scholarly journals USA perspectives: polyclinics must integrate health care vertically AND horizontally

2008 ◽  
Vol 1 (1) ◽  
pp. 42-44 ◽  
Author(s):  
Kurt C Stange ◽  
Gertrude Donnelly Hess
Keyword(s):  
Health Care ◽  
Integrate Health Care

scholarly journals Using Brazilian Digital TV to Integrate Health Care Services Embedded in Medical Commercial Devices

10.5772/36844 ◽  
2012 ◽  
Author(s):  
Vandermi Silva ◽  
Ricardo Erikson Veras De Sena Rosa ◽  
Vicente Ferreira De Lucena Jr.
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Digital Tv ◽  
Care Services ◽  
Integrate Health Care

scholarly journals COVID-19 Recommendations for Assisted Living: Implications for the Future

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 57-57
Author(s):  
Andrew Vipperman ◽  
Sheryl Zimmerman ◽  
Philip Sloane
Keyword(s):  
Health Care ◽  
Social Work ◽  
Nursing Homes ◽  
Medical Care ◽  
Social Workers ◽  
Assisted Living ◽  
Unmet Need ◽  
Group Activities ◽  
Integrate Health Care ◽  
The Future

Abstract Similar to nursing homes, COVID-19 has challenged assisted living (AL), given its congregate nature and vulnerable residents. However, COVID-19 recommendations have not consistently recognized differences between nursing homes and AL, and in so doing present implications for the future of AL. This project examined COVID-19 recommendations from six key organizations and compared them across nursing homes and AL. Differences include recommending more flexible visitation and group activities for AL, while similarities suggest that AL may best integrate health care into offered services (e.g., work with consulting clinicians who know residents and the AL community). Primary points to be discussed are that COVID-19 may accelerate the closer coordination of social work and medical care into AL, because recommendations suggest AL would benefit from the services and expertise of nurses, social workers, and physicians. There seems to be an unmet need to mitigate loneliness in AL, which warrants specific attention moving forward.

scholarly journals Health Care Professionals’ Perceptions of Pay-for-Performance in Practice: A Qualitative Metasynthesis

2020 ◽  
Vol 57 ◽  
pp. 004695802091749
Author(s):  
Barbara Martin ◽  
Jacqueline Jones ◽  
Matthew Miller ◽  
Rachel Johnson-Koenke
Keyword(s):  
Health Care ◽  
Health Outcomes ◽  
Performance Measurement ◽  
Health Care Professionals ◽  
Financial Incentives ◽  
Pay For Performance ◽  
Research Process ◽  
Future Research ◽  
Limiting Factor ◽  
Integrate Health Care

Incentive-based pay-for-performance (P4P) models have been introduced during the last 2 decades as a mechanism to improve the delivery of evidence-based care that ensures clinical quality and improves health outcomes. There is mixed evidence that P4P has a positive effect on health outcomes and researchers cite lack of engagement from health care professionals as a limiting factor. This qualitative metasynthesis of existing qualitative research was conducted to integrate health care professionals’ perceptions of P4P in clinical practice. Four themes emerged during the research process: positive perceptions of the value of performance measurement and associated financial incentives; negative perceptions of the performance measurement and associated financial incentives; perceptions of how P4P programs influence the quality/appropriateness of care; and perceptions of the influence of P4P program on professional roles and workplace dynamics. Identifying factors that influence health care professionals’ perceptions about this type of value-based payment model will guide future research.

scholarly journals Improving data and knowledge management to better integrate health care and research

2013 ◽  
Vol 274 (4) ◽  
pp. 321-328 ◽  
Author(s):  
M. Cases ◽  
L. I. Furlong ◽  
J. Albanell ◽  
R. B. Altman ◽  
R. Bellazzi ◽  
...  
Keyword(s):  
Health Care ◽  
Knowledge Management ◽  
Integrate Health Care

Evaluation of Perinatal Care Management Programs: An Integrated Review

2004 ◽  
Vol 5 (1) ◽  
pp. 19-24 ◽  
Author(s):  
Anne F. Carman ◽  
Catherine R. Coverston ◽  
Rosanne Schwartz ◽  
Myrna L. Warnick
Keyword(s):  
Health Care ◽  
Care Management ◽  
Health Care Systems ◽  
Perinatal Care ◽  
Current Data ◽  
Perinatal Medicine ◽  
Newborn Intensive Care Unit ◽  
Integrate Health Care ◽  
Care Systems ◽  
Study Designs

Nursing care management has become a popular method to integrate health care systems with goals of decreasing costs and improving quality. As high-risk pregnancies and newborn intensive care unit (NBICU) costs generate some of the highest costs in health care, care management has been a strategy introduced in perinatal medicine to accomplish the same goals. Consistent with other areas of nursing, perinatal care management currently has no agreed upon model of practice or method of evaluating how and whether the goals have been achieved. The purpose of this project was to evaluate various perinatal care management programs found in the literature. Electronic and manual searches of current data were performed locating 31 relevant articles. From these articles, nine met the inclusion criteria and were reviewed. While some care management programs were able to decrease costs and improve outcomes, other programs did not. There are possibly two reasons for the varied results in the literature. The first is that there are differences in program designs, decreasing the likelihood of identifying specific interventions that can make a difference. Second, thus far researchers have used ineffective study designs in evaluating care management programs. More research needs to be completed before a conclusion can be drawn whether perinatal care management can decrease costs while improving quality.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

A Tribute to the Late William J. Curran

1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
United Nations ◽  
Mental Health Care ◽  
Harvard University ◽  
Legal Medicine ◽  
General Assembly ◽  
International Institute ◽  
University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

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