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Author: Nigel Starey
Publisher: Radcliffe Publishing
ISBN: 9781857755695
Category : Medical
Languages : en
Pages : 252
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Book Description
A comprehensive analysis of primary care in the UK today, this text is an introduction suitable for everyone starting work in primary care. It outlines the roles, responsibilites and relationships of those involved in primary care so that they can understand their working environment.
Author: Nigel Starey
Publisher: Radcliffe Publishing
ISBN: 9781857755695
Category : Medical
Languages : en
Pages : 252
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Book Description
A comprehensive analysis of primary care in the UK today, this text is an introduction suitable for everyone starting work in primary care. It outlines the roles, responsibilites and relationships of those involved in primary care so that they can understand their working environment.
Author: Lucia Siegel Sommers
Publisher: Springer Science & Business Media
ISBN: 1461468124
Category : Medical
Languages : en
Pages : 311
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Book Description
The Power of Colleagues What happens when primary care clinicians meet together on set aside time in their practice settings to talk about their own patients? .....Complimenting quality metrics or performance measures through discussing the actual stories of individual patients and their clinician-patient relationships In these settings, how can clinicians pool their collective experience and apply that to ‘the evidence’ for an individual patient? .....Especially for patients who do not fit the standard protocols and have vague and worrisome symptoms, poor response to treatment, unpredictable disease courses, and/or compromised abilities for shared decision making What follows when discussion about individual patients reveals system-wide service gaps and coordination limitations? .....Particularly for patients with complex clinical problems that fall outside performance monitors and quality screens How can collaborative engagement of case-based uncertainties with one’s colleagues help combat the loneliness and helplessness that PCPs can experience, no matter what model or setting in which they practice? .....And where they are expected to practice coordinated, evidence-based, EMR-directed care These questions inspired Lucia Sommers and John Launer and their international contributors to explore the power of colleagues in “Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement” and offer antidotes to sub-optimal care that can result when clinicians go it alone. From the Foreword: “Lucia Sommers and John Launer, with the accompanying input of their contributing authors, have done a deeply insightful and close-to-exhaustive job of defining clinical uncertainty. They identify its origins, components and subtypes; demonstrate the ways in which and the extent to which it is intrinsic to medicine...and they present a cogent case for its special relationship to primary care practice...‘Clinical Uncertainty in Primary Care’ not only presents a model of collegial collaboration and support, it also implicitly legitimates it.’’ Renee Fox, Annenberg Professor Emerita of the Social Sciences, University of Pennsylvania.
Author: Brendan Drumm
Publisher: Orpen Press
ISBN: 1871305357
Category : Social Science
Languages : en
Pages : 233
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Book Description
The Challenge of Change is a fascinating behind-the-scenes account of a major transition period in Ireland's health system. Brendan Drumm records his experiences as chief executive of the Health Service Executive (2005–2010) and recounts his vision for Ireland's health service. While acknowledging the problems with and criticisms of the HSE, Drumm's vision has been and still is one of reform. The Challenge of Change: Discusses how the foundations for an integrated healthcare system were laid in Drumm's five years in the HSE.Highlights the obstacles to an integrated healthcare system and healthcare reform in Ireland, including the political and public service system, and the challenge of bringing doctors, nurses and other clinicians along with change.Discusses all the major issues that Drumm dealt with in his role and that the HSE is still dealing with, including the National Children's Hospital, developing primary care teams, the new consultants' contract and major adverse events.Gives an insider's view on the challenges to reform in a public sector context, which feeds into the wider problem of consensus in Ireland's governance structures – in anything from the banks to the political system. "He provides a rare insight into the machinations of health services delivery often threading a fine balancing act between political masters, the aspirations of a general public with parochial interests, and an unyielding bureaucracy long accustomed to doing things its own way." Tom Brett, Director of General Practice and Primary Health Care Research, School of Medicine, The University of Notre Dame, Australia, British Journal of General Practice, July 2012
Author: Barbara Starfield
Publisher:
ISBN: 9780195125436
Category : Medical
Languages : en
Pages : 454
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Book Description
Primary Care now highlights two additional areas compared to the previous edition, equity in health services and health, and the overlap between clinical medicine and public health. It provides a basis for future directions in health policy.
Author: Nairah Rasul
Publisher: John Wiley & Sons
ISBN: 1405180366
Category : Medical
Languages : en
Pages : 196
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Book Description
Formulating a diagnosis purely on the basis of clinical judgement can be fraught with difficulty and danger, yet this is the challenge faced every day by Primary Care physicians, who rarely have access to the diagnostic tools available to hospital-based colleagues. Differential Diagnosis in Primary Care has been specifically written with the needs of the Primary Care physician in mind. It examines the potential causes of common presentations and aims to help the physician differentiate between diseases, using history and examination alone. Diseases are listed in descending order of prevalence, with the commonest causes first, while high-risk conditions are highlighted to ensure they are not overlooked. Its unique tabulated format ensures key information is easily accessible, and the user-friendly format ensures the book can be used during consultations, home visits, and on ward rounds. Whether used by the undergraduate, postgraduate trainee or the experienced Primary Care physician, Differential Diagnosis in Primary Care is an invaluable tool designed to improve the reader's ability to diagnose on the basis of clinical judgement alone.
Author: Geoff Meads
Publisher: CRC Press
ISBN: 1315358239
Category : Medical
Languages : en
Pages : 196
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Book Description
Quality is at the heart of the government's strategy for NHS development, and which is to be delivered through clinical governance. This book explores accreditation through practical case studies and research findings, and outlines how it can assure the quality of care. Systems of accreditation for measuring and improving quality are described, and show how they can be used easily and effectively to meet the challenges of the new NHS. It is clear, concise and relevant to all the current changes in healthcare provision. All those responsible for delivering a service based on clinical and cost effectiveness will find it essential reading. 'In the United Kingdom primary health care is based almost wholly on general practice. From April 1999 all general practices will belong to primary care groups. Questions of quality and accountability will be high on their agenda as part of the new arrangements for clinical governance. This book on accreditation in primary care is therefore most timely.' Sir Donald Irvine, President, General Medical Council, in the Introduction.
Author: Russell Viner
Publisher: John Wiley & Sons
ISBN: 1405171308
Category : Medical
Languages : en
Pages : 56
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Book Description
Adolescents undergo rapid physical, psychological and social developmental changes that result in management challenges, communication issues, patterns of disease and symptom presentations that are different from children or adults. This can be challenging for health professionals, who rarely have had specific training in dealing with the young people they meet in their clinical work. This ABC covers topics surrounding adolescent development, sexual behaviour and substance misuse, along with education and preventative strategies. It also features other adolescent health problems such as self-harm, eating disorders and psychosomatic presentations. This book is a valuable resource for all those who deal with adolescent patients in primary care, emergency departments, and hospital and outpatient settings.
Author: Alexander Blount
Publisher: Springer
ISBN: 3030176452
Category : Medical
Languages : en
Pages : 258
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Book Description
There have been great strides made in designing the administrative structures of patient-centered care, but it is still difficult to design truly patient-centered clinical routines that the entire healthcare team can enact. The kind of partnership, in which patients are fully part of the team that guides their own care, goes against so much of the training and socialization of health professionals and, for that matter, the expectations of many patients. This is particularly true for patients we sometimes call “complex.” In other contexts, we call them “high utilizers,” “disadvantaged,” “heartsink patients,” or “people with trauma histories.” Blount calls them “multiply-disadvantaged” patients. To successfully serve these patients requires our best versions of team-based care, including behavioral health and care management team members, though every member of the team needs help in engaging these patients and mutual support in adapting to the rapid changes in roles that new team approaches are creating. This book offers a summary of the approaches that are currently in growing use, such as health literacy assessment, motivational interviewing, appreciative inquiry, shared decision making, minimally disruptive care, trauma informed care, enfranchisement coaching, relationship-centered care, and family-informed care. Finally, it offers a transformative method, based on familiar elements, that is Transparent, Empowering, Activating, and Mutual: the T.E.A.M. Way.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher:
ISBN: 9780309685108
Category :
Languages : en
Pages : 448
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Book Description
High-quality primary care is the foundation of the health care system. It provides continuous, person-centered, relationship-based care that considers the needs and preferences of individuals, families, and communities. Without access to high-quality primary care, minor health problems can spiral into chronic disease, chronic disease management becomes difficult and uncoordinated, visits to emergency departments increase, preventive care lags, and health care spending soars to unsustainable levels. Unequal access to primary care remains a concern, and the COVID-19 pandemic amplified pervasive economic, mental health, and social health disparities that ubiquitous, high-quality primary care might have reduced. Primary care is the only health care component where an increased supply is associated with better population health and more equitable outcomes. For this reason, primary care is a common good, which makes the strength and quality of the country's primary care services a public concern. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care puts forth an evidence-based plan with actionable objectives and recommendations for implementing high-quality primary care in the United States. The implementation plan of this report balances national needs for scalable solutions while allowing for adaptations to meet local needs.
Author:
Publisher:
ISBN: 9780309444293
Category :
Languages : en
Pages : 8
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Book Description
The adoption of the Patient Protection and Affordable Care Act (ACA) 2010 was a turning point in the history of behavioral health for children and adolescents in the United States. The ACA requires most health insurance plans to conduct behavioral health assessments for children, as well as depression screening for adults. Looking ahead, however, questions have been raised about how to promote children's behavioral health, how to make use of innovations, and how to sustain funding over time. To respond to these questions, the Forum on Promoting Children's Cognitive, Affective, and Behavioral Health of the National Academies of Sciences, Engineering, and Medicine held a workshop in Washington, D.C., on April 1-2, 2015. The workshop focused on how recent reforms in health care provide new opportunities to promote children's cognitive, affective, and behavioral health. It also assessed behavioral health needs of all children, including those with special physical or behavioral health conditions, and programs that support families.This report summarizes the presentations and discussion of the workshop.
