Assessing a care programme for complex and advanced chronic patients: Use of resources and costs

2021 ◽  
Author(s):  
E. Serratusell ◽  
G. Moragues ◽  
A. Miguélez ◽  
F. Alberti
Keyword(s):  
Chronic Patients ◽  
Care Programme ◽  
Use Of Resources

Healthcare staff perceptions of integrated care in a programme for complex chronic patients admitted to hospital because of heart failure (ProMIC)

2019 ◽  
Vol 22 (2) ◽  
pp. 81-89 ◽  
Author(s):  
Cristina Domingo ◽  
Iratxe Regidor ◽  
Edurne Alonso ◽  
Ariadna Besga ◽  
Domingo Orozco ◽  
...  
Keyword(s):  
Heart Failure ◽  
Integrated Care ◽  
Large Scale ◽  
Care Needs ◽  
Chronic Patients ◽  
Care Programme ◽  
Patients With Heart Failure ◽  
Care Approach ◽  
Study Participants ◽  
Complex Care Needs

Introduction Patients with heart failure are usually a frail population characterised by complex care needs. To ensure an integrated care approach, it is necessary to work collaboratively across organisational boundaries. The purpose of this study is to measure and understand the perception of collaboration between clinicians participating in a comprehensive care programme for patients with heart failure, known as PROMIC. Methods A sequential mixed-method study design was used. A sample of PROMIC clinicians completed a survey in which they evaluated 10 dimensions of collaboration in 2010 and in 2014. The perspectives of clinicians were studied more in depth in a focus group in 2012, which was analysed using content analysis. Outcomes: Professionals’ perception of collaboration showed an improvement by 1.18 points (53%) over the period 2010–14. The comprehensive programme proved to be of major support to the professionals. Sometimes, the study participants did not feel prepared to manage cases due to the complexity of the situations with regard to patients’ care. Both, the quantitative and the qualitative methods, showed up a congruent information about the positive perception of participants of the programme itself and the collaboration. Discussion The complexity of care processes and the need for continuity of care mean that large-scale collaboration is necessary between care levels as well as major interdisciplinary teamwork, to achieve the best possible outcomes in terms of health. ProMIC intervention has helped to improve professionals’ perception in terms of collaboration between levels.

Evaluating mental health policy in England

1999 ◽  
Vol 175 (4) ◽  
pp. 327-330 ◽  
Author(s):  
Jonathan Bindman ◽  
Andrew Beck ◽  
Gyles Glover ◽  
Graham Thornicroft ◽  
Martin Knapp ◽  
...  
Keyword(s):  
Mental Health ◽  
Total Population ◽  
Mental Health Policy ◽  
Mental Health Provider ◽  
Practical Application ◽  
Care Programme ◽  
Aggregated Data ◽  
Use Of Resources ◽  
Health Authorities ◽  
To Receive

BackgroundThe Care Programme Approach (CPA) and supervision register policies in England are intended to prioritise patients to receive specialist mental health care.AimsTo describe and evaluate the practical application of the policies.MethodA questionnaire survey of key informants in mental health provider trusts and an analysis of aggregated data collected by health authorities using the Mental Illness Needs Index as a measure of population need.ResultsOn average, 1175 per 100 000 total population are subject to the CPA (95% Cl=1055–1309) and 8.6 per 100 000 (95% Cl=7.5–9.9) are on supervision registers. Wide local variations in the number of people subject to the CPA and supervision registers are not explained by variations in population need.ConclusionsPrioritisation to receive specialist mental health services is carried out inconsistently, and inequitable use of resources may result.

Mechanisms of Resource Curse and Economic Policy

2007 ◽  
pp. 4-27 ◽  
Author(s):  
V. Polterovich ◽  
V. Popov ◽  
A. Tonis
Keyword(s):  
Real Exchange Rates ◽  
Resource Curse ◽  
Budget Deficits ◽  
Resource Abundance ◽  
Fuel Prices ◽  
Use Of Resources ◽  
Resource Wealth ◽  
The One ◽  
The Right ◽  
Rich Countries

This paper compares various mechanisms of resource curse leading to a potentially inefficient use of resources; it is demonstrated that each of these mechanisms is associated with market imperfections and can be "corrected" with appropriate government policies. Empirical evidence seems to suggest that resource abundant countries have on average lower budget deficits and inflation, and higher foreign exchange reserves. Besides, lower domestic fuel prices that are typical for resource rich countries have a positive effect on long-term growth even though they are associated with losses resulting from higher energy consumption. On top of that resource abundance allows to reduce income inequalities. So, on the one hand, resource wealth turns out to be conducive to growth, especially in countries with strong institutions. However, on the other hand, resource abundance leads to corruption of institutions and to overvalued real exchange rates. On balance, there is no solid evidence that resource abundant countries grow more slowly than the others, but there is evidence that they grow more slowly than could have grown with the right policies and institutions.

Pengembangan perangkat pembelajaran dengan menggunakan pendekatan keterampilan proses untuk meningkatkan hasil belajar mata pelajaran التربية الجسمية bagi siswa kelas XI IPA MAN I Kota Mojokerto

2017 ◽  
Vol 1 (1) ◽  
pp. 115
Author(s):  
Sudar Kajin
Keyword(s):  
Learning Outcomes ◽  
Learning Strategy ◽  
Bone Structure ◽  
The Body ◽  
Process Skills ◽  
Hormonal Changes ◽  
Learning Tools ◽  
Body Structure ◽  
Use Of Resources ◽  
The Look

Growth and development of the child have the nature of a thorough and intertwined relationships between components (health, nutrition, and environment). In general, child development can be grouped into three areas, namely cognitive, affective, and psychomotor, whereas biological growth which includes a change in the body structure. Body structure regarding the changes in bone structure, especially the long bones that have an impact on changes in body size, whereas changes in bodily functions is a result of hormonal changes that affect the physiological function .. The purpose of this development are: 1) Describe the product feasibility study التربية الجسمية for grade XI IPA at MAN I Mojokerto 2) Describe the development of learning tools using process skills can improve learning outcomes subjects التربية الجسمية class XI IPA at MAN I Mojokerto From the results of this development can be concluded: 1) results of expert validation and testing, the model approach process skills is fit for use for subjects of Physical Education, Sport and Health, because the products developed are not revised by experts but from the results of questionnaire of students stated that require revision are: (a) Improve the look model or change the learning strategy, and (b) improve the use of resources in implementing the model. 2) Product development learning tools using process skills can improve learning outcomes subjects التربية الجسمية class XI IPA at MAN I Mojokerto. From the class of the test increased learning completeness of Pre and Post Tests Tests are respectively 77.78% increase to 91.67%.

PERENCANAAN ARSITEKTUR ENTERPRISE MENGGUNAKAN EAP DENGAN ZACHMAN FRAMEWORK (Studi Kasus : CV BIENSI FESYENINDO)

2019 ◽  
Vol 2 (1) ◽  
pp. 1-16
Author(s):  
Anjas Tryana
Keyword(s):  
Enterprise Architecture ◽  
Business Processes ◽  
Current System ◽  
System Support ◽  
Architecture Model ◽  
Use Of Resources ◽  
Application Architecture ◽  
Data Architecture ◽  
Planning Methodology ◽  
Implementation Plans

With the development of technology today, it is very important for every company to plan and develop a system to support business processes in each company. Achieving the goals of an enterprise faces challenges and changes that require strategies for effective measures and efficient use of resources. One important and increasingly widely used strategy is the use and improvement of information system support for the enterprise. This plan can utilize enterprise architecture planning methodology that produces data architecture, application architecture, technology architecture, and the direction of its implementation plan for the enterprise.CV Biensi Fesyenindo is engaged in retail garment, with branches throughout Indonesia, covering the areas of Kalimantan, Sulawesai, NTB, NTT, Bali, Java and Sumatra. In their daily activities, they carry out production to distribution processes to meet market and employee needs.The enterprise architecture model used in this study is by using Enterprise Architecture Planning (EAP). EAP is a process of defining enterprise architecture that focuses on data architecture, applications and technology in supporting business and plans to implement the architecture, where the EAP method has several stages, starting from planning in planning, business modeling , Current System and Technology (Current System & Technology), Data Architecture (Data Architecture), Application Architecture (Applications Architecture), Technology Architecture (Technology Architecture), Implementation Plans (Implementation Plans).The results of this study are recommendations for information systems for Fesyenindo Biensi CV in the form of enterprise architecture planing blue print planning that is successful in defining 5 main business processes, which consist of application architecture data architecture and for technological architecture to produce technology architecture proposals divided into 5 chapters 110 pages .

Information Context of Culture in Focus of Professional Discussion

2019 ◽  
Vol 16 (6) ◽  
pp. 578-583
Author(s):  
Irina P. Tikunova
Keyword(s):  
Practical Experience ◽  
Information Services ◽  
Information Support ◽  
State Institute ◽  
Cultural Management ◽  
Russian Scientific ◽  
Use Of Resources ◽  
Russian State ◽  
State Library ◽  
Cultural Sector

The article presents an overview of the all-Russian scientific and practical conference (with international participation) “Information Context of Culture: Resources, Technologies, Service” (the 11th conference of heads and specialists of information services for culture and art). The conference, orga­nized by the Russian State Library, the Russian State Library of Arts, and the St. Petersburg State Institute of Culture, on the instructions of the Ministry of Culture of the Russian Federation, was held in Moscow on September 24—25, 2019. Its purpose was to summarize the results of scientific research and practical experience on the issues of information support of the cultural sector in the digital age, to identify some problems and find ways to overcome them, and to demonstrate the best achievements in this field. The conference was attended by more than 90 representatives of cultural management bodies, federal, regional and municipal libraries, universities, training centers and other organizations of culture, science, education and mass media from 22 regions of Russia, as well as heads and specialists of national libraries of Armenia, Belarus and Kazakhstan (via video link). Thanks to the online broadcast, the total audience of the event increased by almost 200 people. The conference participants noted the importance of scientific and information activities in the cultural sector both for society in general and for the sector’s development in particular. In order to improve this work, the conference participants recommended to promote its digitalization, which is aimed at creating public resources for culture and art and organizing information services in the 7/24 mode via the Internet, including on mobile devices; to intensify the mutual use of resources through participation in joint projects; and to strictly observe copyright when creating information resources and methodological materials.

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