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Author : Kieran Sweeney
Publisher : Radcliffe Publishing
Page : 2 pages
File Size : 44,6 Mb
Release : 2006
Category : Medical
ISBN : 1857757246
Considering the frameworks of thinking that underpin medicine, and general practice in particular, this title describes how complexity theory can illuminate and explain what goes on in general practice on a daily basis.
Author : Keiran Sweeney
Publisher : CRC Press
Page : 176 pages
File Size : 45,9 Mb
Release : 2017-11-22
Category : Medical
ISBN : 9781315345116
The daily work of General Practitioners can seem at once simple and immensely complicated. The routine nature of the consultation appears on the surface to be straightforward, but carries within it myriad layers of meaning. The options for diagnosis and treatment within a single consultation, or when combined in the overall pattern of the day, can seem huge. A basic understanding of complexity theory can provide GPs with a way to face the more bewildering aspects of their job. This book provides a concise and clear introduction to complexity, tailored specifically for the primary care environment. GPs and their colleagues throughout primary care will find this book assists them in working more efficiently, more effectively and more enjoyably.
Author : William B. Rouse,Nicoleta Serban
Publisher : MIT Press
Page : 297 pages
File Size : 43,6 Mb
Release : 2014-07-03
Category : Medical
ISBN : 9780262027519
An argument that understanding healthcare delivery as a complex adaptive system will help us design a system that yields better health outcomes. Breakthroughs in medical science, innovations in medical technologies, and improvements in clinical practices occur today at an increasingly rapid rate. Yet because of a fragmented healthcare delivery system, many Americans are unable to benefit from these developments. How can we design a system that can provide high-quality, affordable healthcare for everyone? In this book, William Rouse and Nicoleta Serban introduce concepts, principles, models, and methods for understanding, and improving, healthcare delivery. Approaching the topic from the perspectives of engineering and statistics, they argue that understanding healthcare delivery as a complex adaptive system will help us design a system that is more efficient, effective, and equitable. The authors use multilevel simulation models as a quantitative tool for evaluating alternate ways of organizing healthcare delivery. They employ this approach, for example, in their discussions of affordability, a prevention and wellness program, chronic disease management, and primary care accessibility for children in the Medicaid program. They also consider possible benefits from a range of technologies, including electronic health records and telemedicine; data mining as an alternative to randomized trials; conceptual and analytical methodologies that address the complexity of the healthcare system; and how these principles, models, and methods can enable transformational change.
Author : Steven A. Frankel,James A. Bourgeois
Publisher : Springer
Page : 220 pages
File Size : 47,7 Mb
Release : 2018-03-21
Category : Medical
ISBN : 9783319612140
This book presents case-based descriptions of models for the inclusive, multispecialty and multidisciplinary clinical care of complex cases. Cases range from primary care patients with complex systemic medical and psychiatric comorbidity, to those requiring specialty care, to those with potentially terminal illnesses. While each category and case has its unique requirements often necessitating different models of care, the commonalities in approaching complex clinical situations is underscored. Extended case narratives written by the treating physicians, summarizing both the course of clinical care and physicians' reflections on the challenges of managing complex patients, comprise the bulk of the book. Five additional chapters on systems issues associated with care of complex patients, together with a chapter on end of life considerations, a narrative analysis of the physicians reflections about complex patients, and a concluding chapter are prominently included to anchor the case narratives. Written by experts in the field, these descriptions form unique models for assessing and treating complex cases. Integrated Care for Complex Patients is a useful guide for all health practitioners and health administrators who are responsible for clinically complex cases, including physicians in primary care and psychiatry, physician assistants and nurse practitioners, and psychologists.
Author : Kieran Sweeney,Frances Griffiths
Publisher : Radcliffe Publishing
Page : 210 pages
File Size : 47,9 Mb
Release : 2002
Category : Chaotic behavior in systems
ISBN : 1857755596
This book illustrates the relevance of chaos and complexity theory to healthcare organisations, public health, clinical governance and the consultation. It explains the terms and ideas at the heart of complexity, the unfamiliar science behind it, and how it applies to the real world. In healthcare, the NHS is a complex adaptive system. So are hospitals, general practices, diseases and patients. The book describes how insights from complexity can help us better understand how organisations, patients or disease develop over time, in an often unpredictable manner. Contributors set out the benefits of applying complexity to their own particular areas of healthcare. Complexity and Healthcare will be of special interest to clinicians and managers in primary and secondary care, researchers and academics, and in particular, general practitioners and public health professionals.
Author : Derek Steinberg
Publisher : CRC Press
Page : 192 pages
File Size : 54,7 Mb
Release : 2018-10-08
Category : Medical
ISBN : 9781315358369
This book provides an important contribution to the new and growing field of 'narrative-based medicine'. It specifically addresses the largest area of medical activity primary care. It provides both a theoretical framework and practical skills for dealing with individual consultations family work clinical supervision and teamwork and offers a comprehensive approach to the whole range of work in primary care. Using a wide range of clinical examples it shows how professionals in primary care can help clarify patients' existing stories and elucidate new stories. It can be used as a training resource and includes exercises and summaries of key points to consider. It is based on and describes an established evaluated training method and is of immediate and significant practical use to readers. It is essential reading for general practitioners practice nurses and others in the primary care team psychologists family therapists counsellors and other professionals attached to primary care. GP trainers tutors and course organisers will find it a valuable educational tool. Professionals elsewhere in primary care such as pharmacists dentists and optometrists and academics in medical sociology and medical anthropology will also find it very useful.
Author : Joachim P Sturmberg,Carmel Martin
Publisher : Springer Science & Business Media
Page : 941 pages
File Size : 42,8 Mb
Release : 2013-01-09
Category : Medical
ISBN : 9781461449980
This book is an introduction to health care as a complex adaptive system, a system that feeds back on itself. The first section introduces systems and complexity theory from a science, historical, epistemological, and technical perspective, describing the principles and mathematics. Subsequent sections build on the health applications of systems science theory, from human physiology to medical decision making, population health and health services research. The aim of the book is to introduce and expand on important population health issues from a systems and complexity perspective, highlight current research developments and their implications for health care delivery, consider their ethical implications, and to suggest directions for and potential pitfalls in the future.
Author : National Academy of Engineering,Institute of Medicine
Publisher : National Academies Press
Page : 340 pages
File Size : 53,8 Mb
Release : 2011-06-14
Category : Medical
ISBN : 9780309224772
Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.
Author : Institute of Medicine,Committee on the Future of Primary Care
Publisher : National Academies Press
Page : 411 pages
File Size : 49,7 Mb
Release : 1996-09-05
Category : Medical
ISBN : 9780309175692
Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.
Author : Liam Donaldson,Walter Ricciardi,Susan Sheridan,Riccardo Tartaglia
Publisher : Springer Nature
Page : 496 pages
File Size : 49,8 Mb
Release : 2020-12-14
Category : Medical
ISBN : 9783030594039
Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.
Author : Keiran Sweeney
Publisher : CRC Press
Page : 172 pages
File Size : 41,5 Mb
Release : 2017-11-22
Category : Medical
ISBN : 9781498793155
The daily work of General Practitioners can seem at once simple and immensely complicated. The routine nature of the consultation appears on the surface to be straightforward, but carries within it myriad layers of meaning. The options for diagnosis and treatment within a single consultation, or when combined in the overall pattern of the day, can seem huge. A basic understanding of complexity theory can provide GPs with a way to face the more bewildering aspects of their job. This book provides a concise and clear introduction to complexity, tailored specifically for the primary care environment. GPs and their colleagues throughout primary care will find this book assists them in working more efficiently, more effectively and more enjoyably.
Author : Christoph Lehmann,George R. Kim,Kevin B. Johnson
Publisher : Springer Science & Business Media
Page : 479 pages
File Size : 55,8 Mb
Release : 2009-07-16
Category : Medical
ISBN : 9780387764467
Now is a critical time in pediatric informatics. As information technologies—electronic health records (EHRs), personal health records (PHRs), computerized physician order entry (CPOE)—and standards (HL7) are developed to improve the quality of health care, it is imperative for policy makers and pediatricians to be aware of their impact on pediatric care and child health. Informed child advocates must be at the planning table as national and regional health information networks are developed to insure the unique health care needs of children are being met. Pediatric Informatics: Computer Applications in Child Health is a current digest of the important trends in pediatric informatics, written by leading experts in the field. This book explores how the management of biomedical data, information, and knowledge can optimize and advance child health. The contributors investigate the specific importance of pediatric informatics is derived from the biological, psychological, social and cultural needs that the distinguish children from other populations. These distinctions create complexities in the management of pediatric data and information that make children a vulnerable population and require the development of a new body of knowledge in pediatric informatics.
Author : Brenda Zimmerman,Curt Lindberg,Paul E. Plsek
Publisher : V H A Incorporated
Page : 280 pages
File Size : 54,8 Mb
Release : 2001
Category : Business & Economics
ISBN : 0966782801
This publication is the first book to address complexity science in health care. It represents a revolutionary new way for health care leaders to think about how they engage employees, work with physicians, manage unmanageably complex tasks and plan for an uncertain future. But it's not for health care workers only - this book is useful to anyone interested in how complexity science is changing not only business management, but also how many disciplines of science relate to one another. Complexity science reframes our view of many systems that are only partially understood by traditional scientific methods. Systems as apparently diverse as stock markets, human bodies, ecosystems, immune systems, termite colonies and hospitals seem to share some patterns of behavior. These patterns provide insights into sustainability, viability, and innovation.
Author : Institute of Medicine,Committee on Serious and Complex Medical Conditions
Publisher : National Academies Press
Page : 127 pages
File Size : 51,6 Mb
Release : 1999-10-19
Category : Medical
ISBN : 9780309172608
In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services-those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients.
Author : Einer Elhauge
Publisher : Oxford University Press on Demand
Page : 397 pages
File Size : 46,5 Mb
Release : 2010
Category : Health & Fitness
ISBN : 9780195390131
Why is the American health care system so fragmented in the care it gives patients? This title approaches this question and more with a highly interdisciplinary approach. The articles included in the work address legal and regulatory issues, including laws that mandate separate payments for each provider.