Deceiving Dentists: Health Care Providers as 'Subjects at Risk'

INCREASINGLY, HEALTH CARE PROVIDERS at all levels are being forced to weigh the economic impact of treatment. Davey and colleagues state that health care economics depends on two basic assumptions.1 These assumptions are, first, that resources are limited and, second, that resources should be allocated to produce as much good as possible. On an intellectual basis it is hard to disagree with these assumptions. But in the day-to-day care of at-risk neonates it may be difficult to implement them.

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Heredity and Predictive Testing of Alcoholism: An Exploratory Study of the Views of Dutch Alcoholics, At-Risk Drinkers, and Health Care Providers

Journal of Addictions Nursing ◽

10.3109/10884602.2010.515695 ◽

2010 ◽

Vol 21 (4) ◽

pp. 174-182 ◽

Cited By ~ 2

Author(s):

Susanne J.H. Vijverberg ◽

Jantien van Berkel ◽

Toine Pieters ◽

Stephen Snelders ◽

Richard Braam ◽

...

Keyword(s):

Health Care ◽

At Risk ◽

Health Care Providers ◽

Exploratory Study ◽

Predictive Testing ◽

Care Providers

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Tools available for health care providers whose patients are at risk for domestic violence

JAMA ◽

10.1001/jama.266.9.1179 ◽

1991 ◽

Vol 266 (9) ◽

pp. 1179-1180

Author(s):

T. Randall

Keyword(s):

Health Care ◽

At Risk ◽

Domestic Violence ◽

Health Care Providers ◽

Care Providers

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Health Care Utilization Among Homeless Veterans in Chicago

Military Medicine ◽

10.1093/milmed/usz264 ◽

2019 ◽

Vol 185 (3-4) ◽

pp. e335-e339

Author(s):

Jason H Raad ◽

Elizabeth Tarlov ◽

Abel N Kho ◽

Dustin D French

Keyword(s):

Health Care ◽

At Risk ◽

Health Care Utilization ◽

Health Care Providers ◽

The United States ◽

Chronic Health Conditions ◽

Health Conditions ◽

Care Utilization ◽

Care Providers ◽

Chronic Health

Abstract Introduction The U.S. Department of Veterans Affairs (VA), the single largest health care system in the United States, provides comprehensive medical and behavioral health services to more than 9 million Veterans. The size and scope of the VA’s system of care allow health care providers, policymakers, and community stakeholders to conduct detailed analyses of health care utilization among Veterans; however, these analyses do not include health care encounters that occur outside VA. Although many Veterans obtain care in non-VA settings, understanding health care utilization among vulnerable populations of Veterans, including those who are homeless or at risk of becoming homeless, is needed to identify potential opportunities to enhance access and reduce fragmentation of care. Materials and Methods VA administrative data were merged with data from the Chicago HealthLNK Data Repository to identify Veterans eligible for VA services who were homeless, or at risk of becoming homeless, in the greater Chicago metropolitan area for the years 2010–2012. Results During the 3-year study period, about 208,554 Veterans were registered for care at two VA medical centers located in the City of Chicago and an adjacent suburb. Of those, 13,948 were identified as homeless or at risk of becoming homeless. Results suggest that 17% (n = 2,309) of Veterans in this sample received some or all of their care in the community. Much of the care these Veterans received was for chronic health conditions, substance use, and mental health disorders. Conclusions Veterans eligible for VA servicers who are homeless, or at risk of becoming homeless, frequently sought care in the community for a variety of chronic health conditions. Health information exchanges and partner-based registries may represent an important tool for identifying vulnerable Veteran populations while reducing duplication of care.

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Tools Available for Health Care Providers Whose Patients Are at Risk for Domestic Violence

JAMA ◽

10.1001/jama.1991.03470090013003 ◽

1991 ◽

Vol 266 (9) ◽

pp. 1179

Author(s):

Teri Randall

Keyword(s):

Health Care ◽

At Risk ◽

Domestic Violence ◽

Health Care Providers ◽

Care Providers

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Prophylaxis of infective endocarditis

Medicinski pregled ◽

10.2298/mpns1106319s ◽

2011 ◽

Vol 64 (5-6) ◽

pp. 319-322 ◽

Cited By ~ 1

Author(s):

Dejan Sakac ◽

Dragan Kovacevic ◽

Slobodan Sekulic

Keyword(s):

Health Care ◽

At Risk ◽

Infective Endocarditis ◽

Antibiotic Prophylaxis ◽

Health Care Providers ◽

Heart Valves ◽

Task Force ◽

Care Providers ◽

Increased Risk ◽

European Society Of Cardiology

Introduction. Infective endocarditis is defined as an infection of the endothelial surface of the heart and heart valves, above all. It is a great challenge for doctors to diagnose infective endocarditis especially in primary health care, because this is a disease in evolution, bearing in mind changes in epidemiological and clinical characteristics, which developed in the last decades. Even today this is a very severe and insidious disease, with poor prognosis and high mortality. Prevention of Infective Endocarditis. Although previous guidelines proposed a limitation to prophylaxis in patients at increased risk of adverse outcome of infective endocarditis, new guidelines recommend the principles of antibiotic prophylaxis when performing procedures at risk of infective endocarditis in patients with predisposing cardiac conditions, and limit its indication to patients at the highest risk of infective endocarditis undergoing the highest risk procedures. Conclusion. Despite the fact that previous guidelines for diagnostics and treatment of infective endocarditis were published only several years ago, the Task Force on Prevention, Diagnosis and Treatment of Infective Endocarditis of the European Society of Cardiology identify infective endocarditis as a clearly evolving disease, with changes in its microbiological profile and higher incidence of health care associated cases which has brought about a need for new recommendations to help health care providers in making clinical decisions including preventive measures and antibiotic prophylaxis. As a novelty, a group of patients at the highest risk of infective endocarditis was defined as well as the type of procedures at risk divided into four categories.

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Mobile diagnostics and consultation for the prevention of the metabolic syndrome and its secondary diseases in Brandenburg—study protocol of a regional prospective cohort study: the Mobile Brandenburg Cohort

Pilot and Feasibility Studies ◽

10.1186/s40814-021-00898-w ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Anne Schraplau ◽

Andrea Block ◽

Andreas Häusler ◽

Pia-Maria Wippert ◽

Michael A. Rapp ◽

...

Keyword(s):

Physical Activity ◽

Health Care ◽

Metabolic Syndrome ◽

At Risk ◽

Early Detection ◽

Health Care Providers ◽

Prevention Programs ◽

Care Providers ◽

The Metabolic Syndrome ◽

Secondary Diseases

Abstract Background The metabolic syndrome (MetS) is a risk cluster for a number of secondary diseases. The implementation of prevention programs requires early detection of individuals at risk. However, access to health care providers is limited in structurally weak regions. Brandenburg, a rural federal state in Germany, has an especially high MetS prevalence and disease burden. This study aims to validate and test the feasibility of a setup for mobile diagnostics of MetS and its secondary diseases, to evaluate the MetS prevalence and its association with moderating factors in Brandenburg and to identify new ways of early prevention, while establishing a “Mobile Brandenburg Cohort” to reveal new causes and risk factors for MetS. Methods In a pilot study, setups for mobile diagnostics of MetS and secondary diseases will be developed and validated. A van will be equipped as an examination room using point-of-care blood analyzers and by mobilizing standard methods. In study part A, these mobile diagnostic units will be placed at different locations in Brandenburg to locally recruit 5000 participants aged 40-70 years. They will be examined for MetS and advice on nutrition and physical activity will be provided. Questionnaires will be used to evaluate sociodemographics, stress perception, and physical activity. In study part B, participants with MetS, but without known secondary diseases, will receive a detailed mobile medical examination, including MetS diagnostics, medical history, clinical examinations, and instrumental diagnostics for internal, cardiovascular, musculoskeletal, and cognitive disorders. Participants will receive advice on nutrition and an exercise program will be demonstrated on site. People unable to participate in these mobile examinations will be interviewed by telephone. If necessary, participants will be referred to general practitioners for further diagnosis. Discussion The mobile diagnostics approach enables early detection of individuals at risk, and their targeted referral to local health care providers. Evaluation of the MetS prevalence, its relation to risk-increasing factors, and the “Mobile Brandenburg Cohort” create a unique database for further longitudinal studies on the implementation of home-based prevention programs to reduce mortality, especially in rural regions. Trial registration German Clinical Trials Register, DRKS00022764; registered 07 October 2020—retrospectively registered.

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