuity and Insulation Testing• Live circuit warning LED:Immediate illumination of a P293023
Continuity of care is a cornerstone of primary care and is important for patients with chronic diseases such as diabetes. The study objective was to examine patient, provider and contextual factors associated with interpersonal continuity of care (ICoC) among Veterans Health Administration (VHA) primary care patients with diabetes. This patient-level cohort study (N = 656,368) used electronic health record data of adult, pharmaceutically treated patients (96.5% male) with diabetes at national VHA primary care clinics in 2012 and 2013. Each patient was assigned a
It is well-established that longitudinal care from a primary care physician improves quality and efficiency of patient care. Patients report higher satisfaction in the context of their care when engaged in a long-term relationship with one healthcare provider [1-3]. Better patient health outcomes have also been associated with continuity of care [2, 4]. In addition, longitudinal care promotes cost efficacy; for instance, by decreasing the number of hospital and/or emergency department visits [5-7].. Though training and experience in longitudinal care supports student interest in primary care careers [8-10], the structure of medical education makes it difficult for large numbers of students to experience providing continuity of care. Standardized patient encounters usually simulate one-time interactions with no opportunity for the student to consider the continuity of care that would be provided to that patient in a true outpatient setting, especially in a primary care practice. In terms of ...
A Risk Management Approach to Business Continuity: Aligning Business Continuity with Corporate Governance by David Kaye, Julia Graham starting at . A Risk Management Approach to Business Continuity: Aligning Business Continuity with Corporate Governance has 0 available edition to buy at Alibris
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Enterprise Risk Management on Continuity Insights | By Zeb Ahmed, CLOUD, XaaS & BCDR Leader - IBM: Although Service Providers have been providing offsite…
This research project addresses the theme of managing continuity of care, specifically systems for managing continuity of care in the subregional context of a networked operating structure for delivering perinatal care and services. At the request of local authorities with which we had previously co-operated, our team conducted an assessment of the implementation and effects of the prenatal component of a system for managing continuity of perinatal care based essentially on inter-institutional referrals and a pregnancy logbook managed by each pregnant woman. Developers of the system sought the following objectives: 1) promote identification and early referral of pregnant women presenting biopsychosocial risks; and 2) ensure continuity of information among the various healthcare partners.. Using data gathered from October 2003 to August 2004, the study consists of two parts, one qualitative and the other quantitative. The first part entailed a case study to describe the intervention and determine ...
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Continuity in the context of healthcare refers to the perception of the client that care has been connected and coherent over time. For over a decade professionals providing maternity and child and family health (CFH) services in Australia and internationally have emphasised the importance of continuity of care for women, families and children. However, continuity across maternity and CFH services remains elusive. Continuity is defined and implemented in different ways, resulting in fragmentation of care particularly at points of transition from one service or professional to another. This paper examines the concept of continuity across the maternity and CFH service continuum from the perspectives of midwifery, CFH nursing, general practitioner (GP) and practice nurse (PN) professional leaders. Data were collected as part of a three phase mixed methods study investigating the feasibility of implementing a national approach to CFH services in Australia (CHoRUS study). Representatives from the four
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PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
We have received an update from Public Health England with regards to hepatitis A vaccine supply. There is an ongoing global shortage which is impacting on continuity of supply in the UK. Anybody requiring boosters of this vaccination can be safely delayed at the present time. We are currently investigating alternative vaccine options as advised by Public Health England. ...
Continuity of care decreased in our clinic after implementation of open access scheduling. Our results have implications for all primary care residency training programs since one of the hallmarks of primary care is maintaining continuity in the physician-patient relationship.
wilson.cc gives a two-sided Wilson confidence interval with continuity correction for the difference of two dependent proportions. The continuity correction is performed to the score limits. Data are assumed to be of a fourfold table, which contains the numbers of concordance and the numbers of discordance of two dependent methods.
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Editors Note: During her acceptance of the 2012 Joseph W. St Geme Jr. Leadership Award, Dr Gail McGuinness remarked that certain elements of clinical competence require time to attain: problem solving, pattern recognition, judgment, (and) capability for self-reflection.1 At a recent resident continuity clinic that I attended, I observed residents counsel parent after parent that their children did not need an antibiotic for their colds. By clinics end, the residents were visibly fatigued, and their resolve to follow evidence-based medicine diminished. The following self-reflection by a seasoned pediatrician offers encouragement for all of us to assess critically what we do and to pursue resolutely what is in the best interest of our patients. ...
Health,continuity of primary care practices. Our findings will be useful to ......,Study,shows,loosening,managed,care,restrictions,may,improve,doctor-patient,relationship,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news
A fundamental aim of primary care redesign and the patient-centered medical home is improving access to care. Patients who report having a usual site of care and usual provider are more likely to rece
Continuity of care can be a hard thing to come by - but when healthcare providers practice based on electronic health records, it vastly improves the care the patient receives.
The importance for manufacturing firms to add services to their offerings has been asserted over and over again (Neu and Brown 2005). Adding services to product sales require manufacturing firms to develop other types of offerings such as maintenance services, hybrid offerings or integrated solutions. This implies using new and often unknown practices to be able to provide services. Previous research has focused on the benefits of servitization (Gebauer, Gustafsson, and Witell 2011), albeit in larger firms. Hence, similar research on Small and Medium sized Enterprises (SME) has been scarce. Furthermore, servitization as a unidirectional transition process can be questioned as researchers argue that manufacturing firms might offer different types of services simultaneously and might not have the intention to take the next step that a transition process suggests (Kowalkowski et al. 2015). Moreover, previous research shows that the step from offering after-sales services and repair to offering more ...
Choose business IT software and services with confidence. Compare verified reviews from the IT community of Fusion Risk Management vs. RecoveryPlanner in Business Continuity Management Planning Solutions
Risk and Business Continuity Management GLOBALFOUNDRIES strives to meet commitments to clients, the community and employees through credible risk assessment, disciplined mitigation, comprehensive threat awareness and practiced crisis management. In this manner, we hope to achieve strategic and practical recovery planning backed by responsible risk financing. The following are
Swine Flu is impacting locations in Mexico, the US, Canada, Asia, and Australia. We recommend that you review your business continuity plan now. Even if the outbreak is contained, if it occurs where you have employees, your business could feel the full impact of the flu. According to health officials at the UK NHS: This…
Use tabletop exercises to stress-test your business continuity management and make sure critical personnel are familiar with the BCM recovery plans.
There is no magic formula for continuity risk management or measurement. In the end, risk measurement is a process. Here are some tips that can help.
Progress in linking between the disparate levels of cognitive description and neural implementation requires explicit, testable, computationally based hypotheses. One such hypothesis is the dendrophilia hypothesis, which suggests that human syntactic abilities rely on our supra-regular computational abilities, implemented via an auxiliary memory store (a stack) centred on Brocas region via its connections with other cortical areas. Because linguistic phonology requires less powerful computational abilities than this, at the finite-state level, I suggest that there may be continuity between animal rule learning and human phonology, and that the circuits underlying this provided the precursors of our unusual syntactic abilities.
Molecular Genetics, Storage and Transfer of Genetic Information, Principles of Genetics:A Review in Continuity and Evolution of Animal Life
Ottienilo da una biblioteca! Painted songs : continuity and change in an Indian folk art. [Thomas Kaiser; Joan Clough; Karina Moschke; Universität Zürich. Völkerkundemuseum.] -- For over 2000 years and until just a few decades ago artists traveled throughout India, using painted picture scrolls to spread stories from the great Indian epics Mahabharata and Ramayana, as well ...
The Savoy Continuity Collection includes three superb Savoy cabbages to provide you with compact, round, dark green heads. Harvest through to the winter. - Dobies
/PRNewswire/ -- Megger now offers an insulation and continuity tester that allows users to test the insulation of twisted copper cable pairs. Ideal for use in...
Intimal re-layering technique for type A acute aortic dissection-reconstructing the intimal layer continuity to induce remodeling of the false channel
I chose this months theme because it is constantly coming up in my life right now. I am hoping to graduate sometime this year. This has spurred a lot of talk in my lab and in my home about continuity. In the lab it tends to be in the form of sharing my knowledge and skills with Advisor and my fellow grad students. At home its of the where will we live and what shall I do variety. With this in the forefront of my mind, I decided to make Continuity the theme of this months Scientiae Carnival. It seems, from most everyones posts, that we, as scientists, have very little continuity in our lives. However, sometimes the more things change, the more they stay the same ...
WCHN Community Nurse is to contact the families and offer an AABR screen to all infants who referred in one or both ears from their hospital screen or who did not complete a hospital screen. In this way, effective and timely follow-up can be achieved ...
Bad news on the health front- At that same doctors appointment on 11/1 he was talking to me about my bp and he mentioned that I am on A LOT of medication, which I think I am too. I told him that I kinda feel like it might not even be enough because Ill have days when it gets pretty high (130-140/90s). He asked me if I had ever had my kidneys checked and I said that all of my bloodwork has come back with normal kidney function. He decided to refer me to a specialist anyway and wanted me to have an ultrasound done on all of my systems so I went in on 11/8. I figured all theyd find was a gallstone (they found one when I was pregnant with Gracie) but when I turned to see the screen as she was checking my left kidney I saw a black blip on the screen. I asked Is that a cyst? and she said yes very nonchalantly. I know they arent supposed to discuss their findings with the patients so I didnt press her for more ...
I am a 25 year old female. About 2 years ago I noticed a painful swelling in my left underarm. I went to my gyn and she said it is probably just a swollen gland, and if it kept reoccuring to come back. It returned on and off. About 6 months ago, it returned and has remained. I returned to the same doctor, and she ordered an ultrasound. The results from the ultrasound were inconclusive. She said she does not think it is breast cancer because it has gone on so long, and a mamogram isnt neccesary. There is clearly a lump there, and it is very tender and painful. What could this be, and what is my best course of action? I have no family history of breast cancer, do not currently take any medicines, and am overall healthy except for HPV - which has not caused any problems since I was diagnosed and treated for cervical dysplacia three years ago. Thank you for your help ...
(HealthDay)-Black children are less likely to be prescribed antibiotics and to be diagnosed with conditions that require antibiotics, even when treated by the same doctor, according to research published online March 18 ...
I often wondered how I could have the same doctor for over 20 yrs. and he not diagnose me with diabetes. I came across this article and after reading it I wa...
In the past century, there has been a transition in healthcare from focusing on diseases and their pathology to focusing instead on a variety of socio-environmental factors that influence health outcomes.
As the UNC School of Medicine prepares for university closures, we have prepared the following guidelines for how best to maintain a learning environment that meets our students, faculty and staff needs, while remaining FERPA and HIPAA compliant.. ...
Moving to cloud computing opens your organisation to a flexible, more agile way of working. And with Axon by your side, you not only gain a transformative way of working but an IT partner thats with you every step of the way. And we wont make any moves before youre 100% happy and comfortable that we know your business inside out. Which we promise doesnt take long.. Well guide you through the whole transition process. From start to finish, our engineers will immerse themselves in your organisation and its culture. Discovering how you collaborate as a team, complete tasks and move between systems. And well keep you as involved as you wish in the actual process of moving you over to your new cloud - managing any risks, adhering to all agreed timescales, delivering the necessary training to ensure you hit the ground moving, helping you get the most out of your IT to ensure it supports your business strategies. ...
The disturbance growth continues until saturation, establishing a base flow distortion as a new quasi-steady state (quasi as long as the next instability has a much faster growth rate then the characteristic time of the quasi-state) with longitudinal velocity streaks (Pseudo-modes of Orr-Sommerfeld/Squire Eq. or otherwise modes of a distorted operator but in a way which creates only a base flow variation, still non-normal by himself). The flow stands yet another form of Linear, inviscid instability (Varicose - wall normal) for hairpins to be generated.. The role of the transient growth mechanism in the onset of transition of this kind is a essentially a question of the spatiotemporal reciprocal relations between it and the nonlinear redistribution of energy of mode interaction which is reached as the transition process advances. ...
Whilst checking out the reviews for NA he-man, overall I thought it was an excellent figure, I couldnt help but think there was something a bit off regarding the sculpt of the face and hands. Having looked at my other figures, I can see that it must be the same horseman that sculpted jitsu, Marlena and probably a few others. My problem is its clear another horseman did the face sculpts earlier in the line as the newer ones seem more thin and small compared to the more natural, round faces
Whilst checking out the reviews for NA he-man, overall I thought it was an excellent figure, I couldnt help but think there was something a bit off regarding the sculpt of the face and hands. Having looked at my other figures, I can see that it must be the same horseman that sculpted jitsu, Marlena and probably a few others. My problem is its clear another horseman did the face sculpts earlier in the line as the newer ones seem more thin and small compared to the more natural, round faces
Taiwans long-governing pro-Beijing party is out of power. But for now, neither China nor the newly ascendant opposition are looking to shake up cross-strait relations.
In handoff discussions between attending physicians in an intensive care unit, more time is allocated to patients discussed early in each session compared with those discussed last, despite the order of cases being unrelated to severity or complexity of illness.
2013 Continuity of Patient Care Study. The HQCAs Continuity of Patient Care Study identified that processes in Albertas ... Continuity of Patient Care. The HQCA has published two reports related to continuity of care in Albertas health system: our ... Improving Continuity of Care: Key Opportunities and a Status Report on Recommendations from the 2013 Continuity of Patient Care ... continuity of care. By examining the continuity of care through the lens of a single patients journey, this report shines a ...
We will provide Best Care for every patient, every time by providing care that is evidence-based and patient-centered." ... Continuity of care behind bars: UTMB Hospital Galveston initiative improves average length of stay, patient throughput Jan 25, ... talking about the patients needs early on and ensuring care provided is patient-centered as well as promptly identifying ... On any given day, all 110 acute care beds in UTMB Hospital Galveston are full. While some patients are preparing for discharge ...
Improved communication could lead to higher-quality patient care and greater patient care safety for hospitalized patients with ... Communication between physicians caring for a patient in the hospital and that patients primary care provider is less than ... Communication between physicians caring for hospitalized patients and those patients primary care providers (PCPs) is often ... Virtual Continuity and Its Impact on Complex Hospitalized Patients Care. This study has been completed. ...
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 ...
Med Care. 2013 Mar;51(3):231-7. doi: 10.1097/MLR.0b013e31827da5b9. Research Support, Non-U.S. Govt ... Continuity of care, medication adherence, and health care outcomes among patients with newly diagnosed type 2 diabetes: a ... The effects of continuity of care (COC) on health care outcomes are well established. However, the mechanism of this ... Improving the COC for patients with type 2 diabetes may result in higher medication adherence and better health care outcomes. ...
Continuity of care after percutaneous coronary intervention: The patients perspective across secondary and primary care ... Aim: To explore how patients undergoing PCI experience continuity of care between secondary and primary care settings after ... However, patients experienced an unplanned patient journey across care boundaries. They were not receiving adequate instruction ... Nurse-led initiatives to improve continuity of care involve a range of interventions at different levels of the healthcare ...
When a patient cannot be diagnosed by the numbers, the feel for the patient that a physician gets with continuity of care, and ... Op-Ed: Continuity of Care Is Good Medicine for Patients - and Doctors. Armand Leone Jr. , September 19, 2018 , Opinion ... shows that continuity of care reduces patient mortality. Continuity even improves outcomes for specialist physicians and ... Continuity of care must be maintained for the physical and mental well-being of patients, and this requires recognition that ...
5,000 patients, a GP super-partnership has found. ... of care and reduce GP workload by having their patient list ... We know that continuity of care is important for patients and also for GPs, but [we are] having to balance that against access ... Chunking patient lists boosts continuity of care, says GP super-partnership. By Jenny Cook on the 31 August 2018 ... Large practices can improve their continuity of care and reduce GP workload by having their patient list chunked into smaller ...
We sought to determine the effect of sustained continuity of care (SCOC) on the quality of patient care. Data sources We ... care is a cornerstone of primary care that has been promoted by recent trends in medical education and in the way health care ... "continuity of care" or "continuity of patient care." We identified additional titles of candidate articles by reviewing the ... Discontinuity can improve patient care West J Med 2001;175:5.. 15. Freeman G. What is the future for continuity of care in ...
Lack of continuity of care can be especially dangerous for IBD patients in the current environment, according to other ... Concerns Raised About Lack of Continuity of Care for VAs IBD Patients. by Brenda Mooney , Feb 10, 2021 ... ANN ARBOR, MI - The lack of continuity of care among VA patients with inflammatory bowel disease (IBD) is associated with poor ... "Our findings show that continuity of care is highly variable across patients with IBD," wrote lead author Shirley Ann Cohen- ...
Our findings will be useful to ......,Study,shows,loosening,managed,care,restrictions,may,improve,doctor-patient,relationship, ... continuity of primary care practices. Our findings will be useful to decision-makers interested in improving patients ... in many cases health professionals and patients are ... care and research on the importance of active engagement with patients ... care insurance companies have a waiver for care if the client has a cognitive ... the family pays for care, is often waived, so ...
Better continuity of care reduces costs for diabetic patients. Am J Manag Care 2011;17:420-7. ... Increased continuity of care associated with decreased hospital care and emergency department visits for patients with asthma. ... CCI, Charlson comorbidity index; COC, continuity of care; COCI, continuity of care index; COPD, chronic obstructive pulmonary ... The effect of continuity of care on emergency room use for diabetic patients varies by disease severity. J Epidemiol 2016;5:413 ...
Continuity of care for older patients in family practice: how important is it?. Canadian Family Physician June 2006, 52 (6) 754 ... Continuity of care for older patients in family practice: how important is it? ... Continuity of care for older patients in family practice: how important is it? ... Continuity of care for older patients in family practice: how important is it? ...
Transitional Care research papers discuss the coordination and continuity of a patients health care during his or her transfer ... Transitional Care. Transitional Care research papers discuss the coordination and continuity of a patients health care during ... Transitional care is the coordination and continuity of a patients health care during his or her transfer from one healthcare ... Palliative Care - Palliative Care research papers discuss the medical approach in caring for patients with serious illnesses, ...
Continuity of Care index (COC), Sequential Continuity of Care index (SECON), and Integrated Continuity of Care index (ICOC). ... can reduce copayments for patients that are managed by a single primary-care provider and lead to improve continuity of care. ... Continuity of care was measured using the Usual Provider Care index (UPC), ... High continuity of care may reduce the likelihood for hospital admission. The COC had marginally more explanatory power. ...
Furthermore, that mental health services have to maintain focus on continuity of care and a good relation between patient and ... To what extent is patient-rated quality of life associated with continuity of care, therapeutic relationships and unmet need ... Both the therapeutic relationship and continuity of care are key to mental health services interaction with patients in their ... To what extent is patient-rated quality of life associated with continuity of care, therapeutic relationships and unmet need ...
Using a simple linear interpretation of contact frequency as a measure of continuity of care in this patient group may be of ... We measured service use and a multidimensional concept of continuity of care in 323 patients who were to be discharged from ... More changes in the patients care coordinator were associated with more time in hospital. Patients who had a higher proportion ... Higher levels of patient contact could be a response to the severity of illness rather than a marker of quality of care. ...
High experienced continuity of care in patients with cancer is associated with lower needs for care, better quality of life and ... Continuity of Patient Care, Feasibility Studies, Female, Follow-Up Studies, Health Care Surveys, Health Services Research, ... therapy, *Continuity of Patient Care, Feasibility Studies, Female, Follow-Up Studies, Health Care Surveys, Health Services ... Development and pilot evaluation of a complex intervention to improve experienced continuity of care in patients with cancer ...
Arrieta, M.I., Foreman, R.D., Crook, E.D., and Icenogle, M.L. (2008). Insuring Continuity of Care for Chronic Disease Patients ... Insuring Continuity of Care for Chronic Disease Patients After a Disaster: Key Preparedness Elements ... Predisaster issues of importance were patient education and preparedness; evacuation guidance and support; planning for special ... medical needs shelters; and health care provider preparedness. Postdisaster issues were communication; volunteer coordination/ ...
CureTB provides continuity of care for patients with TB who move out of the United States by referring them for care at their ... Continuity of care for TB is important to ensure patients complete treatment and reduce TB transmission. ... CureTB and Continuity of Care for Globally Mobile Tuberculosis Patients, 2012-2015. ... CureTB and Continuity of Care for Globally Mobile Tuberculosis Patients, 2012-2015 ...
Browsing by Subject "Continuity of Patient Care". 0-9. A. B. C. D. E. F. G. H. I. J. K. L. M. N. O. P. Q. R. S. T. U. V. W. X. ... Meeting on Rehabilitation as Part of the Continuum of People-Centred Health Care, Seoul, Republic of Korea, 13-15 December 2016 ...
Sleep continuity.. There was a significant treatment by visit effect on measures of sleep continuity with duloxetine ... Your Name) has forwarded a page to you from Diabetes Care Message Body (Your Name) thought you would like to see this page from ... Clinical Care/Education/Nutrition/Psychosocial Research. *. Efficacy of an Education Program for People With Diabetes and ... For patients with diabetes, sleep can be affected by a number of factors, including increased nocturia (14), sleep disordered ...
We measured patient continuity of care based on the percentage of appointments in which a patient was treated by his or her ... Diabetes Treatment Intensity and Continuity of Care by Race. Compared with non-Hispanic white patients, black patients were ... black patients had less continuity of care, with a smaller proportion of total physician visits with their primary care ... patient-centered care, enhanced patient access, and quality improvement, has been endorsed as a potential model of health care ...
To develop longitudinal mentoring relationships with physician scientists in our University Community who care for patients and ... The first two clinical continuity experiences ("Clinical Continuity Experience for Physician Scientists 1 and 2) consist of one ... patient write-ups, oral presentation, scientific basis of patients disease; and 2) learn to develop disease mechanism ... The Clinical Continuity and Mentoring Program provides a foundation for success as an emerging physician scientist in our MSTP ...
Johns Hopkins pediatric orthopaedic surgeons care for and treat conditions affecting the bones and joints, muscles, cartilage ... Continuity of Care for Pediatric Patients with Cerebral Palsy. Johns Hopkins orthopaedic surgeon and medical director of the ... World-renowned Patient Care, Teaching and Research in Childrens Orthopaedic Surgery. At Johns Hopkins, our faculty and staff ... Traveling for Care?. Whether youre crossing the country or the globe, we make it easy to access world-class care at Johns ...
Explores the role of continuity of care in driving down costs for Medicare beneficiaries at PCMH-recognized practices (patient- ... Provides an overview of state regulations related to staffing in residential care, highlighting the variance among state ... Evaluates and discusses efficiencies needed in patient-centered medical homes to show financial success. ... the literature on financial incentives and barriers to the provision and reimbursement of hospital-based palliative care. ...
Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a ... Continuity of patient care [ Time Frame: 6 months ]. Secondary Outcome Measures : *Adverse events [ Time Frame: 6 months ]. * ... Safety, Fatigue, and Continuity in the Intensive Care Unit (ICU). The safety and scientific validity of this study is the ... The purpose of this study is to describe the features of continuity and quantify fatigue in three ICU resident work schedules, ...
We support GPs and practice team education to improve NHS patient care with continuity. ... The Family Doctor Association is committed to improving the quality of patient care in primary care, and we champion the ...
Effectiveness of intermediate care in nursing-led in-patient units. *Assessment and support during early labour for improving ... Midwife-led continuity models of care compared with other models of care for women during pregnancy, birth and early parenting ... Similarly, there was a trend towards a cost-saving effect for midwife-led continuity care compared to other care models. ... To compare midwife-led continuity models of care with other models of care for childbearing women and their infants. ...
... care residency training programs since one of the hallmarks of primary care is maintaining continuity in the physician-patient ... Continuity of care decreased in our clinic after implementation of open access scheduling. Our results have implications for ... In primary care residency training, continuity of care may be difficult to preserve with this method of scheduling because ... care residency training programs since one of the hallmarks of primary care is maintaining continuity in the physician-patient ...
  • 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)
  • Continuity of care, medication adherence, and health care outcomes among patients with newly diagnosed type 2 diabetes: a longitudinal analysis. (nih.gov)
  • The effects of continuity of care (COC) on health care outcomes are well established. (nih.gov)
  • The objective of this study was to examine the relationship between COC and medication adherence, as well as to investigate the mediating effect of medication adherence on the association between COC and health care outcomes, in patients with newly diagnosed type 2 diabetes. (nih.gov)
  • Random intercept models were conducted to assess the temporal relationship between COC, medication adherence, and health care outcomes. (nih.gov)
  • In addition, the association between COC and health care outcomes was partly mediated by better medication adherence in patients with newly diagnosed type 2 diabetes. (nih.gov)
  • Improving the COC for patients with type 2 diabetes may result in higher medication adherence and better health care outcomes. (nih.gov)
  • Continuity even improves outcomes for specialist physicians and surgeons. (njspotlight.com)
  • While using a patient-team approach helps with appointment availability and throughput (the number of patients seen per hour), the erosion of the patient-physician relationship has resulted in poorer outcomes. (njspotlight.com)
  • That continuity of care provides for better outcomes and is associated with lower mortality should be no surprise. (njspotlight.com)
  • Does continuity of care improve patient outcomes? (mdedge.com)
  • A field experiment to evaluate various outcomes of continuity of physician care Am J Pub Health 1974;64:1062-1070. (mdedge.com)
  • ANN ARBOR, MI - The lack of continuity of care among VA patients with inflammatory bowel disease (IBD) is associated with poor outcomes, such as disease flares requiring corticosteroid treatment, hospitalization and surgical intervention. (usmedicine.com)
  • Results of this cohort study showed a wide variation in dispersion of IBD care and an association between a lower level of COC and active IBD and worse outcomes," the authors wrote. (usmedicine.com)
  • Continuity of care (COC) is positively associated with health care outcomes. (jabfm.org)
  • Studies have ascribed better health care outcomes in chronic diseases, such as asthma, to high COC. (jabfm.org)
  • During a patient's transfer or transition between levels of health care service, individuals, especially older patients, are at greater risk for poor outcomes due to the potential for medication errors or errors in communication. (papermasters.com)
  • Both the therapeutic relationship and continuity of care are key to mental health services' interaction with patients in their day-to-day lives, but have not been systematically investigated in relation to patient-rated outcomes including quality of life (QoL). (ijic.org)
  • Purpose Providing good continuity of care to patients is considered a vital component of community mental health services, but there is limited evidence that it is associated with good outcomes. (ox.ac.uk)
  • High experienced continuity of care in patients with cancer is associated with lower needs for care, better quality of life and better psychological outcomes. (lshtm.ac.uk)
  • Methods: Analysis of CureTB data collected between January 2012 and December 2015 to describe demographics and outcomes of referred patients and examine factors contributing to successful treatment outcomes. (cdc.gov)
  • OBJECTIVE To assess racial differences in diabetes processes and intermediate outcomes of care in an internal medicine, patient-centered medical home (PCMH) group practice. (diabetesjournals.org)
  • CONCLUSIONS Racial differences in processes and intermediate outcomes of diabetes care were present within this PCMH-designated practice, controlling for differences in sociodemographic, clinical, and treatment factors. (diabetesjournals.org)
  • However, this narrowing of differences appears to be more pronounced for processes of care rather than intermediate or more long-term medical outcomes ( 8 , 17 ). (diabetesjournals.org)
  • The relationship that GPs have with their patients is unique, and in many cases built over time - today's study shows that this continuity of care can lead to both better health outcomes for patients, and reduced healthcare costs because of fewer hospital admissions,' she said. (gponline.com)
  • An innovative method for discharge medication reconciliation was developed by nurses to ensure safe transition of care and improved patient outcomes. (mendeley.com)
  • The aim of this study was to examine the breadth of primary care by identifying its core dimensions and to assess the evidence for their interrelations and their relevance to outcomes at (primary) health system level. (nih.gov)
  • When we first started evaluating technology partners, we were focusing on diabetes, chronic obstructive pulmonary disease and heart failure, and how we could improve patient outcomes and increase their overall patient satisfaction. (ibm.com)
  • Patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) are tools for assessing outcomes of and experiences with health care from the patient's perspective. (springer.com)
  • In Germany, PROMs are widely used in research for evaluating patient outcomes and quality of care. (springer.com)
  • We will discuss our efforts to personalize patient outcomes and transition through activation and improve transitions for vulnerable populations , specifically in the bariatric and orthopedic patient populations. (nursingworld.org)
  • Patient care delivery transitions can quickly develop complex issues while clinicians focus on patient safety, satisfaction, and clinical outcomes within a hospital environment of cost containment, rising workloads, and increasing patient comorbidities. (nursingworld.org)
  • MCN's CHW series examines issues around barriers to health and safety, rights of workers, exposures to chemicals and heat, as well as overviews of the clinical conditions prevalent in health centers funded by HRSA including how health outcomes are evaluated and the value of care provided within the health center. (migrantclinician.org)
  • The team provides consultation, strategy and practice supports to affiliated local care units, integrated delivery systems, hospitals, and provider groups in the areas of quality, satisfaction, utilization and patient safety to improve outcomes and the value of care. (harvardpilgrim.org)
  • We will test whether the way that an intensive care unit is organized can influence patient related outcomes such as mortality. (bioportfolio.com)
  • We recognize that the social determinants of mental health impact health care access, treatment and outcomes, and our members use the lens of structural competency and cultural humility to advance our work. (massgeneral.org)
  • Despite receiving more care, such patients often experience poor health outcomes. (medicalxpress.com)
  • The FIRST Trial, presented before the Academic Surgical Congress in Jacksonville, Fla., and published online in the New England Journal of Medicine on February 2, demonstrated that easing restrictions on residents' work schedules did not adversely affect patient outcomes. (facs.org)
  • Findings from this survey of program directors are consistent with the sentiments of residents who participated in the FIRST Trial, which showed that there was no difference in patient safety or outcomes when surgical residents had flexible working hours. (facs.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)
  • Lack of access and delay in receiving care result in worse outcomes for patients from minorities and underserved populations. (wikipedia.org)
  • Communication between physicians caring for a patient in the hospital and that patient's primary care provider is less than optimal, and can lead to diminished health care quality and safety. (clinicaltrials.gov)
  • Communication between physicians caring for hospitalized patients and those patients' primary care providers (PCPs) is often suboptimal. (clinicaltrials.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)
  • Aim: To explore how patients undergoing PCI experience continuity of care between secondary and primary care settings after early discharge. (diva-portal.org)
  • At Modality, smaller primary care teams include staff members at all levels - from receptionists and administrators through to nurses, healthcare assistants and GPs. (gponline.com)
  • 1. Starfield B. Primary Care: Concept Evaluation and Policy New York, NY: Oxford University Press 1998. (mdedge.com)
  • 7. Institute of Medicine Primary Care: America's Health in a New Era Washington, DC: National Academy Press 1996. (mdedge.com)
  • Primary care at the crossroads Acad Med 2002;77:767-773. (mdedge.com)
  • The effects of having a regular doctor on access to primary care Med Care 1996;34:138-151. (mdedge.com)
  • Included patients were veterans with IBD who had a primary care physician and at least four outpatient visits with key physicians-gastroenterologist, primary care physician, and surgeon-within the first year after an index IBD encounter. (usmedicine.com)
  • continuity of primary care practices. (bio-medicine.org)
  • Our findings will be useful to decision-makers interested in improving patients relationships with their primary care doctors, explains Dr. Forrest. (bio-medicine.org)
  • 16 ⇓ - 18 According to the concept of ACSC, asthma is classified as a condition that is urgent but treatable with primary care during emergency department (ED) visits. (jabfm.org)
  • A system for managing chronic disease including diabetes mellitus based on primary care clinics has been used in Korea since April 2012. (biomedcentral.com)
  • This system can reduce copayments for patients that are managed by a single primary-care provider and lead to improve continuity of care. (biomedcentral.com)
  • Primary care visits: how many doctors do people see? (ices.on.ca)
  • In primary care residency training, continuity of care may be difficult to preserve with this method of scheduling because requirements for rotations often results in residents being unavailable in their primary clinic practice. (nih.gov)
  • Our results have implications for all primary care residency training programs since one of the hallmarks of primary care is maintaining continuity in the physician-patient relationship. (nih.gov)
  • Finally, 72% of secondary care consultations were due to primary care referral, whilst only 36% reported a referral back to primary care. (isciii.es)
  • Continuity of care among elderly patients reduced hospital admissions for ambulatory care sensitive conditions - those that could be managed in primary care - such as asthma, diabetes, influenza and pneumonia. (gponline.com)
  • The researchers, from charity The Health Foundation, warned that the government's focus on improving access to primary care could be undermining continuity of care and inadvertently driving up hospital admissions - the exact opposite of what extended access was intended to achieve. (gponline.com)
  • Even though there is general agreement that primary care is the linchpin of effective health care delivery, to date no efforts have been made to systematically review the scientific evidence supporting this supposition. (nih.gov)
  • A systematic review of the primary care literature was carried out, restricted to English language journals reporting original research or systematic reviews. (nih.gov)
  • This review was able to provide insight in the complexity of primary care as a multidimensional system, by identifying ten core dimensions that constitute a primary care system. (nih.gov)
  • The structure of a primary care system consists of three dimensions: 1. (nih.gov)
  • The primary care process is determined by four dimensions: 4. (nih.gov)
  • The outcome of a primary care system includes three dimensions: 8. (nih.gov)
  • There is a considerable evidence base showing that primary care contributes through its dimensions to overall health system performance and health. (nih.gov)
  • A primary care system can be defined and approached as a multidimensional system contributing to overall health system performance and health. (nih.gov)
  • To do that, we're in the process of participating in various value-based, quality improvement programs such as Patient-Centered Medical Home (PCMH) , Merit-Based Incentive Payment System ( MIPS ), Comprehensive Primary Care Plus ( CPC+ ), and some of the Healthcare Effectiveness Data Information Set ( HEDIS ) requirements with insurance companies. (ibm.com)
  • It is well-established that longitudinal care from a primary care physician improves quality and efficiency of patient care. (biomedcentral.com)
  • Though training and experience in longitudinal care supports student interest in primary care careers [ 8 - 10 ], the structure of medical education makes it difficult for large numbers of students to experience providing continuity of care. (biomedcentral.com)
  • Standardized patient encounters usually simulate "one-time" interactions with no opportunity for the student to consider the continuity of care that would be provided to that patient in a true outpatient setting, especially in a primary care practice. (biomedcentral.com)
  • Continuity in primary care literature is mainly viewed as the relationship between a single practitioner and a patient that extends beyond specific episodes of illness or disease. (bmj.com)
  • haunted by the fact that, as a primary care physician, I had not known that he had been hospitalized in such a situation," Wong recalled. (nap.edu)
  • The evaluation also showed consensus among clinical stakeholders that these new advanced roles are able to deliver quality care to patients while simultaneously reducing the workload of primary care doctors. (who.int)
  • Starfield B. Primary Care: Balancing Health Needs, Service, and Technology . (springer.com)
  • The effects of having a regular physician on access to primary care. (springer.com)
  • Roos NP, Carriere KC, Friesen D. Factors influencing the frequency of visits by hypertensive patients to primary care physicians in Winnipeg. (springer.com)
  • Primary care and receipt of preventive services. (springer.com)
  • Why do patients with multimorbidity in England report worse experiences in primary care? (bmj.com)
  • Objectives To describe and explain the primary care experiences of people with multiple long-term conditions in England. (bmj.com)
  • Design and methods Using questionnaire data from 906 578 responders to the English 2012 General Practice Patient Survey, we describe the primary care experiences of patients with long-term conditions, including 583 143 patients who reported one or more long-term conditions. (bmj.com)
  • We employed mixed effect logistic regressions to analyse data on six items covering three care domains (access, continuity and communication) and a single item on overall primary care experience. (bmj.com)
  • Conclusions Patients with multiple long-term conditions more frequently report worse experiences in primary care. (bmj.com)
  • Background - The management of complex, multi-morbid patients is challenging for solo primary care providers (PCPs) with limited access to resources. (ices.on.ca)
  • Five different sources (parents, pharmacies, primary care physicians, discharge summaries, and admission histories) were used to compile admission medication lists, but all were inaccurate to varying degrees, leaving children at high risk of preventable harm. (ahrq.gov)
  • Based on 2011 Medicare claims data for 1,448,952 beneficiaries receiving care from a nationally representative sample of 6,551 primary care physicians, researchers created physician-level claims-based measures of continuity of care utilizing four established methods. (eurekalert.org)
  • Of the beneficiaries obtaining some care from primary care physicians in the sample, 1,178,369 (81 percent) obtained most of their care from these physicians. (eurekalert.org)
  • Continuity of care is one of several core tenets of primary care that should be incorporated into official primary care measures, they state, as the American health care system shifts from paying for services to paying for value. (eurekalert.org)
  • Why then, asks editorialist John Frey, MD, is primary care moving away from continuity towards subspecialization, more episodic care, and limited scope of practice? (eurekalert.org)
  • Primary care, he states, must take action to reinstate continuity as "the essential and distinguishing value around which education is built," including a radical restructuring of residency education to avoid an ongoing drift towards narrower scope of practice. (eurekalert.org)
  • To adapt the healthcare model to this situation, the Autonomous Community of Castile and León (Spain) has designed a strategy for the care of chronic patients 1 by creating Continuous Care Units (CCU) in hospitals, with a specialist in Internal Medicine acting as an intermediary and consultant for Primary Care physicians (PCP). (isciii.es)
  • The Akron Children's primary care practices achieved initial PCMH recognition in 2018 and continue to exceed the PCMH requirements. (akronchildrens.org)
  • Capturing and measuring quality data is an ongoing process for the Akron Children's primary care teams. (akronchildrens.org)
  • Akron Children's primary care has improved access since adopting the PCMH model. (akronchildrens.org)
  • Since the implementation of the model of expansion of Primary Care in the city of Rio de Janeiro, in Rio de Janeiro State, Family Health coverage increased from 3.5% in January 2009 to 46.8% in March. (scielo.br)
  • Under many circumstances individual providers, including the primary care physician, may not be immediately aware of all the detailed testing, treatments, prescriptions and actions being taken by other providers for the same patient. (orionhealth.com)
  • After the first-year follow-up OGD (provided there has been no significant progression) all further follow-up should be in primary care. (pulsetoday.co.uk)
  • This project involves introducing team-based models of primary care in which micro-teams take responsibility for a group of patients and share their care. (health.org.uk)
  • Continuity of care is the degree to which a series of healthcare events is experienced as coherent and connected, and consistent with the patient's medical needs and personal context. (hqca.ca)
  • Continuity of care is important to the well-being of patients and to the effectiveness of Alberta's healthcare system. (hqca.ca)
  • The HQCA's Continuity of Patient Care Study identified that processes in Alberta's healthcare system for managing the complex dealings between referring physicians and specialists or clinics offering specialized healthcare services are variable and may not always be sufficiently reliable to protect patients' continuity of care. (hqca.ca)
  • By examining the continuity of care through the lens of a single patient's journey, this report shines a light on opportunities to improve Albertans' experiences when receiving specialized healthcare services. (hqca.ca)
  • Despite this fact, little is known about the experiences of care across the interface between secondary and primary healthcare systems in patients undergoing PCI. (diva-portal.org)
  • Conclusions and implications: As high-technology treatment dramatically expands, healthcare organisations need to be concerned about all dimensions of continuity. (diva-portal.org)
  • Patients are witnessing their own processes of healthcare delivery and therefore their voices should be taken into greater account when discussing continuity of care. (diva-portal.org)
  • Nurse-led initiatives to improve continuity of care involve a range of interventions at different levels of the healthcare system. (diva-portal.org)
  • Even though healthcare has moved toward evidence-based treatment and medical technology is constantly providing new techniques to diagnose and treat disease, the patient-physician relationship is important because not all disease is reducible to numbers and pictures. (njspotlight.com)
  • The VHA Corporate Data Warehouse was used to identify veterans with IBD who received care in healthcare system between Jan. 1, 2002, and Dec. 31, 2014. (usmedicine.com)
  • Transitional Care research papers discuss the coordination and continuity of a patient's health care during his or her transfer from one healthcare setting to another. (papermasters.com)
  • It's our responsibility as an entire healthcare industry to think about the patient first and make their experience better. (bcbs.com)
  • This will evaluate healthcare continuity and fatigue, describe adverse events in ICUs, identify the two best resident schedules for subsequent comparison, and demonstrate the feasibility of a future multi-centre study of physician scheduling. (clinicaltrials.gov)
  • Users generally reported continuity of care, although elements of discontinuity were also identified, which can be partially explained by the healthcare setting and some individual factors. (isciii.es)
  • The achievement of continuity of care (CC) poses one of the greatest challenges for all healthcare systems due to rapid technological advances, new treatments, high specialisation, and shifts in care from institutional to outpatient and home settings. (isciii.es)
  • Healthcare must meet Picker Institute's eight principles of patient-centered care developed by the Harvard Medical School. (allafrica.com)
  • Client satisfaction is a common outcome measure for quality of care and goal for quality improvement in healthcare. (springer.com)
  • The main objective of the project of this mixed-methods study is to assess preventable factors associated with maternal and neonatal near miss morbidity, from the perspective of patients and healthcare providers. (springer.com)
  • 28, 2013-A new course at Vanderbilt University that can help healthcare workers be more effective in treating the growing population of Spanish-speaking patients. (vanderbilt.edu)
  • Healthcare today desperately needs to improve the quality of care provided to patients. (ahima.org)
  • Success in raising the quality bar requires healthcare stakeholders understand the emerging changes in payment reform and care delivery, including how technology is being used to assist in care coordination and quality. (ahima.org)
  • This technology-enabled, person-centered care will be crucial as the population ages and the healthcare delivery system continues its transformation. (ahima.org)
  • The "big action" to enable this change will take place in the community-not healthcare institutions , said Patricia Flatley Brennan, RN, PhD, a keynote presenter at the Long Term and Post Acute Care Health IT Summit, on Monday. (ahima.org)
  • Long-term and post acute care (LTPAC) providers are absolutely crucial in helping the healthcare system transition away from a fee-for-service business model to a pay-for-performance model. (ahima.org)
  • Quality healthcare delivery is contingent upon a patient's understanding and retention of education, involvement in care, and self-management activation. (nursingworld.org)
  • Patient transitions from the hospital to alternate settings (e.g., home, rehabilitation facility) and within-hospital transfers between units, or the emergency department and inpatient setting, are areas of increased national focus within healthcare. (nursingworld.org)
  • The Joint Commission has incorporated transition measures into their disease specific care certification programs as a component to ensure excellence in the delivery of healthcare services for several designated conditions. (nursingworld.org)
  • The purpose of this randomized clinical trial is to examine the effect of Patient-Centered Care (PCC) on a patient's level of satisfaction on discharge from an acute healthcare setting. (bioportfolio.com)
  • Patient-centered healthcare is a high priority and is commonly measured and incentivized through patient satisfaction surveys. (bioportfolio.com)
  • However, as health IT advisors, we need to better enable this model, especially when we consider the inherent complexity of the healthcare system, and complex patients specifically. (orionhealth.com)
  • Today, if you're going to interact with the healthcare system, chances are you and/or your family doctor are going to interface with multiple people, across multiple care settings. (orionhealth.com)
  • Current statistics suggest that complex patients comprise approximately 25% of patients, but account for upwards of 80% of the cost of healthcare in North America. (orionhealth.com)
  • When a complex patient interacts with a complex healthcare system, not only is there a potential for increase waste and inefficiency, but patient safety becomes a concern too. (orionhealth.com)
  • In effect, the patient is receiving multiple care plans from the healthcare system. (orionhealth.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)
  • 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: CureTB successfully promoted transnational continuity of care for patients by exchanging information with international public health authorities and linking them directly with patients. (cdc.gov)
  • CONCLUSIONS: Marked discontinuity of care might contribute to increased unplanned hospital admissions among patients aged 65 years and older. (bris.ac.uk)
  • Based on the findings and conclusions identified in the course of its work, the committee recommends specific actions, supported by the material presented in Chapters 6 - 9 , that will accelerate progress toward continuous learning, best care, and lower costs. (nap.edu)
  • Conclusions -This multifaceted intervention to support solo PCPs in the management of their complex patients did not result in a reduced rate of ED visits compared to controls, likely related to variable uptake among PCPs. (ices.on.ca)
  • Continuity of care and delivery of ambulatory services to children in community health clinics J Comm Health 1996;21:159-173. (mdedge.com)
  • 14 Hence, asthma is an ambulatory care-sensitive condition (ACSC). (jabfm.org)
  • Data from over 230,000 records for patients in England aged 62 to 82 between 2011 and 2013 show that patients with 'high' continuity of care had over 12% fewer admissions for ambulatory care sensitive conditions than patients with 'low' continuity of care. (gponline.com)
  • Does Insurance Status Affect Continuity of Care for Ambulatory Patients with Operative Fractures? (lww.com)
  • Using administrative data, patients were classified as having a regular source of care if they made 75% or more of their total ambulatory visits to the same clinic. (springer.com)
  • Regular source of ambulatory care and access to health services. (springer.com)
  • Teams providing intensive ambulatory care interventions were interviewed regarding how they view the work of serving socially and medically complex patient populations. (medicalxpress.com)
  • Researchers conducted semi-structured, qualitative interviews with nine ambulatory care team members and six "usual care" team members, focused on multidisciplinary staff experiences. (medicalxpress.com)
  • Interviews were performed at a Federally Qualified Health Center caring for predominantly homeless HNHC patients in the context of an ongoing implementation of an ambulatory intensive care unit intervention. (medicalxpress.com)
  • It's Like Riding Out the Chaos": Caring for Socially Complex Patients in an Ambulatory Intensive Care Unit (A-ICU), The Annals of Family Medicine (2019). (medicalxpress.com)
  • Recent experience in an ambulatory setting with phone triage and/or telephone patient management skills. (simplyhired.com)
  • Over Years 2 and 3 of follow-up, 4,658 patients (23.2%) had an outpatient flare, 2,068 (10.3%) required hospitalization, and 943 (4.7%) required a surgical procedure, according to the article. (usmedicine.com)
  • Most transitional care study has occurred in the movement from hospitalization to other settings, such as nursing facilities , rehabilitation facilities, or the patient's home. (papermasters.com)
  • As accessibility of medical care improves, the causes of preventable hospitalization seem to be due to pattern of health care utilization. (biomedcentral.com)
  • We used the Bice and Boxerman (BB) index and the appointed general practitioner index (last general practitioner consulted before hospitalization) to quantify patient-physician continuity. (bris.ac.uk)
  • This study found that 62% of patients transferred between units during a hospitalization had at least one unintentional medication discrepancy . (ahrq.gov)
  • An ongoing patient-physician relationship is strongly associated with lower total health care costs and decreased hospitalization rates. (eurekalert.org)
  • The odds of any hospitalization were 16 percent lower for those with the greatest continuity compared to the lowest levels. (eurekalert.org)
  • Improving Continuity of Care: Key Opportunities and a Status Report on Recommendations from the 2013 Continuity of Patient Care Study , released in 2016. (hqca.ca)
  • Background: In 2016, 3% of newly diagnosed patients with tuberculosis (TB) left the United States, of whom 24% moved to Mexico. (cdc.gov)
  • Practices were incentivised to allocate a named GP with lead responsibility for each patient on their list aged over 75 from 2014, and required to allocate a named GP for every patient from April 2016 . (gponline.com)
  • According to the 2016 HealthLeaders Media Value-Based Readiness Survey , 94 percent of providers say they are currently on a path toward some form of value-based care. (ibm.com)
  • CHICAGO (April 4, 2016, 11 am CDT): Directors of general surgery residency programs believe that flexible work hour schedules for surgeons in training (residents) improve the continuity of patient care as well as resident training without compromising patient safety. (facs.org)
  • Changes to the delivery of care have resulted in an increased emphasis on the quality of the therapeutic relationship between patients and clinicians, the continuity of care and to meeting as many of patients' needs as feasible. (ijic.org)
  • Feeding back findings from the continuity assessment to clinicians reduced patients' needs for care. (lshtm.ac.uk)
  • Organizations such as The Joint Commission have developed videos to help clinicians improve patient transfer communication skills ( Joint Commission Resources, n.d. ). (nursingworld.org)
  • Interviews with clinicians who committed medication errors helped to identify contributing factors, which included understaffing and lack of access to prescribing information at the point of care. (ahrq.gov)
  • Patients' perceptions of their medical care are of increasing importance to educators, researchers, and clinicians. (bioportfolio.com)
  • Migrant Clinicians Network promotes medical home transformation designed to include patients who experience barriers to health care due to mobility, poverty, language, and culture. (migrantclinician.org)
  • Can interactive data visualisation help clinicians improve patient care? (health.org.uk)
  • This project aims to improve the way in which data visualisation is used by clinicians so that it can lead to improvements in quality of care, and will explore clinicians' requirements of data tools a. (health.org.uk)
  • While some patients are preparing for discharge, new patients are brought in by bus, ambulance and vans from prison units all over the state. (utmb.edu)
  • We needed to replicate the standard of care provided with regards to discharge planning in Jennie Sealy Hospital. (utmb.edu)
  • The whole premise is to have a proactive approach, talking about the patient's needs early on and ensuring care provided is patient-centered as well as promptly identifying barriers to the discharge process," said Kovacevich, adding that discharging patients from a correctional managed care setting has unique nuances. (utmb.edu)
  • Patient PCP Visits, Emergency Room Visits and Rehospitalizations Within 30 Days Post-discharge. (clinicaltrials.gov)
  • Details regarding patient PCP follow-up office appointments, ER visits and rehospitalizations occuring within 30 days post-discharge will be collected from the EMR. (clinicaltrials.gov)
  • Virtual continuity will include: emails to PCPs triggered by clinical events with embedded links to electronic medical record data and communication portals, medication lists electronically delivered to PCPs at admission and discharge, and immediate PCP notification of discharge with pertinent clinical details. (clinicaltrials.gov)
  • Background: Although patients may experience a quick recovery followed by rapid discharge after percutaneous coronary interventions (PCIs), continuity of care from hospital to home can be particularly challenging. (diva-portal.org)
  • That is the Care Transitions Measure (CTM), a 15-item survey administered to patients at their discharge from a hospital. (papermasters.com)
  • Do hospitals that provide heart failure patient education prior to discharge also promote continuity of care? (duke.edu)
  • Ideally, when preparing to release a patient, hospital staff should inquire about older patients' living circumstances, social support and the help they think they'll need, and discharge plans should be crafted collaboratively with caregivers. (washingtonpost.com)
  • The discharge time-out process has empowered nurses to take a more active role in discharging their patients, and has fostered a more collaborative relationship between nurses and physicians. (mendeley.com)
  • To add to the confusion, other terms such as continuum of care, coordination of care, discharge planning, case management, integration of services, and seamless care are often used synonymously. (bmj.com)
  • This commentary details the development of a medication reconciliation program to improve documentation at discharge, which included identifying high-risk drugs, forming a team of three full-time pharmacists, and tracking patients with pending discharges. (ahrq.gov)
  • Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care. (ahrq.gov)
  • The relationship between continuity of care and the health behaviors of patients: does having a usual physician make a difference? (mdedge.com)
  • In the retrospective nested case-control analysis, we found a graded inverse relationship between continuity of care and emergency hospital admission for both BB and appointed general practitioner indices: for the latter, the odds ratio for those experiencing least continuity was 2.32 (95% CI, 1.48-3.63) relative to those experiencing most continuity. (bris.ac.uk)
  • In this mixed methods approach, quantitative and qualitative data will be collected concurrently, analysed separately, and their results compared, to produce an integrated interpretation of the impact of work schedule on the relationship between continuity and fatigue. (clinicaltrials.gov)
  • 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)
  • Methods: The study used an inductive exploratory design by performing in-depth interviews of 22 patients at 6-8 weeks after PCI. (diva-portal.org)
  • We hope that the introduction of these methods to support smaller teams within practices that have large list sizes will continue to improve continuity of care, an overall holistic style and in turn improve patient satisfaction too. (gponline.com)
  • Methods We conducted a 36-month prospective cohort study of the patients recruited to the Oxford Community Treatment Order Trial (OCTET). (ox.ac.uk)
  • RESEARCH DESIGN AND METHODS We conducted a retrospective cohort study of 1,457 adults with diabetes receiving care from 89 medical providers within a PCMH-designated academic practice between 1 July 2009 and 31 July 2010. (diabetesjournals.org)
  • METHODS: We analyzed records from 10,000 patients aged 65 years and older in 2012 within 297 English general practices obtained from the Clinical Practice Research Datalink and linked with Hospital Episode Statistics. (bris.ac.uk)
  • Patient treatment adherence may be supported with simple reminding methods e.g. text message reminders. (doria.fi)
  • In recent years, different methods have emerged to adapt treatments to these patients 3 , 4 , but their implementation in daily clinical practice is difficult. (isciii.es)
  • This project will introduce interventions including a continuity toolkit, measurement methods and promotional materials that will increase commitment to continuity in practice staff and patients. (health.org.uk)
  • 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)
  • 7 , 9 , 10 In addition, health care utilization is higher among older people with asthma than their healthy peers. (jabfm.org)
  • Poor asthma management on the part of health care providers and patients often increases asthma-related health care utilization and expenditures. (jabfm.org)
  • This means in a practice where there are around 25,000 patients we have five teams dedicated to no more than 5,000 patients… Naturally, this means that the patients who attend their practice will then be seen by the same cohort of staff. (gponline.com)
  • The BB index was used in a prospective cohort approach to assess impact of continuity on risk of admission. (bris.ac.uk)
  • RESULTS: In the prospective cohort analysis, the BB index showed a graded, non-significant inverse relationship of continuity of care with risk of emergency hospital admission, although the hazard ratio for patients experiencing least continuity was 2.27 (95% CI, 1.37-3.76) compared with those having complete continuity. (bris.ac.uk)
  • Continuity of care in general practice at cancer diagnosis (COOC-GP study): a national cohort study of 2853 patients. (cepia.team)
  • A prospective GP cohort ( = 96) filed data on patients who were diagnosed with incident cancer between 1 January 2000 and 31 December 2010. (cepia.team)
  • A logical starting point is to examine the degree to which interpersonal continuity improves patient satisfaction. (annfammed.org)
  • 4- 11, 13, 15, 20, 22- , 36 Several of these articles have concluded that interpersonal continuity improves patient satisfaction. (annfammed.org)
  • Several studies have shown that these disparities may be narrowing over time, as the overall quality of diabetes care improves nationally ( 17 , 18 ). (diabetesjournals.org)
  • This project will lead to better communication between physicians and could decrease medication errors that tend to occur as the patient goes from hospital to home. (clinicaltrials.gov)
  • Hospital-based information systems can improve communication by automating information exchange between hospital physicians and PCPs, and perhaps, as a result, improve the quality and safety of health care. (clinicaltrials.gov)
  • 11 For family physicians the concept of interpersonal continuity holds particular importance. (annfammed.org)
  • 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)
  • Insurance companies are reluctant to pay physicians for the time required to take a thorough history, perform a complete examination, and learn about the patient because such time is not as easily accounted for as a test or imaging study. (njspotlight.com)
  • The COC index (COCI) is used to measure the number of individual physicians a patient sees in the first year and we identified asthma-related ED visit in the subsequent year. (jabfm.org)
  • Managed Care - Managed care focuses on a number of different business models, ranging from individual physicians existing as part of a network to entire medical facilities comprised of specialists in an array of areas. (papermasters.com)
  • Acute care in hospitals cannot be sustained in its present form, the Royal College of Physicians has warned in a new report. (bmj.com)
  • That's how many different laboratory tests physicians may choose from when diagnosing, screening or monitoring a patient. (utmb.edu)
  • The primary outcome was the relative pre-post intervention change in ED visit rate for patients of participating practices compared with that for a propensity-matched control group of physicians over the contemporaneous period. (ices.on.ca)
  • Cleveland Clinic scientists and physicians engage in basic, translational and clinical research activities, working to solve health problems, enhance patient care and improve quality of life for patients. (clevelandclinic.org)
  • In analyses of one of the established continuity measures (the Bice-Boxerman Continuity of Care Index), adjusted expenditures for beneficiaries cared for by physicians in the highest continuity quintile were $6,920, 15 percent lower than those in the lowest quintile ($7,664). (eurekalert.org)
  • Research, including that of Bazemore et al (above), finds that continuity of care benefits patients, physicians and health care systems. (eurekalert.org)
  • From ancient times, physicians have recognized that the health and well-being of patients depends upon a collaborative effort between physician and patient. (encyclopedia.com)
  • Patients share with physicians the responsibility for their own health care. (encyclopedia.com)
  • The patient-physician relationship is of greatest benefit to patients when they bring medical problems to the attention of their physicians in a timely fashion, provide information about their medical condition to the best of their ability, and work with their physicians in a mutually respectful alliance. (encyclopedia.com)
  • The patient has the right to receive information from physicians and to discuss the benefits, risks, and costs of appropriate treatment alternatives. (encyclopedia.com)
  • Patients should receive guidance from their physicians as to the optimal course of action. (encyclopedia.com)
  • Patients are also entitled to obtain copies or summaries of their medical records, to have their questions answered, to be advised of potential conflicts of interest that their physicians might have, and to receive independent professional opinions. (encyclopedia.com)
  • Physicians should continue their traditional assumption of a part of the responsibility for the medical care of those who cannot afford essential health care. (encyclopedia.com)
  • Physicians should advocate for patients in dealing with third parties when appropriate. (encyclopedia.com)
  • 30, 2013-The Vanderbilt Breast Center is piloting new measures to ensure continuity of care and timely insurance preauthorization as patients come off grant-sponsored clinical trial protocols and begin or resume standard care. (vanderbilt.edu)
  • Schemes to enhance continuity of care have the potential to reduce hospital admissions. (bris.ac.uk)
  • Systemic changes might be needed to enhance continuity of care (e.g., mechanisms to enhance access) among vulnerable segments of the population like the poor. (springer.com)
  • Furthermore, that mental health services have to maintain focus on continuity of care and a good relation between patient and provider, and that support from family and friends should be utilized to the fullest. (ijic.org)
  • Despite demonstrated benefits of continuity of care, longitudinal care experiences are difficult to provide to medical students. (biomedcentral.com)
  • The aim of this study is to determine whether there is an association between continuity of care for outpatients and hospital admission and identify the continuity index that best explains hospital admissions for patients with type 2 diabetes. (biomedcentral.com)
  • This study's aim was to examine the association between continuity of care and risk of emergency hospital admission among older adults. (bris.ac.uk)
  • Patient satisfaction is generally viewed as a desirable quality characteristic, 3 and there are standardized techniques to measure 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)
  • 19. Donabedian A. Evaluating the quality of medical care Milbank Quarterly 1966;44:166. (mdedge.com)
  • 20. Campbell SM, Roland MO, Buetow S. Defining quality of care Soc Sci Med 2000;51:1611-1625. (mdedge.com)
  • Continuity and quality of care for children with diabetes who are covered by Medicaid Amb Peds 2001;1:99-103. (mdedge.com)
  • The Global Initiative for Asthma has indicated that the symptoms and frequency of exacerbations can be controlled and patients' quality of life improved if patients receive regular and continuous medication and appropriate disease management. (jabfm.org)
  • To what extent is patient-rated quality of life associated with continuity of care, therapeutic relationships and unmet need for services? (ijic.org)
  • To what extent is patient-rated quality of life associated with continuity of care, therapeu. (ijic.org)
  • In this study, we investigate whether there is an association between how mental health outpatients in Norway experience their therapeutic relationships, continuity of care and unmet needs, and how they assess the quality of their lives. (ijic.org)
  • Higher levels of patient contact could be a response to the severity of illness rather than a marker of quality of care. (ox.ac.uk)
  • The objectives of this study were to compare the analgesic efficacy of pregabalin, amitriptyline, and duloxetine, and their effect on polysomnographic sleep, daytime functioning, and quality of life in patients with DPNP. (diabetesjournals.org)
  • 53 mmol/mol]) have been developed by specialty medical societies to improve the quality of diabetes care nationally. (diabetesjournals.org)
  • There are multiple factors that contribute to racial disparities in the quality of diabetes care, including differences in sociodemographic characteristics ( 11 ), health literacy and numeracy ( 12 , 13 ), treatment intensity ( 14 ), and the overall quality of care at the facilities where medical care is provided ( 15 , 16 ). (diabetesjournals.org)
  • In 2006, The Commonwealth Fund Health Care Quality Survey demonstrated an association between having access to a regular source of medical care with components of a patient-centered medical home (PCMH) and a reduction in disparities in self-reported access to care, receipt of patient-directed preventative care reminders, and lipid screening ( 19 ). (diabetesjournals.org)
  • Based on these findings, the PCMH model of care, which focuses on comprehensive, patient-centered care, enhanced patient access, and quality improvement, has been endorsed as a potential model of health care delivery to address racial disparities for patients with chronic diseases, such as diabetes ( 20 ). (diabetesjournals.org)
  • We desperately need the government to deliver the pledges in NHS England's GP Forward View to increase investment in general practice and significantly expand the GP workforce, so that family doctors and our teams can continue to deliver high quality patient care for years to come. (gponline.com)
  • We've been addressing quality by guiding our patients, from making an appointment to utilizing specialists within our system and/or the surrounding area. (ibm.com)
  • Other vendors have a one to six months' delay obtaining quality data, but with IBM Watson Health, the very next day we are able to see reliable data on how our patients are doing. (ibm.com)
  • They were described as gaps in the continuity of care, and contributed to poor quality of care, birth trauma and mothers' dissatisfaction with the childbirth experience. (springer.com)
  • Ensuring high quality obstetric care is vital to reduction of maternal and neonatal mortality and morbidity in low income countries. (springer.com)
  • However, there is limited published research on the factors responsible for the poor quality of care. (springer.com)
  • The objective of this particular study was to gain a deeper understanding of mothers' perspectives on quality of care (the structure, process and outcome of intrapartum care) particularly during duty handovers. (springer.com)
  • Remain competitive in the marketplace by providing quality care. (siumed.edu)
  • Performance standards for patient-centered medical homes can drive quality improvements, but feedback needs to be immediate and continual. (nap.edu)
  • In introducing the session on patient-centered medical homes, Winston Wong, director of disparities improvement and quality initiatives at Kaiser Permanente, recounted the story of Mr. Kwong (not his actual name), whom Wong met in the community clinic where he sees patients. (nap.edu)
  • Primary health-care providers across the WHO European Region are under great pressure to provide high-quality, patient-centred care, despite heavy workloads and the ever-growing burden of noncommunicable diseases (NCDs). (who.int)
  • 30, 2013-In health care, narrative descriptions of symptoms, diseases, injuries, complaints, disabilities and procedures are routinely transformed into numeric or alphanumeric codes, facilitating billing, clinical research and the analysis of health care cost and quality. (vanderbilt.edu)
  • The study aimed to assess the feasibility of patient-centred quality evaluation in oncological care in Germany using the German adaptation of the Danish National Cancer Patient Questionnaire. (springer.com)
  • The patient's perceptive is of paramount importance for the assessment of health care quality and essential for providing patient-centred care. (springer.com)
  • Patient evaluations are the only source of information about health care quality with regard to several aspects of care such as information provided, communication and interaction with medical staff or quality of life. (springer.com)
  • Continuity is a part of high-quality patient care. (doria.fi)
  • However, patient-centred measures of health-related quality of life, especially pain, are more important than the number of conditions in explaining why patients with multiple long-term conditions report worse experiences of care. (bmj.com)
  • Patient experience, morbidity and health-related quality of life all collected in a single survey. (bmj.com)
  • This study contributes to the overwhelming evidence of the value of continuity care, the authors suggest, and offers quality measures that can be used and prioritized in value-based payment models. (eurekalert.org)
  • By 2000, minimum staffing ratios and implementation of Nursing Home Quality of Care were introduced. (wikipedia.org)
  • Early diagnosis, in turn, is essential for the identification of risk factors and changes in lifestyle in order to improve the effectiveness of treatment, reduce the risk of complications such as ulcers and early amputations, and ensure the quality of life of patients 8 . (scielo.br)
  • Patient satisfaction is evolving into an important measure of high-quality health care and anesthesia care is no exception. (bioportfolio.com)
  • Akron Children's Hospital Pediatrics and the Locust Pediatric Care Group have received another year of Patient-Centered Medical Home (PCMH) recognition by the National Committee for Quality Assurance (NCQA). (akronchildrens.org)
  • The PCMH care model puts patients at the forefront of care, which leads to improved patient satisfaction, staff morale and quality of care. (akronchildrens.org)
  • Did Budget Cuts in Medicaid Disproportionate Share Hospital Payment Affect Hospital Quality of Care? (lww.com)
  • Continuity of care for older patients in family practice: how important is it? (cfp.ca)
  • Students were also asked about the overall effectiveness of the encounters for simulating family practice and continuity of care. (biomedcentral.com)
  • Continuity of care in family practice. (springer.com)
  • As the state's aging prison population requires increased medical care, the maximum security hospital on UTMB's Galveston Campus often faces a challenge: there aren't enough beds to go around. (utmb.edu)
  • I always tell our medical staff to advocate for their patient, don't settle for mediocrity. (utmb.edu)
  • Ojo adds that the state legislature recently agreed to create more than 160 sheltered housing beds at three units to provide a supportive environment for offenders who do not require infirmary care but have medical needs that cannot be met in a general population environment. (utmb.edu)
  • MedTrak, the information system used by the University of Pittsburgh Medical Center (UPMC), currently notifies PCPs when patients are admitted and discharged from the hospital. (clinicaltrials.gov)
  • MedTrak, the University of Pittsburgh Medical Center (UPMC) electronic physician communication tool, has proven successful and is poised to move forward with an initiative the investigators call virtual continuity, allowing PCPs to follow their patients electronically if they cannot do so physically. (clinicaltrials.gov)
  • 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)
  • RESULTS Thirty articles were found that addressed the relationship between interpersonal continuity and patient satisfaction with medical care. (annfammed.org)
  • Interpersonal continuity of care has been a common subject for review articles and philosophy articles in the medical literature. (annfammed.org)
  • A search of the MEDLINE database from January 1, 1966, to April 30, 2002, was conducted using the medical subject heading "continuity of patient care," including all possible subheadings. (annfammed.org)
  • A recent study published in BMJ Open, a peer-reviewed medical journal, shows that continuity of care reduces patient mortality. (njspotlight.com)
  • The patient-physician relationship has been largely replaced by a patient-medical team relationship. (njspotlight.com)
  • 2. American Academy of Pediatrics The Medical Home: Organizational Principles to Guide and Define the Child Health Care System and/or Improve the Health of All Children Pediatrics 2002;110:184-186. (mdedge.com)
  • 31. Weiss GL, Ramsey CA. Regular source of primary medical care and patient satisfaction QRB 1989;180-184. (mdedge.com)
  • 19 , 20 Continuity of care (COC) is a process in which a patient and a medical team are cooperatively involved in ongoing health care management. (jabfm.org)
  • Health care Rationing - Medical students and nursing students will be facing the dreary task of exploring the phenomena of health care rationing in their collegiate studies. (papermasters.com)
  • Point-of-Care Testing - Point-of-Care Testing research papers discuss bed-side testing, which is any medical test done at or near the site of a patient's care. (papermasters.com)
  • In Korea, the National Health Insurance based on universal coverage has improved accessibility to medical care, and geographical accessibility are better because Korea is limited in area and has better transportation between regions. (biomedcentral.com)
  • We collected data from medical records on eight previously operationalized measures of continuity. (ox.ac.uk)
  • But Owen's parents were determined to help their son get the medical care he needed to live a life with fewer limitations. (hopkinsmedicine.org)
  • Johns Hopkins Children's Center offers one of the most comprehensive pediatric medical programs in the country, with more than 92,000 patient visits and nearly 9,000 admissions each year. (hopkinsmedicine.org)
  • The final clinical continuity experience ("Clinical Foundations for the Physician Scientist") is completed prior to the student's return to medical school and involves one-on-one meetings between the student and the MSTP clinical mentor in the clinic averaging one day per week for 9 weeks. (umn.edu)
  • Evaluates and discusses efficiencies needed in patient-centered medical homes to show financial success. (rti.org)
  • Have your medical records, including all computerized medical information, read only by individuals directly involved in your treatment or in the monitoring and evaluation of your care or charges, unless you request otherwise. (aurorahealthcare.org)
  • Expect that all communications and records that have to do with your medical care and your financial information will be considered confidential. (aurorahealthcare.org)
  • Second, introduce patient-centered care curricula in medical schools and other schools training health professionals. (allafrica.com)
  • Health care is provided by a variety of health care professionals who include doctors (intern doctors, resident doctors who are on post-graduate trainng in Obstetrics and Gynecology or Family Medicine, Specialist Obstetricians of various ranks (registrars, consultants, senior consultants and university professors), nursing staff (midwives of various ranks), paramedical staff (laboratory staff, pharmacists, medical records staff and physiotherapists). (springer.com)
  • A series of standardized patient encounters was developed as an innovative curricular element to address this gap in training for medical students in a family medicine clerkship. (biomedcentral.com)
  • The encounters simulate continuity of care in typical family medicine practice over four standardized patient visits, providing students with experience in longitudinal relationships, ongoing management of chronic and acute conditions, lifestyle counseling, and the use of an electronic medical record. (biomedcentral.com)
  • The model addresses a general lack of training in continuity of care in medical schools and provides a standardized method for teaching chronic disease management and continuity relationships. (biomedcentral.com)
  • Numerous aspects of traditional academic medical center organization and culture have been noted as barriers to improving continuity of care experience for medical students. (biomedcentral.com)
  • Family Medicine is the medical specialty that provides continuing and comprehensive health care for the individual and the family. (siumed.edu)
  • Our clinic is Patient Center Medical Home (PCMH) and Federally Qualified Health Center (FQHC) providing clinical educational opportunities to our residents for a diverse population of patients in need. (siumed.edu)
  • Prepare residents for practice in an evolutionary electronic health care environment including integration of medical informatics, chronic disease management and interdisciplinary care . (siumed.edu)
  • The patient-centered medical home-a relationship with a health care provider and health care team that knows a person's health issues and is accountable for taking care of that person-offers multiple opportunities to advance health equity. (nap.edu)
  • Two other speakers at the workshop explored these and other aspects of patient-centered medical homes. (nap.edu)
  • The term "patient-centered medical home" may not be the best name for the concept, said Ignatius Bau, who has been a consultant to many different groups on how to meet the needs of vulnerable populations. (nap.edu)
  • The corporate care management staff at the University of Pittsburgh Medical Center (UPMC) knew its. (hcpro.com)
  • A focus on "what we have in common" to achieve interoperable health information exchange in the US was the message David R. Hunt, MD, FACS, medical director, health IT adoption and patient safety, Office of the National Coordinator for Health IT (ONC), provided during an update on ONC's efforts at the Long-Term and Post-Acute Care Health IT Summit (LTPAC) in Baltimore, MD on Monday. (ahima.org)
  • To strengthen continuity between medical and behavioral health care, Harvard Pilgrim has established the following policies. (harvardpilgrim.org)
  • Direct Relief today airlifted 82 tons of medical aid to Haiti to help treat cholera and other diseases that have spread widely since Hurricane Matthew struck in October, incapacitating the country's already overstretched health care system. (directrelief.org)
  • Direct Relief is focused on providing diagnostic supplies, medicines, and medical equipment to improve care for people living with or at risk of HIV infection. (directrelief.org)
  • This document, which constitutes one part of the American Medical Association 's complete code of ethics, extends the rights language introduced in the 1980 Principles of Medical Ethics (Section II) to a separate statement listing the specific rights of patients. (encyclopedia.com)
  • Accordingly, patients may accept or refuse any recommended medical treatment. (encyclopedia.com)
  • Board and Care homes were the subject of exposés for lacking medical personnel at the time of the 1990s reviews. (wikipedia.org)
  • Patient care has always been at the center of what Akron Children's does," said Joel Davidson, M.D., FAAP, pediatrician at Locust Pediatric Care Group and PCMH medical director for Akron Children's Hospital. (akronchildrens.org)
  • The staff noted social, behavioral, and medical challenges leading to patient- health care system mismatch. (medicalxpress.com)
  • Health Network assures continuity of care and treatment completion by providing comprehensive case management, medical records transfer and follow up services for mobile patients. (migrantclinician.org)
  • Demonstrated knowledge of current medical, interventional and pharmaceutical treatment modalities of patients requiring anticoagulation therapy. (simplyhired.com)
  • Thought you might appreciate this item(s) I saw at Medical Care. (lww.com)
  • Medical Care. (lww.com)
  • Those barriers to medical care complicate patients monitoring and continuity in treatment. (wikipedia.org)
  • The majority of US health care and economic costs associated with medical conditions are for the costs of chronic diseases and conditions and associated health risk behaviors. (wikipedia.org)
  • Eighty-four percent of all health care spending in 2006 was for the 50% of the population who have one or more chronic medical conditions (CDC, 2014). (wikipedia.org)
  • Comprehensive outpatient care in rheumatoid arthritis JAMA 1968;206:1249-1254. (mdedge.com)
  • Cohen-Mekelburg suggested that barriers to collaborative care need to be better evaluated, explaining, "We need, for example, to provide PCPs and gastroenterologists with better communication and coordination resources when managing IBD patients. (usmedicine.com)
  • The findings suggest that investigating the barriers to COC in integrated systems that have invested in care coordination is key to not only better understanding COC but also identifying opportunities to improve care fragmentation. (usmedicine.com)
  • However, overcoming barriers to organisational change and addressing some patients' hesitation to report their continuity difficulties must be considered when implementing such an intervention. (lshtm.ac.uk)
  • Evaluates the literature on financial incentives and barriers to the provision and reimbursement of hospital-based palliative care. (rti.org)
  • Financial, cultural, or linguistic barriers can result in health care that is fragmented and uncoordinated. (nap.edu)
  • Because of financial, cultural, or linguistic barriers, the care that patients receive may be fragmented and uncoordinated. (nap.edu)
  • Topics include: Global trans-border patient navigation, Barriers for Continuity of Care, Pre-Enrollment Education, Confidentiality, Pre-enrollment education assurance to the patient, and Forms. (migrantclinician.org)
  • This kind of caring is what older adults want when they become seriously ill and move back and forth between the hospital and other settings, according to the largest study ever of patients' and caregivers' experiences with care transitions. (washingtonpost.com)
  • Patients and caregivers want to feel prepared to look after themselves or loved ones when they leave the hospital, and they want to know that their needs will be attended to until they stabilize or recover, however long that takes. (washingtonpost.com)
  • Despite millions of dollars of investment and thousands of hours of effort, the health care system still feels very hazardous, unsafe and stressful from the perspective of patients and caregivers," said Dr. Suzanne Mitchell, assistant professor of family medicine at Boston University School of Medicine and lead author of the new report. (washingtonpost.com)
  • The focus is on what Medicare patients and caregivers need and want when a hospital stay ends and they return home. (washingtonpost.com)
  • In addition to the new report, a survey of more than 9,000 patients and 3,000 caregivers is close to completion. (washingtonpost.com)
  • Another part involves looking at what hospitals are doing to try to improve transitions, such as teaching patients and caregivers how to care for wounds or arranging follow-up phone calls with a nurse, among other strategies. (washingtonpost.com)
  • Too often, doctors speak to patients and caregivers in "medicalese" and fail to address what patients really want to know - such as "What do I need to do to feel better? (washingtonpost.com)
  • 10. Freeman G, Hjortdahl P. What future for continuity of care in general practice? (mdedge.com)
  • Personal continuity and the care of patients with epilepsy in general practice Brit J Gen Pract 1994;44:395-399. (mdedge.com)
  • Continuity of care in general practice is associated with fewer hospital admissions among older patients, researchers have found. (gponline.com)
  • The assessment of patient experiences in the diagnostic phase heavily focuses on experiences in general practice, which does not seem appropriate in the German health care setting. (springer.com)
  • Results Most patients with long-term conditions report a positive experience of care at their general practice (after adjusting for sociodemographic characteristics and general practice, range 74.0-93.1% reporting positive experience of care across seven questions) with only modest variation by type of condition. (bmj.com)
  • Earlier this year, research from the University of Exeter found continuity of care was directly linked with lower levels of mortality . (gponline.com)
  • The group found that, by introducing teams within practices who were dedicated to smaller groups of patients within a practice list, continuity of care was 'markedly improved' - saving GPs thousands of hours' worth of work. (gponline.com)
  • There are advantages to being a small practice but there are also disadvantages, likewise being a super-partnership has some advantages but concern has been expressed about the loss of continuity and the team being too big. (gponline.com)
  • Evidence-based practice guidelines for processes of care (e.g. (diabetesjournals.org)
  • But delivering continuity of care is becoming increasingly difficult as GPs and our teams struggle to deal with increased patient demand, with fewer resources, and not enough GPs or practice staff. (gponline.com)
  • Emphasize continuity of care and accessibility for patients through a faculty based practice model. (siumed.edu)
  • The aim was to develop a common understanding of the concept of continuity as a basis for valid and reliable measurement of practice in different settings. (bmj.com)
  • Participants validated the common themes and proposed features of continuity that did not emerge from the literature but are relevant to clinical practice-for example, dimensions of continuity relationships when care is received from multiple providers. (bmj.com)
  • Providing advanced practice opportunities, and enabling them to prescribe, helps optimize their contribution to patient care. (who.int)
  • OJIN is a peer-reviewed, online publication that addresses current topics affecting nursing practice, research, education, and the wider health care sector. (nursingworld.org)
  • One of the main challenges in the management of chronic patients is related to pharmacotherapy: There is a lack of evidence due to the exclusion of these types of patients from clinical trials, clinical practice guidelines address the management of a single disease 2 , and this group of patients is particularly frail. (isciii.es)
  • Stakeholders in health care are often confronted with many terms in evidence based practice (EBP). (edu.au)
  • Our results indicate that an intervention to target patients' experiences of continuity can reduce their subsequent needs for care. (lshtm.ac.uk)
  • Data were collected in 2010 using the CCAENA © questionnaire, which identifies patients' experiences of continuity of care. (isciii.es)
  • A DH spokesman said: 'This government is committed to making sure patients can get the right care at the right time from well-resourced GPs and from April 2015, all patients have had the right to continuity of care through a named GP, as part of the GP contract. (gponline.com)
  • The patient has the right to continuity of health care. (encyclopedia.com)
  • What's striking is how often hospitals fail to fulfill these expectations, even though it's been known for decades that care transitions are problematic and strategies to reduce preventable hospital readmissions have been widely adopted. (washingtonpost.com)
  • While hospitals have so far dealt with this rise by reducing patients' length of stay, this cannot be sustained indefinitely. (bmj.com)
  • But hospitals, services, and staff are ill suited to dealing with patients who have these complex needs. (bmj.com)
  • Patients were recruited via clinics participating in the Oncological Care Registry (12 specialised units in seven hospitals) and contacted six to nine months after diagnosis. (springer.com)
  • Ten hospitals increased the number of patients receiving all recommended care for heart failure by. (hcpro.com)
  • This audio segment discusses two incidents involving pediatric patient harm associated with central line use and highlights successful reduction of central line infections after investigation , standardization, and checklist use in many hospitals . (ahrq.gov)
  • An independent evaluation of Modality's work undertaken by the University of Birmingham and Nuffield Trust, published last year, found that the vast majority of staff at the partnership reported that having GP-led teams responsible for defined populations of around 3,500-5,000 patients led to reported improvements in patient access, continuity of care and signposting. (gponline.com)
  • We know that continuity of care is important for patients and also for GPs, but [we are] having to balance that against access,' Dr Watson said. (gponline.com)
  • The prevalence of low continuity of care in IBD is likely multifactorial and may relate to factors like a lack of provider accountability, less focus on coordinating specialty care and poor patient access to gastroenterologists. (usmedicine.com)
  • Whether you're crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins. (hopkinsmedicine.org)
  • Payers, providers and patients all want the same thing: better health, improved access and greater affordability. (bcbs.com)
  • Our objective was to examine continuity of care in a family medicine residency clinic during a 1-year period prior to implementation of open-access scheduling and during a 1-year period after open access scheduling started. (nih.gov)
  • Continuity of care decreased in our clinic after implementation of open access scheduling. (nih.gov)
  • In a move to better meet patient needs and expand access to health services, Ireland has made it possible for nurses and midwives to prescribe medicinal products. (who.int)
  • Advancing the role of nurses and midwives has allowed Ireland to expand access to health services and better meet patient needs. (who.int)
  • The supplies on this shipment were requested by 37 Haitian organizations, including St. Boniface, that represent more than 200 health care facilities in Haiti, which often are unable to access or afford the essential medicines they need to meet the demands of their patient populations. (directrelief.org)
  • Access to HIV prevention, testing and counseling, and care and treatment has expanded dramatically in low- and middle-income countries. (directrelief.org)
  • Direct Relief is collaborating with ministries of health and nongovernmental organizations internationally to expand access to HIV prevention and care. (directrelief.org)
  • Assure access to testing, treatment, and pharmacists services for patients without adequate access to services. (aacp.org)
  • Increasing Access to Palliative Care Services in the Intensive Care Unit. (bioportfolio.com)
  • Demand for clinical services often outstrips supply, and existing programs and services are difficult to access and often confusing for both patients and providers to navigate. (massgeneral.org)
  • We work to promote improved access to care, identification of and intervention around the social determinants of health, graceful communication across systems and expansion of evidence-based treatment. (massgeneral.org)
  • They access multiple care settings. (orionhealth.com)
  • Large practices can improve their continuity of care and reduce GP workload by having their patient list 'chunked' into smaller groups of between 3,500 - 5,000 patients, a GP super-partnership has found. (gponline.com)
  • It is interesting to see some large partnerships are forming smaller teams within their practices to try to ensure they deliver continuity of care. (gponline.com)
  • Dr Mina Gupta, GP and Modality partnership group clinical chair, said: 'Continuity of care is improved by larger practices having their patient list chunked down into smaller groups of between 3,500-5,000 patients, meaning that patients are seen consistently by that same group of staff. (gponline.com)
  • But the latest research comes as evidence suggests practices' ability to maintain continuity of care is declining in England. (gponline.com)
  • Health workers need training on handover practices, team work and communication skills (so as to improve patient-health provider and provider-provider interaction. (springer.com)
  • There is limited information on the professional conduct of health workers who provide intrapartum care, particularly on duty handover processes and practices in the hospital's maternity unit. (springer.com)
  • The primary objective of the intervention was to reduce the overall rate of Emergency Department (ED) visits among patients in participating practices. (ices.on.ca)
  • It is proposed that practices be paid £50 a year per patient for carrying out this programme. (pulsetoday.co.uk)
  • Discontinuity can improve patient care West J Med 2001;175:5. (mdedge.com)
  • However, elements of discontinuity were also identified: 20% and 15% were seen by more than one primary or secondary care physician, respectively. (isciii.es)
  • Elements of discontinuity should be addressed to better adapt care to patients' needs. (isciii.es)
  • Patients aged 18 years or older who were first diagnosed with type 2 diabetes in 2002 were included in the study. (nih.gov)
  • For patients with diabetes, sleep can be affected by a number of factors, including increased nocturia ( 14 ), sleep disordered breathing ( 15 ), periodic limb movements (PLMs) ( 16 ), and episodes of hyper- or hypoglycemia ( 17 , 18 ). (diabetesjournals.org)
  • Unfortunately, the proportion of Americans receiving guideline-concordant diabetes care is suboptimal ( 10 ), particularly among racial and ethnic minorities ( 8 ). (diabetesjournals.org)
  • Let's take a diabetes patient, for example, who needs help managing his or her weight. (ibm.com)
  • Preventive foot care has been shown to reduce rates of NLEA among adults with diabetes, and the findings of the study suggest that those with diabetes-across the age spectrum-could benefit from increased attention to this strategy. (cdc.gov)
  • We measured service use and a multidimensional concept of continuity of care in 323 patients who were to be discharged from hospital following compulsory treatment for psychosis to investigate the association between continuity and rehospitalisation. (ox.ac.uk)
  • Care Transitions Intervention (CTI) is a coaching strategy designed to assist patients in the resumption of self-care, helping individuals to become comfortable in managing medications and understanding what changes would necessitation contacting a health care provider. (papermasters.com)
  • She's part of a team of experts spearheading Project ACHIEVE , a five-year, $15 million study investigating the effectiveness of interventions designed to improve care transitions. (washingtonpost.com)
  • Integration and continuity of care in Portugal: how to ensure easy links and seamless transitions for patients? (healthservicesresearch.eu)
  • and a greater focus on population health have brought a heightened awareness and need for action with patient transitions. (nursingworld.org)
  • Patient care delivery transitions can quickly develop complex issues. (nursingworld.org)
  • and a greater focus on population health have brought a heightened awareness and need for action with patient transitions, both internal to the hospital and between settings. (nursingworld.org)
  • The purpose of this study is to describe the features of continuity and quantify fatigue in three ICU resident work schedules, estimate the frequency of preventable adverse events, and inform the design and demonstrate the feasibility of a future multi-centre study. (clinicaltrials.gov)
  • another 61 (10%) fell outside these domains, and 21 (4%) focused solely on measures of continuity. (bmj.com)
  • Findings: Patients undergoing PCI were satisfied with the technical treatment. (diva-portal.org)
  • Our findings show that continuity of care is highly variable across patients with IBD," wrote lead author Shirley Ann Cohen-Mekelburg, MD, MS, who is affiliated with both the VAMC and the university. (usmedicine.com)
  • A retrospective analysis of the Case Mix Programme database to evaluate the association between day and time of admission to critical care and acute hospital outcome for unplanned admissio. (bioportfolio.com)
  • The objective of this paper is to describe the development and implementation of the curriculum, evaluate the effectiveness of the curriculum for increasing student confidence around continuity of care and chronic disease management, and explore student opinions of the value of the experience. (biomedcentral.com)
  • Perceptions of the curriculum were obtained using a pre-post survey asking students to self-rate experience and confidence in continuity relationships, chronic disease management, and lifestyle counseling. (biomedcentral.com)
  • We always want to provide a coordinated, seamless transition of care because when you do it right, the chances of the patient coming back as a readmission is much lower. (utmb.edu)
  • Kowsilliya Ramnaresh shared some steps her organization has taken to speed its transition to value-based care. (ibm.com)
  • Data are emerging from the additional Care Transition Measures and benchmarks have been developed. (nursingworld.org)
  • This article briefly describes the context of care transition. (nursingworld.org)
  • We describe the journey of Indiana University Health North Hospital to overcome patient care transition obstacles, ultimately achieving designation as a top performer . (nursingworld.org)
  • Improving the average length of stay (ALOS) and patient throughput-the process of moving patients through the treatment system-became a major focus for HG over a year ago, when the ALOS peaked at 9.66 days. (utmb.edu)
  • At the same time, patient throughput has increased, allowing more patients to be treated and improving public safety by reducing the number of offenders in free-world facilities. (utmb.edu)
  • Patient Safety in Nursing - Improving Patient Safety in Nursing requires reforms in hospital procedures so that nurses can spend the majority of their time working with patients. (papermasters.com)
  • There is scarce evidence of a relationship between the goal of improving patients' QoL and their assessments of their therapeutic relationships as well as how they perceive continuity of care. (ijic.org)
  • This will hopefully lead to thinking around ways of improving patient experiences, satisfaction and care. (bioportfolio.com)
  • We're measuring to make sure we're improving, such as increasing the rate of wellness visits, to meet the expectations of our patients and their families. (akronchildrens.org)
  • Participants more often defined success as improving patient engagement, as opposed to reducing utilization or cost. (medicalxpress.com)
  • Natural-language processing technology lets Penn Medicine tap unstructured data, improving its analytics and patient care. (computerweekly.com)
  • IT services company Phoenix IT Group has acquired a 100,000-square-foot business continuity centre south west of London in Farnborough in Hampshire to provide emergency work space for 1,450 people. (computerweekly.com)
  • Multidisciplinary team meetings and oncology outpatient clinics were observed, and patients and staff were interviewed. (lshtm.ac.uk)
  • This information would come together to form an integrated, multidisciplinary care plan, facilitated by a health support coordinator. (orionhealth.com)
  • 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)
  • 22. Chao J. Continuity of care: incorporating patient perceptions Fam Med 1988;20:333-337. (mdedge.com)
  • We assessed women's perceptions of the structure, process and outcome of intrapartum care in Mulago hospital, specifically, labor ward duty shift handovers. (springer.com)
  • Beginning in the second year of the graduate phase, MSTP students complete a series of three clinical continuity experiences. (umn.edu)
  • The first two clinical continuity experiences ("Clinical Continuity Experience for Physician Scientists 1 and 2) consist of one-on-one meetings between the student and the Clinical Continuity mentor averaging one day per month during the calendar year. (umn.edu)
  • During the first clinical continuity experience, students will prepare and present a MSTP Grand Rounds presentation. (umn.edu)
  • During the second clinical continuity experience, students submit a 1 page concept proposal in the form of an NIH Specific Aims page outlining a set of experiments to address a disease-based hypothesis. (umn.edu)
  • While health systems around the world are being challenged by increasing demand for care of COVID-19 patients, it is critical to maintain preventive and curative services, especially for the most vulnerable populations such people living with chronic conditions like thallasemics. (cdc.gov)
  • The timing of preventive services for women and children: The effect of having a usual source of care. (springer.com)
  • The Alumni Program is a novel approach to the continuing care and preventive treatment of clients with 'chronic' mental illness. (arctichealth.org)
  • 30. Strumberg JP, Schattner P. Personal doctoring: its impact on continuity of care as measured by the comprehensiveness of care score Austral Fam Physician 2001;30:513-518. (mdedge.com)
  • comprehensiveness of care. (nih.gov)
  • When tested, all four continuity measures were strongly correlated with health care expenditures and hospitalizations. (eurekalert.org)
  • To analyze patient's reported elements of relational, informational and managerial (dis)continuity between primary and outpatient secondary care and to identify associated factors. (isciii.es)
  • 7 The affiliation is sometimes referred to as longitudinality, 8 relational, 9 10 or personal continuity, 5 and it fosters improved communication, trust, and a sustained sense of responsibility. (bmj.com)
  • Continuity of care and the physician-patient relationship J Fam Pract 2000;49:998-1004. (mdedge.com)
  • However, the effect of COC on the reduction of asthma-related emergency department (ED) visits among older asthmatic patients is not clearly understood. (jabfm.org)
  • Elderly asthmatic patients with lower COC had a significantly higher likelihood of having asthma-related ED visits. (jabfm.org)
  • 6 , 7 The average annual rate of outpatient visits for older patients with asthma in Taiwan is 6.3 per 100 persons, 8 and this rate is also similar to that in the United States (5.6 per 100 persons). (jabfm.org)
  • So we came up with several interventions and goals to ensure patients are in the hospital for the appropriate length of time. (utmb.edu)
  • Monitoring patients with chronic diseases is especially important to reduce costs with surgical interventions and complications that can be avoided. (scielo.br)
  • Health Quest is currently participating in value-based care programs offered by the Centers for Medicare & Medicaid Services (CMS). (ibm.com)
  • citation needed] The Centers for Medicare and Medicaid Services in the Department of Health and Human Services now publish the "Nursing Home Data Compendium" annually, which show various statistics related to nursing homes and residents, as well as health deficiencies and substandard care. (wikipedia.org)
  • To develop and validate the Nursing Intensive-Care-Satisfaction-Scale to measures satisfaction with nursing care from the critical care patient's perspective. (bioportfolio.com)
  • Physician race had little effect, but continuity is important for successful management of hypertension in older persons. (uab.edu)
  • In this context and since the start of the SARS-CoV-2 health crisis, the National Blood Transfusion Center of Morocco has ranked among its priorities the need to maintain transfusion management for chronic polytransfused patients, particularly those with thalassemia. (cdc.gov)
  • We report in this paper, the case of a thallasemic patient whose transfusion management was disrupted by the restrictive measures introduced by the Moroccan authorities and for which the National Blood Center of Morocco provided effective support. (cdc.gov)
  • Improve ongoing management and continuity of patient care. (health.gov.au)
  • Advances in Health Care Management. (wikipedia.org)
  • When a physician is unsure of the diagnosis, empirical treatment and patient feedback guide treatment. (njspotlight.com)
  • When a patient cannot be diagnosed by the numbers, the feel for the patient that a physician gets with continuity of care, and the trust the patient develops in the physician, come into play and guide treatment. (njspotlight.com)
  • Personalized medicine requires that the patient be part of the treatment decision process - the benefits, risks, discomfort, time and cost of alternative treatments differ. (njspotlight.com)
  • 12 To ensure that health care providers are aware of the treatment goals of providing better care for patients with asthma, 13 Taiwan's government published the Taiwan Asthma Guidelines in 2000, following the Global Initiative for Asthma guidelines. (jabfm.org)
  • Firstly, a national mapping among patients receiving mental health outpatient treatment during a fourteen day period in 2013 (n=23167), and at the same time a service user-generated Continuity of care-measure (n=15258). (ijic.org)
  • Continuity of care for TB is important to ensure patients complete treatment and reduce TB transmission. (cdc.gov)
  • This patient-centered strategy helps improve TB treatment success and reduce the global burden and transmission of TB. (cdc.gov)
  • You'll always have the opportunity to fully participate in planning your care and treatment. (aurorahealthcare.org)
  • The new service will include more nurse-led services providing care for patients from one team are for the duration of their treatment. (uhdb.nhs.uk)
  • Providing patients with a team who will see them through for the duration of their treatment with us is certainly something that we think will be beneficial. (uhdb.nhs.uk)
  • By ensuring pregnant women know their HIV status and enrolling those that are HIV positive in appropriate care and treatment, the HIV transmission rate from mother-to-child can be reduced to less than five percent, according to UNAIDS. (directrelief.org)
  • The physician may not discontinue treatment of a patient as long as further treatment is medically indicated, without giving the patient reasonable assistance and sufficient opportunity to make alternative arrangements for care. (encyclopedia.com)
  • Foster the collaboration between local Indigenous health services and visiting health professionals to target the delivery of essential treatment to patients with chronic disease. (health.gov.au)
  • Intermediate care facilities (small) were developed by the state categorical systems (intellectual disabilities, mental health), back in the 1970s, as a reaction to exposés on institutional conditions resulting in required active treatment in institutions and the new building of community facilities recommended under 16 in size. (wikipedia.org)
  • Action on the following four policy areas will empower pharmacists to fully and effectively support our nation's COVID-19 response and help to ensure patients get the treatment they need. (aacp.org)
  • Allow pharmacists to order, collect specimens, conduct and interpret tests and, when appropriate, initiate treatment for infectious diseases including COVID-19, flu, strep, and interpret and discuss options with patients. (aacp.org)
  • The prototype developed contained concepts, risk factors, signs and symptoms, treatment, importance of medications and their side effects, frequent doubts, necessary health care, and follow-up of patients by monitoring the evolution of the cicatricial process of lesions and possible complications, clarification of doubts and stimulus for continuation of treatment. (scielo.br)
  • the use of health applications is a technological tool with the potential to improve the follow-up of patients regarding the progress of the disease and self-care, monitoring of risk factors, co-participation of the patient in the treatment, family participation, as well as planning of individualized care, and cost reduction for the health system. (scielo.br)
  • The areas with the most prevalent medication-related problems were the long-term use of hypnotics, sub-optimal analgesia, optimizable antidepressant treatment, statins in patients older than 75 years in primary prevention and in those with high-intensity doses in secondary prevention, patients with heart failure without angiotensin-converting enzyme inhibitors, and proton-pump inhibitors without indication. (isciii.es)
  • Health Care Reform - Health Care Reform research papers discuss term used to describe changing health policy in a given country, specifically in the United States. (papermasters.com)
  • Policy reports and charters worldwide urge a concerted effort to enhance continuity, 1 - 3 but efforts to describe the problem or formulate solutions are complicated by the lack of consensus on the definition of continuity. (bmj.com)
  • This study was designed to describe patient characteristics associated with having a regular source of care among all patients who received care from large urban clinics in Manitoba over a three-year period (N = 298,222). (springer.com)
  • The main purpose of this study was to describe and evaluate nursing students' learning about an empowering discourse in patient education. (doria.fi)
  • to describe the development of a prototype mobile educational application for nursing follow-up aimed at patients diagnosed with peripheral arterial disease. (scielo.br)
  • Unfortunately, the trend is for less continuity and more fragmentation. (njspotlight.com)
  • Continuity of care models were developed to address fragmentation. (usmedicine.com)
  • Patients are increasingly seen by an array of providers in a wide variety of organisations and places, raising concerns about fragmentation of care. (bmj.com)
  • Their report in JAMA Network Open raised concerns about the lack of consistency in an integrated system with systematically enhanced care coordination. (usmedicine.com)
  • Lack of continuity of care can be especially dangerous for IBD patients in the current environment, according to other researchers, because many IBS patients have a double whammy when it comes to infections. (usmedicine.com)
  • However, some LTPAC providers, particularly smaller, stand-alone and rural providers, lack the financial incentives and health IT infrastructure to help their acute care counterparts. (ahima.org)
  • The Institute of Medicine's report, Dying in America, highlights the critical need for the widespread implementation of palliative care to improve end-of-life care. (bioportfolio.com)
  • Patients aged 65 years with asthma during 2005 to 2011 were selected. (jabfm.org)