United Arab Emirates
Salah Hassan, Kidd Michael in Family Practice In The Eastern Mediterranean Region, 2018
The Primary Care Medical Home (PCMH) or Baytona Al Tebbi is a system improvement project adapted by ambulatory health services in the Abu Dhabi Health Services Company (SEHA); it is a model of care based on family medicine principles. The model is based on enhanced access, personal providers and patient engagement and self-management. The patient registered to any primary care centre will consider the centre his or her medical home. The primary care physician, as the primary care provider (PCP), will be accountable for meeting that patient’s current and future needs. The PCP will be working in “Shared Care Model” where the PCP is a member of a multidisciplinary team caring for the patient as part of the doctor panel or a population along the life course. This enhances care coordination and integration. It also provides care that is organized across all elements of the broader health-care system, including specialty care, hospitals, long-term and home health care, and broader community services. PCMH transformation is enabling the system to give better performance by default. Since the adoption of this project, an improvement has been noted in clinical and operational performance indicators of chronic patients attending PHC.18
The Second Component: Understanding the Whole Person, Section 2 – Context
Moira Stewart, Judith Belle Brown, W Wayne Weston, Ian R McWhinney, Carol L McWilliam, Thomas R Freeman in Patient-Centered Medicine, 2013
It is important that the clinician remain aware that the health care system as a whole, including the practitioner and his or her relationship with the patient, is an important part of the context. This is particularly true for patients with chronic illness who spend much of their time interacting with various components of the larger system. Overall health care organization has a profound effect on whether a patient accesses health care, which health care provider is sought, and what is done about his or her problem. The clinical context can be a source of great frustration to the practitioner as well as the patient, with various barriers to accessing appropriate care. In some situations, staffing and resource problems place pressure on clinicians to change, sometimes in ways that are detrimental to patient care. These include shortened consultation times, compromised continuity of patient care, and an unfortunate focus on the disease model.
Technology-Based Delivery of Neuropsychological Rehabilitation
Barbara A. Wilson, Jill Winegardner, Caroline M. van Heugten, Tamara Ownsworth in Neuropsychological Rehabilitation, 2017
Rapid advances in technology have begun to give new shape to the health-care landscape, affecting the calibre of diagnostic procedures, the precision of treatment interventions, and the speed of communication among professionals and consumers. The use of technology is also changing the ways in which health care is delivered. Employing technology to deliver neuropsychological rehabilitation interventions is likely to make a significant contribution to the welfare of individuals affected by neurological disorders, since access to care is a significant challenge for these individuals. Currently most specialised treatment occurs in major medical and rehabilitation centres, which are often located in or near major metropolitan areas, leaving millions of individuals outside the catchment areas. Furthermore, in vast countries like the USA, Canada, China, Australia, Brazil or Russia, most rural areas provide limited transportation options, and the number of specialised professionals in these areas is not sufficient to cover the needs of all individuals requiring rehabilitation. In addition, the physical and cognitive impairments that people with neurological disorders typically experience can make travelling difficult and cost-prohibitive. Telerehabilitation is a promising solution for decreasing health disparities and increasing access to care globally.
Challenges in health professionals’ training and health care for wellness
Published in International Journal of Healthcare Management, 2021
Health care is about services for the prevention, treatment of diseases, rehabilitation of those who suffer, and health promotion. For appropriate health care, health providers need to have knowledge and skills for coordinated care across teams, professions, settings, and the time frames, responding to expectations of preventive, curative, and rehabilitative care. Critical understanding is essential, especially in the changed landscape of health delivery in the era of glittering technology. People entrusted to deliver care need to be steered by ethical commitments and social accountability which are the essence of professionalism in health care which needs to be on scientific principles, based on medical research, amalgamated with the wisdom of service providers. It should not just be diagnosis and treatment of diseases, but wellness of the patient as a whole.
Imagining maternity care as a complex adaptive system: understanding health system constraints to the promotion of respectful maternity care
Published in Sexual and Reproductive Health Matters, 2020
Anteneh Asefa, Barbara McPake, Ana Langer, Meghan A. Bohren, Alison Morgan
The World Health Organization (WHO) defines the quality of care as “the extent to which health care services provided to individuals and patient populations improve desired health outcomes” and outlines that safety, effectiveness, timeliness, efficiency, equity, and people-centredness of health services are integral to achieving quality.4 Applying this definition to maternal and newborn health services helps to view quality from two standpoints: quality from the perspective of the provision of care (clinical care) and quality from the perspective of how women and their families experienced the care (interpersonal care).5 Historically, however, most quality improvement interventions have focused on the clinical dimensions of maternity care while overlooking the interpersonal and social aspects of care.6
A comparative analysis of the influences of specialized and non-specialized emotional intelligence training on patient satisfaction
Published in International Journal of Healthcare Management, 2019
Nestor Asiamah, Emelia Danquah
The current study suggests that both specialized ad non-specialized training programmes can enhance the emotional intelligence of health care professionals, but specialized training is preferable in any health care setting as it improves the ability of personnel to contribute to patient satisfaction. The delivery of quality care to meet patient satisfaction is the primary goal pursued by all health care organizations. Failure of non-specialized training to predict patient satisfaction therefore makes specialized training a preferable option in health care administration. By implication, training programmes must be specialized to more significantly improve the EI of health workers, and training specialization is about adopting training models recommended for improving EI in health care and using professional EI trainers rather than general trainers. This being so, hospitals and researchers would have to collaborate to develop and validate specialize training models. Research must also evaluate and establish the suitability of training models for specific populations.
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