scholarly journals Differences in the quality of primary medical care services by remoteness from urban settlements

2007 ◽  
Vol 16 (6) ◽  
pp. 446-449 ◽  
Author(s):  
G. McLean ◽  
B. Guthrie ◽  
M. Sutton
Keyword(s):  
Medical Care ◽  
Primary Medical Care ◽  
Care Services ◽  
Urban Settlements

After-hours service models in Queensland Australia: A framework for sustainability

2005 ◽  
Vol 11 (2) ◽  
pp. 9
Author(s):  
Lisa Crossland ◽  
Craig Veitch
Keyword(s):  
Medical Care ◽  
Service Providers ◽  
Care Service ◽  
Service Development ◽  
Key Factors ◽  
Primary Medical Care ◽  
Care Services ◽  
Management Procedures ◽  
Service Models ◽  
After Hours

This paper outlines the key features of after-hours primary medical care service sustainability in Queensland. It describes the development of these into a practical framework designed to assist either those in the early stages of service development or the evaluation of existing service models. A representative sample was drawn from over 120 separate formal after-hours services identified across Queensland. Semi-structured interviews were held with staff and key informants from 16 services and other local service providers in Queensland. Reviews of documents relating to operating and management procedures and protocols were also completed. Data were assembled and thematically analysed using the QSR NUD.IST qualitative data analysis package. Five key factors related to sustainability commonly featured in the after-hours primary medical care services studied: business management and promotion; collaborative service arrangements; effective protocols and guidelines; recruitment and retention strategies; and remuneration. These issues can be summarised in a table format that demonstrates the interaction between the identified key factors of sustainability and the various model types. The purpose of the diagram is to illustrate the interplay of factors which impact on the development and sustainability of after-hours primary medical care services currently extant in Queensland. It is the complex interaction of all these factors that ultimately determines the sustainability of an after-hours service model.

scholarly journals Major depression, depression treatment and quality of primary medical care

2008 ◽  
Vol 30 (1) ◽  
pp. 20-25 ◽  
Author(s):  
Benjamin G. Druss ◽  
Kimberly Rask ◽  
Wayne J. Katon
Keyword(s):  
Major Depression ◽  
Medical Care ◽  
Depression Treatment ◽  
Primary Medical Care

Spiritual support of patients with advanced illness and associations with end-of-life care and quality of death

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. 9514-9514
Author(s):  
T. A. Balboni ◽  
M. E. Paulk ◽  
M. J. Balboni ◽  
E. D. Trice ◽  
A. A. Wright ◽  
...  
Keyword(s):  
Pastoral Care ◽  
Medical Care ◽  
Cancer Patients ◽  
Care Facility ◽  
Medical System ◽  
Spiritual Support ◽  
Advanced Cancer Patients ◽  
Care Services ◽  
Eol Care

9514 Background: Little is known about whether spiritual support is associated with advanced cancer patients' medical care and quality of death (QoD) at the end of life (EoL). Methods: Coping with Cancer is an NCI/NIMH-funded, prospective, longitudinal, multi-institutional study of advanced, incurable cancer patients conducted from September 2002-August 2008. Analyses were based on 343 deceased patients who were interviewed at baseline and then followed until death a median of 117 days later. At baseline, spiritual support was assessed by (1) patient-rated support of spiritual needs by the medical system (eg, physicians, nurses, chaplains) scored from 0 (not at all) to 5 (completely supported) and (2) patient-reported receipt of hospital/clinic pastoral care services. Outcomes measured included medical care received in the last week of life (hospice; receipt of aggressive EoL care defined as ICU admission, resuscitation, ventilation or chemotherapy in the last week of life; and death in an acute care facility) and QoD. QoD assessments (possible 0–30, with increasing scores reflecting better QoD) were obtained by post-mortem interviews of a caregiver present in the patient's last week of life. Multivariable analyses examined (1) associations between spiritual support variables and EoL care outcomes, controlling for baseline confounds (eg, race, religiousness, patient EoL care preferences) and (2) associations between spiritual support variables and QoD with adjustment for confounds (eg, baseline quality of life, aggressive EoL care). Results: In adjusted analyses, greater medical system spiritual support was associated with increased receipt of hospice care [OR = 2.97 (1.24–7.11), p = .01], but not with receipt of aggressive EoL care or death in an acute care facility. Receipt of pastoral care services was not associated with any EoL care outcome. In adjusted analyses, spiritual support from the medical system and receipt of pastoral care services were significantly associated with better patient QoD (standardized β = 0.16, p = .009 and β = 0.20, p = .0005, respectively). Conclusions: Support of advanced cancer patients' spiritual needs by the medical care team is associated with increased receipt of hospice care and improved patient QoD. No significant financial relationships to disclose.

Practice Characteristics and Quality of Primary Medical Care: The Doctor-Patient Relationship

Medical Care ◽  
1975 ◽  
Vol 13 (10) ◽  
pp. 808-820 ◽  
Author(s):  
Barbara S. Hulka ◽  
Lawrence L. Kupper ◽  
John C. Cassel ◽  
Robert A. Babineau
Keyword(s):  
Medical Care ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Primary Medical Care ◽  
Practice Characteristics

scholarly journals assessing the quality of Medical care and developing the ratings of health services: experience of using Medicare prograM in the usa

2016 ◽  
Vol 1 (5) ◽  
pp. 71-76
Author(s):  
Григорьева ◽  
Nataliya Grigoreva
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Present Moment ◽  
Medical Work ◽  
Care Services ◽  
Medicare Program ◽  
The Usa ◽  
Quality Of Medical Care ◽  
Almost All

To provide patient’s security is the main goal in some spheres of health care, that is why methods of statistical moni-toring were developed to detect abnormalities in the course of medical work quickly and confidentially. This includes, for example, excessive intervention even without further damage to a patient’s safety. Therefore, it is very important to determine whether the risk to a patient’s life exists or how abnormal the situation is.At the present moment health care in Russia has already passed the initial stage of formation of ratings to assess the quality of medical care services. Almost all regions of the Russian Federation have their own ratings. The question is how objectively they reflect the quality of medical services. The article presents main features to assess the quality of health care to rate medical organizations on the example of state program Medicare (USA) in order to compare them with the ones used in Russian ratings.

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