scholarly journals Achieving Scale – Using an Integrated Comprehensive Care Model to Transform the Patient & Provider Experience

2021 ◽  
Vol 21 (S1) ◽  
pp. 371
Author(s):  
Melissa Chang
Keyword(s):  
Comprehensive Care ◽  
Care Model ◽  
Provider Experience ◽  
Comprehensive Care Model

scholarly journals A home-based comprehensive care model in patients with Multiple Sclerosis: A study pre-protocol

F1000Research ◽  
2015 ◽  
Vol 4 ◽  
pp. 872 ◽  
Author(s):  
Lufei Young ◽  
Kathleen Healey ◽  
Mary Charlton ◽  
Kendra Schmid ◽  
Rana Zabad ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Intervention Group ◽  
Care Program ◽  
Comprehensive Care ◽  
Care Model ◽  
Patient Centered ◽  
Home Based ◽  
Comprehensive Care Model

Background Disability is prevalent in individuals with multiple sclerosis (MS), leading to difficulty in care access, significant caregiver burden, immense challenges in self-care and great societal burden.  Without highly coordinated, competent and accessible care, individuals living with progressive MS experience psychological distress, poor quality of life, suffer from life-threatening complications, and have frequent but avoidable healthcare utilizations. Unfortunately, current healthcare delivery models present severe limitations in providing easily accessible, patient-centered, coordinated comprehensive care to those with progressive MS. We propose a home-based comprehensive care model (MAHA) to address the unmet needs, challenges, and avoidable complications in individuals with progressive MS with disabling disease.Objective The article aims to describe the study design and methods used to implement and evaluate the proposed intervention.  Method The study will use a randomized controlled design to evaluate the feasibility of providing a 24-month, home-based, patient-centered comprehensive care program to improve quality of life, reduce complications and healthcare utilizations overtime (quarterly) for 24 months. A transdisciplinary team led by a MS-Comprehensivist will carry out this project. Fifty MS patients will be randomly assigned to the intervention and usual care program using block randomization procedures. We hypothesize that patients in the intervention group will have fewer complications, higher quality of life, greater satisfaction with care, and reduced healthcare utilization. The proposed project is also expected to be financially sustainable in fee-for-service models but best suited for and gain financial success in valued-based care systems.  Discussion This is the first study to examine the feasibility and effectiveness of a home-based comprehensive care management program in MS patients living with progressive disability. If successful, it will have far-reaching implications in research, education and practice in terms of providing high quality but affordable care to population living with severe complex, disabling conditions.

Perioperative management of wounds with nanosilver dressing after neoadjuvant chemotherapy for breast cancer

2021 ◽  
Vol 11 (6) ◽  
pp. 912-919
Author(s):  
Yaqing Liu ◽  
Zhaoyang Huang ◽  
Sujuan Yang ◽  
Cuiyun Zhou ◽  
Mei Chen
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Wound Healing ◽  
Perioperative Management ◽  
Negative Emotions ◽  
Comprehensive Care ◽  
Care Model ◽  
Comprehensive Care Model ◽  
Postoperative Quality

Neoadjuvant chemotherapy (NAC) can improve the success rate of breast cancer surgery; however, most patients have obvious negative thoughts about NAC. Failure to effectively relieve these negative emotions or thoughts will adversely affect the quality of life of the patients after treatment. Therefore, a majority of nursing staff are committed toward reducing patients’ negative emotions through good perioperative management as well as improving the treatment effects and postoperative quality of life of patients. A good perioperative management of breast cancer should include postoperative wound and patient psychological care. This study found that patients using nanosilver dressings have greatly reduced total wound drainage, drainage tube removal time, and postoperative complications within four days after surgery and that the rate of wound healing was obviously improved. This suggests that nanosilver dressings can improve the rate of wound healing and reduce the risk of complications. At the same time, we found that postoperative negative emotions of patients receiving comprehensive care were effectively relieved and their mental flexibility was also improved. In addition, the quality of sleep, quality of life, and nursing satisfaction of patients receiving comprehensive care were significantly higher than those receiving traditional care models. This shows that the comprehensive care model is capable of reducing the negative emotions of patients during the perioperative period and also helps to improve the quality of life of patients after surgery. Therefore, this study demonstrates that the use of nanosilver dressings as a comprehensive care model can reduce the risk of negative emotions and complications in addition to improving the rate of wound healing and postoperative quality of life.

Results of the comprehensive care model for the care of children with new-onset Type I diabetes

2016 ◽  
Vol 120 ◽  
pp. S87
Author(s):  
Shene-Fong You ◽  
Shao-Yin Chu ◽  
Li-Xia Tong ◽  
Ya-Chun Cheng ◽  
Yi-Hsuan Wang ◽  
...  
Keyword(s):  
Type I Diabetes ◽  
Comprehensive Care ◽  
Type I ◽  
Care Model ◽  
Onset Type ◽  
Comprehensive Care Model ◽  
New Onset

scholarly journals Świadczenia rehabilitacji medycznej w Polsce w czasie pandemii COVID-19. Zagadnienia regulacyjne i organizacyjne

2020 ◽  
Vol 18 (2) ◽  
pp. 165-175
Author(s):  
Magdalena A. Mrożek-Gąsiorowska
Keyword(s):  
Local Governments ◽  
Medical Rehabilitation ◽  
Comprehensive Care ◽  
Rehabilitation Services ◽  
Legal Regulations ◽  
Care Model ◽  
Organizational Issues ◽  
Rehabilitation System ◽  
Comprehensive Care Model ◽  
The Impact

Medical rehabilitation in Poland during the COVID-19 pandemic. Regulatory and organizational issues The medical rehabilitation system in Poland includes various rehabilitation services, financed by various institutions, including the NFZ, ZUS, KRUS, PFRON and local governments. The aim of the study is to identify the most important problems and limitations of this system, especially in the context of the COVID-19 pandemic. The most important issues to be solved and proposed reforms of the medical rehabilitation system in Poland presented in recent years were identified. The impact of the COVID-19 pandemic on this system, providing rehabilitation services and problems related to the im­plementation of further legal regulations in the first months of the pandemic were discussed. One of the most important recommended changes is the implementation of the comprehensive care model and the activities aimed at coordinating various elements and levels of rehabilitation.

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