scholarly journals The multiple sclerosis patient’s journey model in Poland – future tasks

2021 ◽  
Vol 21 (2) ◽  
pp. 76-85
Author(s):  
Małgorzata Gałązka-Sobotka ◽  
◽  
Jakub Gierczyński ◽  
Jerzy Gryglewicz ◽  
Konrad Rejdak ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Therapeutic Process ◽  
Interdisciplinary Team ◽  
Diagnosis And Treatment ◽  
Reference Level ◽  
Coordination Of Care ◽  
Use Of Resources ◽  
Effective Exchange ◽  
Treatment Onset

Improvement of the diagnostic and therapeutic processes and optimal use of resources in the context of health care system specificity accelerate the diagnosis and treatment onset, as well as improve the quality of life of patients with multiple sclerosis. International experience and data from clinical practice in Poland gave rise to a number of guidelines for the needed measures, from increasing the awareness about multiple sclerosis among the society and doctors in general, through expanding outpatient medical care, to proposing a model network of healthcare centres dedicated to patients with multiple sclerosis. It was pointed out that there is a need for a network of clinics specialised in the diagnosis and treatment of multiple sclerosis (MS clinics) and centres for comprehensive diagnosis and treatment, with a higher reference level and all the competences of an MS clinic, and, at the same time, providing both consultations in difficult clinical cases and access to the most advanced diagnostic and therapeutic methods. Attention was also drawn to the need to use modern e-health tools, which should improve the diagnostic and therapeutic process, as well as tighten the coordination of care by enabling an effective exchange of information between the patient and the entire interdisciplinary team involved in the therapeutic process.

scholarly journals Audit in psychiatry

1989 ◽  
Vol 13 (6) ◽  
pp. 278-281 ◽  
Author(s):  
Gillian Garden ◽  
Femi Oyebode ◽  
Stuart Cumella
Keyword(s):  
Quality Of Life ◽  
Medical Care ◽  
Critical Analysis ◽  
White Paper ◽  
Diagnosis And Treatment ◽  
Medical Audit ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
The Government

Medical audit has been defined as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources and the resulting outcome and quality of life for the patient (DOH, 1989). The White Paper Working for Patients states that the Government proposes that every consultant should participate in a form of medical audit agreed between management and the profession locally. It also states that management should be able to initiate an independent professional audit.

ECP02-02 - Culture and ethnicity as a variable in diagnostics and therapy

2011 ◽  
Vol 26 (S2) ◽  
pp. 1796-1796
Author(s):  
A. Qureshi
Keyword(s):  
Ethnic Minority ◽  
Therapeutic Process ◽  
Diagnosis And Treatment ◽  
The Unconscious ◽  
Diagnostic Categories ◽  
Majority Group ◽  
Group Members ◽  
The Impact ◽  
Treatment Culture

Ethnic minority and immigrant patients are subject to what are termed “health disparities” wherein the quality of services received is not at the same level as that of majority group members. These disparities are a consequence of both erroneous diagnosis and, relatedly, inadequate treatment. Culture impacts both diagnosis and therapy by circumscribing how an individual understands distress. The experience, expression, and explanation of what psychiatry understands to be psychopathology are eminently “cultural”, for the clinician as well as for the patient. The very identification of a “symptom”, its relationship to psychopathology, and even what constitutes the specific diagnostic categories is in large part a function of the impact of these three “exes”. The therapeutic process and relationship is impacted in part by the fourth “ex”, the expectations of both clinician and patient, and, once again, when distinct can lead to early termination and/or poor outcome. Ethnicity, particularly in the context of ethnic minority status, can impact both diagnosis and treatment in the context of both overt and covert prejudice, particularly on the part of the clinician. Ethnocultural countertransference involves the unconscious projection of ethnic and racial prejudice onto the patient, which has a direct impact on diagnosis and the development of the therapeutic relationship. The presentation will review both barriers and suggest strategies for effective intercultural diagnosis and treatment.

scholarly journals Multiple Sclerosis: Methods of Treatment and Rehabilitation

2017 ◽  
pp. 157-163
Author(s):  
Yuriy Lysenko
Keyword(s):  
Multiple Sclerosis ◽  
Therapeutic Process ◽  
Motor Dysfunction ◽  
Motor Deficits ◽  
Scientific Publications ◽  
Wide Range ◽  
Self Service ◽  
Independent Functioning ◽  
Methods Of Treatment

The specificity of multiple sclerosis (MS) is a young age patients with a variety of symptoms, the unpredictability of the disease. All these factors are the reason that the rehabilitation of patients with MS is one of the most difficult tasks of neurological rehabilitation. A wide range of symptoms in MS, the obvious way of complexity associated with his patient, and it is a disease with which we must contend daily. MS is a chronic disease of the CNS, diseases which frequency is 30–100 per 100 000 persons. However, knowledge about MS and its treatment may reduce symptoms intensity and improve the lot of their options. In recent years it is seen the increase in the number of scientific publications on effective rehabilitation of patients with MS. Rehabilitation in MS is symptomatic in nature and includes all motor dysfunction – of autonomic disorders to motor deficits. Well–conducted rehabilitation significantly reduces the effects of disease, thus increases the effects of pharmacotherapy. Regardless of the form of the disease, the result of PC is disability and reduced quality of life, making it difficult to self-service and independent functioning. Doctor’s detection of functional deficit targets and determining the therapeutic process, allows to reduce the intensity of symptoms of the disease. The work represents the chosen form of exercise methods of physiotherapy and some principles of rehabilitation strategies in the rehabilitation of patients with MS.

scholarly journals Psychiatric audit

1991 ◽  
Vol 15 (9) ◽  
pp. 550-551 ◽  
Author(s):  
Paul Hatton ◽  
Edward B. Renvoize
Keyword(s):  
Quality Of Life ◽  
Medical Care ◽  
Critical Analysis ◽  
Diagnosis And Treatment ◽  
Medical Audit ◽  
Department Of Health ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Patient Department

Medical audit has been defined “as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources, and the resulting outcome and quality of life for the patient” (Department of Health, 1989).

Clinical case of a comorbid patient with arterial hypertension

2020 ◽  
pp. 31-39
Author(s):  
Ella Polozova ◽  
Vsevolod Skvortsov ◽  
Olga Radaykina ◽  
Mariya Narvatkina ◽  
Anastasiya Seskina ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Arterial Hypertension ◽  
Clinical Picture ◽  
Clinical Case ◽  
Diagnosis And Treatment ◽  
The Moment

The widespread prevalence of comorbid pathology determines the relevance of this problem. Comorbid pathology due to the interaction of diseases, drug pathomorphism, age characteristics of the patient, significantly changes clinical picture and course of the main nosology, affects severity of complications and their nature, significantly affects quality of life and prognosis of patients. Diagnosis and treatment of many diseases is complicated in the conditions of comorbidity. The article presents a clinical case of a comorbid patient with arterial hypertension from the moment of exposure to risk factors and ending with the formation of many concomitant diseases, as an example of trans-nosological comorbidity.

METHODOLOGICAL APPROACH TO EVALUATING THE EFFECTIVENESS OF RESOURCE USE BY MEDICAL ORGANIZATIONS

2020 ◽  
Vol 3 (7) ◽  
pp. 62-69
Author(s):  
S. S. BUDARIN ◽  
Keyword(s):  
Medical Care ◽  
Resource Use ◽  
Methodological Approach ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Methodological Approaches ◽  
Performance Audit ◽  
Available Resources

The article reveals methodological approaches to evaluating the effectiveness of the use of resources of medi-cal organizations in order to improve the availability and quality of medical care based on the application of the methodology of performance audit; a methodological approach to the use of individual elements of the efficiency audit methodology for evaluating the performance of medical organizations and the effectiveness of the use of available resources is proposed.

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