What does it take to make integrated care work? Around the world‚ only a few health care providers deliver integrated care effectively. Their experiences offer useful lessons for organizations that want to pilot integratedcare programs. What does it take to make integrated care work? 2 Jenny Grant Two interrelated factors—the growing prevalence of chronic diseases and population aging—are placing a heavy burden on health systems. In all parts of the world except Africa‚ chronic diseases
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It is well recognized that maternal healthcare is essential for further improvement of maternal and child health. Maternal and child health services is said to play a vital role in achieving improved health outcomes. The decision to use health care is undoubtedly influence by the characteristics of the health delivery system such as the availability and accessibility of the services. However‚ this does not necessarily mean that where there is a good supply of services‚ demand is created in and of
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Patient Centred Care Introduction This essay will engage closely in exploring the case study provided during week one through four. It will deal with various issues such as the difference between type one and type two diabetes‚ outcomes of poorly managed blood sugar levels‚ the necessity of pain control during post-operative care for Josie‚ the implementation of Tanner’s model of clinical Judgement and lastly but not the least‚ a summary of Josie’s progress note. Diabetes and blood glucose
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Introduction This is a case study about an older woman (Gladys) with dementia but has mental capacity. She receives care and assistance in her home‚ she has a cleaner who comes in to clean once a week‚ a neighbour who makes her dinner (Gladys pays for it) and a granddaughter who is her advocate. She has mobility difficulties but can walk short distances with a trolley/Zimmer frame. She spent 5 weeks in the hospital receiving treatment for a urinary tract infection (UTI) and was appointed a care manager after
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The main purpose of this report is to evaluate the context of health and social care in relation to a particular health issue. The approaches and intervention strategies that needed to support the individuals with specific needs and evaluation of services and systems for supporting such individuals is the main part of the report. For this‚ the case study of Ahmed and his family is used. Ahmed is the 15-year-old British Pakistani that is suffering from the problem of cerebral palsy. Moreover‚ the
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and security of a person’s health care depend on multiple factors‚ among that the accessibility‚ the cost‚ the skills of the practitioners and many more… Nowadays the financial and social status are taken into consideration by some providers to provide care and few of insurance companies are still considering the preexisting conditions to get insured. Those factors are among the barriers of the healthcare system improvement. In calling back many years‚ the health care in the United States has experienced
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The evolution of Long term care (LTC) in the United States (U.S) has seen its evolution in three main phrases: financing‚ utilization‚ and quality. Financing being the various means of payment either through Medicare‚ Medicaid‚ Veterans Health Administration‚ private insurance‚ or out of pocket funds. In the past‚ nursing homes were considered as warehouses where residents were lifeless‚ depressed and the quality of care far below average. Residents were subjected to psychotic
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INTRODUCTION TO CASE STUDY OF LAYLA BROWN A nine year old girl‚ named Layla Brown‚ attends Lesterwood Primary School‚ in a small rural town approximately 100 km from the nearest city. Layla is a pleasant child who enjoys spending time with family‚ friends‚ peers and teachers. Unfortunately‚ Layla struggles academically and her challenges include not being able to write legibly‚ she struggles to keep up with her peers‚ she struggles to colour within the lines and misses many milestones at school.
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in the health services delivery system have led to a decline in hospital inpatient days and a growth in ambulatory services. • Two of the main factors that have led to decrease in hospital inpatient days and a growth in ambulatory services are Medicare reimbursement and cost-saving efforts of managed care. Medicare instituted PPS for reimbursing hospitals in the mid 1980s. PPS repayment based on DRGs gives fixed case-based payment to hospitals. Therefore‚ hospitals have a strong reason to decrease
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cost-effective. In the pass‚ quality care was hindered by improper recommendations on therapy for patients from physicians‚ which led to increased cost in respiratory care. As a result‚ medical directors of respiratory care and RT’s have implemented protocols to keep misallocations from occurring. In addition‚ to the regulations created‚ having properly trained and educated RT’s will also help in implementing respiratory care protocols. Maintaining excellent care is a collective effort among medical
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