delivery models in chronic care

... needed for improving chronic care [15] The CCM, originally created within the US national program Improving Chronic Illness Care (ICIC) in 1998, has informed chronic care redesigns in numerous health ... KT in a sample of chronic care organizations The instrument will first be validated in chronic care services in the province of Quebec, Canada, and then tested in three Canadian provinces in chronic ... for adopting complex, system-based interventions to be applied in multidisciplinary healthcare contexts Preparation work will be done in advance of the validity testing, including determining access...

Ngày tải lên: 10/08/2014, 11:20

... of the Working Group on Sepsis-related Problems of the European Society of Intensive Care Medicine Intensive Care Med 1996, 22:707-710 Clermont G, Kaplan V, Moreno R, Vincent JL, Linde-Zwirble ... and colleagues, however, included additional data from the clinical course before they entered the intensive care unit (age, gender, and ethnicity), thus ‘recreating individual patients’ whose ... illness The investigators tested eight different algorithms with different sets of input variables, and the ability to predict the clinical course by some of these models is amazing, as seen in Fig...

Ngày tải lên: 13/08/2014, 03:21

... mortality at ICU admission Intensive Care Med 2005, 31:1345-1355 18 2nd European Consensus Conference in Intensive Care Medicine: Predicting outcome in ICU patients Intensive Care Med 1994, 20:390-397 ... Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine Intensive Care Med 1996, 22:707-710 Hekmat K, Kroener A, Stuetzer H, Schwinger RH, Kampe S, Bennink ... tool in decision making Although scoring systems may provide an indication of disease severity and prognosis in individual patients and assist in overall patient assessment along with full clinical...

Ngày tải lên: 10/08/2014, 09:23

... healthcare system includes a well-developed primary care system with financial incentives to provide chronic care in primary care settings, so the results cannot be generalized to other settings ... is worth mentioning that the variation in our outcome ‘disease monitoring’ was mainly related to varying levels of creatinine testing, i.e., monitoring of kidney functioning Clinical research ... in a patient care team [16,17] Pilot studies have examined the feasibility and relevance of network analysis for studying patient care teams in chronic illness care [18,19] In these pilots, interactions...

Ngày tải lên: 10/08/2014, 11:20

... physicians) Baseline-Cb Baseline-A Intensive phase Sustainability phase Baseline-A Intensive phase Control for Step I (Intensive Phase) III 27 practices (53 physicians) Baseline-C Baseline-C Sustainability ... facilitation in a Canadian healthcare setting still remains unclear, as all investigations conducted to date have taken place in highly controlled small-scale settings, with the interventions being focused ... Organization of Care (EPOC) Group on changing practice behavior [18] In order to initiate positive, sustainable changes in practice behavior to improve chronic disease care, interventions should...

Ngày tải lên: 10/08/2014, 11:20

... http://www.implementationscience.com/content/3/1/35 Interpreting CPGs Variability in client needs In interpreting clinical practice guidelines and translating these into a skill and competency input required for individual management, ... place to support the delivery of best practice care Because of the large involvement of governments in the funding and delivery of health care, and the joint control over training and accreditation ... guidelines are not based on evidence regarding effective and cost-effective care, then supporting the delivery of care consistent with clinical guidelines will not achieve the promised gains in...

Ngày tải lên: 11/08/2014, 05:21

... managed by the integrated activities of clinical and non-clinical members of the primary care team There are National Institute for Health and Clinical Effectiveness (NICE) guidelines defining standards ... health care organizations in primary and secondary care [31-33] Aim The aim of this study is to improve the quality of care for patients with diabetes cared for in primary care by identifying individual, ... of quality of care studies (including diabetes) from UK primary care concluded that 'in almost all studies the process of care did not reach the standards set out in national guidelines or set...

Ngày tải lên: 11/08/2014, 05:21

... was determined by examining to what degree connections defined by receiving information were confirmed by those defined by providing information (simple matching) [14] A ‘match’ of receiving and ... missing values in the information receiving networks by imputation from the information providing network, when available If the response of an individual on receiving information was missing, ... gathering and dissemination information A study of primary care partnerships in Australia found that independent staff played a crucial role in holding partnerships together [11] A study in the...

Ngày tải lên: 11/08/2014, 05:21

... characterise young carers, together with a predominant focus on the ill-effects of caregiving in the international literature on young carers [24,25], and emerging trends on exploring the psychological ... movement toward coping and well-being Meanings ascribed to stressful life events have previously shown to be critical in coping and promoting psychosocial well-being [42,43] In line with Antonovsky's ... to caregiving and the construction of a positive caregiving identity, one that influences Samuels psychosocial well-being and coping I HAVE A HELPING HEART How are you different? I like helping...

Ngày tải lên: 11/08/2014, 14:21

... managed by the integrated activities of clinical and non-clinical members of the primary care team There are National Institute for Health and Clinical Effectiveness (NICE) guidelines defining standards ... health care organizations in primary and secondary care [31-33] Aim The aim of this study is to improve the quality of care for patients with diabetes cared for in primary care by identifying individual, ... of quality of care studies (including diabetes) from UK primary care concluded that 'in almost all studies the process of care did not reach the standards set out in national guidelines or set...

Ngày tải lên: 11/08/2014, 16:20

... was determined by examining to what degree connections defined by receiving information were confirmed by those defined by providing information (simple matching) [14] A ‘match’ of receiving and ... missing values in the information receiving networks by imputation from the information providing network, when available If the response of an individual on receiving information was missing, ... gathering and dissemination information A study of primary care partnerships in Australia found that independent staff played a crucial role in holding partnerships together [11] A study in the...

Ngày tải lên: 11/08/2014, 16:20

... http://www.implementationscience.com/content/3/1/35 Interpreting CPGs Variability in client needs In interpreting clinical practice guidelines and translating these into a skill and competency input required for individual management, ... place to support the delivery of best practice care Because of the large involvement of governments in the funding and delivery of health care, and the joint control over training and accreditation ... guidelines are not based on evidence regarding effective and cost-effective care, then supporting the delivery of care consistent with clinical guidelines will not achieve the promised gains in...

Ngày tải lên: 11/08/2014, 16:21

... telephone or Internet in each case Randomisation was at the patient level within each practice, using a block design to maintain a balance of numbers in the control and intervention groups Trial Intervention ... practice nurses involved in the feasibility study The model is similar in some ways to that used in the longer-term care of patients with asthma or diabetes in primary care Components include: Recall ... trial, checking their eligibility (including conducting the CIDI interview) and conducting the computerised randomisation • Day 2: covered the procedures and information required for the intervention...

Ngày tải lên: 11/08/2014, 16:22

... of individual ICUs in treating septic patients Several approaches in risk stratification have been utilized, including the use of severity of illness scoring systems and the use of certain inflammatory ... probability models for early severe sepsis in adult intensive care patients JAMA 1995, 273:644650 16 Goldhill DR, Sumner A: Outcome of intensive care patients in a group of British intensive care units ... gather in Makkah [5] Many of these pilgrims are elderly with underlying chronic illnesses, making them especially susceptible to infectious illnesses Second, the health care system in the Kingdom...

Ngày tải lên: 12/08/2014, 19:22

... G, Guérin C: Six-month outcome in acute kidney injury requiring renal replacement therapy in the ICU: a multicentre prospective study Intensive Care Med 2009, in press Whitcomb DC: Clinical practice: ... an international multicenter observational study Intensive Care Med 2009, 35:1728-1737 National Confidential Enquiry into Patient Outcome and Death: Adding Insult to Injury - a Review of the Care ... patient group in particular may benefit from a structured rehabilitation programme continuing after hospital discharge Competing interests The authors declare that they have no competing interests...

Ngày tải lên: 13/08/2014, 19:20

... looking for cheaper goods and more convenient ways of accessing them New models of personal ownership are gaining attention in many industries based on the idea that people are increasingly interested ... should think about, say executives interviewed in this report Backing new delivery models with a strong business case, developing a seamless user experience, working with regulators and monitoring ... apartments, is being trumped by their interest in finding cheaper, more convenient options to use them In an increasingly costconscious world, the benefits of temporary just -in- time access to...

Ngày tải lên: 04/12/2015, 00:19

... error interception Intensivist participation in ICU care Adequate staffing Pharmacist participation in ICU care Incorporation of quality assurance into academic education ICU, intensive care unit ... errors involving continuously infused medications in a surgical intensive care unit Crit Care Med 2004, 32:428-432 80 Stambouly JJ, McLaughlin LL, Mandel FS, Boxer RA: Complications of care in a ... Impact of a clinical pharmacist in a multidisciplinary intensive care unit Crit Care Med 1994, 22:10441048 66 Baldinger SL, Chow MS, Gannon RH, Kelly ET 3rd: Cost savings from having a clinical pharmacist...

Ngày tải lên: 25/10/2012, 10:35

... Vainchenker W, Wendling F Prominent role of TGF-beta in thrombopoietin-induced myelofibrosis in mice Blood 2002;100:3495-503 32 Erusalimsky JD, Franklin R and Hong Y Is the platelet lowering activity ... the other, is in accordance with some previous results [13,19] This lack also suggests that interactions are rather complex or slow; thus, in samples obtained at a single time point it might not ... advocated as a protein susceptible to reductions during anagrelide treatment for MPD [30] We can not corroborate those findings here, despite using the same assay as those investigators At this...

Ngày tải lên: 03/11/2012, 10:52

... act as interpreter We divide the interpreter models into two main groups: the ad-hoc models and the dedicated interpreter models Ad-hoc models Ad-hoc models of interpreting depend on individuals ... dedicated interpreter models, there is an expense involved in recruiting and maintaining staff In addition, since it is rarely cost effective to employ interpreters in all language combinations, ... Dedicated interpreter models The previous models all depended on ‘interpreters’ whose principal function in the health care setting was something other than interpreting A second set of models depends...

Ngày tải lên: 22/10/2013, 12:15