scholarly journals "Models of Care" — a new section in Australian Health Review

2007 ◽  
Vol 31 (1) ◽  
pp. 8
Author(s):  
Deborah Yarmo-Roberts

HEALTH CARE SYSTEMS in Australia and abroad encompass multiple ?models of care?. While diversity is inevitable, the models of care can be contradictory and controversial. International influences are acknowledged. From a policy perspective, the Department of Health in the United Kingdom has issued a number of documents outlining models of care that are being trialled or mainstreamed. These include an NHS (National Health Service) and social care model and a chronic disease management model.1,2 These models are based on a version of a health insurer model of care from the United States that originated with Kaiser Permanente.

2015 ◽  
Vol 10 (1) ◽  
pp. 161-164 ◽  
Author(s):  
John Walsh ◽  
Allan Graeme Swan

ABSTRACTThe process for developing national emergency management strategies for both the United States and the United Kingdom has led to the formulation of differing approaches to meet similar desired outcomes. Historically, the pathways for each are the result of the enactment of legislation in response to a significant event or a series of events. The resulting laws attempt to revise practices and policies leading to more effective and efficient management in preparing, responding, and mitigating all types of natural, manmade, and technological hazards. Following the turn of the 21st century, each country has experienced significant advancements in emergency management including the formation and utilization of 2 distinct models: health care coalitions in the United States and resiliency forums in the United Kingdom. Both models have evolved from circumstances and governance unique to each country. Further in-depth study of both approaches will identify strengths, weaknesses, and existing gaps to meet continued and future challenges of our respective disaster health care systems. (Disaster Med Public Health Preparedness. 2016;10:161–164)


2007 ◽  
Vol 31 (3) ◽  
pp. 331
Author(s):  
Sandra G Leggat

Models of care: do they make the difference? Australian Health Review invites contributions for the models of care section of the journal. This is a regular section and we welcome ongoing article submissions. Health care is delivered in countless ways for those who have debilitating illnesses or conditions. Stakeholders boast that it is the particular ?model of care? that makes the positive difference to patients and clients ? but, it has been difficult to ascertain the true impact of models of care on patient/client or system outcomes. To assist in clarifying this important area for health service management and policy decision making, we are looking for articles on case studies or research projects that suggest either positive or negative outcomes for specific models of care. Australian Health Review is looking to publish feature articles, research papers, case studies and commentaries related to your experience with specific models of care. We are particularly interested in papers that measure the model's effectiveness at a system, organisation and/or client level. Australian and New Zealand submissions are welcome, as well as international initiatives with lessons for Australia and New Zealand. Submissions can be short commentaries of 1000 to 2000 words, or more comprehensive reviews of 2000 to 4000 words. Please consult the AHR Guidelines for Authors for information on formatting and submission.


2012 ◽  
Vol 7 (4) ◽  
pp. 385-391 ◽  
Author(s):  
Rudolf Klein

AbstractThe conventionally antithetical stereotypes of the United Kingdom and United States health care systems needs to be modified in the case of the elderly. Relative to the rest of the population, the over-65s in the United States are more satisfied with their medical care than their UK counterparts. There is also much common ground: shared worries about the quality of elderly care and similar attitudes towards assisted death. Comparison is further complicated by within country variations: comparative studies should take account of the fact that even seemingly polar models may have pools of similarity.


1997 ◽  
Vol 10 (4) ◽  
pp. 26-34 ◽  
Author(s):  
Carolyn A. DeCoster ◽  
Marvin Smoller ◽  
Noralou P. Roos ◽  
Edward Thomas

To determine if there are differences in physician services in different health care systems, we compared ambulatory visit rates and procedure rates for three surgical procedures in the province of Manitoba, Canada; Kaiser Permanente Health Maintenance Organization; and the United States. The KP system, with its single payer and low financial barriers, is not unlike the Canadian system. But, for most of the United States, the primary payment mechanism is fee-for-service, with the patient paying a significant amount, thereby militating against preventive and early primary care. Manitoba and KP data were extracted from computerized administrative records. U.S. data were obtained from publicly available reports, Manitoba provides 1.8 times and KP 1.2 times (1.4 when allied health visits are included) as many primary care physician visits as the United States. For the surgical procedures studied, U.S. rates were higher than those in either the KP HMO or in Manitoba. We conclude that (1) the U.S. system leads to more surgical intervention, and (2) removal of financial barriers leads to higher use of primary care services where more preventive and ameliorative care can occur.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 554-555
Author(s):  
Franziska Zuniga ◽  
Lori Popejoy ◽  
Amy Vogelsmeier

Abstract Unplanned transfers from nursing homes (NHs) are burdensome, associated with adverse outcomes for residents and costly for health care systems. Internationally, NHs are facing similar issues whereby a lack of geriatric expertise combined with a shortage of NH general practitioners require innovative and adaptable models of care tailored to the organizational context. In this symposium, we will present studies from the MOQI project from the United States, which successfully reduced unnecessary hospitalizations by embedding advanced practice registered nurses (APRN) in 16 US NHs over a 6-year period. We will discuss the influence of race on multiple hospital transfers and present possible interventions to reduce transfers. Next, we will present finding from a study with MOQI APRNs that highlighted their contributions to the COVID-19 pandemic response in NHs and discuss the broader implication or infection control practices. In addition, we will present the INTERCARE project which successfully reduced unplanned hospitalizations in 11 Swiss NHs, by implementing a registered nurse with an expanded role, to compensate for the very limited access to APRNs; which is the case for many European countries. Both MOQI and INTERCARE pinpoint the importance of strategies to support the introduction of a new role in NHs. Both projects will give examples of different models of care which can be feasibly implemented to sustainably decrease unnecessary hospitalizations, in different contexts and with different resources. Finally, data from the INTERCARE study will address the issue of potentially avoidable fall-related transfers and which resources are deemed appropriate to mitigate these.


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