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Healthcare Policy = Politiques de Sante Aug 2020Each of canada's provinces and territories needs to modernize its basket of insured health services to reflect a broader conceptualization of healthcare. The narrow...
Each of canada's provinces and territories needs to modernize its basket of insured health services to reflect a broader conceptualization of healthcare. The narrow focus on hospital and physician services excludes multidisciplinary care models, such as those reflected by Family Health Teams in Ontario, Groupe de médecine de famille in Québec and primary care networks in Alberta. In these models, a wider range of services and supports is being used to respond to changing demographics and patterns of morbidity, and whose residents' care needs include social workers, mental health providers, personal support workers and dietitians.
Topics: Alberta; Canada; Delivery of Health Care; Humans; Ontario; Patient Care; Patient Care Team; Primary Health Care; Quebec
PubMed: 32813635
DOI: 10.12927/hcpol.2020.26295 -
Academic Emergency Medicine : Official... Mar 2023
Topics: Humans; Patient Care; Patient-Centered Care
PubMed: 36050595
DOI: 10.1111/acem.14591 -
Journal of the American College of... Jan 2021
Topics: Cardiology; Humans; Outcome Assessment, Health Care; Patient Care; Societies, Medical
PubMed: 33384193
DOI: 10.1016/j.jacc.2020.12.001 -
Revista Brasileira de Enfermagem 2022To analyze the needs and facilitating and hindering elements related to transitional rehabilitation care. (Review)
Review
OBJECTIVE
To analyze the needs and facilitating and hindering elements related to transitional rehabilitation care.
METHODS
Integrative literature review oriented toward answering the question "What nursing interventions guarantee transitional rehabilitation care to dependent adult or elderly people when they return home after hospitalization?".
RESULTS
The patients did not participate much in the planning of hospital discharge and decision-making when they had to return home. Informal caretakers reported that professionals showed detachment during hospitalization and delayed guiding instructions. Health professionals mentioned lack of time to offer this care modality as a difficulty.
FINAL CONSIDERATIONS
Ensuring training, follow-up, and coordination between care levels is essential. Care integration can reduce hospital stay and the impact of post-discharge complications. Transitional care contributes to a sustainable health system, higher care quality, and client satisfaction.
Topics: Adult; Aftercare; Aged; Continuity of Patient Care; Humans; Patient Discharge; Patient Satisfaction; Transitional Care
PubMed: 35584420
DOI: 10.1590/0034-7167-2021-0399 -
The Medical Clinics of North America Sep 2020Goals of care conversations are important but complex for clinicians caring for older adults. Although clinicians tend to focus on specific medical interventions, these... (Review)
Review
Goals of care conversations are important but complex for clinicians caring for older adults. Although clinicians tend to focus on specific medical interventions, these conversations are more successful if they begin with gaining a shared understanding of the medical conditions and possible outcomes, followed by discussion of values and goals. Although training in the medical setting is incomplete, there are many published and online resources that can help clinicians gain these valuable skills.
Topics: Aged; Clinical Competence; Decision Making, Shared; Humans; Palliative Care; Patient Care Planning; Physician-Patient Relations
PubMed: 32773044
DOI: 10.1016/j.mcna.2020.06.002 -
Journal of General Internal Medicine Jul 2015
Topics: Continuity of Patient Care; Female; Humans; Male; Patient Navigation; Patient Readmission
PubMed: 25820547
DOI: 10.1007/s11606-015-3274-x -
Investigacion Y Educacion En Enfermeria Feb 2020This work comes from the interest and need to understand the problems arising from the activity of caring for dependent people, in the world and particularly in the... (Review)
Review
This work comes from the interest and need to understand the problems arising from the activity of caring for dependent people, in the world and particularly in the European region. Altogether, it seeks to understand the consequences of informal care on the caregiver adding to the debate a gender perspective. Through a multidisciplinary bibliographic review, the current care crisis becomes clear. The demographic and socio-cultural changes in recent years are causing dependency to increase dramatically, while putting at risk the availability of informal caregivers. Several studies have shown that women are the ones on whom the burden of care mainly falls. Therefore, under the gender perspective, it becomes clear that the consequences of caregiver burden increase gender inequalities worldwide. The study analyzes the current situation and underlines the need to promote alternatives and opportunities so that care is shared and does not fall only on the female gender. Solutions need to be included in public and community health interventions and policies, and to this respect, nurses play an important role in changing the care paradigm.
Topics: Aged; Caregivers; Cost of Illness; Europe; Female; Health Transition; Humans; Male; Middle Aged; Patient Care; Sex Factors
PubMed: 32124578
DOI: 10.17533/udea.iee.v38n1e10 -
Clinical Obstetrics and Gynecology Sep 2020Recently, greater attention has been paid to the care of gender dysphoric and gender incongruent individuals. Gynecologists may be called upon to care for individuals...
Recently, greater attention has been paid to the care of gender dysphoric and gender incongruent individuals. Gynecologists may be called upon to care for individuals who were assigned female at birth throughout or following social, medical, or surgical gender transition. Thus, gynecologists need to be aware of language regarding sex and gender, treatment typically used for the care of gender dysphoric or incongruent individuals, and aspects of well gynecologic care necessary for these individuals. This review highlights these aspects of care for transgender males to aid the general gynecologist in the care and treatment of these individuals.
Topics: Female; Gender Identity; Gynecology; Health Services for Transgender Persons; Humans; Male; Patient Care; Transgender Persons; Transsexualism
PubMed: 32568802
DOI: 10.1097/GRF.0000000000000549 -
Annals of Palliative Medicine Jul 2023Recognizing the need for palliative care (PC) and referral to PC teams improves patients' quality of life. However, in patients with moderate/severe clinical complexity,... (Review)
Review
BACKGROUND
Recognizing the need for palliative care (PC) and referral to PC teams improves patients' quality of life. However, in patients with moderate/severe clinical complexity, early recognition of the need for PC may not correspond to referral to specialized PC services. The definition for clinical complexity is still underexplored, as well as the instruments available to assess complexity. This scoping review aims to gather relevant information on the definition of clinical complexity in PC, as well as on the instruments used to objectively assess complexity.
METHODS
According to the methodology of a Scoping Review, the keywords: "palliative care", "hospitalization criteria", "complexity criteria", "complexity assessment" and "clinical complexity", were searched in PubMed, Scopus, Cochrane, and b-on databases, during April 2022, for relevant information on the definition and/or approach and/or protocols related to clinical complexity in patients followed in PC, or on the instruments used to assess it, regardless of study design, the language, or year of publication.
RESULTS
From the 626 references found, 15 studies were included in the review. According to these studies, complexity may be organized/defined into 3, 4, or 6 domains, generally including the patient, the family, the health system, and the socio-cultural context. Of the 13 instruments mentioned for the objective assessment of complexity, the HexCom, IDC-Pal, and the recent ID-PALL seem to offer the broadest determinations of complexity.
CONCLUSIONS
Complexity is a dynamic process, which reflects the reality of patients and families, and patients, families, and health professionals' perceptions, and so it must be systematically adjusted to the stage of the disease. The definition of complexity and the development and use of suitable instruments can help to identify, assess, and improve patients' quality of life, while supporting their family across the grieving process. Yet, this may not always be summarized in a quantitative value by easy-to-use instruments, highlighting the role of PC interdisciplinary teams.
Topics: Humans; Quality of Life; Palliative Care; Hospice and Palliative Care Nursing; Patient Care; Referral and Consultation
PubMed: 37038064
DOI: 10.21037/apm-22-894 -
Journal of Parkinson's Disease 2020
Topics: Antiparkinson Agents; Biomedical Research; Humans; Parkinson Disease; Patient Care; Quality of Life
PubMed: 32741843
DOI: 10.3233/JPD-209003