scholarly journals Identifying variation in models of care for the genomic-based diagnosis of inherited retinal dystrophies in the United Kingdom

Eye ◽  
2016 ◽  
Vol 30 (7) ◽  
pp. 966-971 ◽  
Author(s):  
M Eden ◽  
K Payne ◽  
C Jones ◽  
S J Wright ◽  
G Hall ◽  
...  
Keyword(s):  
United Kingdom ◽  
Models Of Care ◽  
Inherited Retinal Dystrophies ◽  
The United Kingdom ◽  
Retinal Dystrophies

scholarly journals Proactive and Integrated Management and Empowerment in Parkinson’s Disease: Designing a New Model of Care

2020 ◽  
Vol 2020 ◽  
pp. 1-11 ◽  
Author(s):  
Emma Tenison ◽  
Agnes Smink ◽  
Sabi Redwood ◽  
Sirwan Darweesh ◽  
Hazel Cottle ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
United Kingdom ◽  
The Netherlands ◽  
Integrated Management ◽  
Models Of Care ◽  
Model Of Care ◽  
New Model ◽  
Positive Effects ◽  
The United Kingdom

Parkinson’s disease is the second most common neurodegenerative condition after Alzheimer’s disease. The number of patients will rise dramatically due to ageing of the population and possibly also due to environmental issues. It is widely recognised that the current models of care for people with Parkinson’s disease or a form of atypical parkinsonism lack continuity, are reactive to problems rather than proactive, and do not adequately support individuals to self-manage. Integrated models of care have been developed for other chronic conditions, with a range of positive effects. A multidisciplinary team of professionals in the United Kingdom and the Netherlands, all with a long history of caring for patients with movement disorders, used knowledge of deficiencies with the current model of care, an understanding of integrated care in chronic disease and the process of logic modelling, to develop a novel approach to the care of patients with Parkinson’s disease. We propose a new model, termed PRIME Parkinson (Proactive and Integrated Management and Empowerment in Parkinson’s Disease), which is designed to manage problems proactively, deliver integrated, multidisciplinary care, and empower patients and their carers. It has five main components: (1) personalised care management, (2) education and empowerment of patients and carers, (3) empowerment of healthcare professionals, (4) a population health approach, and (5) support of the previous four components by patient- and professional-friendly technology. Having mapped the processes required for the success of this initiative, there is now a requirement to assess its effect on health-related and quality of life outcomes as well as determining its cost-effectiveness. In the next phase of the project, we will implement PRIME Parkinson in selected areas of the United Kingdom and the Netherlands.

scholarly journals Rural Chronic Disease Research Patterns In The United Kingdom, United States, Canada, Australia And New Zealand: A Systematic Integrative Review

2020 ◽  
Author(s):  
Rebecca Disler ◽  
Kristen Glenister ◽  
Julian Wright
Keyword(s):  
United States ◽  
United Kingdom ◽  
New Zealand ◽  
Chronic Disease ◽  
Health Outcomes ◽  
Clinical Outcomes ◽  
Rural Areas ◽  
The United States ◽  
Models Of Care ◽  
The United Kingdom

Abstract Background People living in rural communities commonly experience significant health disadvantages. Geographical barriers and reduced specialist and generalist services impact access to care when compared with metropolitan context. Innovative models of care have been developed for people living with chronic diseases in rural areas with the goal of overcoming these inequities. This review aims to describe the state of knowledge regarding innovative models of care and clinical outcomes for people living with chronic disease in rural areas in developed countries where a metropolitan comparator is included. Methods An integrative systematic review was undertaken. P referred R eporting I tems for S ystematic Reviews and M eta- A nalyses (PRISMA) method was used to understand data on clinical outcomes for people living with chronic disease in rural compared with metropolitan contexts and their models of care in Australia, New Zealand, United States, Canada and the United Kingdom Results Literature searching revealed 620 articles published in English between 2000 and 2019. 160 were included in the review including 68 from the United States, 59 from Australia and New Zealand (5), 21 from Canada and 11 from the United Kingdom and Ireland. 53% (84) focused on cardiovascular disease; 27% (43) diabetes mellitus; 8% (12) chronic obstructive pulmonary disease; and 13% (27) chronic kidney disease. Mortality was only reported in 10% (16) of studies and only 18% (29) reported data on Indigenous populations. Conclusions This integrated review reveals published literature on common chronic health issues pertaining to rural and remote populations is largely descriptive. Only a small number of publications focus on mortality and comparative health outcomes from health care models in both urban and non-urban populations. Innovative service models and telehealth are together well represented in the published literature but data on health outcomes is relatively sparse. There is significant scope for further directly comparative studies detailing the effect of service delivery models on the health outcomes of urban and rural populations. We believe that such data would further knowledge in this field and help to break the deadly synergy between increased rurality and poorer outcomes for people with chronic disease.

scholarly journals Prescription medication by physiotherapists: a Brazilian view of the United Kingdom, Canada, Australia and New Zealand

2017 ◽  
Vol 22 (7) ◽  
pp. 2321-2328 ◽  
Author(s):  
Valton da Silva Costa
Keyword(s):  
United Kingdom ◽  
New Zealand ◽  
Prescription Medication ◽  
Models Of Care ◽  
Medical Prescription ◽  
The United Kingdom ◽  
The World ◽  
Independent Prescription ◽  
Shortage Of Physicians ◽  
World Confederation

Abstract Many health systems (HS) have adopted novel models of care which have included non-medical prescription (NMP) by physiotherapists. The aim of this study was to verify in the literature the existence of this practice and its possible benefits. A literature review was carried out through search on Science Direct, PubMed, SciELO, Lilacs and Google Scholar, and in the World Confederation for Physical Therapy and Chartered Society of Physiotherapy websites. In recent decades the United Kingdom adopted the NMP for health professionals, followed by Canada. In Australia and New Zealand physiotherapists have acted in the prescription and administration of medications under medical orders, which is the first step into independent prescription. Brazilian physiotherapists cannot prescribe any medication, despite of high demands from patients in the Brazilian HS, shortage of physicians in many regions and bureaucracy in accessing health services. The adoption of NMP by physiotherapists may play an important role in the HS, and it seems to be an inevitable achievement in the next years in Australia and New Zealand. The main benefits include decreasing bureaucracy for assistance, population demands for medication as well as major professional refinement.

Personalizing patient care with medicines: Innovative models of care from the United Kingdom

2021 ◽  
pp. 207-224
Author(s):  
Tania L. Jones ◽  
Wasim Baqir ◽  
Fraser N. Birrell
Keyword(s):  
United Kingdom ◽  
Patient Care ◽  
Models Of Care ◽  
The United Kingdom

scholarly journals Rural Chronic Disease Research Patterns In The United Kingdom, United States, Canada, Australia And New Zealand: A Systematic Integrative Review

2019 ◽  
Author(s):  
Rebecca Disler ◽  
Kristen Glenister ◽  
Julian Wright
Keyword(s):  
United States ◽  
United Kingdom ◽  
New Zealand ◽  
Chronic Disease ◽  
Health Outcomes ◽  
Clinical Outcomes ◽  
Rural Areas ◽  
Models Of Care ◽  
Rural And Remote ◽  
The United Kingdom

Abstract Background People living in rural and remote communities commonly experience significant health disadvantages. Geographical barriers and reduced specialist and generalist services impact access to care when compared with metropolitan context. Innovative models of care have been developed for people living with chronic diseases in rural areas with the goal of overcoming these inequities. This review aims to describe the state of knowledge regarding innovative models of care and clinical outcomes for people living with chronic disease in rural areas in developed countries where a metropolitan comparator is included. Methods An integrative systematic review was undertaken. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method was used to understand data on clinical outcomes for people living with chronic disease in rural compared with metropolitan contexts and their models of care in Australia, New Zealand, United States, Canada and the United Kingdom Results Literature searching revealed 620 articles published in English between 1st January 2000 and 31st March 2019. 160 were included in the review including 68 from the United States, 59 from Australia and New Zealand (5), 21 from Canada and 11 from the United Kingdom and Ireland. 53% (84) focused on cardiovascular disease; 27% (43) diabetes mellitus; 8% (12) chronic obstructive pulmonary disease; and 13% (27) chronic kidney disease. Mortality was only reported in 10% (16) of studies and only 18% (29) reported data on Indigenous populations. Conclusions This integrated review reveals that the published literature on common chronic health issues pertaining to rural and remote populations is largely descriptive. Only a small number of publications focus on mortality and comparative health outcomes from health care models in both urban and non-urban populations. Innovative service models and telehealth are together well represented in the published literature but data on health outcomes is relatively sparse. There is significant scope for further directly comparative studies detailing the effect of service delivery models on the health outcomes of urban and rural populations. We believe that such data would further knowledge in this field and help to break the deadly synergy between increased rurality and poorer outcomes for people with chronic disease.

A comparison of the United Kingdom Clinical Aptitude Test (UK-CAT) with a traditional admission selection process

2009 ◽  
pp. 1-6 ◽  
Author(s):  
Nishan Fernando ◽  
Gordon Prescott ◽  
Jennifer Cleland ◽  
Kathryn Greaves ◽  
Hamish McKenzie
Keyword(s):  
United Kingdom ◽  
Selection Process ◽  
Aptitude Test ◽  
The United Kingdom

A survey of university counselling in the United Kingdom and some observations on evaluation

1989 ◽  
Vol 17 (1) ◽  
pp. 49-58 ◽  
Author(s):  
Rob Hooper ◽  
Tom Stone
Keyword(s):  
United Kingdom ◽  
The United Kingdom

Research on Schizophrenia: A View From the United Kingdom

1990 ◽  
Vol 35 (8) ◽  
pp. 800-801
Author(s):  
Michael F. Pogue-Geile
Keyword(s):  
United Kingdom ◽  
The United Kingdom
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