Health care systems require Tc‑99m to maintain patient care

2019 ◽  
pp. 19-41
Author(s):  
◽  
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Systems ◽  
Care Systems

scholarly journals Return to Normalcy? Principles on Resuming Surgical Services in the COVID-19 Era

OTO Open ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 2473974X2093665
Author(s):  
Taher S. Valika ◽  
Kathleen R. Billings
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Systems ◽  
Lessons Learned ◽  
Drastic Reduction ◽  
The Public ◽  
Surgical Services ◽  
Outpatient Visits ◽  
Care Systems ◽  
Full Capacity

The rapidly changing health care climate related to coronavirus disease 2019 (COVID-19) has resulted in numerous changes to health care systems and in practices that protect both the public and the workers who serve in hospitals around the country. As a result, these past few months have seen a drastic reduction in outpatient visits and surgical volumes. With phased reopening and appropriate guidance, health care systems are attempting to return to normal. Our institution has had the unique opportunity to already return operations back to full capacity. The experiences and lessons learned are described, and we provide guiding principles to allow for a safe and effective return to patient care.

Practice/regulation partnerships: The pathway to increased safety in nursing practice, health care systems, and patient care

Nurse Leader ◽  
2007 ◽  
Vol 5 (3) ◽  
pp. 50-54 ◽  
Author(s):  
Mary Beth Thomas ◽  
Debora Simmons ◽  
Krisanne Graves ◽  
Sharon K. Martin
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Nursing Practice ◽  
Health Care Systems ◽  
Care Systems ◽  
Practice Regulation

Understanding the Trauma/Acute Care Surgery Workforce

2019 ◽  
Vol 85 (6) ◽  
pp. 638-644 ◽  
Author(s):  
K. Michael Hughes ◽  
Zachary T. Ewart ◽  
Theodore D. Bell ◽  
Stanley J. Kurek ◽  
Krystal K. Swasey
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Work Environment ◽  
Acute Care ◽  
Professional Growth ◽  
Health Care Systems ◽  
Acute Care Surgery ◽  
Care Systems ◽  
Care Surgery ◽  
Workforce Strategies

As the roles of trauma/acute care surgeons continue to evolve, it is imperative that health-care systems adapt to meet workforce needs. Tailoring retention strategies that elicit workforce satisfaction ensure continued coverage that is mutually beneficial to surgeons and health-care systems. We sought to elicit factors related to career characteristics and expectations of the trauma/acute care surgery (ACS) workforce to assist with such future progress. In this study, 1552 Eastern Association for the Surgery of Trauma members were anonymously surveyed. Data collected included demographics, career expectations, and motivators of trauma/ACS. Four hundred eight (26%) Eastern Association for the Surgery of Trauma members responded. Respondents were 78 per cent male and had a median age of 47.3 years. Forty-six per cent of surgeons reported earning $351K–$475K and 23 per cent >$475K. At this point in their career, 49 per cent of surgeons felt quality of life was “most important”, followed by 31 per cent career ambitions and 13 per cent salary. Prominent career satisfiers were patient care and teaching. Greatest detractors were burnout, bureaucracy, and work environment. Eighty per cent would change jobs in the final 10 years of practice, 31 per cent because of family/retirement, 29 per cent because of professional growth, 24 per cent because of workload, and 7 per cent because of salary. This study could be used to help develop trauma/ACS workforce strategies. This workforce remains mobile into late career; personal happiness and patient ownership overshadow financial rewards, and most prefer a total and shared patient care model compared with no patient ownership. Burnout, bureaucracy, and work environment are dominant detractors of job satisfaction among surveyed trauma/ACS surgeons.

scholarly journals Powerful Lessons from Cuban Medical Education Programs: Fostering the Social Contract in Athletic Training Programs

2019 ◽  
Vol 14 (4) ◽  
pp. 275-282
Author(s):  
Kimberly S. Peer ◽  
Chelsea L. Jacoby
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Patient Care ◽  
Educational Reform ◽  
Athletic Training ◽  
Training Programs ◽  
Health Care Systems ◽  
The United States ◽  
Education And Health ◽  
Care Systems

Context The Cuban medical education and health care systems provide powerful lessons to athletic training educators, clinicians, and researchers to guide educational reform initiatives and professional growth. Objective The purpose of this paper is to provide a brief overview of the Cuban medical education system to create parallels for comparison and growth strategies to implement within athletic training in the United States. Background Cubans have experienced tremendous limitations in resources for decades yet have substantive success in medical education and health care programs. As a guiding practice, Cubans focus on whole-patient care and have established far-reaching research networks to help substantiate their work. Synthesis Cuban medical education programs emphasize prevention, whole-patient care, and public health in a unique approach that reflects disablement models recently promoted in athletic training in the United States. Comprehensive access and data collection provide meaningful information for quality improvement of education and health care processes. Active community engagement, education, and interventions are tailored to meet the biopsychosocial needs of individuals and communities. Results Cuban medical education and health care systems provide valuable lessons for athletic training programs to consider in light of current educational reform initiatives. Strong collaborations and rich integration of disablement models in educational programs and clinical practice may provide meaningful outcomes for athletic training programs. Educational reform should be considered an opportunity to expand the athletic training profession by embracing the evolving role of the athletic trainer in the competitive health care arena. Recommendation(s) Through careful consideration of Cuban medical education and health care initiatives, athletic training programs can better meet the contract with society as health care professionals by integrating the Accreditation Council for Graduate Medical Education's core competencies of patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice now promoted in the Commission on Accreditation of Athletic Training Education's 2020 Standards for Accreditation of Professional Athletic Training Programs. Conclusion(s) Educational and health care outcomes drive change. Quality improvement efforts transcend both education and health care. Athletic training can learn valuable lessons from the Cubans about innovation, preventative medicine, patient-centered community outreach, underserved populations, research initiatives, and globalization. Not unlike Cuba, athletic training has a unique opportunity to embrace the challenges associated with change to create a better future for athletic training students and professionals.

Genomics, clinical research, and learning health care systems: Strategies to improve patient care

2016 ◽  
Vol 64 (3) ◽  
pp. 225-228 ◽  
Author(s):  
Janet K. Williams ◽  
Ann K. Cashion ◽  
Sam Shekar ◽  
Geoffrey S. Ginsburg
Keyword(s):  
Health Care ◽  
Clinical Research ◽  
Patient Care ◽  
Health Care Systems ◽  
Improve Patient Care ◽  
Care Systems ◽  
Improve Patient

A Population Health Perspective on Reasonable Care

2019 ◽  
pp. 100-107
Author(s):  
Charles F. Manski
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Population Health ◽  
Health Problem ◽  
Health Care Systems ◽  
Treatment Choice ◽  
Error Protection ◽  
Adaptive Diversification ◽  
Treatment Variation ◽  
Care Systems

This chapter views patient care from a population health perspective. The argument for treatment variation strengthens when one considers patient care as a population health problem rather than from the perspective of a clinician treating an individual patient. This chapter shows that randomly varying the treatment of patients with the same observed attributes can provide valuable error protection and information under uncertainty. That is, it may be useful to diversify treatment choice. The chapter explains that implementation of adaptive diversification may be possible in centralized health-care systems where there exists a planning entity who chooses treatments for a broad patient population.

160: Cost-Effectiveness of Medical Management Strategies of Nephrolithiasis in Different Health Care Systems

2004 ◽  
Vol 171 (4S) ◽  
pp. 42-43 ◽  
Author(s):  
Yair Latan ◽  
David M. Wilhelm ◽  
David A. Duchene ◽  
Margaret S. Pearle
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Medical Management ◽  
Health Care Systems ◽  
Management Strategies ◽  
Care Systems
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