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Seminars in Oncology Nursing Aug 2018To highlight the importance, challenges, and evolution of advance care planning for patients with cancer. (Review)
Review
OBJECTIVE
To highlight the importance, challenges, and evolution of advance care planning for patients with cancer.
DATA SOURCES
Peer-reviewed journal articles and clinical guidelines.
CONCLUSION
Advance care planning is fundamental to support the personhood of patients with advanced cancer. Patients must be encouraged by physicians and nurses to articulate what matters and provides meaning to them as they live, cope, and receive treatment for their cancer.
IMPLICATIONS FOR NURSING PRACTICE
Nurses can facilitate advance care planning and primary palliative care, to support patients and families to make informed and value-concordant decisions regarding cancer and end-of-life treatments.
Topics: Advance Care Planning; Comprehensive Health Care; Hospice and Palliative Care Nursing; Humans; Neoplasms; Nurse-Patient Relations; Oncology Nursing; Pain Management; Palliative Care; Quality of Health Care
PubMed: 30100366
DOI: 10.1016/j.soncn.2018.06.012 -
Clinical Orthopaedics and Related... Apr 2018
Topics: Comprehensive Health Care; Cooperative Behavior; Delivery of Health Care, Integrated; Humans; Interdisciplinary Communication; Orthopedics; Patient Care Team
PubMed: 29432272
DOI: 10.1007/s11999.0000000000000190 -
Current Cardiology Reports Feb 2021The high burden of cardiovascular disease and the simultaneous obesity pandemic is placing an extraordinary strain on the health care system. In the current siloed care... (Review)
Review
PURPOSE OF REVIEW
The high burden of cardiovascular disease and the simultaneous obesity pandemic is placing an extraordinary strain on the health care system. In the current siloed care model, patients with cardiometabolic disease receive only fractionated care from multiple specialists, leading to insufficient treatment, higher costs, and worse outcomes.
RECENT FINDINGS
The imminent need for a new care model calls for the creation of a distinct cardiometabolic specialty in conjunction with a cardiometabolic outpatient clinic dedicated to the comprehensive cardiometabolic care. The cardiometabolic clinic would consist of a diverse range of professionals relevant to comprehensive treatment. The outpatient clinic we envision here would facilitate an interdisciplinary collaboration between specialists and deliver prevention-focused treatment to patients at risk/established cardiometabolic disease.
Topics: Ambulatory Care Facilities; Cardiovascular Diseases; Comprehensive Health Care; Delivery of Health Care; Humans; Obesity
PubMed: 33629209
DOI: 10.1007/s11886-021-01450-1 -
Indian Journal of Ophthalmology Feb 2020As we move from a disease-specific care model toward comprehensive eye care (CEC), there is a need for a more holistic and integrated approach involving the health... (Review)
Review
As we move from a disease-specific care model toward comprehensive eye care (CEC), there is a need for a more holistic and integrated approach involving the health system. It should encompass not only treatment, but also prevention, promotion, and rehabilitation of incurable blindness. Although a few models already exist, the majority of health systems still face the challenges in the implementation of CEC, mainly due to political, economic, and logistic barriers. Shortage of eye care human resources, lack of educational skills, paucity of funds, limited access to instrumentation and treatment modalities, poor outreach, lack of transportation, and fear of surgery represent the major barriers to its large-scale diffusion. In most low- and middle-income countries, primary eye care services are defective and are inadequately integrated into primary health care and national health systems. Social, economic, and demographic factors such as age, gender, place of residence, personal incomes, ethnicity, political status, and health status also reduce the potential of success of any intervention. This article highlights these issues and demonstrates the way forward to address them by strengthening the health system as well as leveraging technological innovations to facilitate further care.
Topics: Blindness; Comprehensive Health Care; Humans; Primary Health Care
PubMed: 31957719
DOI: 10.4103/ijo.IJO_17_19 -
JAMA Health Forum Dec 2022
Topics: Comprehensive Health Care; Arthroplasty, Replacement
PubMed: 36459163
DOI: 10.1001/jamahealthforum.2022.4459 -
The Ulster Medical Journal Jan 2020
Topics: Comprehensive Health Care; Holistic Health; Humans; Integrative Medicine; Orthopedic Procedures; Patient-Centered Care
PubMed: 32218633
DOI: No ID Found -
Investigacion Y Educacion En Enfermeria Oct 2022Integrated health care is a concept widely used in the planning and organisation of nursing care. It is a highly topical concept, but at the same time it is deeply...
INTRODUCTION
Integrated health care is a concept widely used in the planning and organisation of nursing care. It is a highly topical concept, but at the same time it is deeply rooted in the theory and models of Nursing right from its inception as a science. There is no clear, agreed definition that describes it.
OBJETIVE
To systematise the knowledge available on the concept of "comprehensive care" in Nursing from the point of view of nursing care, its domains and characteristics.
METHODS
A literature search has been carried out in several languages (Spanish, Portuguese, English and Romanian) in the databases Web of Science, Scopus, Medline, PubMed, Cochrane and Dialnet, covering the period between 2013 and 2019. The search terms used were: comprehensive health care, health and nursing. Prospero register 170327.
RESULTS
Sixteen documents were identified, which grouped 8 countries, mainly Brazil, being the country with the highest output on this context 10 documents were found within the qualitative paradigm and 6 quantitative ones. The concept "Comprehensive Care" is commonly used to refer to comprehensive nursing care techniques, protocols, programmes and plans, covering care in all aspects of the individual as a complement to or independent of the clinical needs arising from health care.
CONCLUSIONS
The definition of features pertaining to the concept "Comprehensive Care" encourages the use and standardisation of nursing care plans, improving patient follow-up, the detection of new risk factors, complications and new health problems not related to the reason for admission.This increases the capacity for prevention and improves the patients quality of life, and their primary and/or family caregivers, which translates into lower costs in the health system.
Topics: Humans; Quality of Life; Comprehensive Health Care; Language; Brazil; Databases, Factual
PubMed: 36867778
DOI: 10.17533/udea.iee.v40n3e05 -
Primary Health Care Research &... Mar 2023Lack of access to primary care providers (PCPs) is a significant hurdle to receiving high-quality comprehensive health care and creates greater reliance on emergency... (Review)
Review
INTRODUCTION
Lack of access to primary care providers (PCPs) is a significant hurdle to receiving high-quality comprehensive health care and creates greater reliance on emergency departments and walk-in clinics.
METHODS
We conducted a rapid review and analysis of the literature that discusses approaches to increasing access to continuous care for patients with no PCP ('unattached patients').
RESULTS
Five distinct themes across 38 resources were identified: financial incentives for patients and providers, health care organization, policy intervention, virtual care and health information technology (HIT), and medical education. Approaches that increased attachment were primary care models that combined two or more of these and reflected the Patient's Medical Home (PMH) model.
CONCLUSIONS
Although there are individual initiatives that could allow for temporary relief, long-term and community-wide success lies in designing models of primary care that use multiple tools, meet the needs of the community, and are supported by regional, provincial, and national policies.
Topics: Humans; Primary Health Care; Patients; Comprehensive Health Care; Quality of Health Care; Emergency Service, Hospital
PubMed: 36919838
DOI: 10.1017/S1463423623000099 -
International Journal of Environmental... Mar 2023The benefits of coordinating care between healthcare professionals and institutions are the main drivers behind reforms to the payment and delivery system for healthcare...
UNLABELLED
The benefits of coordinating care between healthcare professionals and institutions are the main drivers behind reforms to the payment and delivery system for healthcare services. The purpose of this study was to analyse the costs incurred by the National Health Fund in Poland related to the comprehensive care model for patients after myocardial infarction (CCMI, in Polish: KOS-Zawał).
METHODS
The analysis involved data from 1 October 2017 to 31 March 2020 for 263,619 patients who received treatment after a diagnosis of first or recurrent myocardial infarction as well as data for 26,457 patients treated during that period under the CCMI programme.
RESULTS
The average costs of treating patients covered by the full scope of comprehensive care and cardiac rehabilitation under the programme (EUR 3113.74/person) were higher than the costs of treating patients outside of that programme (EUR 2238.08/person). At the same time, a survival analysis revealed a statistically significantly lower probability of death ( < 0.0001) in the group of patients covered by CCMI compared to the group not covered by the programme.
CONCLUSIONS
The coordinated care programme introduced for patients after myocardial infarction is more expensive than the care for patients who do not participate in the programme. Patients covered by the programme were more often hospitalised, which might have been due to the good coordination between specialists and responses to sudden changes in patients' conditions.
Topics: Humans; Myocardial Infarction; Cardiac Rehabilitation; Health Services; Comprehensive Health Care; Poland
PubMed: 36981889
DOI: 10.3390/ijerph20064980 -
Revista Brasileira de Enfermagem 2021To identify relational and organizational barriers related to the production of care and to map strategies and tools that favor comprehensive care. (Review)
Review
OBJECTIVE
To identify relational and organizational barriers related to the production of care and to map strategies and tools that favor comprehensive care.
METHODS
Scoping review of Brazilian publications from 2008 to 2018, related to the production of care in Primary Health Care. From the 348 studies found in the Virtual Health Library, 30 made up the final sample. Three book chapters were added, totaling 33 documents.
RESULTS
Three thematic categories were organized: Relational dimension between health professionals and users; Interactive dimension of the teamwork process; Organizational dimension and articulation in networks. Challenges of health practices out of context of the users' needs; inflexible and bureaucratic work processes; and organizational barriers to the access are highlighted. The potentials of mapped tools involved embracement, interprofessional actions and instituting care networks.
FINAL CONSIDERATIONS
The overview of challenges and processes that induce good practices facilitate a decision-making that is committed with comprehensive care.
Topics: Brazil; Health Personnel; Humans; Organizations; Primary Health Care
PubMed: 34320156
DOI: 10.1590/0034-7167-2021-0008