scholarly journals A Micropractice/Community Partnership Model for Lifestyle Medicine

2017 ◽  
Vol 12 (2) ◽  
pp. 124-127 ◽  
Author(s):  
Kerry Graff
Keyword(s):  
Health Care ◽  
Family Medicine ◽  
Community Partnership ◽  
Local Health ◽  
Lifestyle Medicine ◽  
Medical Expenses ◽  
Current Health ◽  
Partnership Model ◽  
Current Health Care System ◽  
Local Health System

Lifestyle medicine (LM) has been shown to be effective at preventing and reversing disease, while simultaneously reducing overall medical expenses. However, the current health care system is not designed to reimburse LM clinicians for the value that they provide. The micropractice model is an innovative approach to deliver LM in a financially viable manner. Costs are minimized by automating much of the practice through a website, limiting physical clinic space, and employing only essential staff. Described in this article is a unique micropractice family medicine/lifestyle medicine hybrid office that has partnered with a local health system and a culinary center to offer additional services.

scholarly journals Catalyzing Implementation of Evidence-Based Interventions in Safety Net Settings: A Clinical–Community Partnership in South Los Angeles

2017 ◽  
Vol 18 (4) ◽  
pp. 586-597 ◽  
Author(s):  
Denise D. Payán ◽  
David C. Sloane ◽  
Jacqueline Illum ◽  
Roberto B. Vargas ◽  
Donzella Lee ◽  
...  
Keyword(s):  
Health Care ◽  
Los Angeles ◽  
Safety Net ◽  
Evidence Based ◽  
Community Partnership ◽  
South Los Angeles ◽  
Partnership Model ◽  
Clinical Community ◽  
Adoption And Implementation ◽  
Interview Guide

This study is a process evaluation of a clinical–community partnership that implemented evidence-based interventions in clinical safety net settings. Adoption and implementation of evidence-based interventions in these settings can help reduce health disparities by improving the quality of clinical preventive services in health care settings with underserved populations. A clinical–community partnership model is a possible avenue to catalyze adoption and implementation of interventions amid organizational barriers to change. Three Federally Qualified Health Centers in South Los Angeles participated in a partnership led by a local community-based organization (CBO) to implement hypertension interventions. Qualitative research methods were used to evaluate intervention selection and implementation processes between January 2014 and June 2015. Data collection tools included a key participant interview guide, health care provider interview guide, and protocol for taking meeting minutes. This case study demonstrates how a CBO acted as an external facilitator and employed a collaborative partnership model to catalyze implementation of evidence-based interventions in safety net settings. The study phases observed included initiation, planning, and implementation. Three emergent categories of organizational facilitators and barriers were identified (personnel capacity, professional development capacity, and technological capacity). Key participants and health care providers expressed a high level of satisfaction with the collaborative and the interventions, respectively. The CBO’s role as a facilitator and catalyst is a replicable model to promote intervention adoption and implementation in safety net settings. Key lessons learned are provided for researchers and practitioners interested in partnering with Federally Qualified Health Centers to implement health promotion interventions.

scholarly journals An Empirical study on the importance of Task Shifting in current Health Care System

2016 ◽  
pp. 21-32
Author(s):  
Architha Aithal ◽  
Ateendra Jha
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care System ◽  
Health Care Professionals ◽  
Health Workers ◽  
Health Resources ◽  
Task Shifting ◽  
Current Health ◽  
Current Health Care System ◽  
Care System

Many developing countries are facing a crisis in human health resources due to a critical shortage of health workers. Despite of many trained health care professionals our health care system is struggling to provide optimum services to the patients. Gaps still exist with respect to patient care, which are unevenly delivered. The data collected from 228 subjects reveals that only 7.01% of the subjects have received counseling always, 59.65% think that counseling should be given and only 41.66% are satisfied with current health care system while 56.57% are not satisfied. Our study shows that there is a huge burden on health care professionals due to a high number of the patient load which leads to the hindrance in optimum patient care and finally leads to the degradation in the quality of health care services. Now time has approached when the term task shifting should be taken seriously especially in the health care sectors. Pharmacists, an ignored profession in the health care sector have a crucial role for optimum patient care. It is the demand of the scenario that pharmacist should be taken as a key role player between the patient and prescriber. A proper communication between the patient and prescriber can be established only if all health care professionals will start working to assist each other not to compete with each other.

Drug-Related Visits to the Emergency Department

2005 ◽  
Vol 18 (5) ◽  
pp. 329-335 ◽  
Author(s):  
Peter J. Zed
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Hospital Admissions ◽  
Medical Attention ◽  
Limited Information ◽  
Current Health ◽  
The Past ◽  
Ed Visits ◽  
Current Health Care System ◽  
The Impact

Over the past few years, several published reports have addressed the problem of drug-related morbidity in various practice settings. Studies evaluating drug-related hospitalization have estimated that approximately 5% to 10% of all hospital admissions are drug related. Unfortunately, many of these studies have excluded patients seeking medical attention in the emergency department (ED) but not requiring hospital admission. Drug-related visits to the emergency department are a significant problem and contribute to overall pressures on our current health care system. Despite the limited information published regarding drug-related ED visits, several studies describe the impact of this issue. The purpose of this article is to review the current literature pertaining to the incidence, classification, severity, preventability, and economic impact of drug-related visits to the emergency department.

Staying in the middle

Interpreting ◽  
2012 ◽  
Vol 14 (1) ◽  
pp. 1-22 ◽  
Author(s):  
Alexander Bischoff ◽  
Elisabeth Kurth ◽  
Alix Henley
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Care Systems ◽  
Public Institutions ◽  
Local Health ◽  
Host Society ◽  
Care Services ◽  
Integration Of Immigrants ◽  
Care Systems ◽  
Local Health System

In this age of migration, many societies are characterized by linguistic and cultural diversity. Public institutions, such as health care systems, face the challenge of integrating new arrivals, immigrants, refugees or asylum seekers, into the host society. The purpose of this study was to examine how interpreters see their work within the context of the integration of immigrants into the host society (Switzerland) in general, and into the local health system in particular. We investigated the roles that interpreters working in a Women’s Hospital in Switzerland take on and are aware of in their work. The interpreters described four main roles: word-for-word interpreting, intercultural explanation, building patient–provider relationships, and accompanying immigrant patients. An additional cross-cutting theme emerged: interpreters facilitating the integration of immigration. Only the first of these is generally regarded as their “official” role. The interpreters take on the additional roles as necessary during a consultation, in response to the needs of the patient and the health professionals. Further discussion is needed about whether these additional roles should be recognized and promoted as part of their work since they are important and there is no one else to take them on. Interpreters who take on the additional roles related to integration have the potential to be important actors in health care services whose patient populations that are increasingly linguistically and culturally diverse.

scholarly journals Factors influencing focused practice: A qualitative study resident and early-career family physician practice choices

2021 ◽  
Author(s):  
Monisha Kabir ◽  
Ellen Randall ◽  
Goldis Mitra ◽  
M Ruth Lavergne ◽  
Ian Scott ◽  
...  
Keyword(s):  
Health Care ◽  
Family Physician ◽  
Family Physicians ◽  
Influential Factors ◽  
Early Career ◽  
System Support ◽  
Current Health ◽  
Factors Influencing ◽  
Canadian Provinces ◽  
Current Health Care System

Background: Although focused practice within family medicine may be increasing globally, there is limited research on the factors contributing to decisions to focus practice. We aimed to examine the factors influencing resident and early-career family physician choices of focused practice across three Canadian provinces. Methods: We analyzed a subset of qualitative interview data from a study across British Columbia, Ontario, and Nova Scotia. A total of 22 resident family physicians and 38 early-career family physicians in their first 10 years of practice who intend to or currently practice in a focused area were included in our analysis. We compared participant types, provinces, and the degree of focused practice while identifying themes related to factors influencing the pursuit of focused practice. Results: We identified three key themes of factors contributing to choices of focused practice: self-preservation within the current health care system, support from colleagues, and experiences in medical school and/or residency. Minor themes included alignment of practice with skills, personal values, or ability to derive professional satisfaction; personal lived experiences; and having many attractive opportunities for focused practice. Interpretation: Both groups of participants unanimously viewed focused practice as a way to circumvent the burnout or exhaustion they associated with comprehensive practice in the current structure of the health care. This finding, in addition to other influential factors, was consistent across the three provinces. More research is needed to understand the implications of resident and early-career family physician choices of focused practice within the physician workforce.

Community partnership model for health professions education

1993 ◽  
Vol 83 (6) ◽  
pp. 328-331 ◽  
Author(s):  
RC Henry
Keyword(s):  
Health Care ◽  
Care Center ◽  
Health Professions ◽  
Academic Community ◽  
Public Health Care ◽  
Community Partnership ◽  
Health Care Needs ◽  
Care Needs ◽  
Health Care Center ◽  
Partnership Model

Many health professions schools have neglected the US population's health by emphasizing acutely ill patients in hospitals, biomedical research of disease, and high technology. Because most students will eventually fill practitioner roles in primary and secondary care, it is logical that the health professions must shift their curricula's focus to prepare practitioners for the health care needs of the community. The Community Partnership Model is one approach that focuses on public health care needs by educating students in multiprofessional teams in a new organizational structure known as the academic, community-based, primary health care center. This partnership between academic institutions and communities is designed to shift the educational and socializing activities of health professions training outside hospitals to the community setting where research, teaching, and service take place in one structure.

Sign in / Sign up

Export Citation Format

Share Document