Should Programs of All-Inclusive Care for the Elderly Use Community-Based Primary Care Physicians?

2008 ◽  
Vol 9 (4) ◽  
pp. 275-278 ◽  
Author(s):  
Gail L. Rearden ◽  
Matthew K. McNabney ◽  
Shawn M. Bloom ◽  
Catherine Eng
Author(s):  
Inge Kriel ◽  
Geertruida de Bock ◽  
Sabine Siesling ◽  
Annette Berendsen

Abstract: Primary care physicians play a vitally important role in care and in the management of patients with breast cancer in any setting, but their contribution is especially valuable in a developing country setting. Communication between the family physician and the specialist ensures holistic patient management. Whereas the specialist focuses on management of the breast cancer, the generalist assesses and manages the complex interplay between pre-existing chronic medical conditions and the breast cancer. The biopsychosocial model is the cornerstone of general practice. The primary care physician plays an important role in managing breast cancer patients in all phases of the disease: prediagnosis, diagnosis, during treatment, after-treatment survivorship care, care for the elderly, and palliative care.


Sensors ◽  
2020 ◽  
Vol 20 (15) ◽  
pp. 4192
Author(s):  
Leyuan Liu ◽  
Yibin Hou ◽  
Jian He ◽  
Jonathan Lungu ◽  
Ruihai Dong

A fall detection module is an important component of community-based care for the elderly to reduce their health risk. It requires the accuracy of detections as well as maintains energy saving. In order to meet the above requirements, a sensing module-integrated energy-efficient sensor was developed which can sense and cache the data of human activity in sleep mode, and an interrupt-driven algorithm is proposed to transmit the data to a server integrated with ZigBee. Secondly, a deep neural network for fall detection (FD-DNN) running on the server is carefully designed to detect falls accurately. FD-DNN, which combines the convolutional neural networks (CNN) with long short-term memory (LSTM) algorithms, was tested on both with online and offline datasets. The experimental result shows that it takes advantage of CNN and LSTM, and achieved 99.17% fall detection accuracy, while its specificity and sensitivity are 99.94% and 94.09%, respectively. Meanwhile, it has the characteristics of low power consumption.


2012 ◽  
Vol 48 (1) ◽  
pp. 95-113 ◽  
Author(s):  
Ashwani K. Singal ◽  
Yu-Li Lin ◽  
Yong-Fang Kuo ◽  
Taylor Riall ◽  
James S. Goodwin

2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 811-817 ◽  
Author(s):  
Giovana Aparecida de Souza Scolari ◽  
Leidyani Karina Rissardo ◽  
Vanessa Denardi Antoniassi Baldissera ◽  
Lígia Carreira

ABSTRACT Objective: to understand the conception of the elderly and their caregivers about the accessibility to health mediated by the service in Emergency Care Units. Methodo: a qualitative study conducted with 25 elderly patients and caregivers at Emergency Care Units in a city of Paraná, using Grounded Theory as a methodological reference. Results: According to the participants, the resources available in these services guarantee medical consultation and provide access to exams and medicines. Such resources have attracted patients and caused excess demand, which implies a set of compromising factors for the quality of care in these services. Final considerations: Investments in the restructuring of the care network, especially in primary care, with an increase in the number of consultations and the creation of a bond, can contribute to the emergency care units achieving the goal of access to qualified assistance to the elderly population.


1998 ◽  
Vol 28 (1) ◽  
pp. 183-196 ◽  
Author(s):  
Robert L. Vogel ◽  
Richard J. Ackermann

Assessment of the relation between life indicators and health outcomes is a complex problem. The authors' analysis uses descriptive canonical correlation, and their solution suggests that socioeconomic factors play a major role in health outcomes. The supply of primary care physicians has a lesser but still important role: canonical correlation suggests no apparent role in enhancing health outcomes among the elderly but a larger role in improving health among the young. The authors' analysis does support the notion that specialist physician supply has no correlation with a wide range of health outcomes.


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