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Delivering Better Services for People with Long-term Conditions

Delivering Better Services for People with Long-term Conditions
Author: Angela Coulter
Publisher:
Total Pages: 27
Release: 2013
Genre: Chronically ill
ISBN: 9781909029170

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This paper describes a co-ordinated service delivery model - the 'house of care' - that aims to deliver proactive, holistic and patient-centred care for people with long-term conditions. It includes learning from a number of sites in England that are working to achieve these goals, and makes recommendations on how key stakeholders can work together to improve care for people with long-term conditions.


Nursing Adults with Long Term Conditions

Nursing Adults with Long Term Conditions
Author: Jane Nicol
Publisher: Learning Matters
Total Pages: 338
Release: 2015-09-26
Genre: Medical
ISBN: 1473933501

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Focusing on the relevant knowledge and skills essential for effective care for people living with long-term conditions, this book covers everything from the impact of long-term conditions across the lifespan and the therapeutic relationship to symptom management, case management and advance care planning. All activities, scenarios and case studies have been updated in light of the 6 Cs agenda to reflect the contemporary landscape of care, and to bring in recommendations from the Francis Report. With integrated care and partnership working as themes within the book, it now includes more on the shift to community-based care and considers the complexity of mental health and how it may be affected by physical conditions.


Improving the Quality of Long-Term Care

Improving the Quality of Long-Term Care
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 344
Release: 2001-02-27
Genre: Medical
ISBN: 0309132746

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Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.


HC 401 - Managing the Care of People with Long-Term Conditions

HC 401 - Managing the Care of People with Long-Term Conditions
Author: Great Britain: Parliament: House of Commons: Health Committee
Publisher: The Stationery Office
Total Pages: 228
Release: 2014-07-03
Genre: Medical
ISBN: 0215073274

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15 million NHS patients in England with long-term conditions such as diabetes, arthritis and asthma account for 70% of the annual expenditure of the NHS in England. One projection estimating that the bill for treatment of long-term conditions will require the NHS to find £4 billion more each year by 2016. Increasingly, patients do not have a single long-term condition but live with two or more conditions, complicating treatment and adding to its cost. The Committee strongly supports the development of individual care planning for people with long-term conditions, based on the principles successfully demonstrated in the NHS House of Care programme. Care planning approaches will involve GPs, community health services and specialists sitting down with the patient to draw up a personalised plan for the care required, which includes the support needed to help the patient manage his or her own condition. The challenge, though, of introducing personalised care planning for 15 million people is substantial. The Committee looked at the prevailing view that services to treat long-term conditions should be moved out of hospitals and into primary and community care. To provide effective care for these conditions, services have to be maintained across all settings, from support in the home through to acute specialist care, and many conditions will continue to require specialist services delivered in hospital. Effective management of long-term conditions also requires collaboration with other government providers, such as housing and transport services.


Managing Long-term Conditions and Chronic Illness in Primary Care

Managing Long-term Conditions and Chronic Illness in Primary Care
Author: Judith Carrier
Publisher: Routledge
Total Pages: 242
Release: 2015-06-29
Genre: Medical
ISBN: 113513085X

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Effective management of long-term conditions is an essential part of contemporary nursing policy and practice. Systematic and evidence-based care which takes account of the expert patient and reduces unnecessary hospital admissions is vital to support those with long-term conditions/chronic diseases and those who care for them. Reflecting recent changes in treatment, the nurse’s role and the patient journey and including additional content on rehabilitation, palliative care, and non-medical prescribing, this fully updated new edition highlights the key issues in managing long-term conditions. It provides a practical and accessible guide for nurses and allied health professionals in the primary care environment and covers: - the physical and psychosocial impact of long-term conditions - effective case management - self-management and the expert patient - behavioural change strategies and motivational counselling - telehealth and information technology - nutritional and medication management. Packed with helpful, clearly written information, Managing Long-term Conditions and Chronic Illness in Primary Care includes case studies, fact boxes and pointers for practice. It is ideal reading for pre- and post-registration nursing students taking modules on long-term conditions, and will be a valuable companion for pre-registration students on community placements.


Integrating Social Care into the Delivery of Health Care

Integrating Social Care into the Delivery of Health Care
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 195
Release: 2020-01-30
Genre: Medical
ISBN: 0309493439

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Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.


Services for people with neurological conditions

Services for people with neurological conditions
Author: Great Britain: National Audit Office
Publisher: The Stationery Office
Total Pages: 48
Release: 2011-12-16
Genre: Medical
ISBN: 9780102977042

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Since 2005, when the Department of Health introduced its National Service Framework for Long-term Conditions, people with neurological conditions have had better access to health services; but key indicators of quality - such as the rate of emergency hospital readmissions - have worsened. The Department does not know what the Framework and additional spending of nearly 40 per cent over four years have achieved. The Framework was designed to improve care for people with neurological conditions but progress in implementing it has been poor. Access to health services for people with long-term neurological conditions, such as Parkinson's disease, multiple sclerosis and motor neurone disease, has improved and waiting times for inpatient and outpatient neurology have decreased since 2007. The number of elective neurological operations performed has also increased. However, the rate of emergency admissions to hospital has increased significantly and there is large variation in emergency admission rates between Primary Care Trusts. Access to services for patients also varies significantly depending on where they live. Many patients, following their diagnosis, are not given information on their condition, about local services or on available support. Ongoing care is fragmented and poorly coordinated and there is a pattern of patients being referred to hospital for treatment, then discharged and then referred to hospital again. The NAO also found that there is poor coordination between health and social services. The number of adults with a physical disability receiving social services has fallen since 2005-06, because fewer people are now eligible for these services


Managing Long-term Conditions and Chronic Illness in Primary Care

Managing Long-term Conditions and Chronic Illness in Primary Care
Author: Judith Carrier
Publisher: Routledge
Total Pages: 278
Release: 2015-06-29
Genre: Medical
ISBN: 1135130841

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Effective management of long-term conditions is an essential part of contemporary nursing policy and practice. Systematic and evidence-based care which takes account of the expert patient and reduces unnecessary hospital admissions is vital to support those with long-term conditions/chronic diseases and those who care for them. Reflecting recent changes in treatment, the nurse’s role and the patient journey and including additional content on rehabilitation, palliative care, and non-medical prescribing, this fully updated new edition highlights the key issues in managing long-term conditions. It provides a practical and accessible guide for nurses and allied health professionals in the primary care environment and covers: - the physical and psychosocial impact of long-term conditions - effective case management - self-management and the expert patient - behavioural change strategies and motivational counselling - telehealth and information technology - nutritional and medication management. Packed with helpful, clearly written information, Managing Long-term Conditions and Chronic Illness in Primary Care includes case studies, fact boxes and pointers for practice. It is ideal reading for pre- and post-registration nursing students taking modules on long-term conditions, and will be a valuable companion for pre-registration students on community placements.


Crossing the Quality Chasm

Crossing the Quality Chasm
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 360
Release: 2001-08-19
Genre: Medical
ISBN: 0309072808

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Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.


Trustworthy Computing and Services

Trustworthy Computing and Services
Author: Yuyu Yuan
Publisher: Springer
Total Pages: 420
Release: 2014-06-26
Genre: Computers
ISBN: 3662439085

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This book constitutes the refereed proceedings of the International Standard Conference on Trustworthy Distributed Computing and Services, ISCTCS 2013, held in Beijing, China, in November 2013. The 49 revised full papers presented were carefully reviewed and selected from 267 papers. The topics covered are trustworthy infrastructure; security, survivability and fault tolerance; standards, evaluation and certification; trustworthiness of services.