Implementing Primary Care Reform

Author : Queen's University (Kingston, Ont.). School of Policy Studies
Publisher : Published for the School of Policy Studies by McGill-Queen's University Press
Page : 224 pages
File Size : 55,5 Mb
Release : 2004
Category : Cross-cultural studies
ISBN : UOM:39015060772004

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Implementing Primary Care Reform by Queen's University (Kingston, Ont.). School of Policy Studies Pdf

Strong primary health care systems are the foundation of effective health care. Several countries have attempted to reform primary care delivery in the past few years, with variable results. In "Implementing Primary Care Reform" the authors examine the barriers to, and facilitators of, such reform in Canada, New Zealand, and the United Kingdom, from political, economic, organizational, and clinical perspectives. The authors emphasize the importance of primary care in improving health, increasing cost-effectiveness, and promoting social equity.Contributors include Marie-Dominique Beaulieu (University of Montreal), Raisa Deber (University of Toronto), Michael Decter (National Health Council), Cathy Fooks (Health Network Canadian Policy Research Networks), Brian Hutchinson (McMaster University), Antonia Maioni (McGill University), Nick Mays (London School of Hygiene and Tropical Medicine), Bonnie Sibbald (University of Manchester), Barbara Starfield (John Hopkins University), and Carolyn Tuohy (University of Toronto).

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Implementing High-Quality Primary Care
Publisher : Unknown
Page : 448 pages
File Size : 51,9 Mb
Release : 2021-06-30
Category : Electronic
ISBN : 0309685109

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Implementing High-Quality Primary Care by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Implementing High-Quality Primary Care Pdf

High-quality primary care is the foundation of the health care system. It provides continuous, person-centered, relationship-based care that considers the needs and preferences of individuals, families, and communities. Without access to high-quality primary care, minor health problems can spiral into chronic disease, chronic disease management becomes difficult and uncoordinated, visits to emergency departments increase, preventive care lags, and health care spending soars to unsustainable levels. Unequal access to primary care remains a concern, and the COVID-19 pandemic amplified pervasive economic, mental health, and social health disparities that ubiquitous, high-quality primary care might have reduced. Primary care is the only health care component where an increased supply is associated with better population health and more equitable outcomes. For this reason, primary care is a common good, which makes the strength and quality of the country's primary care services a public concern. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care puts forth an evidence-based plan with actionable objectives and recommendations for implementing high-quality primary care in the United States. The implementation plan of this report balances national needs for scalable solutions while allowing for adaptations to meet local needs.

Author : National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Committee for Assessing Progress on Implementing the Recommendations of the Institute of Medicine Report The Future of Nursing: Leading Change, Advancing Health
Publisher : National Academies Press
Page : 221 pages
File Size : 48,5 Mb
Release : 2016-03-22
Category : Medical
ISBN : 9780309380317

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Assessing Progress on the Institute of Medicine Report The Future of Nursing by National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Committee for Assessing Progress on Implementing the Recommendations of the Institute of Medicine Report The Future of Nursing: Leading Change, Advancing Health Pdf

Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States. Nurses work in a wide variety of settings, including hospitals, public health centers, schools, and homes, and provide a continuum of services, including direct patient care, health promotion, patient education, and coordination of care. They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation due in part to the Affordable Care Act (ACA), the nursing profession is making a wide-reaching impact by providing and affecting quality, patient-centered, accessible, and affordable care. In 2010, the Institute of Medicine (IOM) released the report The Future of Nursing: Leading Change, Advancing Health, which made a series of recommendations pertaining to roles for nurses in the new health care landscape. This current report assesses progress made by the Robert Wood Johnson Foundation/AARP Future of Nursing: Campaign for Action and others in implementing the recommendations from the 2010 report and identifies areas that should be emphasized over the next 5 years to make further progress toward these goals.

Author : Jennifer Stewart,Canada West Foundation
Publisher : Unknown
Page : 41 pages
File Size : 52,9 Mb
Release : 2000
Category : Health care reform
ISBN : 189599263X

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Primary Care Reform in Canada by Jennifer Stewart,Canada West Foundation Pdf

Author : New Haven New Haven Press
Publisher : Unknown
Page : 38 pages
File Size : 53,5 Mb
Release : 2017-07-25
Category : Electronic
ISBN : 1973928825

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Do Primary Care Professionals Agree about Progress with Implementation of Primary Care Teams: Results from a Cross Sectional Study by New Haven New Haven Press Pdf

Primary care is the cornerstone of healthcare reform with policies across jurisdictions promoting interdisciplinary team working. The effective implementation of such health policies requires understanding the perspectives of all actors. However, there is a lack of research about health professionals' views of this process. This study compares Primary Healthcare Professionals' perceptions of the effectiveness of the Primary Care Strategy and Primary Care Team (PCT) implementation in Ireland. Proceeds from the sale of this book go to support an elderly disabled person.

Author : Institute of Medicine,Board on Population Health and Public Health Practice,Committee on Integrating Primary Care and Public Health
Publisher : National Academies Press
Page : 212 pages
File Size : 45,5 Mb
Release : 2012-07-19
Category : Medical
ISBN : 9780309255202

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Primary Care and Public Health by Institute of Medicine,Board on Population Health and Public Health Practice,Committee on Integrating Primary Care and Public Health Pdf

Ensuring that members of society are healthy and reaching their full potential requires the prevention of disease and injury; the promotion of health and well-being; the assurance of conditions in which people can be healthy; and the provision of timely, effective, and coordinated health care. Achieving substantial and lasting improvements in population health will require a concerted effort from all these entities, aligned with a common goal. The Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) requested that the Institute of Medicine (IOM) examine the integration of primary care and public health. Primary Care and Public Health identifies the best examples of effective public health and primary care integration and the factors that promote and sustain these efforts, examines ways by which HRSA and CDC can use provisions of the Patient Protection and Affordable Care Act to promote the integration of primary care and public health, and discusses how HRSA-supported primary care systems and state and local public health departments can effectively integrate and coordinate to improve efforts directed at disease prevention. This report is essential for all health care centers and providers, state and local policy makers, educators, government agencies, and the public for learning how to integrate and improve population health.

Author : Lori E. Raney,Gina B. Lasky,Clare Scott
Publisher : American Psychiatric Pub
Page : 292 pages
File Size : 44,8 Mb
Release : 2017-04-26
Category : Medical
ISBN : 9781615371334

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Integrated Care by Lori E. Raney,Gina B. Lasky,Clare Scott Pdf

Integrated Care: A Guide for Effective Implementation provides a detailed, thoughtful, and experience-based guide to the complex and potentially overwhelming process of implementing an integrated care program. The advantages of integrated care from both the clinical and administrative perspectives are many, including better detection of illness, improvement in overall health outcomes, a better patient care experience, flexibility in responding to policy and financial changes, and an emphasis on return on investment. The book addresses the emerging framework of core principles for effective integrated care, reviews the most up-to-date research on implementation, and presents practice-based experience to serve as a guide. This information is useful in both traditional integration of behavioral health into general medical settings (often primary care) or integrating general medical care into a specialty mental health or substance use treatment setting. Because administrators, clinicians, policy makers, payers and others need guidance in determining what effective implementation looks like, the authors offer a three-part examination of the key components of an implementation strategy and explore the elements essential for success. The book is grounded in the authors' real-world expertise and offers readers practical, accessible information and support: Often efforts to implement an integrated care program fail because the model is more than just "plug and play." To address this misconception, the authors explore the successful implementation from every angle -- from leadership, primary care, therapist, psychiatric provider, and policy perspectives. As procedural and institutional hurdles are being overcome, codes for integrated care have been adopted. Accordingly, the book provides in-depth coverage of finance and funding models, challenges to billing, and emerging payment models. Each of the chapter authors were selected for their direct clinical experience in various integrated environments, their leadership in ushering teams through these initiatives, and/or their deep knowledge of payment and policy barriers. Impediments to the widespread implementation of evidence-based programs include payment and regulatory barriers, lack of a workforce trained in effective collaboration, and cultural differences between the worlds of primary care and behavioral health care. Integrated Care: A Guide for Effective Implementation helps health care leaders and providers overcome these obstacles to implement a successful, patient-centered integrated care program.

Author : Dionne S. Kringos,W. G. W. Boerma,Allen Hutchinson,Richard B. Saltman
Publisher : World Health Organization
Page : 0 pages
File Size : 43,7 Mb
Release : 2015
Category : Europe
ISBN : 9289050314

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Building Primary Care in a Changing Europe by Dionne S. Kringos,W. G. W. Boerma,Allen Hutchinson,Richard B. Saltman Pdf

For many citizens primary health care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary are is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.

Author : Gregory P. Marchildon,Livio Di Matteo
Publisher : University of Toronto Press
Page : 518 pages
File Size : 55,6 Mb
Release : 2015-01-01
Category : Political Science
ISBN : 9781442609754

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Bending the Cost Curve in Health Care by Gregory P. Marchildon,Livio Di Matteo Pdf

Through Canadian and international perspectives, Bending the Cost Curve in Health Care explores the management of growing health costs in an extraordinarily complex arena. The book moves beyond previous debates, agreeing that while efficiencies and better value for money may yet be found, more fundamental reforms to the management and delivery of health services are essential prerequisites to bending the cost curve in the long run. While there is considerable controversy over direction and details of change, there also remains the challenge of getting agreement on the values or principles that would guide the reshaping of the policies, the structures, and the regulatory environment of health care in Canada. Leading experts from around the world representing a range of disciplines and professional backgrounds come together to organize and define the problems faced by policy-makers. Case studies from the United States, the United Kingdom, Australia, the Nordic countries, and industrialized Asian countries such as Taiwan offer useful reform experiences for provincial governments in Canada. Finally, common Canadian cost factors, such as pharmaceuticals and technology, and paying the health workforce, are explored. This book is the first volume in The Johnson-Shoyama Series on Public Policy, published by the University of Toronto Press in association with the Johnson-Shoyama Graduate School of Public Policy, an interdisciplinary centre for research, teaching, and executive training with campuses at the Universities of Regina and Saskatchewan.

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Integrating Social Needs Care into the Delivery of Health Care to Improve the Nation's Health
Publisher : National Academies Press
Page : 195 pages
File Size : 51,6 Mb
Release : 2019-12-30
Category : Medical
ISBN : 9780309493468

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Integrating Social Care into the Delivery of Health Care by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Integrating Social Needs Care into the Delivery of Health Care to Improve the Nation's Health Pdf

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.

Author : Institute of Medicine,Committee on the Future of Primary Care
Publisher : National Academies Press
Page : 411 pages
File Size : 53,5 Mb
Release : 1996-09-05
Category : Medical
ISBN : 9780309175692

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Primary Care by Institute of Medicine,Committee on the Future of Primary Care Pdf

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 : Sophia Schlette,Kerstin Blum,Reinhard Busse
Publisher : Verlag Bertelsmann Stiftung
Page : 165 pages
File Size : 52,9 Mb
Release : 2010-07-30
Category : Health & Fitness
ISBN : 9783867932684

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Health Policy Developments 11 by Sophia Schlette,Kerstin Blum,Reinhard Busse Pdf

The spotlight of Health Policy Developments 11 is on primary care. Thirty years after Alma-Ata, the WHO's declaration on primary care has lost none of its relevance. Hopes are high, realization a real challenge: Ideally, primary care overcomes the divide between the outpatient and inpatient sectors and crosses the line to other medical specialties by integrating services and providers. Its structured coordination with care support systems inside and outside the health sector and a clear focus on prevention and support for self-management are already key components of primary care in a number of developed countries. In this publication, we present the latest developments in this highly dynamic area as well as innovations in quality assessment and transparency, patient information and health technology assessment. The International Network Health Policy and Reform aims to narrow the gap between health services research and health policy. Network partners are research institutions and health policy experts from 20 industrialized countries.

Author : Zuzana Feachem,Martin Hensher,Laura Rose
Publisher : World Bank Publications
Page : 172 pages
File Size : 52,9 Mb
Release : 1999
Category : Medical
ISBN : 0821343378

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Implementing Health Sector Reform in Central Asia by Zuzana Feachem,Martin Hensher,Laura Rose Pdf

It is easy for reformers and their overseas advisers to develop conceptually strong plans for health sector reform that appeal to governments, donors, and academics. Transforming these plans into successful action has proved to be extremely difficult. Toward the goal of improving assistance to this sector, the Economic Development Institute (EDI) of the World Bank held a seminar in Ashgabat, Turkmenistan in June 1996. This publication provides a summary of the proceedings and papers presented at that seminar. It was attended by delegations from five countries in Central Asia and from Azerbaijan and Mongolia. The content of this volume emphasizes topics central to the restructuring of health sector financing and health care delivery systems at a time of transition to market economies and to democracy. Maintaining and improving the health status of the population while preventing rapid escalation of health care expenditure were the recurrent themes throughout the seminar.

Author : Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit
Publisher : National Academies Press
Page : 191 pages
File Size : 47,9 Mb
Release : 2003-07-01
Category : Medical
ISBN : 9780309133197

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Health Professions Education by Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit Pdf

The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Author : Marc Roberts,William Hsiao,Peter Berman,Michael Reich
Publisher : Oxford University Press
Page : 352 pages
File Size : 41,5 Mb
Release : 2008-04-23
Category : Medical
ISBN : 9780199888160

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Getting Health Reform Right by Marc Roberts,William Hsiao,Peter Berman,Michael Reich Pdf

This book provides a multi-disciplinary framework for developing and analyzing health sector reforms, based on the authors' extensive international experience. It offers practical guidance - useful to policymakers, consultants, academics, and students alike - and stresses the need to take account of each country's economic, administrative, and political circumstances. The authors explain how to design effective government interventions in five areas - financing, payment, organization, regulation, and behavior - to improve the performance and equity of health systems around the world.