scholarly journals Stroke and COVID-19: The Value of Narrative Medicine

Stroke ◽  
2021 ◽  
Author(s):  
Emma Reford ◽  
Christopher P. Kellner
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Narrative Medicine ◽  
Medical Intervention ◽  
Illness Experiences ◽  
Complicating Factors ◽  
To Come ◽  
Insight Into ◽  
Opinion Article ◽  
Care System

Stroke and COVID-19 are both traumatic and life-altering experiences that are marked by uncertainty, fear, and medical intervention. The devastation that stroke and COVID-19 oppress on an individual and a population is well established, and these traumas are potently magnified in the troughs of the COVID-19 pandemic. Furthermore, stroke has been shown to be a potential complication of COVID-19 infection, and while there is global controversy regarding this finding, it is undeniable that there are patients across the world presenting with both conditions concurrently. Thus, the topic of isolated stroke and the co-occurrence of stroke and COVID-19 amidst the pandemic both warrant considerable investigation on both a basic science level and a humanistic level. This opinion article advocates for a narrative medicine approach to better explicate the intertwining of stroke and COVID-19. Interviewing patients who presented with both stroke and COVID-19 as well as patients who present with stroke during the pandemic will provide the opportunity to gather and juxtapose individual illness experiences, including encounters with the health care system, relationship with care teams and care takers, recovery, and insights into the future. Creating, analyzing, and comparing such an anthology of illness narratives of the 2 patient populations will offer a unique understanding into the experience of different, yet over-lapping, medical traumas in an unprecedented time. With this deeper appreciation of patient accounts, the health care system can better recognize how to provide for future patients who present specifically with stroke or stroke and COVID-19. However, more broadly, this study can also afford insight into how the health care system can better provide for and support patients who present with complex diagnoses in the context of a complex healthcare system, which most probably will operate under the effects of the pandemic for time to come as well as other, future complicating factors.

scholarly journals Coastal flooding and frontline health care services: challenges for flood risk resilience in the English health care system

2019 ◽  
Vol 24 (4) ◽  
pp. 219-228 ◽  
Author(s):  
Owen Landeg ◽  
Geoff Whitman ◽  
Kate Walker-Springett ◽  
Catherine Butler ◽  
Angie Bone ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Services ◽  
East Coast ◽  
Health Care Sector ◽  
Strategic Decision ◽  
Case Scenario ◽  
Care Services ◽  
Insight Into ◽  
Care System

Objectives Our objective was to assess the health care system impacts associated with the December 2013 east coast flooding in Boston, Lincolnshire, in order to gain an insight into the capacity of the health care sector to respond to high-impact weather. Methods Semistructured interviews were held with regional strategic decision makers and local service managers within 1 km of the recorded flood outline to ascertain their experiences, views and reflections concerning the event and its associated health impacts and disruption to health care services. A snowballing sampling technique was used to ensure the study had participants across a broad range of expertise. Interviews were recorded and transcribed verbatim, and data analysis was preformed using NVivo (v10) to apply a thematic coding and develop a framework of ideas. Results The results of this case study provide a vital insight into the health care disruption caused by flooding. All sectors of the health care system suffered disruption, which placed a strain on the whole system and reduced the capacity of the sector to respond to the health consequences of flooding and delivering routine health care. The formal recovery phase in Lincolnshire was stood-down on 4th February 2014. The results of this work indicate limitations in preparedness of the health care system for the reasonable worse-case scenario for an east coast surge event. Conclusions The health care sector appears to have limited capacity to respond to weather-related impacts and is therefore unprepared for the risks associated with a future changing climate. Further work is required to ensure that the health care system continues to review and learn from such events to increase climate resilience.

scholarly journals Next-generation nutritional biomarkers to guide better health care

2016 ◽  
Vol 60 (2) ◽  
Author(s):  
CarloAlberto Redi
Keyword(s):  
Health Care ◽  
Personalized Medicine ◽  
Health Care System ◽  
Next Generation ◽  
To Come ◽  
Care System ◽  
New Millennium

One of the main precision medicine’s promises is nutrigenomics; still far from being a widespread attitude for the laypeople, it is certainly one of the most challenging aspect of the near to come health care system based on personalized medicine. Thus, we welcome books like this one that is exploring the pre-requisites to get a better health care in the new millennium.....

AN OVERVIEW OF CHALLENGES, IMPORTANCE AND EVALUATION OF PHARMAECONOMICS: ROLE OF PHARMACIST’S IN HEALTH CARE SYSTEM

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Shubhangi Gupta ◽  
Shiwangi Periwal ◽  
Bankim Chandra Nandy ◽  
Beduin Mahanti
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Medical Intervention ◽  
Pharmaceutical Products ◽  
Pharmacoeconomic Evaluation ◽  
Cost Utility ◽  
Best Interests ◽  
Healthcare Sector ◽  
Therapeutic Area ◽  
Care System

The main goal of the pharmacoeconomics is to addresses whether an additional gain from a medical intervention is worth paying extra cost based on three aspects of health outcomes: Economic, Clinical and Humanistic outcome known as ECHO Model. Bys perceptive the principles, methods, and application of pharmacoeconomics, pharmacists will be prepared to make better, more-informed decisions regarding the use of pharmaceutical products and services, that is, decisions that ultimately represent the best interests of the patient, the health care system, and society. Pharmacoeconomics can be applied to any therapeutic area like hospital pharmacy, using a variety of application strategies. As the healthcare sector is progressing day by day the need to develop Pharmacoeconomics area is must. Healthcare sector is not just a small area but it became an industry now. It has more dimensions to explore. So, main goal of this article was to explain it with in a cumulative way by mentioning two examples- where the first one is direct cost that outlays money and then is indirect cost for the productivity effect. Patients also get benefit out of Pharmacoeconomics findings. Pharmacoeconomics research should be strongly supported in a country like India where majority of health care spending is done by the patient’s themselves. Keywords: Pharmacoeconomics, ECHO Model, Pharmacist, Pharmacoeconomic evaluation, Healthcare Sector, Pharmaceutical Policy, Drug Commercialization, Cost Utility Analysis, Cost Benefit Analysis, Cost of illness Analysis, Cost Minimization Analysis.

scholarly journals Tracing the Evolution of American Health Care through Medicare

2011 ◽  
Vol 1 (1) ◽  
pp. 66-89
Author(s):  
Craig Boyd Garner ◽  
Judith M. Berry ◽  
David A. McCabe
Keyword(s):  
Health Care ◽  
Health Care System ◽  
The United States ◽  
Political Climate ◽  
American Health Care System ◽  
The World ◽  
American Health Care ◽  
To Come ◽  
System Today ◽  
Care System

With President Obama’s health care reform currently under intense partisan scrutiny in the United States, this article is an objective resource for understanding the ways in which Medicare has historically served as a weather vane for charting the changes to the American health care system. During its nearly fifty-year tenure as the standard for the provision of medical care in the U.S., Medicare has evolved in fits and spurts, with its core structure shifting over time as the result of each decade’s economic and political climate. It is only by understanding these past revisions, both independently and in the context of the concurrent changes in other nations around the world, that we can fully comprehend the state of America’s health care system today, and make the necessary allowances to ensure that the nation’s health care will survive to provide for its constituents in the years to come.

scholarly journals The Australian health care system: reform, repair or replace?

2008 ◽  
Vol 32 (2) ◽  
pp. 322 ◽  
Author(s):  
Stephen J Duckett
Keyword(s):  
Health Care ◽  
Population Health ◽  
Health Care System ◽  
Considerable Change ◽  
Performance Criteria ◽  
Clinical Settings ◽  
System Reform ◽  
Australian Health ◽  
To Come ◽  
Care System

A Festshrift gives us the opportunity to look both backwards and forwards. Ken Donald?s career stretches back to his intern days in 1963 and has encompassed clinical and population health, academe, clinical settings and the bureaucracy, and playing sport at state and national levels. There has been considerable change in the health care system over the period of Ken?s involvement in the sector with more change to come ? where have those changes left us? This paper discusses these changes in relation to performance criteria.

Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

2014 ◽  
Vol 4 (1) ◽  
pp. 23-29
Author(s):  
Constance Hilory Tomberlin
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Patient Care ◽  
Health Care System ◽  
Gulf Coast ◽  
New Technology ◽  
Cost Effective ◽  
Veterans Health ◽  
Potential Benefits ◽  
Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

What is the best way to reform the U.S. health care system?

2007 ◽  
Vol 38 (1) ◽  
pp. 18
Author(s):  
KEVIN GRUMBACH ◽  
ROBERT MOFFIT
Keyword(s):  
Health Care ◽  
Health Care System ◽  
The U.S ◽  
Care System
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