scholarly journals Interdisciplinary versus multidisciplinary care teams: do we understand the difference?

2007 ◽  
Vol 31 (3) ◽  
pp. 330 ◽  
Author(s):  
Rebecca L Jessup
Keyword(s):  
Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Multidisciplinary Care ◽  
Interdisciplinary Teams ◽  
Multidisciplinary Teams ◽  
Health Staff ◽  
Health Care Environment ◽  
The Difference ◽  
Definition Of

AS A MANAGER OF allied health staff in a major metropolitan health care service, I am responsible for recruitment to a variety of different disciplines. One of the questions I regularly ask at interview centres around the applicant?s understanding of interdisciplinary teams in the health care environment. Anecdotally, I would estimate that only around one in ten individuals can provide an accurate definition of the role of an interdisciplinary team. The remainder default to a description of multidisciplinary teams, and some even utilise the terms interchangeably.

scholarly journals 463 - Evaluating the Implementation of a Memory Clinic using the RE-AIM model. The experience of the “Memory and Neuropsychiatry Clinic” in Hospital del Salvador, Chile

2020 ◽  
Vol 32 (S1) ◽  
pp. 184-185
Author(s):  
T. Leon ◽  
L. Castro ◽  
F. Mascayano ◽  
BA. Lawlor ◽  
A. Slachevsky
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Latin American ◽  
Care Service ◽  
Care Center ◽  
Health Care Service ◽  
Multidisciplinary Teams ◽  
Outpatient Services ◽  
Health Care Center ◽  
Dementia Patients

AbstractThe prevalence of dementia in Chile is 1.06 %, meaning that over 200,000 people are affected. In 2017, the Ministry of Health launched the National Plan of Dementia, which proposed establishing a range of health-care services from primary care to Memory Units (MU).MUs have emerged as a new health care service composed of multidisciplinary teams with the goal of improving diagnosis and management of dementia patients.The creation and implementation of a MU should take into consideration the organization of a particular healthcare system. In this context, the evaluation of a Chilean MU might provide information for the standardization and replication of such a health service on a regional basis.The objective of this paper was to evaluate the implementation processes of a MU using the RE-AIM model, a multi-component model aimed to assist the evaluation of the implementation of ongoing programs.Regarding “R” (Reach): from March 2018 up to June 2019, a total of 510 patients were referred and assessed at the Hospital del Salvador. Most patients came from primary care (51.9 %) and from outpatient services at the Hospital (39.2 %), particularly from the Neurology (63.3%) and Psychiatry (16.0 %) departments. We estimated that the MU assessed 5.39% of dementia patients living in the area of referral.In relationship with “E” (Effectiveness): of patients evaluated by the MU, 60 (11%) were discharged. Of these, 41 (66%) were referred to primary health care, 9 (17%) to other outpatient services, 6 (10%) to a specialized mental health care center, and 4 (7%) to a daycare center.Due to the short lifespan of our MU, no other RE-AIM dimensions could be evaluated yet.This was the first evaluation of the implementation of a MU in Chile as part of the Chilean Dementia Plan. It showed that it is possible to implement a MU in a Latin American country and improve access to dementia diagnosis, management, and treatment. Ongoing challenges include continuing to collect clinical data, creating research projects as part of the MU, and developing a MU protocol that can be adopted elsewhere in Chile and other Latin American countries.

scholarly journals Reasons for students’ poor clinical competencies in the Primary Health Care: Clinical nursing, diagnosis treatment and care programme

2010 ◽  
Vol 15 (1) ◽  
Author(s):  
Nomasonto B. Magobe ◽  
Sonya Beukes ◽  
Ann Müller
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Health Staff ◽  
Care Programme ◽  
Clinical Competencies ◽  
Primary Health ◽  
Comprehensive Primary Health Care

‘No member of [health] staff should undertake tasks unless they are competent to do so’ is stated in the Comprehensive Primary Health Care Service Package for South Africa (Department of Health 2001)document. In South Africa, primary clinical nurses (PCNs), traditionally known as primary health care nurses (PHCNs), function as ‘frontline providers’ of clinical primary health care (PHC) services within public PHC facilities, which is their extended role. This extended role of registered nurses(set out in section 38A of the Nursing Act 50 of 1978, as amended) demands high clinical competency training by nursing schools and universities.The objectives of the study were to explore and describe the perceptions of both clinical instructors and students, in terms of the reasons for poor clinical competencies. Results established that two main challenges contributed to students’ poor clinical competencies: challenges within the PHC clinical field and challenges within the learning programme (University).OpsommingDie primêre kliniese verpleegkundiges, tradisioneel bekend as primêre gesondheidsorg verpleegkundiges, funksioneer in Suid-Afrika as eerste-linie verskaffers van kliniese primêre gesondheidsorg (PGS) dienste binne die publieke PGS fasiliteite. Dit is hulle uitgebreide rol. Hierdie uitgebreide rol van die verpleegkundige (soos deur Wet op Verpleging,No 50 van 1978, artikel 38A voorgeskryf), vereis opleiding in kliniese vaardighede van hoë gehalte deur verpleegskole en universiteite.Die doelwitte van die navorsing was om die persepsies van beide kliniese dosente en leerders,met betrekking tot die redes vir swak kliniese vaardighede, repektiewelik te verken en te beskryf.Twee temas is deur die resultate as uitdagings (hoof redes) vir die swak vaardighede van leerders aangetoon, naamlik uitdagings in die PGS kliniese praktyk en die uitdagings in die leerprogram (universiteit).

The cost of health care for HIV-positive patients

1997 ◽  
Vol 8 (1) ◽  
pp. 50-53 ◽  
Author(s):  
R P Brettle ◽  
F I Atkinson ◽  
J Wilcock ◽  
A Richardson ◽  
R Lewis ◽  
...  
Keyword(s):  
Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Hospital Costs ◽  
Risk Groups ◽  
Clinical Staging ◽  
Service Activity ◽  
Comprehensive Health ◽  
Definition Of ◽  
A Prospective Study

Utilizing a prospective study of health service activity for HIV/AIDS, 2 estimates of hospital costs of care analysed with reference to gender, risk activity, immunological and clinical staging (1987 definition of AIDS) were undertaken. Utilizing combined costs per life year (based on hospital and hospice activity but not primary and community care) the ratio of costs for CD4< 200 and cd4> 200 was for most risk groups between 2-5 : 1 whilst for AIDS : pre-AIDS it was between 3.6-8.3 : 1 except for homosexuals where it was 12.6 : 1. A comparison of the standard hospital costs for infectious diseases with the published accounts for clinical AIDS care in Lothian suggests a 3-4-fold underestimate in the costs of providing a comprehensive health care service.

scholarly journals Experience and overall satisfaction of foreign patients with the health care services received in Latvia

2020 ◽  
Vol 85 ◽  
pp. 02009
Author(s):  
Daiga Behmane ◽  
Anda Batraga ◽  
Mara Greve ◽  
Didzis Rutitis
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Service Evaluation ◽  
Care Services ◽  
The Difference ◽  
High Level ◽  
Patients Experience

The study evaluates foreign patients' experience and satisfaction in relation to the health care received in Latvia. By applying the gap model of service evaluation, the study reveals the difference between expected and received service outcome in Latvia, and draws conclusions about the importance of individual and patient experience factors related to the overall patient satisfaction. The study concludes that in all groups of factors matrix proposed in the study: (1) general travel or destination factors; (2) communication factors; (3) factors related to the choice of service and (4) factors related to the choice of health care institution, patients evaluated the perceived health care outcome higher than the expected outcome. The results of the study lead to the conclusion that there is a significant gap in foreign patients' knowledge regarding the possibilities of receiving a high-level health care service in Latvia. The results also reveal the most important determinants of patient experience and related satisfaction.

scholarly journals Epidemiological effects in Amyotrophic Lateral Sclerosis from the application of a DTCP

2021 ◽  
Author(s):  
Massimo Esposito ◽  
Marcello Sartori ◽  
Emilio Terlizzi ◽  
Roberto Antenucci ◽  
Elena Braghieri ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Care Pathway ◽  
Care Service ◽  
Health Care Service ◽  
Public Health Care ◽  
The Difference ◽  
Als Patients ◽  
Epidemiological Effects ◽  
Lateral Sclerosis

Abstract This article introduces the report on the difference occurred in management of ALS patients by an italian Public Health Care Service through 15 years with-and without DTCP (Diagnostic and Therapeutic Care Pathway) during three timeframes. The article illustrates Demography, Provenance and Territorial context of the patients in charge. The formalization of the staging-based ALS DTCP appears to have increased and improved the possibility of clinical taking in charge of patients.

Health System Challenges Affecting Maternal and Neonatal Health Care Service Utilisation in the Wake of Conflict in Torit County, Republic of South Sudan: A Cross Sectional Study 

2020 ◽  
Author(s):  
Pontius Bayo ◽  
Loubna Belaid ◽  
Christina Zarowsky ◽  
Elijo Omoro Tahir ◽  
Emmanuel Ochola ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Workers ◽  
Care Service ◽  
Health Care Service ◽  
South Sudan ◽  
Health Staff ◽  
Local Health ◽  
Service Utilisation ◽  
Cross Sectional

Abstract ObjectivesThis study examines health facility utilization for pregnancy and delivery care and the health system challenges, in the light of renewed conflict in 2016, in Torit County, South Sudan. We collected monthly facility data retrospectively on total Antenatal Care (ANC) visits, institutional deliveries, major obstetric, and neonatal complications treated from January 2015 to December 2016. We compared 2015 data with that of 2016 when conflict re-started. We also conducted a descriptive qualitative study based on key informant interviews and Focus Group Discussions (FGDs) to explore the health system challenges. We used a thematic approach to analyse qualitative data. Results ANC visits declined by 21% between 2015 and 2016. The proportion of expected births that occurred in facilities declined from 23.6% in 2015 to 16.7% in 2016 (p< 0.001) while the proportion of obstetric complications treated in facilities declined from 58.9% in 2015 to 43.9% in 2016 (p<0.001). The low national budget to fund the health system, evacuation of international health staff, flight of local health workers and disruption of drugs and medical supplies are the health system challenges identified. Economic barriers and perceived poor quality of care were the two main obstacles to access of health care services.

Platelet Transfusion Thresholds: How Low Can We Go in Respect to Platelet Counting?

2019 ◽  
Vol 46 (03) ◽  
pp. 238-244 ◽  
Author(s):  
Giuseppe Lippi ◽  
Emmanuel J. Favaloro ◽  
Sabrina Buoro
Keyword(s):  
Health Care ◽  
Platelet Function ◽  
Platelet Transfusion ◽  
Care Service ◽  
Health Care Service ◽  
Fluorescent Labeling ◽  
Clinical Settings ◽  
Platelet Function Disorders ◽  
Definition Of ◽  
Guidelines And Recommendations

AbstractPlatelet transfusion is conventionally used to prevent or treat bleeding in patients with low platelet counts or impaired platelet function. The identification of accurate thresholds of platelet count for guiding platelet transfusion practices is a crucial aspect in health care to prevent adverse events, side effects, unwarranted costs for the health care service, and deprivation of supplies. This article is therefore aimed at providing a narrative overview on current guidelines and recommendations for platelet transfusion across many clinical settings, including platelet function disorders, and critically analyzing the available platelet transfusion thresholds according to the current analytical performance of platelet counting with automated hematological analyzers. Overall, universal agreement on the definition of platelet transfusion thresholds has not been reached. The degree of accuracy and imprecision of many fully automated hematological analyzers appears also unsatisfactory, especially at the lower thrombocytopenic range, and this may thus jeopardize the managed care of patients who are candidates for platelet transfusions. Potential solutions to overcome the current shortcomings of automated platelet counting are also discussed, encompassing the use of alternative tests for guiding platelet transfusion (e.g., thrombin generation assays or thromboelastography) along with innovative approaches for platelet enumeration (e.g., fluorescent labeling and flow cytometry).

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