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  • 1995
  • From 1986-1995, Reinhardt served three consecutive three-year terms as a Commissioner on the Physician Payment Review Commission (PPRC), established in 1986 by the Congress to advise it on issues related to the payment of physicians. (wikipedia.org)
  • The planning for the inaugural meeting took place via a series of meetings in David James' office in the Queen's Medical Centre during 1995 and early 1996. (wikipedia.org)
  • 2001
  • This document updates and replaces 2 previously published clinical guidelines from the American Academy of Pediatrics (AAP) on the diagnosis and treatment of attention-deficit/hyperactivity disorder (ADHD) in children: "Clinical Practice Guideline: Diagnosis and Evaluation of the Child With Attention-Deficit/Hyperactivity Disorder" (2000) 1 and "Clinical Practice Guideline: Treatment of the School-aged Child With Attention-Deficit/Hyperactivity Disorder" (2001). (aappublications.org)
  • A 2001 paper examining three of the original four hospitals with comparable "micro-cost" data determined that "the cost reductions primarily came from nursing intensive care unit, routine nursing, pharmacy, and catheter lab. (wikipedia.org)
  • From 1996 to 2001 he was the first Robert & Susan Carmel Professor in Algesiology, University of Medicine and Dentistry of New Jersey, Department of Oral Pathology, Biology & Diagnostic Science Department of Psychiatry. (wikipedia.org)
  • 1998
  • Another significant care standard is found in Medical Management of the Home Care Patient: Guidelines for Physicians , published by the American Medical Association (AMA) in 1998. (aafp.org)
  • Rifai completed a neuroscience research training fellowship at the University of Tennessee Health Science Center, College of Medicine in Memphis (1996-1998). (wikipedia.org)
  • 1994
  • From 1993 to 2000 held different management positions at Insalud (now-defunct Spanish national healthcare authority): Medical Director of Primary Care Team at Barajas (1991-1993), Assistant Medical Director of Primary Care of Madrid's Area 4 (1993-1994), Medical Director of the same regional area (1994-1996) and finally Medical Director of Primary Care for Madrid's Area 2 (1996-2000). (getbetterhealth.com)
  • With this background in 1994, a survey was undertaken of all Members and Fellows of the RCOG to explore the support for a new Society which would provide a forum where the above issues of relevance to obstetricians and related health professionals could be discussed. (wikipedia.org)
  • patient
  • We aimed to pioneer patient classification based on determinants of resource use relevant to specialist palliative care in Germany first, by calculating the patient-level cost of specialist palliative care from the hospital's perspective, based on the recorded resource use and, subsequently, by analysing influencing factors. (biomedcentral.com)
  • To accurately reflect personnel intensity of specialist palliative care, aside from administrative data, we recorded actual use of all involved health professionals' labour time at patient level. (biomedcentral.com)
  • This study is an important step towards patient classification in specialist palliative care in Germany as it provides a feasible patient-level costing method and identifies possible starting points for classification. (biomedcentral.com)
  • In Germany, currently no patient classification for palliative care is available beyond diagnosis related groups (DRG). (biomedcentral.com)
  • The patient must have a documented need for skilled nursing care or physical, occupational or speech therapy. (aafp.org)
  • Patient is under the care of a physician. (aafp.org)
  • Member of Patient Safety groups at Cochrane and Spanish Primary Care Association (Semfyc). (getbetterhealth.com)
  • Research suggests that board certified physicians provide better patient care. (getbetterhealth.com)
  • The clinic was changed during that time from a solely patient care clinic to encompass a center for clinical research. (wikipedia.org)
  • In 1996, while serving as chief resident at Bowman Gray, Ely and his colleagues published the findings of a study into the efficacy of a ventilator weaning protocol (called spontaneous breathing trials) in shortening the duration an ICU patient required assistance through mechanical ventilation as well as reducing complications and cost of care. (wikipedia.org)
  • clinical
  • The study population was selected based on their procedure ( International classification of diseases, 9th revision, clinical modification [ICD-9-CM] 3 code 39.95 -haemodialysis) and their diagnosis-related group (DRG-3 572 - admit for renal dialysis). (mja.com.au)
  • He is also involved in projects related to best practices in teaching, safety, clinical decision-making and Primary Care. (getbetterhealth.com)
  • Sign up for Insight Alerts highlighting editor-chosen studies with the greatest impact on clinical care. (aappublications.org)
  • In families with prior experience of type 1 diabetes in a first-degree relative, the clinical status of the child at diagnosis is less severe ( 8 , 13 , 21 ). (diabetesjournals.org)
  • He sometimes serves as a consultant to media, clinical, and judicial entities on a variety of topics related to behavioural sciences. (wikipedia.org)
  • A 2008 Cochrane review of CBT concluded, "CBT is more effective than usual care for reducing fatigue symptoms in adults with CFS, with 40% of participants assigned to CBT showing clinical response at post-treatment, in comparison with 26% assigned to usual care control. (wikipedia.org)
  • It seeks to: Disseminate knowledge Promote research and audit Encourage the interface with industry to promote technological advances Establish good quality training programmes Encourage development of clinical guidelines The ultimate objective is to encourage improved standards of pregnancy care. (wikipedia.org)
  • In the diagnosis manual DSM-5 alcohol abuse is combined with alcohol dependence to create one unified disorder, alcohol use disorder (AUD), that includes a graded clinical severity from moderate to severe with at least 2 criteria to make diagnoses. (wikipedia.org)
  • treatment
  • 3 Reducing medication out-of-pocket costs for patients with diabetes has had several positive effects across multiple studies, including improvements in medication initiation and adherence, lower treatment discontinuation rates, and decreased disease-related costs. (ajpb.com)
  • Specialist palliative care usually involves a multi-professional team, seeks to specify personal treatment goals and aims to improve the patients' functional abilities and quality of life. (biomedcentral.com)
  • In response to the article by Drake, Mueser, Clark and Wallach (1996) which states "Ten years ago the only treatment options available for people with co-occurring substance abuse and severe mental illness were parallel treatments in separate programs" (p.49), the record requires correction. (erols.com)
  • Dual diagnosis treatment interventions and "integrated" programs that truly adapted to the needs of severely mentally ill chemical abusers (MICA) began in 1984 (Gigliotti,1986, Sciacca 1987a,1987b) in a New York State outpatient psychiatric facility. (erols.com)
  • CQC proceeded to visit the dual diagnosis programs developed in 1984, and declared the treatment interventions, the training, and integrated programs to be positive solutions to the dilemmas (Gigliotti, 1986). (erols.com)
  • A reporter sat in on treatment groups, interviewed consumers and the director, and attended related training seminars. (erols.com)
  • Consumers participated in treatment groups without pressure to self disclose, and explored topics from their own perspectives. (erols.com)
  • For preschool-aged children (4-5 years of age) , the primary care clinician should prescribe evidence-based parent- and/or teacher-administered behavior therapy as the first line of treatment (quality of evidence A/strong recommendation) and may prescribe methylphenidate if the behavior interventions do not provide significant improvement and there is moderate-to-severe continuing disturbance in the child's function. (aappublications.org)
  • In areas where evidence-based behavioral treatments are not available, the clinician needs to weigh the risks of starting medication at an early age against the harm of delaying diagnosis and treatment (quality of evidence B/recommendation). (aappublications.org)
  • For elementary school-aged children (6-11 years of age) , the primary care clinician should prescribe US Food and Drug Administration-approved medications for ADHD (quality of evidence A/strong recommendation) and/or evidence-based parent- and/or teacher-administered behavior therapy as treatment for ADHD, preferably both (quality of evidence B/strong recommendation). (aappublications.org)
  • For adolescents (12-18 years of age) , the primary care clinician should prescribe Food and Drug Administration-approved medications for ADHD with the assent of the adolescent (quality of evidence A/strong recommendation) and may prescribe behavior therapy as treatment for ADHD (quality of evidence C/recommendation), preferably both. (aappublications.org)
  • Speaking to The New York Times about diseases including hepatitis C, he posited that the shame associated with diagnosis was also a major negative factor in treatment. (wikipedia.org)
  • He linked sociology, anthropology and psychology methods to help address issues in the diagnosis and treatment of various painful disorders affecting various organ systems. (wikipedia.org)
  • He initiated research projects related to social issues that affected the diagnosis and treatment of chronic pain. (wikipedia.org)
  • In one study, poor early management was reported to be a main risk factor for severe CFS (delayed diagnosis, poor response to analgesics, physiotherapy, or alternative medicine), with associated variables including a poor relationship with the GP before and after diagnosis, and the involvement of a psychiatrist in initial treatment. (wikipedia.org)
  • Treatment is recommended as soon as the diagnosis is made. (wikipedia.org)
  • chronic
  • Medical advances allow better management of chronic and incurable diseases, including pathologies related to HIV and AIDS. (aafp.org)
  • The primary care clinician should recognize ADHD as a chronic condition and, therefore, consider children and adolescents with ADHD as children and youth with special health care needs. (aappublications.org)
  • Management of children and youth with special health care needs should follow the principles of the chronic care model and the medical home (quality of evidence B/strong recommendation). (aappublications.org)
  • From 1983 to 1996 he was the Director of the Pain Research Unit Columbia University School of Public Health (Division of Sociomedical Sciences) He was responsible for developing research programs applying the social sciences to problems in chronic pain. (wikipedia.org)
  • The clinic is primarily designed to serve as a research facility while at the same time offering diagnosis and care for unusual chronic pain disorders. (wikipedia.org)
  • years
  • For a number of years, investigators have reported stress or trauma-related symptoms such as avoidant behaviors, intrusive thoughts, and heightened arousal in survivors of cancer. (wellspan.org)
  • In the last eleven years Dr. Minué has been involved in several projects related to education, investigation and consulting both at national and international level. (getbetterhealth.com)
  • The primary care clinician should initiate an evaluation for ADHD for any child 4 through 18 years of age who presents with academic or behavioral problems and symptoms of inattention, hyperactivity, or impulsivity (quality of evidence B/strong recommendation). (aappublications.org)
  • Play media Many people with Crohn's disease have symptoms for years before the diagnosis. (wikipedia.org)
  • patients
  • It classifies patients into nearly 300 pathology groups rather than the 14,000 of the International Classification of Diseases. (wikipedia.org)
  • These 165 patients represented 0.7% of inpatients, 8.8% of total inpatient costs and 31.6% of total inpatient episodes of care in the Top End region. (mja.com.au)
  • To facilitate adequate resource allocation in this setting, in Australia and in the UK important steps have been undertaken towards identifying drivers of palliative care resource use and classifying patients accordingly. (biomedcentral.com)
  • Guidelines in paediatric oncology encourage health care providers to share relevant information with young patients and parents to enable their active participation in decision making. (biomedcentral.com)
  • Seven patients (aged 8-17), 11 parents, and 18 survivors (aged 8-17 at diagnosis) participated. (biomedcentral.com)
  • Still, some variation in preferences was found, which faces health care providers with the task of balancing between the sometimes conflicting preferences of young cancer patients and their parents. (biomedcentral.com)
  • Patients and families are choosing the option of home care more frequently. (aafp.org)
  • These regulations require patients who receive home health care services to be under the care of a physician and to be homebound. (aafp.org)
  • Patients (or caregivers) often desire to avoid prolonged expensive care at the end of life. (aafp.org)
  • Patients choose to receive care in the home. (aafp.org)
  • Thus the occurrence of post-traumatic stress (PTS) with trauma-related symptoms in patients with cancer has been under increasing study, influenced by changes in the diagnostic criteria for PTSD in the DSM, fourth edition (DSM-IV). (wellspan.org)
  • One German study [ 15 ] that evaluated patients with breast cancer for PTSD and ASD concluded that patients with lifetime PTSD (8.7%) were much more likely to experience cancer-related ASD or PTSD (odds ratio, 14.1). (wellspan.org)
  • Primary care physicians share responsibility with specialists in managing the most common complications of the disease, screening for hepatocellular carcinoma, and preparing patients for referral to a transplant center. (aafp.org)
  • Patients with acute episodes of gastrointestinal bleeding should be monitored in an intensive care unit, and should have endoscopy performed within 24 hours. (aafp.org)
  • The costs of caring for patients are related to the intensity, scope, and sophistication of services, as well as on the length of stay (LOS). (aappublications.org)
  • Eventually 239 patients were randomly allocated to the programme, and 86 patients referred back to their doctor for usual care. (isrctn.com)
  • Ely's group has been studying the long term effects of mechanical ventilation and sedation on patients in intensive care units (ICU). (wikipedia.org)
  • The group also publishes a website in an attempt to educate potential patients, families, doctors and other healthcare professionals about the effects and causes of delirium and post-intensive care syndrome (PICS). (wikipedia.org)
  • 1987
  • The story (Gorman, 1987) was held due to an international crisis, and later published with a survey of national dual diagnosis statistics (Ridgely, Osher, & Talbott, 1987). (erols.com)
  • symptoms
  • 12 ] Thus, people with histories of cancer can now be evaluated and considered at risk for PTS and related symptoms. (wellspan.org)
  • Take "back pain" for example - should you see a primary care physician, an orthopedist, a neurosurgeon, an anesthesiologist, a rheumatologist, or a rehab specialist to evaluate your symptoms? (getbetterhealth.com)
  • Faculty
  • He obtained his M.D. with honors from University of Aleppo Faculty of Medicine in 1996 and received a Neuroscience National Research Service Award funded by the National Institute of Mental Health. (wikipedia.org)
  • Disorders
  • To The Editor, The opening article of the Journal's special section (Osher & Drake,1996) which traces the history of separating mental health and addictive services, is an important contribution to the literature on dual disorders. (erols.com)
  • Asbestos-related diseases are disorders of the lung and pleura caused by the inhalation of asbestos fibres. (wikipedia.org)
  • Asbestos-related diseases include non-malignant disorders such as asbestosis (pulmonary fibrosis due to asbestos), diffuse pleural thickening, pleural plaques, pleural effusion, rounded atelectasis and malignancies such as lung cancer and malignant mesothelioma. (wikipedia.org)
  • encompass
  • Benign asbestos-related pleural abnormalities encompass four types of pleural changes: Pleural plaques Diffuse pleural thickening Benign asbestos pleural effusions Rounded atelectasis (folded lung) The pleura appears to be more sensitive than the lung parenchyma to the effects of asbestos fibres. (wikipedia.org)
  • Physicians
  • Even if the new medical schools now in the planning stages all come to pass, they won't turn out enough primary care physicians to meet urgent needs in urban and rural communities. (getbetterhealth.com)
  • findings
  • In September, 1986, the New York State (NYS) Commission on Quality of Care (CQC) released the findings of eighteen months of research. (erols.com)
  • Diagnosis is based on a number of findings including biopsy and appearance of the bowel wall, medical imaging and description of the disease. (wikipedia.org)
  • For example, other therapies were used as attention placebo control groups, which limits confidence in the findings. (wikipedia.org)
  • Management
  • Enrollees were matched 1-to-1 using propensity scores to a comparison group in the same firm (~1800 enrollees per arm) with disease management but without the value-based pharmacy benefit. (ajpb.com)
  • They observed that the value-based program, when combined with concurrent disease management (DM), was associated with an increase in adherence to diabetes medical guidelines and a positive return on investment for diabetes-related spending. (ajpb.com)
  • Served as Director of Medical Care Management Department at EASP from February 2009 to May 2010. (getbetterhealth.com)
  • At Semfyc he is also member of the Knowledge Management group and coordinates Project ARA, focused on MD re-certification. (getbetterhealth.com)
  • In the early 1990s obstetricians were becoming less involved in the management of normal ('low risk') pregnancies where the majority, if not all, care was provided by midwives in the community. (wikipedia.org)
  • In contrast there were many developments in screening, diagnosis and management in problem ('at risk') pregnancies that obstetricians had to assimilate into their practice. (wikipedia.org)
  • coronary
  • The study published in The New England Journal of Medicine reported that "daily screening followed by spontaneous breathing trials in medical and coronary intensive care units reduced the duration of ventilation from a median of 6.0 to 4.5 [days]. (wikipedia.org)
  • pulmonary
  • He is conducting research as a geriatric intensivist in the Division of Pulmonary and Critical Care Medicine and the Center for Health Services Research at Vanderbilt University Medical Center. (wikipedia.org)
  • early
  • Since we are now in the early stages of the evolution of dual diagnosis services, however, I believe it is important to provide a more complete and detailed account of the previous initiatives in this field. (erols.com)
  • This has not been a consistent finding and it has been postulated that this might be related to undetected early fibrosis. (wikipedia.org)
  • Primary Care
  • Bouncing from specialist to specialist can be costly, so if you're not sure which kind of physician specializes in treating your disease or condition (or if you haven't been diagnosed yet), start with a primary care physician first. (getbetterhealth.com)
  • The primary care clinician should also rule out any alternative cause (quality of evidence B/strong recommendation). (aappublications.org)
  • The primary care clinician should titrate doses of medication for ADHD to achieve maximum benefit with minimum adverse effects (quality of evidence B/strong recommendation). (aappublications.org)
  • Treating alcohol abuse, screening for viral hepatitis, and controlling risk factors for nonalcoholic fatty liver disease are mechanisms by which the primary care physician can reduce the incidence of cirrhosis. (aafp.org)
  • needs
  • Recent changes in the organization, financing, and delivery of health services may have dramatic effects on children, especially those with special health care needs or in poverty. (aappublications.org)
  • adults
  • In this summary, unless otherwise stated, evidence and practice issues as they relate to adults are discussed. (wellspan.org)
  • The evidence and application to practice related to children may differ significantly from information related to adults. (wellspan.org)
  • costs
  • Mean costs of specialist palliative care per palliative care unit episode were 6542€ (median: 5789€, SE: 715€) and 823€ (median: 702€, SE: 31€) per consultation episode. (biomedcentral.com)
  • Bundled payments have been proposed in the health care reform debate in the United States as a strategy for reducing health care costs, especially during the Obama administration (2009-2016). (wikipedia.org)
  • diseases
  • Asbestos-related diseases can also occur as a result of non-occupational, environmental exposure. (wikipedia.org)
  • Thus asbestos-related pleural diseases can result from much lower doses than the fibrotic changes in the lung. (wikipedia.org)
  • Pleural plaques are evidence of past asbestos exposure and indicate an increased risk for the future development of other asbestos-related diseases. (wikipedia.org)
  • 1990
  • Ryan Wayne White (December 6, 1971 - April 8, 1990) was an American teenager from Kokomo, Indiana, who became a national poster child for HIV/AIDS in the United States after failing to be re-admitted to school following an AIDS diagnosis. (wikipedia.org)
  • time
  • The care must be part time (28 hours or less per week, eight hours or less per day) and occur at least every 60 days except in special cases. (aafp.org)
  • Depending on the definition of second-degree relatives and length of time from the diagnosis of the index case, 5-16% of children with type 1 diabetes have an affected second-degree relative ( 1 , 5 , 11 , 17 - 19 ). (diabetesjournals.org)
  • Among hemophiliacs treated with blood-clotting factors between 1979 and 1984, nearly 90% became infected with HIV and/or Hepatitis C. At the time of his diagnosis, his T-cell count had dropped to 25 (a healthy individual without HIV will have around 500-1200). (wikipedia.org)
  • study
  • The study tried to establish functioning groups as a source to achieve changes and as a start for individual targets. (isrctn.com)
  • In 2004, CHERUBS was represented at the International CDH Study Group of doctors. (wikipedia.org)
  • He founded and currently heads the ICU Delirium and Cognitive Impairment Study Group at Vanderbilt. (wikipedia.org)
  • The same year, Ely and his ICU Delirium Study Group developed CAM-ICU based on an earlier Confusion Assessment Method (CAM) developed by Sharon Inouye. (wikipedia.org)
  • The CSGs aim to set the national research agenda and to critically appraise and support research projects within the study group theme. (wikipedia.org)
  • risk
  • People who worked in jobs with high asbestos dust exposure are at the highest risk of developing asbestos-related disease. (wikipedia.org)
  • About half of the overall risk is related to genetics with more than 70 genes found to be involved. (wikipedia.org)
  • services
  • MICA programs and groups that grew out of this model continue to be an important nucleus of our present services in New York State and nationally. (erols.com)
  • In 1996, he was appointed to the Board of Health Care services of the Institute. (wikipedia.org)