Continuity of care during incarceration

Mental illness and homelessness are inextricably tied together in a way that has created a costly problem which profoundly affects both individuals and society. To begin to eradicate this problem, the severity and complexity must be understood by considering the many contributing factors to both mental illness and homelessness. Care must be individualized to fit each person’s unique situation, and continuity of care is absolutely critical. This problem has ramifications for many disciplines such as healthcare, social work, corrections, and housing, but stigma in the general population must also be addressed if progress is to be made.

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Evaluating the relational continuity of care of four GP practices, one of which uses personalised lists

British Journal of General Practice ◽

10.3399/bjgp20x711713 ◽

2020 ◽

Vol 70 (suppl 1) ◽

pp. bjgp20X711713

Author(s):

Riaan Swanepoel

Keyword(s):

General Practice ◽

Patient Satisfaction ◽

Chronic Disease ◽

Continuity Of Care ◽

Financial Incentive ◽

Working Hours ◽

Psychological Problems ◽

Relational Continuity ◽

Care Index

BackgroundContinuity of care is a fading type of care because GPs are working more flexibly and at reduced working hours. The GP Contract gave a financial incentive to provide prompt GP appointments, but to the detriment of continuity of care. Increased patient demand for appointments has seemingly led to patients favouring ‘any’ appointment with a GP rather than ‘an appointment with the same GP’. Continuity of care in general practice is associated with greater patient satisfaction and is the preferred type of care for patients with chronic disease or psychological problems. In the Northeast of England there is a multi-partner GP practice that operates a true personalised list system. Other GP practices in the area do offer a degree of continuity of care, but this has not been measured.AimTo measure and compare the relational continuity of care index of four matched GP practices, one of which operates a personalised list.MethodA written protocol enabled the authors to extract comparable anonymised data from four GP practices over a year (January to December 2019). Two standardised indexes of continuity of care (UPC and SLICC) were calculated and compared.ResultsContinuity of care was consistently higher with personalised lists. UPC index results show that all GP practices provide surprisingly high continuity of care, albeit not with patients’ assigned GPs. Higher monthly UPC scores versus overall scores indicate patients are receiving continuity of care in relation to their condition.ConclusionContinuity of care is still observed in GP practices that do not have personalised lists.

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EFFECTIVENESS OF USING MCH BOOKS AND MONSCA APPLICATIONS IN THE IMPLEMENTATION OF 14 T ANTENATAL SERVICE STANDARDS

Jurnal Riset Kesehatan Poltekkes Depkes Bandung ◽

10.34011/juriskesbdg.v12i1.870 ◽

2020 ◽

Vol 12 (1) ◽

pp. 68-73

Author(s):

Rahmawati Rahmawati ◽

Syarif Syafruddin ◽

Nontji Wena

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Continuity Of Care ◽

Control Design ◽

Sampling Technique ◽

Limited Time ◽

Control Groups ◽

Post Test ◽

Service Standards

The component of antenatal care received by pregnant women is classified as incomplete because the implementation of standard pregnancy services is still using conventional methods. There are obstacles faced by midwives, such as the limited time in a recording, which has an impact on the declining quality of antenatal care standards. This research aims to compare the effectiveness of the use of KIA books and MONSCA applications in midwives in the application of the standard Antenatal service 14 T. This research was conducted in Puskesmas Tanete and Puskesmas Bontobangun Bulukumba District. The method used in the study is experimental quasi (pre-test post-test nonequivalent control design). Using a sample of midwives in this study, as many as 36 people were divided into two groups (18 intervention groups and 18 control groups). The sampling technique in this study used purposive sampling. Data were analyzed using the Mann-Whitney Test. The results showed that there was a difference in the effectiveness of using KIA books with MONSCA applications, MOSCA's applications were easier to use, faster, safer, and more accurate than KIA books. It can be concluded that the MONSCA application is more effective than KIA books. Key words: Effectiveness, Android-based Smart Continuity of Care application, KIA book, Antenatal service 14 T

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