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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: 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: 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: 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:
Publisher:
ISBN:
Category : Ambulatory medical care
Languages : en
Pages : 284
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Book Description
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: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309262054
Category : Medical
Languages : en
Pages : 159
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Book Description
In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.
Author: Andrew Blythe
Publisher: John Wiley & Sons
ISBN: 1118867602
Category : Medical
Languages : en
Pages : 400
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Book Description
Essential Primary Care aims to provide undergraduate students with a comprehensive overview of the clinical problems encountered in primary care. It covers the structure of primary care in the UK, disease prevention and the management of common and important clinical presentations from infancy to old age. Case studies are used in every chapter to illustrate key learning points. The book provides practical advice on how to consult with patients, make sense of their symptoms, explain things to them, and manage their problems. Essential Primary Care: • Is structured in five sections: - The building blocks of primary care: its structure and connection with secondary care, the consultation, the process of making a diagnosis, prescribing, and ethical issues - Health promotion - Common and important presenting problems in roughly chronological order - Cancer - Death and palliative care • Gives advice on how to phrase questions when consulting with patients and how to present information to patients • Provides advice on how management extends to prescribing - often missing from current textbooks • Contains case studies within each chapter which reflect the variety of primary care and provide top tips and advice for consulting with patients • Supported by a companion website at www.wileyessential.com/primarycare featuring MCQs, EMQs, cases and OSCE checklists
Author: OECD
Publisher: OECD Publishing
ISBN: 9264122311
Category :
Languages : en
Pages : 226
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Book Description
This book examines how payment systems, innovation policies and human resource policies need to be modernised so that OECD health systems will continue to generate improved health outcomes in the future at a sustainable cost.
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.
