Telemedicine Across Time: Integrated Health System of the Future—A Prelude

2020 ◽  
Vol 26 (2) ◽  
pp. 128-130 ◽  
Author(s):  
Rashid L. Bashshur ◽  
Elizabeth A. Krupinski ◽  
Charles R. Doarn ◽  
Ronald C. Merrell ◽  
James O. Woolliscroft ◽  
...  
Keyword(s):  
Health System ◽  
The Future ◽  
Integrated Health

Tu1703 DIAGNOSIS OF HEPATOPULMONARY SYNDROME IN A LARGE INTEGRATED HEALTH SYSTEM

2020 ◽  
Vol 158 (6) ◽  
pp. S-1460-S-1461
Author(s):  
Shoma Bommena ◽  
Nael Haddad ◽  
Sumit Agarwal ◽  
Sarabdeep Mann ◽  
Layth AL-Jashaami ◽  
...  
Keyword(s):  
Health System ◽  
Hepatopulmonary Syndrome ◽  
Integrated Health

Formation of Strategy for Sustainable Development of Entrepreneurial Structures of Pharmaceutical Industry

2021 ◽  
pp. 36-44
Author(s):  
A. Zverev ◽  
O. Kuznetsova ◽  
M. Mishina
Keyword(s):  
Sustainable Development ◽  
Economic Development ◽  
Pharmaceutical Industry ◽  
Health System ◽  
National Economy ◽  
Dimensional Approach ◽  
Expert Opinions ◽  
The Future

The article reflects the significance and peculiarities of the functioning of the entrepreneurial structure of the pharmaceutical industry, which are closely connected with the health system and play one of the key roles in the national economy of any state, influencing the future of the nation. The authors assessed the modern problems of the development of the domestic pharmaceutical industry, studied expert opinions on sustainable development options, and on this basis proposed a set of measures to optimize the economic development of Russian commercial pharmaceutical structures within the framework of the concept of a four-dimensional approach to ensuring sustainable development.

Impact of Alternative Encounter Types on HIV Viral Suppression Rates in an Integrated Health System

2018 ◽  
Vol 32 (11) ◽  
pp. 425-431 ◽  
Author(s):  
Michael A. Horberg ◽  
Jackie G. Blank ◽  
Kevin B. Rubenstein ◽  
Julia M. Certa ◽  
Leo B. Hurley ◽  
...  
Keyword(s):  
Health System ◽  
Viral Suppression ◽  
Integrated Health ◽  
Hiv Viral Suppression

Integrated Health System for Chronic Disease Management

CHEST Journal ◽  
2004 ◽  
Vol 125 (2) ◽  
pp. 695-703 ◽  
Author(s):  
Mary Stuart ◽  
Michael Weinrich
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Health System ◽  
Chronic Disease Management ◽  
Integrated Health

scholarly journals 1536. Impact of Type of Provider on Appropriateness of Treatment for Gonorrhea and Chlamydia in Outpatient Clinics

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S768-S768
Author(s):  
Katherine Sittig ◽  
Rossana Rosa Espinoza
Keyword(s):  
Health System ◽  
Adult Patients ◽  
Outpatient Clinics ◽  
P Value ◽  
Lower Odds ◽  
Des Moines ◽  
Appropriate Treatment ◽  
Integrated Health ◽  
Pregnancy Status ◽  
The Impact

Abstract Background Patients with sexually transmitted infections (STIs) receive care in a variety of outpatient settings with medical providers of different levels of training and expertise, especially regarding STIs. We aimed to determine the impact of type of provider on the appropriateness of treatment for chlamydia and gonorrhea in a large integrated health system. Methods We conducted a retrospective cohort study of adult patients diagnosed with chlamydia and/or gonorrhea at any outpatient clinic within an integrated health system in Des Moines, Iowa. Nucleic-acid amplification tests were used for diagnosis, and all samples were processed at the same laboratory. Adequate treatment was defined as prescription for appropriate antibiotic, dose and duration within 7 days of the positive test. Logistic regression models with robust standard errors and adjusting for clustering by clinic were built. Results We identified 481 unique patients and a total of 515 unique encounters. Considering unique patients only, the median patient age was 23 years (IQR 20-26), 466/481 (96.9%) were female (96.9%), 15/481 (3.1%) were male, and 79/481 (16.4%) were pregnant. Table 1 shows the patient demographic and provider characteristics by appropriateness of treatment for individual visits. A total of 53 patients had inappropriate treatment, some with multiple errors which are described in Table 2. Provider type, age, type of infection, and pregnancy status were significantly associated with appropriateness of treatment. After adjusting for type of infection, pregnancy status and clustering by clinic, compared to physicians, certified nurse midwives (CNMs) had 33% lower odds of prescribing appropriate treatment (95% CI 0.49-0.91; p-value = 0.010), with no difference in appropriateness of prescribing by mid-level providers (OR 1.61, 95% CI 0.82-3.17; p-value = 0.167). Pregnancy was independently associated with lower odds of appropriate treatment (OR 0.35, 95% CI 0.24-0.52; p-value < 0.001), as was infection with gonorrhea (OR 0.29, 95% CI 0.12-0.68; p-value = 0.004). Table 1. Demographic characteristics of adult patients diagnosed with chlamydia and/or gonorrhea in outpatient clinics by appropriateness of treatment. Des Moines, Iowa, January 1, 2019 to December 31, 2019 Table 2. Type of therapeutic errors encountered among patients diagnosed with chlamydia or gonorrhea Conclusion CNMs had lower odds of prescribing appropriate treatment for STIs. Efforts aimed at improving prescribing by healthcare providers should actively engage with this group. Disclosures All Authors: No reported disclosures

scholarly journals Post-acute sequelae of COVID-19 in adults referred to COVID recovery clinic services in an integrated health system in Texas

2021 ◽  
pp. 1-4
Author(s):  
Valerie Danesh ◽  
Alejandro C. Arroliga ◽  
James A. Bourgeois ◽  
Andrew J. Widmer ◽  
Michael J. McNeal ◽  
...  
Keyword(s):  
Health System ◽  
Integrated Health
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