scholarly journals Wellness Wheel Mobile Outreach Clinic: A Community-Led Care Model Improving Access to Care in Indigenous Communities

2020 ◽  
Vol 18 (5) ◽  
pp. 466-466
Author(s):  
Mamata Pandey ◽  
Susanne Nicolay ◽  
Megan Clark ◽  
Val Desjarlais ◽  
Adam Clay ◽  
...  
Keyword(s):  
Access To Care ◽  
Indigenous Communities ◽  
Care Model ◽  
Outreach Clinic

scholarly journals An Employee-Centered Care Model Responds to the Triple Aim: Improving Employee Health

2018 ◽  
Vol 66 (8) ◽  
pp. 373-383 ◽  
Author(s):  
Kelly Fox ◽  
Ruth McCorkle
Keyword(s):  
Health Care ◽  
Access To Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Expenditures ◽  
Employee Health ◽  
Care Model ◽  
Triple Aim ◽  
Centered Care ◽  
Delivery Models

Health care expenditures, patient satisfaction, and timely access to care will remain problematic if dramatic changes in health care delivery models are not developed and implemented. To combat this challenge, a Triple Aim approach is essential; Innovation in payment and health care delivery models is required. Using the Donabedian framework of structure, process, and outcome, this article describes a nurse-led employee-centered care model designed to improve consumers’ health care experiences, improve employee health, and increase access to care while reducing health care costs for employees, age 18 and older, in a corporate environment.

A cost-consequence analysis comparing patient travel, outreach, and telehealth clinic models for a specialist diabetes service to Indigenous people in Queensland

2019 ◽  
Vol 25 (9) ◽  
pp. 537-544
Author(s):  
Centaine L Snoswell ◽  
Liam J Caffery ◽  
Helen M Haydon ◽  
Sumudu I Wickramasinghe ◽  
Kerry Crumblin ◽  
...  
Keyword(s):  
Marginal Cost ◽  
Indigenous Communities ◽  
Indigenous Community ◽  
Remote Communities ◽  
Consequence Analysis ◽  
Patient Travel ◽  
Cost Consequence ◽  
Important Challenge ◽  
Outreach Clinic ◽  
Remote Indigenous Community

Introduction The delivery of specialist health services to people living in Indigenous communities is an important challenge. Specialist diabetes outpatient clinics may be delivered via a patient travelling to a metropolitan hospital, during an outreach clinic, or by telehealth. The aim of this study was to compare the costs and consequences of different service models for delivering specialist diabetes clinics for a remote Indigenous community. Method Patient travel, outreach and telehealth clinic models were compared using a cost-consequence analysis principles. The setting was Cunnamulla, a remote Indigenous community in Western Queensland. Costs were calculated by quantifying the staff resources and travel costs for each clinic model. Costs were reported in Australian dollars and reported from the health service perspective. Results The marginal cost per patient for each clinic were $692 for patient travel, $482 for the outreach and $284 for telehealth. If a patient travel appointment was replaced with telehealth, approximately $517 in costs for patient travel reimbursement would be avoided. While replacing an entire outreach clinic with a telehealth clinic would reduce costs by approximately $3961. Conclusion The marginal cost of patient travel to a metropolitan clinic and outreach clinic appointments was greater than telehealth. Telehealth is unlikely to completely replace the need for patient travel or outreach clinics. However, replacing a proportion of these appointments with telehealth may reduce the overall costs of providing specialist diabetes care in remote communities. Telehealth may have advantages beyond economic as it reduces the time away from usual activities for both the patient and endocrinologist.

Pursuing pathways to care: dementia and aging in Indigenous communities

2021 ◽  
pp. 205-218
Author(s):  
Carrie Bourassa ◽  
Mackenzie Jardine ◽  
Danette Starblanket ◽  
Sebastian Lefebvre ◽  
Marlin Legare ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Rural Communities ◽  
Access To Care ◽  
Indigenous Peoples ◽  
Indigenous Communities ◽  
Dementia Care ◽  
Pathways To Care ◽  
Rural Access ◽  
Dementia Services

This chapter talks about pursuing pathways to care, which is critical in the movement towards addressing the health status and its relationship to dementia amongst Indigenous older adults in their communities. It refers to the proportion of Indigenous older adults who are above 65 years of age that continues to rise despite the numbers being lower than their non-Indigenous counterparts. It also mentions dementia, which can represent a concern for families and prevent individuals from aging in place, and causes distress to individuals and their caregivers. The chapter points out the lack of access to dementia services and specialists in rural communities that exacerbates families' ability to care for their loved ones at home. It presents an examination of dementia among Indigenous peoples, including dementia care and rural access to care.

Vernetzte Betreuung von Patientinnen und Patienten mit Herzinsuffizienz

2011 ◽  
Vol 68 (2) ◽  
pp. 113-118 ◽  
Author(s):  
Cornelia Bläuer ◽  
Otmar Pfister ◽  
Christa Bächtold ◽  
Therese Junker ◽  
Rebecca Spirig
Keyword(s):  
Chronic Care Model ◽  
Chronic Care ◽  
Care Model

Patienten mit Herzinsuffizienz (HI) sind in ihrer Lebensqualität stark eingeschränkt, haben eine schlechte Prognose und müssen häufig hospitalisiert werden. Die Forschung hat gezeigt, dass die Gesundheitsresultate dieser Patientengruppe durch ein gutes Selbstmanagement verbessert werden können. Eine Möglichkeit zur Verbesserung des Selbstmanagements sind ambulante Diseasemangementprogramme, welche die Lebensqualität verbessern und Kosten reduzieren helfen. Solchen Programmen liegt meist das von der WHO entwickelte Chronic Care Model zu Grunde, welches auf die Betreuung chronisch Kranker mit einem hohen Selbstmanagementbedarf ausgerichtet ist. Um ein gutes Selbstmanagement entwickeln zu können braucht es bedürfnissorientierte Patientenschulung und -beratung, denn die Betroffenen benötigen nicht nur Wissen zur Krankheit sondern müssen handlungsfähig werden. In der Schweiz fehlt es an etablierten Modellen und Programmen zur Betreuung von chronisch Kranken, insbesondere HI-Betroffenen. Aus diesem Grund hat eine schweizerische Expertengruppe für HI eine Modell zur „vernetzten Betreuung“ erstellt. In Anlehnung daran bietet die Schweizerische Herzstiftung seit 2009 ein Schulungsprogramm zur Unterstützung von Ärzten, Betroffenen und deren Angehörige an. Eine erste Evaluation hat unterschiedliche Resultate von Seiten der Ärzte gezeigt. Von den Betroffenen waren die Rückmeldungen äußerst positiv. Sie beurteilten die Schulungen als bedürfnissorientiert und unterstützend. (Geschlechtsbestimmende Begriffe stehen immer stellvertretend für beide Geschlechter)

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

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