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)

1. A false or misleading sensory experience, such as seeing a shape or color that is not actually present.
2. A delusion or mistaken belief that is not based on reality or evidence.
3. A symptom that is perceived by the patient but cannot be detected by medical examination or testing.
4. A feeling of being drugged, dizzy, or disoriented, often accompanied by hallucinations or altered perceptions.
5. A temporary and harmless condition caused by a sudden change in bodily functions or sensations, such as a hot flash or a wave of dizziness.
6. A false or mistaken belief about one's own health or medical condition, often resulting from misinterpretation of symptoms or self-diagnosis.
7. A psychological phenomenon in which the patient experiences a feeling of being in a different body or experiencing a different reality, such as feeling like one is in a dream or a parallel universe.
8. A neurological condition characterized by disturbances in sensory perception, such as seeing things that are not there ( hallucinations) or perceiving sensations that are not real.
9. A type of hysteria or conversion disorder in which the patient experiences physical symptoms without any underlying medical cause, such as numbness or paralysis of a limb.
10. A condition in which the patient has a false belief that they have a serious medical condition, often accompanied by excessive anxiety or fear.


Illusions can be a significant challenge in medicine, as they can lead to misdiagnosis, mismanagement of symptoms, and unnecessary treatment. Here are some examples of how illusions can manifest in medical settings:

1. Visual illusions: A patient may see something that is not actually there, such as a shadow or a shape, which can be misinterpreted as a sign of a serious medical condition.
2. Auditory illusions: A patient may hear sounds or noises that are not real, such as ringing in the ears (tinnitus) or hearing voices.
3. Tactile illusions: A patient may feel sensations on their skin that are not real, such as itching or crawling sensations.
4. Olfactory illusions: A patient may smell something that is not there, such as a strange odor or a familiar scent that is not actually present.
5. Gustatory illusions: A patient may taste something that is not there, such as a metallic or bitter taste.
6. Proprioceptive illusions: A patient may feel sensations of movement or position changes that are not real, such as feeling like they are spinning or floating.
7. Interoceptive illusions: A patient may experience sensations in their body that are not real, such as feeling like their heart is racing or their breathing is shallow.
8. Cognitive illusions: A patient may have false beliefs about their medical condition or treatment, such as believing they have a serious disease when they do not.


Illusions are the result of complex interactions between the brain and the sensory systems. Here are some key factors that contribute to the experience of illusions:

1. Brain processing: The brain processes sensory information and uses past experiences and expectations to interpret what is being perceived. This can lead to misinterpretation and the experience of illusions.
2. Sensory integration: The brain integrates information from multiple senses, such as vision, hearing, and touch, to create a unified perception of reality. Imbalances in sensory integration can contribute to the experience of illusions.
3. Attention: The brain's attention system plays a critical role in determining what is perceived and how it is interpreted. Attention can be directed towards certain stimuli or away from others, leading to the experience of illusions.
4. Memory: Past experiences and memories can influence the interpretation of current sensory information, leading to the experience of illusions.
5. Emotion: Emotional states can also affect the interpretation of sensory information, leading to the experience of illusions. For example, a person in a state of fear may interpret ambiguous sensory information as threatening.


Treatment for illusions depends on the underlying cause and can vary from case to case. Some possible treatment options include:

1. Sensory therapy: Sensory therapy, such as vision or hearing therapy, may be used to improve sensory processing and reduce the experience of illusions.
2. Cognitive-behavioral therapy (CBT): CBT can help individuals identify and change negative thought patterns and behaviors that contribute to the experience of illusions.
3. Mindfulness training: Mindfulness training can help individuals develop greater awareness of their sensory experiences and reduce the influence of illusions.
4. Medication: In some cases, medication may be prescribed to treat underlying conditions that are contributing to the experience of illusions, such as anxiety or depression.
5. Environmental modifications: Environmental modifications, such as changing the lighting or reducing noise levels, may be made to reduce the stimulus intensity and improve perception.


Illusions are a common experience that can have a significant impact on our daily lives. Understanding the causes of illusions and seeking appropriate treatment can help individuals manage their symptoms and improve their quality of life. By working with a healthcare professional, individuals can develop a personalized treatment plan that addresses their specific needs and helps them overcome the challenges of illusions.

A type of anxiety that occurs when an individual is separated from someone they have a strong emotional attachment to, such as a parent, child, or significant other. This can be a common experience for children who are separated from their parents, and it can also affect adults who are experiencing a long-distance relationship or the loss of a loved one.


* Feeling panicked or uneasy when away from the person they are attached to
* Difficulty sleeping or concentrating when separated
* Intrusive thoughts or dreams about the person they are attached to
* Avoidance of situations that might lead to separation
* Physical symptoms such as headaches, stomachaches, or muscle tension


* Psychotherapy, such as cognitive-behavioral therapy (CBT), to help individuals identify and change negative thought patterns and behaviors associated with separation anxiety
* Medications, such as antidepressants or anti-anxiety drugs, to help manage symptoms
* Relaxation techniques, such as deep breathing or progressive muscle relaxation, to reduce physical symptoms of anxiety
* Support groups for individuals and families affected by separation anxiety

It's important to note that while some level of separation anxiety is normal, excessive or persistent separation anxiety can interfere with daily life and may be a sign of an underlying mental health condition. If you or someone you know is experiencing severe symptoms of separation anxiety, it's important to seek professional help from a mental health provider.

Aortic valve stenosis can be caused by a variety of factors, including aging, calcium buildup, or congenital heart defects. It is typically diagnosed through echocardiography or cardiac catheterization. Treatment options for aortic valve stenosis include medications to manage symptoms, aortic valve replacement surgery, or transcatheter aortic valve replacement (TAVR), which is a minimally invasive procedure.

In TAVR, a thin tube is inserted through a blood vessel in the leg and guided to the heart, where it delivers a new aortic valve. This can be performed through a small incision in the chest or through a catheter inserted into the femoral artery.

While TAVR has become increasingly popular for treating aortic valve stenosis, it is not suitable for all patients and requires careful evaluation to determine the best course of treatment. It is important to discuss the risks and benefits of TAVR with a healthcare provider to determine the appropriate treatment plan for each individual patient.

Some common symptoms of affective disorders with psychotic features include:

* Depressed mood (lasting for two weeks or more)
* Loss of interest in activities that were once enjoyed
* Changes in appetite or sleep patterns
* Psychotic symptoms, such as hallucinations or delusions
* Disorganized thinking or speech
* Difficulty with concentration or memory
* Increased risk of suicide

Some common types of affective disorders with psychotic features include:

* Major depressive disorder with psychotic features
* Bipolar disorder with psychotic features
* Schizophrenia
* Brief psychotic disorder

Affective disorders with psychotic features can be treated with a combination of medications and therapy. Antipsychotic medications may be used to reduce the severity of psychotic symptoms, while antidepressant medications may be used to address underlying mood changes. Therapy, such as cognitive-behavioral therapy, can help individuals understand and manage their thoughts and behaviors related to the disorder.

It is important to seek medical attention if symptoms of an affective disorder with psychotic features are present, as early intervention can improve outcomes and reduce the risk of complications. A mental health professional can provide a proper diagnosis and recommend appropriate treatment.

The symptoms of short bowel syndrome can vary depending on the severity of the condition and may include:

* Diarrhea
* Abdominal pain
* Nausea and vomiting
* Weight loss
* Fatigue
* Dehydration
* Malnutrition

Treatment for short bowel syndrome typically involves a combination of dietary modifications, medications, and supplements to help manage symptoms and improve nutrient absorption. In some cases, intravenous feeding may be necessary to ensure adequate nutrition.

Short bowel syndrome can be caused by a variety of factors, including:

* Intestinal surgery
* Inflammatory bowel disease (such as Crohn's disease or ulcerative colitis)
* Infections (such as Clostridium difficile or viral infections)
* Radiation therapy
* Trauma to the abdomen
* Congenital conditions (such as short gut syndrome)

Overall, short bowel syndrome can have a significant impact on quality of life and can be challenging to manage. However, with proper treatment and support, it is possible for individuals with this condition to lead active and fulfilling lives.

The burden of chronic diseases is significant, with over 70% of deaths worldwide attributed to them, according to the World Health Organization (WHO). In addition to the physical and emotional toll they take on individuals and their families, chronic diseases also pose a significant economic burden, accounting for a large proportion of healthcare expenditure.

In this article, we will explore the definition and impact of chronic diseases, as well as strategies for managing and living with them. We will also discuss the importance of early detection and prevention, as well as the role of healthcare providers in addressing the needs of individuals with chronic diseases.

What is a Chronic Disease?

A chronic disease is a condition that lasts for an extended period of time, often affecting daily life and activities. Unlike acute diseases, which have a specific beginning and end, chronic diseases are long-term and persistent. Examples of chronic diseases include:

1. Diabetes
2. Heart disease
3. Arthritis
4. Asthma
5. Cancer
6. Chronic obstructive pulmonary disease (COPD)
7. Chronic kidney disease (CKD)
8. Hypertension
9. Osteoporosis
10. Stroke

Impact of Chronic Diseases

The burden of chronic diseases is significant, with over 70% of deaths worldwide attributed to them, according to the WHO. In addition to the physical and emotional toll they take on individuals and their families, chronic diseases also pose a significant economic burden, accounting for a large proportion of healthcare expenditure.

Chronic diseases can also have a significant impact on an individual's quality of life, limiting their ability to participate in activities they enjoy and affecting their relationships with family and friends. Moreover, the financial burden of chronic diseases can lead to poverty and reduce economic productivity, thus having a broader societal impact.

Addressing Chronic Diseases

Given the significant burden of chronic diseases, it is essential that we address them effectively. This requires a multi-faceted approach that includes:

1. Lifestyle modifications: Encouraging healthy behaviors such as regular physical activity, a balanced diet, and smoking cessation can help prevent and manage chronic diseases.
2. Early detection and diagnosis: Identifying risk factors and detecting diseases early can help prevent or delay their progression.
3. Medication management: Effective medication management is crucial for controlling symptoms and slowing disease progression.
4. Multi-disciplinary care: Collaboration between healthcare providers, patients, and families is essential for managing chronic diseases.
5. Health promotion and disease prevention: Educating individuals about the risks of chronic diseases and promoting healthy behaviors can help prevent their onset.
6. Addressing social determinants of health: Social determinants such as poverty, education, and employment can have a significant impact on health outcomes. Addressing these factors is essential for reducing health disparities and improving overall health.
7. Investing in healthcare infrastructure: Investing in healthcare infrastructure, technology, and research is necessary to improve disease detection, diagnosis, and treatment.
8. Encouraging policy change: Policy changes can help create supportive environments for healthy behaviors and reduce the burden of chronic diseases.
9. Increasing public awareness: Raising public awareness about the risks and consequences of chronic diseases can help individuals make informed decisions about their health.
10. Providing support for caregivers: Chronic diseases can have a significant impact on family members and caregivers, so providing them with support is essential for improving overall health outcomes.


Chronic diseases are a major public health burden that affect millions of people worldwide. Addressing these diseases requires a multi-faceted approach that includes lifestyle changes, addressing social determinants of health, investing in healthcare infrastructure, encouraging policy change, increasing public awareness, and providing support for caregivers. By taking a comprehensive approach to chronic disease prevention and management, we can improve the health and well-being of individuals and communities worldwide.

The term "neuroma" is derived from the Greek words "neuron," meaning nerve, and "oma," meaning tumor. It is also known as a neurilemmoma, which refers to the layer of connective tissue that surrounds the nerve. Neuromas are usually slow-growing and may not cause any symptoms in their early stages. However, they can cause pain, numbness, and tingling in the affected area as they grow larger.

There are several types of neuroma, including:

* Morton's neuroma: This is the most common type of neuroma and affects the nerve that runs between the third and fourth toes. It is caused by compression or irritation of the nerve and can be treated with conservative methods such as shoe inserts, physical therapy, and anti-inflammatory medications.
* Plantar neuroectodermal tumor: This type of neuroma occurs on the sole of the foot and is more rare than Morton's neuroma. It can be treated with surgery or radiation therapy.
* Acoustic neuroma: This type of neuroma affects the nerve that connects the inner ear to the brain and is usually benign. It can cause hearing loss, balance problems, and tinnitus (ringing in the ears).

In summary, a neuroma is a benign tumor that grows on a nerve, typically found between the third and fourth toes. It can cause pain, numbness, and tingling in the affected area and may be treated with surgery or other methods. There are several types of neuroma, including Morton's neuroma, plantar neuroectodermal tumor, and acoustic neuroma.

Choristoma is a rare benign tumor that originates from the remnants of the embryonic chorion, which is the outer layer of the placenta. It typically affects the ovary, uterus, or broad ligament in women, and less frequently, the testis, epididymis, or spermatic cord in men.


Choristomas are usually small (less than 5 cm in diameter) and may be solitary or multiple. They can be spherical, oval, or irregular in shape and are often surrounded by a fibrous capsule. The tumors are typically soft to the touch, with a smooth surface, and may be attached to the surrounding tissue by a stalk-like structure called a peduncle.

Clinical Presentation:

Choristomas are usually asymptomatic and are often incidentally detected during pelvic examination or imaging studies performed for other indications. In some cases, they may cause symptoms such as abdominal pain, pelvic pressure, or bleeding, especially if they rupture or become twisted.

Imaging Features:

Choristomas are typically isointense to the liver on T1-weighted magnetic resonance imaging (MRI) and hyperintense on T2-weighted MRI, indicating high signal intensity on both sequences. They may also show enhancement after contrast administration. On ultrasound, choristomas may appear as hypoechoic masses with irregular margins.

Differential Diagnosis:

The differential diagnosis for choristoma includes other benign and malignant tumors that can occur in the ovary, uterus, or broad ligament, such as fibroma, leiomyoma, endometrial polyp, or cancer. The diagnosis of choristoma is based on a combination of clinical, imaging, and histopathological features.


Choristomas are usually managed conservatively with close follow-up and monitoring to ensure that they do not grow or cause any complications. In rare cases, surgical intervention may be necessary if the tumor becomes symptomatic or if there is concern for malignancy. Complete excision of the choristoma is often difficult due to its extensive involvement with surrounding tissues.


The prognosis for choristoma is generally good, and most cases are benign and asymptomatic. However, in rare cases, malignant transformation can occur, and the tumor may grow and cause symptoms such as abdominal pain, bleeding, or bowel obstruction. The long-term outlook for patients with choristoma depends on the size, location, and aggressiveness of the tumor, as well as the presence of any underlying medical conditions.

In conclusion, choristoma is a rare benign tumor that can occur in the ovary, uterus, or broad ligament. It typically presents with abdominal pain, bleeding, or other symptoms, and imaging studies are useful in diagnosing and monitoring the tumor. While the prognosis for choristoma is generally good, it is important to consider the possibility of malignant transformation and monitor patients closely for any signs of complications.

Cook, R. I., Render, M., & Woods, D. D. (2000). Gaps in the continuity of care and progress on patient safety. British Medical ... Advances in Health Care Management. Vol. 7. pp. 33-68. doi:10.1016/S1474-8231(08)07003-1. ISBN 978-1-84663-954-8.{{cite book ... Health Care Management Review, 29(2): 90-97. Chiles, J. R. (2002). Inviting disaster: Lessons from the edge of technology. New ... Rasmussen, J. (1999). The concept of human error: Is it useful for the design of safe systems in health care? In C. Vincent & B ...
The patient-focused continuity of care of primary nursing also affects the patient's family. Penni Weston, primary nursing ... In team nursing, "the tasks got done, but patients often went home poorly taught (to take care of themselves) and the caring ... In the 1920s and earlier, nearly all nursing was home care nursing, in which the nurse alone managed the patient's care. ... Nursing Practice in Primary Care and Patients' Experience of Care 2018 Jan 22 John Nelson and Marie Manthey Explore the Model ...
Specifically, if complications arise, this requirement presumes a continuity of care for the patient. The court's ruling, ... Evers also vetoed a bill that would sentence doctors to life in prison for failing to provide infants with medical care if they ... These laws, now on the books in eight states, require doctors to tell patients receiving a medication abortion, a safe and ... Admitting privileges require physicians providing abortion to obtain the right to admit patients at local hospitals - although ...
It provides for continuity of care by a constantly changing nursing staff. The team leader starts the care plan as soon as the ... The team leader should discuss the needs of the patients, establish goals, individualize the plan of care for each patient, ... Long-term care insurance is another potential option to help pay for nursing home care. Long-term care insurance was designed ... The direct care staff have direct, daily contact with the patient in activities such as meals, personal care, daily activity (e ...
... patient strategies for coping with an absence of care coordination and continuity". Sociology of Health & Illness. 38 (6): 854- ... Designing health care for the most common chronic condition-multimorbidity. Jama. 2012 Jun 20;307(23):2493-4. Barnett K, Mercer ... Kato D, Kawachi I, Saito J, Kondo N (October 2021). "Complex Multimorbidity and Incidence of Long-Term Care Needs in Japan: A ... general and person-centered concept that allows focusing on all of the patient's symptoms and providing a more holistic care. ...
Branches of this section include: department level, patient care, infrastructure, business continuity, security, and HazMat. ... This allows the hospital to handle a surge in patients and render life-saving care to the greatest number of patients. FEMA, ( ... direct maintenance and supply operations to ensure patient care, supplies, equipment, and utilities for essential hospital ... Medical care branch director Infrastructure branch director HAZMAT branch director Security branch director Business continuity ...
Those barriers to medical care complicate patients monitoring and continuity in treatment.[citation needed] In the US, ... This self-care focus extends to the nursing of patients with chronic diseases, replacing a more holistic role for nursing with ... Lack of access and delay in receiving care result in worse outcomes for patients from minorities and underserved populations. ... Foregrounding the problem of distance from healthcare facility, the study recommends patients increase their request for care. ...
Continuity of care and long-term follow-up is crucial in successful patient outcomes. Aside from diagnosing and treating acute ... implications for patient safety and continuity of care". JAMA. 297 (8): 831-841. doi:10.1001/jama.297.8.831. ISSN 1538-3598. ... Internists care for hospitalized (inpatient) and ambulatory (outpatient) patients and may play a major role in teaching and ... "Future hospital: Caring for medical patients" (PDF). Royal College of Physicians. 16 September 2013. Retrieved 3 February 2014 ...
Furthermore, remote dispensing terminal manufacturers state that this technology can facilitate patient continuity of care ... limiting the pharmacist's ability to detect a patient's nonverbal cues. A patient with alcohol on his or her breath would go ... Hands-on patient training on inhalers and glucose meters is not feasible with remote dispensing, and administration of ... Remote dispensing is used in health care environments to describe the use of automated systems to dispense (package and label) ...
... is focused on patient management through multidisciplinary teamwork while creating longitudinal continuity in patient care. ... Primary care Reason for encounter Health care provider Ambulatist Ambulatory care nursing Ambulatory as a medical term National ... Ambulatory care or outpatient care is medical care provided on an outpatient basis, including diagnosis, observation, ... strategies for increased patient and caregiver engagement have been heralded as potentially beneficial in both patient care as ...
... transitional care is defined as a set of actions designed to ensure the coordination and continuity of health care as patients ... Continuity of health care (also called continuum of care) is to what degree the care is coherent and linked, in turn depending ... and long-term care facilities. Transitional care is based on a comprehensive plan of care and the availability of health care ... Cook RI, Render M, Woods DD (March 2000). "Gaps in the continuity of care and progress on patient safety". BMJ. 320 (7237): 791 ...
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System (PDF) ( ... and continuity of care. The VA OIG Office of Investigations opened investigations at 93 sites of care in response to ... and in so doing implemented universal primary care, increased patients treated by 24%, had a 48% increase in ambulatory care ... Providing care for non-veteran civilian or military patients in case hospitals overflow in a crisis was added as role by ...
... care documentation is advancing structured communication between healthcare professionals to ensure the continuity of patient ... The patient's health record is a legal document that contains details regarding patient's care and progress. The types of ... Point of care documentation facilitates the continuity of high quality care and improves communication between nurses and other ... Without a structured care plan that is closely followed, care tends to become fragmented. Point of care (POC) documentation is ...
Without the necessary intermediate care and continuity in therapy, many patients regress when released from the hospital. Prior ... he is unable to provide adequate follow-up care. Not only does this break the continuity of care, but it also obstructs ... Once treatment at a mental health facility is completed, the patient is handed back into the care of his fellow villagers and ... Another problem is the lack of intermediate care once a patient is released from the hospital. Services such as support groups ...
... the work week include disruptions in continuity of care and limiting training gained through involvement in patient care. ... explained to patients, and applied to patient care. Residents should participate in scholarly activity. The sponsoring ... It does allow up to six hours for inpatient and outpatient continuity and transfer of care. However, interns and residents may ... The first year of practical patient-care-oriented training after medical school has long been termed "internship". Even as late ...
Continuity. After guiding patients to healthcare providers, care navigators maintain communication and continuity with patients ... both the patient and care navigator brainstorm next steps, establishing a plan that is specific to the patient's needs. Care ... Patient history and needs are identified. Both the patient and the care navigator think through short- and long-term goals and ... which can often leave patients with more questions than answers. Care navigators work closely with patients and families ...
Each patient is assigned a specific physician to provide the continuity of care that is essential for a healthy doctor-patient ... The Health Center provides each patients with a primary care physician who will treat and track the patient's health as long as ... Typical volunteer positions include signing in patients, answering telephones, filing, charting, and assisting patients in ... close to 100 physician and non-physician volunteers donate their time to assist in the care of the Health Center's patients. ...
Generally, the doctor-patient relationship is facilitated by continuity of care in regard to attending personnel. Special ... The doctor-patient relationship is a central part of health care and the practice of medicine. A doctor-patient relationship is ... Transitions of patients between health care practitioners may decrease the quality of care in the time it takes to reestablish ... An example of how body language affects patient perception of care is that the time spent with the patient in the emergency ...
In her clinical practise, Darcy was increasingly concerned that there was no continuity between leaving in patient care and ... At the time there was very little online support for people with mental health conditions, and accessing care was particularly ... She recognised that very few clinicians had the appropriate training to treat patients with the condition. She pioneered the ... exploring symptom change and the patients' perspective (Thesis). Dublin: University College Dublin. OCLC 605278740. Harris, ...
... use communication skills to assist patients in adapting to common health problems, provide continuity of care, demonstrate ... Aside from routine patient care, healthcare technicians will complete many duties outside of direct care. The indirect care ... Qualified members performing direct patient care can have the opportunity work directly with patients and assist with their ... Registered Nurses and Health Technicians Experience Caring for Chronic Pain Patients in Primary Care Clinics". The Open Nursing ...
"Gaps in the continuity of care and progress on patient safety". BMJ. 320 (7237): 791-794. doi:10.1136/bmj.320.7237.791. PMC ... In this system, providers are given incentives to close gaps in care and provide better quality care for patients. Sound ... Philosophy of healthcare Primary care Primary health care Public health Publicly funded health care Single-payer health care ... health care Cultural competence in health care Global health Genetic testing Health administration Health care Health care ...
Residents also must provide care for a panel of continuity patients in an outpatient "model practice" for the entire period of ... dental surgery and community hearing care providers. The balance of care between primary care and secondary care - which ... Many family physicians deliver babies in addition to taking care of patients of all ages. In order to become board certified, ... There are also moves to employ care navigators, sometimes an enhanced role for a receptionist, to direct patients to different ...
... especially to strengthen the first level of care and ensure the continuity of the model; and (ix) strengthening activities to ... ensure quality care and patient safety in health facilities. Expenditure on health was 8.7% of GDP in 2014. Only 2.9% of the ... The Ministry of Health in Honduras provides care to almost 90% of the population, but there is still little provision for the ... Prior to 2015, there was no law that legally defined the national health care model or mechanisms for regulating it. That year ...
... information continuity is the process by which information relevant to a patient's care is made available to both the patient ... to facilitate ongoing health care management and continuity of care. This is an extension of the concept of "Continuity of Care ... "Relational continuity." Information continuity in the information technology sense may exist alongside physical care continuity ... Information continuity will become more and more important as patients in health care systems expect that their treating ...
The patient summary contains a core data set of the most relevant administrative, demographic, and clinical information facts ... adopted the CCD rather than the Continuity of Care Record since it is a newer format that harmonizes the Continuity of Care ... the CCD and Continuity of Care Record (CCR) were both selected as acceptable extract formats for clinical care summaries. To be ... CCD and Continuity of Care Record (CCR) are often seen as competing standards. Google Health supported a subset of CCR until ...
They work 12-hour shifts to ensure continuity of care but also aim to prevent excessive physician fatigue. Patients who have ... Safety engineering features such as low bed height and a patient position monitor that alerts staff when a patient is moving in ... "Robot connects patients to doctors across regions" Archived 23 March 2012 at the Wayback Machine By Brittany Edney, News 14. 2 ... Carteret Health Care (formerly Carteret General Hospital) is a 135-bed, non-profit hospital in Morehead City, North Carolina. ...
... and clinicians to meet high standards of patient care through electronic participation in a patient's continuity of care with ... the Indiana Network for Patient Care (INPC) is a secure network that provides patient records to participating doctors. The ... and over 400 long-term and post-acute care facilities downloading care summaries for their patients. The CliniSync HIE ... In this method patients give implicit consent to join an HIE when they agree to use the services of a health care provider who ...
... care documentation, and the patient's care plan. These represent a "snapshot" of a patient's health data that can be useful or ... The Continuity of Care Document (CCD) is an HL7 CDA implementation of the Continuity of Care Record (CCR). A CCR document can ... "The Continuity of Care Record". Editorial. American Family Physician. 70 (7): 1. 220, 1222-3. PMID 15508532. Continuity of Care ... Header Patient Identifying Information Patient Financial and Insurance Information Health Status of the Patient Care ...
Forrest CB, Shadmi E, Nutting PA, Starfield B. Specialty referral completion among primary care patients: results from the ASPN ... 2007; 5:361-7. Starfield B, Horder J. Interpersonal continuity: old and new perspectives. Br J Gen Pract. 2007; 57(540):527-9. ... Managed Care. June 2008. Arvantes J. Barbara Starfield, M.D., Focuses on Primary Care and Health Care Reform. AAFP News Now. 9/ ... 2010; 25:758-9. Starfield B. Primary care, specialist care, and chronic care: can they interlock? Chest. 2010; 137:8-10. ...
... but it had adverse effects like disrupting indigent patient's continuity of care, losing patients, and creating two hospital ... This refusal of care resulted in patient deaths and public outcry culminating with the passage of a federal anti-patient ... their services have an effect with patient care outcomes and can minimize the chance of patient dumping or shifting patients to ... The jarring ride and lack of stabilized care typically resulted in death of the patient and outrage of the public. Scholars ...
Lifelong The patient's various needs throughout their life must be catered for, by ensuring continuity of care all the way ... Patient-focused Customized health care strategies should be developed, focused on the patient (and family). Inclusive Care- ... Neurorehabilitation is the culmination of many different fields to provide the best care and education for patients with ... Participatory The patient and their family's active cooperation is essential. The patient and family must be well-informed, and ...
Personal care robots may be deployed in future assisted living homes. For these robots, high-accuracy human detection and pose ... Pose estimation has been used to detect postural issues such as scoliosis by analyzing abnormalities in a patient's posture, ... due to its continuity that can facilitate gradient-based optimization in the parameter estimation. Since about 2016, deep ...
Crosby, Kate (2013), Theravada Buddhism: Continuity, Diversity, and Identity, pp. 34-35. Wiley-Blackwell. Hoiberg, Dale H., ed ... a vast sense of care aimed at ending the suffering of all sentient beings. This great compassion is the ethical foundation of ... patient endurance), Vīrya (heroic energy), Dhyāna (meditation), Prajñā (wisdom), Upāya (skillful means), Praṇidhāna (vow, ...
In this continuity, the Professor (of Weapon X) and Yuriko's father are the same man. In the comic's continuity, the Professor ... Graydon wound up in the care of his father, who bullied and beat him constantly. Many years later, Graydon founded the F.O.H. ( ... When Beast began dating his former patient Carly, a human, Graydon had her kidnapped, but the X-Men rescue her. Before they ... Silver Fox - Silver Fox appeared in the episode "Weapon X, Lies & Videotape." In this continuity, she too was a member of Team ...
... required plans to ensure continuity of patient care, and protected the physician-patient relationship in health care decisions ... to help improve the quality of care delivered to patients in California. Its programs include ambulatory care facility ... health plans still ran roughshod over physicians and patients often could not get the care they needed. In 2000, in a historic ... and studying the effects of limited English proficiency on patient care. In recent decades, the CMA House of Delegates approved ...
Haagensen and Stout reviewed over 500 patients who had radical mastectomy for breast cancer and identified a group of patients ... 18th and 19th centuries". European Journal of Cancer Care. 19 (1): 6-29. doi:10.1111/j.1365-2354.2008.01060.x. ISSN 1365-2354. ... Sugarbaker, E. D. (1953-09-01). "Radical mastectomy combined with in-continuity resection of the homolateral internal mammary ... The five-year survival rate was 40%, which was twice that of untreated patients. However, post-operation morbidity rates were ...
Ciarán, Change and Continuity of Irish Monastic Foudation(6th to 16th century), By Annette Kehnel Stair na hÉireann,History of ... Iona Abbey The founder of the Iona Abbey, Saint Columba, before traveling to Scotland, was under the care of Cruithnechán and ... and also details of patient entitlements, compensations and fees. Bretha Crólige (Binchy, 1938) was also part of this law tract ...
... based on HL7 Version 3 Continuity of Care Document (CCD) - a US specification for the exchange of medical summaries, based on ... The program is based on an innovative model piloted by the HL7 Argonaut Project (provider-provider and provider-patient) and ... The name indicates that HL7 focuses on application layer protocols for the health care domain, independent of lower layers. HL7 ... Theoretically, this ability to exchange information should help to minimize the tendency for medical care to be geographically ...
When the X-Man Havok is found in a comatose state, she is assigned to his care. Despite Havok's only real reaction being an ... She uses her powers to help relieve the pain of male patients in a local hospital.[volume & issue needed] More controversially ... In the Ultimate Marvel continuity Professor Grey appears in various issues of Ultimate X-Men and in Ultimate War #2. Within ... After an appearance in Iron Man #108 (March 1978), the Growing Man is not seen in Marvel continuity until The Avengers #268 ( ...
In The New 52 (a reboot of DC's continuity), a new character named Mad Dog appeared with only his first name reveled Rex. This ... Hawkins is quickly captured again and sentenced to Arkham Asylum, becoming one of its first patients, once again under Amadeus ... Arkham's care. During their sessions, Hawkins takes great pleasure in describing the murders of Arkham's family in minute ...
To ensure for the continuity of courses in either or both of these areas tenured positions should be established; and/or 2) the ... Kramer and Webster married in the intensive care unit of NYU Langone Medical Center in New York City while Kramer recovered ... which had performed more transplants for HIV positive patients than any other facility in the world, accepted Kramer as a ... "it was a five-thousand-word screed that accused nearly everyone connected with health care in America - officials at the ...
In patients with leprosy, the greatest positive effects were seen in those with depression but reminiscence therapy did not ... It has often been used in nursing homes or assisted living facilities, as it provides a sense of continuity in one's life and ... Housden, S. (2009). "The use of reminiscence in the prevention and treatment of depression in older people living in care home ... In a successful case of ego integrity theory the patient is at peace with the eventuality of death. This theory was developed ...
Mutale Rose Nyoni, Chair, Care Council for Wales. For services to Social Care and to the Voluntary Sector in Wales. Maurice ... For charitable services to Cardiac Patients. Dr. Sheila Ernestine Filshie, JP. For services to the Administration of Justice in ... Raymond Alfred Browne, Business Continuity Manager, Technology Strategy Board, Department for Innovation, Universities and ... Kilda Residential Home NHS Care Trust, Brixham, Devon. For services to Social Care in Torbay. Matthew Gill. For services to NHS ...
He heals cancer patients with the stone, only to sacrifice them once again to achieve immortality. He could "see" people ... Vanessa was also called upon in the episode "Buried" to care for Mrs. Frederic when her brain was being eclipsed by Warehouse 2 ... Alphas takes place in the same continuity as Warehouse 13. Joshua Donovan (Tyler Hynes), Claudia Donovan's older brother who ...
... in patient care areas, or in hazardous areas of industrial plants. In addition to electric power systems, other systems may ... to supervise the continuity of the wire. This is used in the trailing cables of mining machinery. If the earth wire is broken, ...
Some experts noted a so-called "VIP syndrome," in which a prominent patient insists on directing his own medical care, ... Some outside observers also raised continuity-of-government concerns with Pence declining to quarantine. Despite his known ... Two doctors refused to sign the NDAs and were not allowed to have any involvement in his care. Medical personnel are already ... Christie, who eventually required intensive care for his COVID-19, said "I think it's undeniable" that Trump was the source of ...
Patients are referred to nearby Skeldon Hospital for pharmacy and additional care. Guyana-Suriname relations Agriculture in ... Rauf, Mohammad Abdur (1969). "CRABWOOD CREEK: A STUDY OF CULTURAL CONTINUITY AND ETHNIC IDENTITY ON DIFFERENT GENERATIONAL ... "Beyond the call of duty , Community Health Worker cares about the people". Guyana Chronicle. 2020-08-16. Retrieved 2021-01-04 ...
India has a fast-growing medical tourism sector of its health care economy, offering low-cost health services and long-term ... In 2014, 184,298 foreign patients traveled to India to seek medical treatment. An ASSOCHAM-PwC joint study projected that the ... Alamgir, Jalal (2008). India's Open-Economy Policy: Globalism, Rivalry, Continuity. Routledge. p. 176. ISBN 978-1-135-97056-7. ... "In a first since 1991, FDI flow takes care of CAD". The Economic Times. Retrieved 4 April 2017. "FDI in India Statistics" (PDF ...
This child had never been able to walk, but must have been cared for by family throughout her life. She was the best preserved ... Genetic continuity was observed between the Inuit, Thule and Birnirk, who overwhelmingly carried the maternal haplogroup A2a ... though diagnosis was difficult and treatment involved forced removal of individuals from their communities for in-patient ... Regular visits from doctors, and access to modern medical care raised the birth rate and decreased the death rate, causing a ...
... health care services are now focused on patient safety, quality control and assisted health. Education for primary, ... Whereas, in some archaeological sites, multilayer settlements clearly reflect the continuity of life through centuries. The ... Primary health care in Pristina is organised into thirteen family medicine centres and fifteen ambulatory care units. Secondary ... At a lower level, home services are provided for several vulnerable groups which are not able to reach health care premises. ...
Don't care if I get elected, don't care if I get defeated, how about that?" Manchin won the November 6 general election, ... "Capito seeks better treatment for patients with opioid addiction through sharing of medical records". The Ripon Advance. April ... "ensure much-needed investment in our public lands and continuity for the state, tribal, and non-federal partners who depend on ... In a May 2019 letter to Attorney General William Barr, Manchin and Republican Susan Collins wrote that the Affordable Care Act ...
The individual must be patient in her expectations. These two discourses are the only discourses of his eighteen discourses ... Either/Or Part 2, Hong p. 251-252 Søren Kierkegaard's Christian Psychology: Insight for Counseling and Pastoral Care By C. ... An individual thus chooses himself as a complex specific concretion and therefore chooses himself in his continuity. This ...
He and his "Mother" personality live together as if there is no one else in the world, and she takes care of his problems - ... which was created by Reed through hypnosis in order to get Norman to kill the asylum's most violent patients. With the help of ... In this continuity, Norman suffers from hallucinations and blackouts, and begins manifesting his "Mother" personality while ...
... intercessory prayer on outcomes in patients admitted to the coronary care unit". Arch Intern Med. 159 (19): 2273-78. doi: ... but the peak view of the tradition is that the deities or yidam are no more existent or real than the continuity (Sanskrit: ... Critics also claim that the 1988 study was not fully double-blinded, and that in the Harris study, patients actually had a ... This study used 3393 patient records from 1990 to 1996, and blindly assigned some of these to an intercessory prayer group. The ...
... who helps spot Zero posing as one of the coma patients in his care. The Doctor directs Amy and Rory to the hospital, while he ... praising it for easily fitting into the show's continuity, especially with Smith's portrayal of the Doctor. However, he thought ... Moffat wrote a scene that explained Prisoner Zero's crime, but cut it because he figured no one would care. The opening ... to the Atraxi along with the photos of the coma patients from Rory's phone, revealing Zero's identity. Zero shows it has one ...
10 billion for child care (specifically, the Child Care Development Block Grant program) $10 billion for the U.S. Postal ... The act also provides $130 billion in advance appropriations for fiscal year 2022 to ensure continuity of VA funding and ... bills from out-of-network providers that are charged to patients. The ban, which goes into effect in 2022, will require out-of- ... It is a follow-on to such actions as the CARES Act and Paycheck Protection Program passed in March 2020, and comes after eight ...
... to advise them on the state of the patient's health and past/current treatment, and to assure continuity of care. More recently ... These flaws trigger concerns that the present technology could have adverse effects on patient care. Control over quality can ... After the patient leaves the office, the doctor uses a voice-recording device to record information about the patient encounter ... The next time the patient visits the doctor, the doctor will call for the medical record or the patient's entire chart, which ...
Questionnaire With Adult Primary Care Patients". Preventing Chronic Disease. 13. doi:10.5888/pcd13.150228. PMID 26851335. ( ... Physical activity has been shown to reduce anxiety as a condition (individual physical exercise, without continuity), anxiety ... Greenwood, J.L.J.; Joy, E.A.; Stanford, J.B. (2010). "The Physical Activity Vital Sign: A Primary Care Tool to Guide Counseling ... "UK physical activity guidelines". Department of Health and Social Care. Retrieved 2018-07-13. "CSEP , SCPE". ...
Rechristening himself Patient Zero, he then sets out to get revenge on both Deadpool and Peter Parker, hiring the former to ... In the Deadpool Max continuity, Weasel is a skilled pimp, crime boss and driver. Jack Hammer has no superpowers but he is an ... they claim that he said he'd taken care of Weasel. When they ask him how, he replies, "I put him in a Box." Weasel is later ... Patient Zero is then returned to Hell, and eventually visited by Deadpool, to whom he reveals his identity, explaining that he ...
... 0-9. A. B. C. D. E. F. G. H. I. J. K. L. M. N. O. P. Q. R. S ... Meeting on Rehabilitation as Part of the Continuum of People-Centred Health Care, Seoul, Republic of Korea, 13-15 December 2016 ...
Clinicians should consider incorporating patients preference for continuity into their office schedul … ... In particular, are there medical consequences when those whom desire continuity do not receive it? ... Future research should continue to explore the importance of interpersonal continuity to patients. ... Purpose: The health system shift from doctor-patient continuity of care to team-based continuity may not match patients ...
Start Over You searched for: Subjects Continuity of Patient Care ✖Remove constraint Subjects: Continuity of Patient Care ...
Continuity of care is not related to earlier detection of cancer, while trust with a regular physician was associated with ... The relationship between continuity of care and trust with the patients primary care physicians prior to diagnosis were ... Continuity of care prior to diagnosis was related to receiving mammography. Continuity of care was not, however, significantly ... While continuity of care has been associated with an increased rate of cancer screening, it is unclear if continuity leads to ...
Continuity keeps the patient at the forefront of our programs framework with individualized care coordination plans and ... Patient outcomes are the most important factor in care coordination. ... 24/7 Care. With around the clock support, you can rest easy knowing that a qualified Health Care Provider is just a phone call ... Understand how our customized Customer Care Services can impact your patients experiences. ...
The Continuity of Care Index (COCI) was used to measure continuity of care. We considered incidence of atherosclerotic ... Relationship between continuity of care and clinical outcomes in patients with dyslipidemia in Korea: a real world claims ... This study aimed to investigate the association between care continuity and the outcomes of patients with dyslipidemia. We ... The study shows that improved continuity of care for newly-diagnosed dyslipidemic patients might reduce the risk of ...
... and several community partners to share perspectives on essential technologies for all aspects of clinical care related to the ... In addition standardizing care; reducing bias; and coordinating care across service locations to improve continuity of care and ... improve communication between patients and providers and between different care facilities, and ensure quality of care. Some of ... Antenatal care could involve new models of care (e.g., group care, medical homes, models for high-risk care). Delivery and ...
... and the continuity of care in patients hospitalized due to de novo or deteriorated HF from the patients perspective and from a ... Continuity and utilization of health and community care in elderly patients with heart failure before and after hospitalization ... Flaws in the continuity of care were found; even though most patients received written information at discharge, one third of ... Continuity and utilization of health and community care in elderly patients with heart failure before and after hospitalization ...
T2 - The association between continuity of care and all-cause mortality in patients with newly diagnosed obstructive pulmonary ... Erratum: The association between continuity of care and all-cause mortality in patients with newly diagnosed obstructive ... Erratum: The association between continuity of care and all-cause mortality in patients with newly diagnosed obstructive ... Erratum : The association between continuity of care and all-cause mortality in patients with newly diagnosed obstructive ...
... and Ensure Continuity of Care. The loss in patient volume due to care that was deferred during peak phases of COVID-19 is ... Learn how patient outreach can help engage more patients and bring back revenue as your facilities reopen for non-emergent care ... It now becomes essential to ensure patients schedule and complete delayed visits, tests, procedures, surgeries, and feel ... Guide to Using Automated Outreach to Drive Patient Volume, Create Revenue, ...
Poor patients get poor positions on the OR schedule and poor continuity of care. Beth A. Schrope, MD, PhD ... A patients perspective on the diminishing relationship between doctors and patients. Michele Luckenbaugh , Conditions ... A patients perspective on the diminishing relationship between doctors and patients. Michele Luckenbaugh , Conditions ... 7 ways to beat burnout: a guide for health care professionals to reduce stress and reclaim their passion. Marie Livesey, DO , ...
... and improving patient-centered outcomes and chronic disease management (Bodenheimer et al., 2002; Ponte et al., 2003; Wagner et ... The value of a team-based approach to health care has been recognized for more than a decade (Grumbach and Bodenheimer, 2004; ... CARE COOPERATION AND CONTINUITY ACROSS CLINICIANS, FACILITIES, AND SYSTEMS. Authors. Alice Bonner, Ph.D., R.N., Craig Schneider ... Applied to health care, the industrial process is the care path of patients, and the output is the outcome of care for those ...
The continuity clinic is an extension of the General Pediatric Center providing diagnosis, treatment and/or follow-up of ... Refer a Patient. Bookmark Arkansas Childrens offers comprehensive care to patients through a physician referral. ... The Continuity Clinic (Circle of Friends) is for patients that have a PCP in the Continuity Clinic ... Need to refer a patient?. Were focused on improving child health through exceptional patient care, groundbreaking research, ...
Data regarding patient, caregiver, health care provider, HIT intervention, outcomes studied, and study design were extracted ... HIT interventions addressed several recurring themes in this review: establishing continuity of care, addressing time ... Most studies (88, 85%) included children 2 to 12 years of age, and 73 (71%) involved home care settings. Health care providers ... of pediatric patients with health conditions requiring follow-up. Methods: Terms relating to care delivery, information ...
Achieving the right balance between convenience and continuity of care takes work ... and providers love taking care of patients they know.. When a patient has a low continuity index, and they see lots of ... When a continuity index is high for a patient, when they primarily see their primary care provider for almost all of their ... For routine care, this should be an appointment with their primary care doctor or a member of their care team that knows them, ...
... facilitate and maintain continuity in patient experience across transitions of care. , International Journal of Medical ... Getting the whole story: integrating patient complaints and staff reports of unsafe care. , Journal of Health Services Research ... Information encoded within free-text patient experience comments relating to transitions of care are not captured in a ... Comments relating to transitions of care were extracted, categorised by sentiment, and care setting to identify the most ...
States can address Medicaid inequity by promoting continuity of coverage, study finds. Alan Goforth , June 09, 2023. ... The cost of caring for the most expensive patients to treat can be cut through a more focused approach to providing care. But ... Medicare patients need more intensive care. An analysis of data from a Medicare pilot program found that a patient-centered ... An analysis of data from a Medicare pilot program found that a patient-centered care model applied to high-use patients ...
Continuity of care. *Coronary disease/Myocardial infarction. *Cost-benefit analysis. *Data collection ... Wait times to rheumatology care for patients with rheumatic diseases: a data linkage study of primary care EMRs and ... We determined the duration of each phase of the care pathway (symptom onset to primary care encounter, primary care encounter ... Our aim was to quantify wait times to primary and rheumatology care for patients with rheumatic diseases. ...
... in-patient clinical care; 2) public health uses outside of in-patient care settings; 3) home care support; 4) healthcare ... laboratory and supply chain automation; 5) continuity of work, government, and quarantine support; and 6) public safety. Each ... The most obvious and pressing challenge is taking care of acutely ill patients while managing spread of infection within the ... The report will briefly 1) identify key challenges faced by health care responders and the general population; 2) examine ...
An innovative approach to re-registration saves millions while improving care outcomes ... the new suspended record continuity service is helping to improve experiences for patients across England, and driving NHS ... NHS England: Thoughtworks and NHS England optimize patient record transfers system and accelerate care delivery ... Across England, the NHS moves thousands of patient records between practices and trusts every day. When a patient moves away ...
Continuity of care. Development and implementation of a shared patient data base.. Case CL; Jones LH. Cancer Nurs; 1989 Dec; 12 ... The discharge and care of the pediatric oncology patient.. Reilly LK; Foley G. Disch Plann Update; 1983; 3(3):4-6. PubMed ID: ... Care Giver; 1988 Sep; 5():109-14. PubMed ID: 10290305. [No Abstract] [Full Text] [Related] ... 9. [The work of the senior nurse in a department for patients with pulmonary tuberculosis and diabetes mellitus].. Novikova NV ...
Thats what we recently chatted about with Michael Garza, business continuity consultant at Toyota, whose business resiliency ... What does business continuity really mean in a disaster? How your company handles disaster is what makes it a place people ... Pace recovery, be patient, and take care of the essentials-people, families, and basic needs. ... Security Continuity Plan. How do you go about securing your assets, your equipment, and your facilities? ...
Respondents in the youngest age-group were more likely to have low empowerment scores, less continuity of care, and lower ... According to the person-centred Chronic Care Model, proactive care and self-management support in combination with community ... whereas continuity of care, i.e. having a family/regular nurse, was independently associated in the youngest age-group only. ... are associated with patient empowerment, when considering possible confounding factors, such as other quality of care ...
Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R01) PA-15-339. AHRQ ... Approaches for improving coordination, continuity of care and patient safety; * Creation of evidence-based tools to facilitate ... residential care homes and home care. Ambulatory care sites and long term care facilities are settings with high patient/ ... assisted living and residential care homes, and home care. Researchers focused on patient safety in other health care settings ...
Ensure patient follow-up and continuity of care during study participation. *Completion and submission of case report forms in ... members of the Dan L Duncan Comprehensive Cancer Center at Baylor College of Medicine affiliated hospitals and ambulatory care ...
Continuity of Patient Care. 1. 2020. 1043. 0.460. Why? Hemodynamics. 4. 2021. 4214. 0.460. Why? ...
  • The relationship between continuity of care and trust with the patient's primary care physicians prior to diagnosis were examined in relationship to the patient's stage at diagnosis via Spearman correlations and chi-square analyses. (
  • Handover information is presented in a structured format that facilitates optimal information transfer and recall, as well as establishing a shared understanding of the patient's condition, to ensure ongoing continuity of care. (
  • Relationship between continuity of care and clinical outcomes in patients with dyslipidemia in Korea: a real world claims database study. (
  • This study aimed to investigate the association between care continuity and the outcomes of patients with dyslipidemia . (
  • The loss in patient volume due to care that was deferred during peak phases of COVID-19 is creating outsized effects on both health outcomes and financial sustainability for providers. (
  • Team-based care has yet to proliferate widely, yet numerous excellent team-based programs around the United States demonstrate their added value in generating superb patient-centered health outcomes and science-driven care. (
  • Standardized procedures can improve the quality of care and reduce suboptimal outcomes and patient experiences, leading to more appropriate use of services and lower costs. (
  • Data regarding patient, caregiver, health care provider, HIT intervention, outcomes studied, and study design were extracted and maintained in a Microsoft Access database. (
  • Numerous patient, caregiver, and health care relevant outcomes have been measured. (
  • By applying an outcome-based product strategy during our collaborative discovery and exploration sessions, Thoughtworks and NHS Digital teams quickly identified a different path forward to yield faster outcomes for the healthcare system, its practitioners and patients. (
  • According to the person-centred Chronic Care Model, proactive care and self-management support in combination with community resources enhance quality of healthcare and health outcomes for patients with T2D. (
  • However, research is scarce concerning the importance of person-centred care and community resources for such outcomes as empowerment, and the relative impact of various patient support sources for empowerment is not known. (
  • Secondary outcomes were recurrent ED visits, subsequent hospitalizations, quality of life, and use of inhaled corticosteroids 1 year later.Three hundred eighty-four patients were enrolled. (
  • Secondary outcomes include health care resource utilization/costs, communication between members of the care team, and patient quality of life. (
  • A study that examined data from multiple U.S. clinics found that less than 1% of diabetes care visits were conducted via telehealth in January and February 2020. (
  • A survey of U.S. endocrinologists found that the majority were using telehealth for most or all patient visits by spring 2020. (
  • A fall 2020 survey of people with diabetes that I conducted found that 65% of respondents had received some diabetes care via telehealth, but only about 5% of those using telehealth had any experience with it before the pandemic. (
  • This study examined the relationship between continuity of care and trust in one's physician with stage of cancer among newly diagnosed colorectal and breast cancer patients. (
  • A total of 119 newly diagnosed cancer patients (97 breast, 22 colorectal) were surveyed in face-to-face interviews. (
  • There were 236,486 patients newly diagnosed with dyslipidemia in 2008 who were categorized into the high and low COC groups depending on their COCI. (
  • The study shows that improved continuity of care for newly-diagnosed dyslipidemic patients might reduce the risk of atherosclerotic cardiovascular disease . (
  • METHODS: This was a cross-sectional study with consecutive inclusion of patients hospitalized at a county hospital in Sweden due to deteriorated HF during 2014. (
  • Methods - We identified patients from primary care practices in the Electronic Medical Record Administrative data Linked Database who had referrals to Ontario rheumatologists over the period 2000-2013. (
  • Methods The electronic databases PubMed, EMBASE, CINAHL and Cochrane Library databases were searched for randomised controlled trials of nurse-led care for individuals with type 2 diabetes mellitus (T2DM) published in English from inception to 23 December 2021. (
  • How can you use telehealth to provide patient-centered diabetes care? (
  • Many health care professionals and people with diabetes have used telehealth during the COVID-19 pandemic. (
  • The COVID-19 pandemic has led to a dramatic increase in the use of telehealth to provide diabetes care. (
  • Can telehealth be used to provide care for people with different types of diabetes? (
  • Telehealth or telemedicine refers to any health care that's provided remotely via telecommunications technology. (
  • Diabetes is one of the best-suited conditions for telehealth, and telehealth can be used to provide care for any type of diabetes. (
  • Diabetes management depends on patient-generated data and the health-coaching relationships between patients and their health care professionals, and both of those things can be easily incorporated into a telehealth visit. (
  • Q: What kinds of diabetes care can be delivered via telehealth? (
  • Telehealth can be used to deliver many kinds of diabetes care, beyond interpreting data and adjusting medicines. (
  • Q: How has the use of telehealth to deliver diabetes care shifted during the COVID-19 pandemic? (
  • Q: During the pandemic, have some groups of patients been more likely than others to use telehealth? (
  • The aim of the Telehealth for Emergency-Community Continuity of Care Connectivity via Home Telemonitoring (TEC4Home) study is to generate evidence through a programmatic evaluation and a clinical trial to determine how home telemonitoring may improve care and increase patient safety during the transition of care and determine how it is best implemented to support patients with heart failure within this context. (
  • Various health conditions in OUTPATIENT CARE settings for which adequate management, treatment and interventions delivered in the ambulatory care setting could potentially prevent HOSPITALIZATION. (
  • The purpose of this Funding Opportunity Announcement (FOA) is to support investigative research projects that examine the epidemiology of patient safety in ambulatory care settings and long term care facilities, gather evidence about strategies that can improve safety in these settings, and develop evidence-based tools to facilitate implementation of these strategies. (
  • The Clinical Trials Support Unit is available to all members of the Dan L Duncan Comprehensive Cancer Center at Baylor College of Medicine affiliated hospitals and ambulatory care centers. (
  • American Society of Health-System Pharmacists ASHP guidelines: minimum standard for pharmaceutical services in ambulatory care. (
  • Clinicians should consider incorporating patients' preference for continuity into their office scheduling procedures. (
  • This workshop will include representatives from the engineering/robotics community, clinicians, critical care workers, public health and safety experts, and emergency responders. (
  • Although electronic home monitoring using sensors that can send data to clinicians is identified in the literature as a useful way to support seniors at home, a key limitation is the absence of evidence on supporting the transition from acute care (hospital) to community (home) settings. (
  • Treatment decisions were challenging, and patients experienced uncertainty among clinicians about optimal therapies. (
  • Continuity of care prior to diagnosis was related to receiving mammography. (
  • Some patients received an initial diagnosis of cancer, causing significant distress. (
  • Individuals should consult a qualified health care provider for professional medical advice, diagnosis, and treatment of a medical or health condition. (
  • If the patient has a relapse, find out what happened (make a diagnosis) in order to formulate a new treatment plan. (
  • They can choose to spend one continuity clinic session per month at a specialty clinic, if that falls under their interests, or spend additional clinical time on specialty clinics if their schedule allows. (
  • Alice Bonner, formerly of the Massachusetts Department of Health (now Centers for Medicare & Medicaid Services), Craig Schneider of the Massachusetts Health Data Consortium, and Joel S. Weissman of Harvard Medical School address the importance of team-based care in the context of care transitions. (
  • From 1993 through 1995, the Hospital Infections Program, Centers for Disease Control and Prevention (CDC), investigated three outbreaks of bloodstream infections (BSI) in patients receiving infusion therapy in their homes. (
  • NewYork-Presbyterian's 6,144 affiliated physicians and 19,376 staff provide state-of-the-art inpatient, ambulatory and preventive care in all areas of medicine at five major centers: NewYork-Presbyterian Hospital/Weill Cornell Medical Center, NewYork-Presbyterian Hospital/Columbia University Medical Center, NewYork-Presbyterian/Morgan Stanley Children's Hospital, NewYork-Presbyterian/The Allen Hospital and NewYork-Presbyterian Hospital/Westchester Division. (
  • Appreciate the health professionals in cancer centers and in both inpatient and outpatient facilities caring for cancer patients with this virus. (
  • How Can We Schedule More 'Good' Appointments for Doctors and Patients? (
  • Since GPs now have rapid access to re-registered suspended records, they no longer need to spend time conducting self-reporting medical history appointments, where new patients walk them through their care and health histories. (
  • By reducing the need for those appointments, the service has helped save around 57,000 GP hours across England, and enabled GPs to start delivering precise, informed patient care to them almost immediately. (
  • Warning signs for physicians that a patient has relapsed include missing appointments or attending AA meetings less frequently. (
  • Among these elderly patients, a total of 40% received assistance at home prior to hospitalization and 52% after discharge. (
  • A total of 86% received written discharge information, one third felt insecure after hospitalization and lacked knowledge of which health care provider to consult with and contact in the event of deterioration or complications. (
  • even though most patients received written information at discharge, one third of the patients lacked knowledge about which health care provider to contact in the event of deterioration and felt insecure at home after discharge. (
  • 16. The discharge and care of the pediatric oncology patient. (
  • Our objective was to compare the effect of two interventions on primary care follow-up after ED treatment for asthma exacerbations.We performed a randomized controlled trial of patients 2 to 54 years old who were judged safe for discharge receiving prednisone, and who were available for contact at 2 days and 30 days. (
  • Upon discharge, the transition from the emergency department to home can be a vulnerable time for recovering patients with disruptions in the continuity of care. (
  • Our aim was to quantify wait times to primary and rheumatology care for patients with rheumatic diseases. (
  • The role of a pharmacist can vary greatly among different practice settings, but ultimately pharmacists play an important role in providing and supporting pharmaceutical care for patients with rheumatic diseases. (
  • Patients value the relationship with their physician, their physician's knowledge about them, and the ability to communicate their concerns. (
  • 95% confidence interval, 1.5 to 5.1) when adjusted for other factors influencing follow-up (prior primary care relationship, insurance status). (
  • relationship problems, caring for children, employment and financial difficulties. (
  • We conducted a retrospective cohort study on patients with dyslipidemia by employing the Korea National Health Insurance claims database during the period 2007-2018. (
  • RESULTS: A total of 121 patients were included in the study, mean age 82.5 (±6.8) and 49% were women. (
  • This study, carried out among patients with T2D, examined in three age-groups (27-54, 55-64 and 65-75 years) whether person-centred care and diabetes-related social support, including community support and possibilities to influence community health issues, are associated with patient empowerment, when considering possible confounding factors, such as other quality of care indicators and psychosocial wellbeing. (
  • In 1999, the Institute of Medicine (IOM) published a landmark study, "To Err is Human," which highlighted the magnitude of safety problems in health care. (
  • To better define the epidemiology of BSIs in the home-care setting, in 1995 the Hospital Infections Program conducted a prospective multicenter study of home infusion therapy patients. (
  • Study 1 is a feasibility study with 90 patients recruited from 2 emergency department sites to test implementation and evaluation procedures. (
  • Study 2 is a cluster randomized controlled trial that will include 30 emergency department sites and 900 patients across British Columbia. (
  • Study 3 will run concurrently to study 2 and test the effectiveness of predictive analytic software to detect patient deterioration sooner. (
  • Objects This study aims to systematically evaluate the effectiveness of nurse-led cares on cardiovascular risk factors among individuals with type 2 diabetes mellitus. (
  • This study aimed to examine the specific health-related quality of life challenges faced by DF patients, current experiences and expectations of care. (
  • This study has provided some interesting results related to which handover elements prehospital care providers consider as most important to include in handover. (
  • HIT interventions addressed several recurring themes in this review: establishing continuity of care, addressing time constraints, and bridging geographical barriers. (
  • Recognising the relative paucity of, and methodological issues in gathering evidence from these settings, the evidence scanning described in this paper considered which patient safety interventions might offer the 'better bet', e.g., the most effective and appropriate intervention in FCV settings.MethodsAn evidence scanning approach was used to examine the literature. (
  • Randomized controlled trial of emergency department interventions to improve primary care follow-up for patients with acute asthma. (
  • This article reviews the existing medical literature regarding patients' perceptions of interpersonal continuity of care to determine which patients value interpersonal continuity and in what context. (
  • This continuity of African context. (
  • Continuity and utilization of health and community care in elderly patients with heart failure before and after hospitalization. (
  • The aim was to describe health and community care utilization prior to and 30 days after hospitalization, and the continuity of care in patients hospitalized due to de novo or deteriorated HF from the patients' perspective and from a medical chart review. (
  • Health care utilization increased significantly after hospitalization. (
  • and National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)-convened representatives from multiple NIH Institutes and Center Operations, the research community, small business, the technology development field, and several community partners to share perspectives on essential technologies for all aspects of clinical care related to the health of Pregnant and Postpartum Women and People (PPWP), particularly those from underserved populations. (
  • Diagnostic delay resulted from lack of recognition by patients and healthcare professionals. (
  • All patients requested knowledgeable healthcare professionals, more information, continuity of care and peer support. (
  • Ranked nationally in pediatric care. (
  • We are dedicated to caring for children, allowing us to uniquely shape the landscape of pediatric care in Arkansas. (
  • HIT used in pediatric care involving caregivers has been implemented differently in a range of disease settings, with varying needs influencing the function, form and synchronicity of information transfer. (
  • Trust in one's primary care physician was related to earlier detection among both the entire sample of patients with colon and breast cancer and among a subsample of women with breast cancer. (
  • Continuity of care is not related to earlier detection of cancer, while trust with a regular physician was associated with earlier detection of cancer. (
  • She highlights changes in medicine brought about by the digital age and changes in the patient-physician compact that give more authority to the patient. (
  • Arkansas Children's offers comprehensive care to patients through a physician referral. (
  • As I've described before, our residents rotate through these cycles in teams, what we call "pods", such that there is an A resident, a B resident, a C resident, and a D resident, each taking sequential 2-week blocks of time at our practice dedicated to outpatient care. (
  • Since the Institute of Medicine (IOM) report To Err Is Human ( 1999 ) was published, the healthcare industry has learned a great deal about teamwork and improvement, but few in health care methodically combine the two in order to reap their full potential. (
  • Founded in 2004 by Kevin Pho, MD , is the web's leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories. (
  • Results - Among 2430 referrals from 168 family physicians, 2015 patients (82.9%) were seen by 146 rheumatologists within 1 year of referral. (
  • Preparing for the next crisis will necessarily require planning and creation (in advance) of partnerships between public agencies (e.g., local and state health departments), hospitals and personal care physicians (which are often privately owned and operated), public safety and transportation agencies, and private industry. (
  • Pharmacists that work in hospitals can play a role in clarifying orders that are written for a patient, verifying medication orders, preparing and dispensing medications, working with the physicians and nurses providing direct patient care, and may even participate on rounds with physicians to provide suggestions on how to treat a patient. (
  • The most common mistake physicians make is assuming too soon that the patient is stable. (
  • The lack of standardization and integration into the health care delivery system has led to stakeholder burden and barriers to patient access to drugs with REMS. (
  • The transition from hospital to home is often problematic due to insufficient coordination of care, leading to a fragmentation of care rather than a seamless continuum of care. (
  • This initiative is designed to create and maintain the highest quality and most seamless user experience for both patients and providers, helping facilitate coordination across the continuum of care," adds Ms. Boyer. (
  • It stresses interdependence, efficient care coordination, and a culture that encourages parity among all team members ( IOM, 2001 , 2007 ). (
  • Preventive care (e.g., for this visit? (
  • Over the past 2 decades, the delivery of health care in the United States has shifted increasingly from hospitals to patients' homes ( 1 - 3 ). (
  • Home care is often provided by family members who have little or no formal health-care training, which may place patients at increased risk of health-care-associated infections not typically seen in hospitals. (
  • This review provided a comprehensive assessment of the impact of nurse-led care in patients with type 2 diabetes. (
  • We're focused on improving child health through exceptional patient care, groundbreaking research, continuing education, and outreach and prevention. (
  • Find resources to have an exceptional patient or visitor experience. (
  • Future research should continue to explore the importance of interpersonal continuity to patients. (
  • Columbia University Medical Center provides international leadership in basic, pre-clinical and clinical research, in medical and health sciences education, and in patient care. (
  • One of the most comprehensive health care institutions in the world, the Hospital is committed to excellence in patient care, research, education and community service. (
  • For routine care, this should be an appointment with their primary care doctor or a member of their care team that knows them, at a time that is convenient to the patient. (
  • or a prior scheduled appointment (group C). Follow-up with a primary care provider for asthma within 30 days was the main outcome. (
  • To assess the full care pathway, we identified dates of symptom onset, presentation in primary care and referral from electronic medical records. (
  • The purpose of this report was to assess and document continuity of sexual and reproductive health services with a focus on safe abortion, post abortion care and family planning services during the COVID -19 pandemic in selected countries of the World Health Organization Africa Region. (
  • It now becomes essential to ensure patients schedule and complete delayed visits, tests, procedures, surgeries, and feel comfortable returning for emergency visits. (
  • When a continuity index is high for a patient, when they primarily see their primary care provider for almost all of their visits, care tends to improve, things don't get duplicated, and a better bond begins to develop between the patient and their doctor, with higher levels of trust and compliance and so many other tangible and intangible factors. (
  • Emergency department (ED) visits for asthma are frequent and may indicate increased morbidity and poor primary care access. (
  • Continuity of care was not, however, significantly related to earlier detection. (
  • Chronic diseases, of which heart failure is a prototypical example, increase significantly with age, resulting in poorer quality of life and increased health care costs for seniors. (
  • Our ERs are staffed 24/7 with doctors, nurses and staff who know kids best - all trained to deliver right-sized care for your child in a safe environment. (
  • Understand how our customized Customer Care Services can impact your patients' experiences. (
  • 2. [Improving surgical services for cancer patients]. (
  • Comprehensive care services are needed. (
  • While health systems around the world are being challenged by increasing demand for care of COVID-19 patients, it is critical to all other services including sexual reproductive health services. (
  • We determined the duration of each phase of the care pathway (symptom onset to primary care encounter, primary care encounter to referral, and referral to rheumatologist consultation) and compared them with established benchmarks. (
  • How in the somewhat chaotic system we have can we figure out a better way to make sure everyone gets the care they need, the right care, at the right time? (
  • And for an annual physical, well, this should be with their primary care doctor, the person who knows their healthcare situation the best, who won't need to re-create the wheel every time they are seen. (
  • With more time for GPs and practice staff to focus on care delivery, the new suspended record continuity service is helping to improve experiences for patients across England, and driving NHS England towards its overarching goal of building an NHS that's fit for the future. (
  • Desmoid fibromatosis through the patients' eyes: time to change the focus and organisation of care? (
  • Prior to recovery, patients spent a great deal of time drinking or recovering from drinking. (
  • Upon abstinence, patients will have more free time. (
  • Patients should have a list of phone numbers of people they can call when they are having a difficult time coping. (
  • Patients should spend time thinking about circumstances during which they feel at highest risk for relapse. (
  • Frequent follow-up is essential to support the patient in recovery. (
  • One of these documents, titled Crossing the Quality Chasm: A New Health System for the 21st Century, posits that redesign of the health care process by administrators, health professionals, and patients is needed. (
  • Knowledge gained from these projects will support the development of strategies and tools to deliver quality care that is safe in the ambulatory and long term care settings. (
  • Remote monitoring of heart failure patients using home telemonitoring, coupled with clear communication protocols between health care professionals, can be effective in increasing the safety and quality of care for seniors with heart failure discharged from the emergency department. (
  • Development and implementation of a shared patient data base. (
  • Routine linkage of electronic medical records with administrative data may help fill important gaps in knowledge about waits to primary and specialty care. (
  • Regardless of the diagnoses written in 5a, does the patient related to this visit including chronic conditions. (
  • Baseline demographics, chronic asthma severity, and access to care were similar across groups. (
  • Seniors with chronic diseases such as heart failure have complex care needs. (
  • But it will take a shift in medical care strategy to realize gains across the Medicare patient population. (
  • Pediatric patients with health conditions requiring follow-up typically depend on a caregiver to mediate at least part of the necessary two-way communication with health care providers on their behalf. (
  • High-acuity patients are typically transported directly to the emergency centre via ambulance by Handover trained prehospital care providers. (
  • Up to 60 percent of MMM is preventable (both through proper screening and diagnoses and by improving care across the life course). (
  • Interpersonal continuity of care is important to a majority of patients, particularly those from vulnerable groups. (
  • BackgroundThe number of people living in fragile, conflict-affected, and vulnerable (FCV) settings is growing rapidly and attention to achieving universal health coverage must be accompanied by sufficient focus on the safety of care for universal access to be meaningful. (
  • CONCLUSION: Most patients had not visited any health care facility within 30 days before hospitalization. (
  • Our flu resources and education information help parents and families provide effective care at home. (
  • Reach out to your existing security firm and ask them to provide a service continuity plan or agreement," Michael suggested. (
  • In this setting, a pharmacist may see patients in the office for educational counseling sessions about new medications, talking with the patient about specific drug-related questions, or working with the providers to provide drug information about different medication therapies their patients may be using. (
  • While there is some evidence about the effectiveness of home telemonitoring for some patients and conditions, the TEC4Home project will be one of the first protocols that implements and evaluates the technology for patients with heart failure as they transition from the emergency department to home care. (
  • 9. [The work of the senior nurse in a department for patients with pulmonary tuberculosis and diabetes mellitus]. (
  • After partnering with Thoughtworks to optimize its GP2GP transfer service, NHS Digital (now part of NHS England) began exploring opportunities to digitize and improve speed and efficiency for suspended patient re-registrations. (
  • Conclusion Nurse-led care is an effective and accessible intervention that could improve HbA1c, SBP, BMI levels among individuals with T2DM. (
  • Increasing awareness may help to improve diagnostic pathways and overall patient experience. (
  • The recent coronavirus pandemic has highlighted the challenges faced by the healthcare, public safety, and economic systems when confronted with a surge in patients that require intensive treatment and a population that must be quarantined or shelter in place. (
  • Fred Pelzman of Weill Cornell Internal Medicine Associates and weekly blogger for MedPage Today, follows what's going on in the world of primary care medicine from the perspective of his own practice. (
  • Targeted efforts are needed to promote more timely access to both primary and rheumatology care. (
  • Primary care follow-up was higher in group C (65%) vs group A (42%) or group B (48%) [p = 0.002]. (
  • The most obvious and pressing challenge is taking care of acutely ill patients while managing spread of infection within the care facility, but this is just the tip of the iceberg if we consider what could be done to prepare in advance for future pandemics. (
  • Use of a medical device is the greatest predictor (exogenous) of health-care-associated infection. (
  • This scoping review was designed to map the health literature about HIT used to facilitate communication involving health care providers and caregivers (who are usually family members) of pediatric patients with health conditions requiring follow-up. (
  • Health care providers operated in hospital settings in 96 (92%) of the studies. (
  • Patients love seeing a provider they know, and providers love taking care of patients they know. (
  • When a patient has a low continuity index, and they see lots of different providers, we often find that there is miscommunication, over-ordering, over-testing, and over-referring. (
  • In the community pharmacy, such as an independent or chain drug store, a pharmacist is primarily responsible for counseling patients on new medications , properly filling a medication order that comes from a prescriber, and being available for questions that may arise from other health care providers or patients. (
  • Emergency centre hospital care providers. (
  • Known potential prehospital care providers. (
  • In particular, are there medical consequences when those whom desire continuity do not receive it? (
  • Joyce Lammert of the Virginia Mason Medical Center (VMMC) explores team-based learning and care through the experiences of VMMC. (
  • Nearly eight million people in the United States received medical care at home in 1996 ( 4 ) , and an estimated 774,113 (10%) of these patients had at least one indwelling medical device ( 5 ) . (
  • Handover is a patient-centred process that presents adequate and contextually relevant patient-specific information from one medical professional to another. (
  • With around the clock support, you can rest easy knowing that a qualified Health Care Provider is just a phone call away. (
  • Health information technology (HIT) and its subset, information communication technology (ICT), are increasingly being applied to facilitate communication between health care provider and caregiver in these situations. (
  • Recovery means that patients can handle the stresses of everyday life without alcohol. (
  • The epidemiology of health-care-associated infections in home-care settings has not been defined, but infections certainly occur. (
  • Our holistic approach towards care includes direct consultations and informed referrals to specialists across the care spectrum, including Food and Nutrition, Behavioral Health, Aging, Sleep, Weight Management, and many more. (
  • Mercer performed the analysis, with results published in a white paper, " Integrated Patient-Centered Care Management in the Medicare Supplement Population ," available on the consulting firm's website. (