Impacto De Un Programa De Gestion De Casos A Pacientes Cronicos Complejos

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Impacto de un programa de gestión de casos a pacientes crónicos complejos

Author : Gemma Pérez Giménez
Publisher :
ISBN 13 :
Total Pages : 312 pages
Book Rating : 4.:/5 (12 download)

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Book Synopsis Impacto de un programa de gestión de casos a pacientes crónicos complejos by : Gemma Pérez Giménez

Download or read book Impacto de un programa de gestión de casos a pacientes crónicos complejos written by Gemma Pérez Giménez and published by . This book was released on 2017 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: Las enfermedades crónicas constituyen un importante problema de salud en todo el mundo, debido especialmente al envejecimiento de la población que conduce inevitablemente al aumento de personas con enfermedades crónicas. Estas afecciones, son la principal causa de mortalidad en todo el mundo, produciendo limitaciones importantes en la calidad de vida y el estado funcional de las personas que las padecen. Además, muchas de las personas enfermas crónicas se hallan en una situación de complejidad, es decir que, entre otras características, padecen diversas patologías al mismo tiempo, con una alta probabilidad de estar mal controladas, realizan una alta utilización de los servicios de urgencias y consumen un elevado número de fármacos. Ante esta situación el sistema de salud requiere una transformación. La gestión de casos de enfermería puede constituir una forma de atención eficaz. Esta tesis pretende desvelar si la gestión de casos, dirigido a pacientes crónicos complejos y centrada en la atención enfermera, puede ofrecer una atención adecuada a las necesidades de las personas con enfermedad crónica contribuyendo, además, a la sostenibilidad del sistema sanitario. Para ello se han planteado como objetivos principales: comparar la frecuentación hospitalaria en un grupo de pacientes con pluripatología del Hospital General de Granollers, entre el año anterior a ser incluidos en el programa de gestión de casos del paciente crónico complejo de medicina interna y al finalizar el primer año de su inclusión y describir y analizar, desde la perspectiva del paciente, las vivencias e implicaciones que representa padecer una enfermedad crónica avanzada y compleja. La metodología utilizada ha sido cuantitativa, con un diseño preexperimental, para medir la frecuentación hospitalaria, y cualitativa, desde la perspectiva fenomenológica interpretativa, para profundizar en la experiencia de la cronicidad. Los sujetos de estudio han sido todos los pacientes crónicos que han sido incluidos en el programa de gestión de casos al paciente crónico complejo de Medicina Interna del Hospital General de Granollers, desde su inicio hasta el momento de iniciar la investigación (2009-2013). Las variables de estudio han sido sociodemográficas, conocimientos de la enfermedad y habilidades de cuidado y frecuentación hospitalaria, además de la percepción de los pacientes respecto a su experiencia en relación al padecimiento de una patología crónica y en cómo los dispositivos sanitarios inciden sobre su calidad de vida. Los resultados han puesto de manifiesto que la frecuentación hospitalaria de los enfermos estudiados ha disminuido significativamente después de ingresar en el programa de gestión de casos y que los pacientes manifiestan que desde que son atendidos por este modelo sienten que son los protagonistas de su proceso de salud-enfermedad, ha mejorado su calidad de vida y su capacidad de autoeficacia. A la luz de estos resultados y dado que este es un estudio exploratorio, se ve conveniente continuar en la investigación sobre la efectividad y la eficiencia de programas de enfermería de gestión de casos con diseños más potentes.

Guided Care

Author : Chad Boult, MD, MPH
Publisher : Springer Publishing Company
ISBN 13 : 0826144128
Total Pages : 237 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Guided Care by : Chad Boult, MD, MPH

Download or read book Guided Care written by Chad Boult, MD, MPH and published by Springer Publishing Company. This book was released on 2009-02-26 with total page 237 pages. Available in PDF, EPUB and Kindle. Book excerpt: Winner of the 2009 Medical Economics Award! "Boult and his colleagues . . . . have crafted a team model that builds upon the unique strengths of nurses and primary care physicians coupled with effective communication and implementation of evidence-based care. This represents a great advance over business as usual." --David B. Reuben, MD Director, Multicampus Program in Geriatric Medicine and Gerontology Chief, Division of Geriatrics David Geffen School of Medicine at UCLA Guided Care is an exciting, new team model used to provide medical care to clients with chronic conditions. This model involves adding a Guided Care nurse to the primary care practice team. It is also the most efficient, cost-effective way to respond to the needs of patients. This book provides physicians, nurses, administrators, and leaders of health care organizations with step-by-step guidance on adopting Guided Care Nursing into their practice. Featured Highlights: Evaluating the primary care pratice's readiness to adopt Guided Care Preparing for adoption Integrating Guided Care into existing practices Hiring nurses for the primary care team Assuring financial viability Comparing Guided Care with other models The future of primary care, and the quality of care for adults with chronic conditions, depends on finding approaches to improve efficiency and effectiveness. This book demonstrates that Guided Care yields the best outcomes for patients and for primary care at large.

Engineering the System of Healthcare Delivery

Author : William B. Rouse
Publisher : IOS Press
ISBN 13 : 1607505320
Total Pages : 492 pages
Book Rating : 4.6/5 (75 download)

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Book Synopsis Engineering the System of Healthcare Delivery by : William B. Rouse

Download or read book Engineering the System of Healthcare Delivery written by William B. Rouse and published by IOS Press. This book was released on 2010 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt: The US healthcare system has many excellent components; strong scientific input, extraordinary technology for diagnosis and treatment, dedicated staff and top-class facilities among them. But the system has evolved haphazardly over time and although it has not failed entirely, the authors argue that like any system where attention, is paid to individual components at the expense of the system as a whole, it can never hope to succeed. Above all, they point out that the US system does not provide high value healthcare; it has the highest costs in the world and yet many other countries have lower infant mortality rates and better life expectancy. --

Gender, Women, and Health in the Americas

Author : Elsa Gómez Gómez
Publisher :
ISBN 13 : 9789275115411
Total Pages : 304 pages
Book Rating : 4.1/5 (154 download)

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Book Synopsis Gender, Women, and Health in the Americas by : Elsa Gómez Gómez

Download or read book Gender, Women, and Health in the Americas written by Elsa Gómez Gómez and published by . This book was released on 1993 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Patient-Centered Medicine

Author : Moira Stewart
Publisher : CRC Press
ISBN 13 : 1909368032
Total Pages : 310 pages
Book Rating : 4.9/5 (93 download)

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Book Synopsis Patient-Centered Medicine by : Moira Stewart

Download or read book Patient-Centered Medicine written by Moira Stewart and published by CRC Press. This book was released on 2013-12-28 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: This long awaited Third Edition fully illuminates the patient-centered model of medicine, continuing to provide the foundation for the Patient-Centered Care series. It redefines the principles underpinning the patient-centered method using four major components - clarifying its evolution and consequent development - to bring the reader fully up-to-

Textbook of Patient Safety and Clinical Risk Management

Author : Liam Donaldson
Publisher : Springer Nature
ISBN 13 : 3030594033
Total Pages : 496 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Textbook of Patient Safety and Clinical Risk Management by : Liam Donaldson

Download or read book Textbook of Patient Safety and Clinical Risk Management written by Liam Donaldson and published by Springer Nature. This book was released on 2020-12-14 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Telemedicine

Author : World Health Organization
Publisher : Global Observatory for eHealth
ISBN 13 : 9789241564144
Total Pages : 0 pages
Book Rating : 4.5/5 (641 download)

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Book Synopsis Telemedicine by : World Health Organization

Download or read book Telemedicine written by World Health Organization and published by Global Observatory for eHealth. This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The eHealth series is primarily meant for government ministries of health, information technology, and telecommunications, as well as others working in eHealth -- academics, researchers, eHealth professionals, nongovernmental organizations, and donors. The telemedicine module of the 2009 survey examined the current level of development of four fields of telemedicine: teleradiology, teledermatogy, telepathology, and telepsychology, as well as four mechanisms that facilitate the promotion and development of telemedicine solutions in the short- and long-term: the use of a national agency, national policy or strategy, scientific development, and evaluation. Telemedicine: Opportunities and Developments in Member States discusses the results of the telemedicine module, which was completed by 114 countries (59% of Member States).

Youth Violence Prevention

Author : Timothy N. Thornton
Publisher : Nova Publishers
ISBN 13 : 9781594547058
Total Pages : 252 pages
Book Rating : 4.5/5 (47 download)

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Book Synopsis Youth Violence Prevention by : Timothy N. Thornton

Download or read book Youth Violence Prevention written by Timothy N. Thornton and published by Nova Publishers. This book was released on 2006 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: This important book deals with the problem of youth violence by attacking it at the grass-roots level -- the community.

Physical Activity and Cancer

Author : Kerry S. Courneya
Publisher : Springer Science & Business Media
ISBN 13 : 3642042317
Total Pages : 389 pages
Book Rating : 4.6/5 (42 download)

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Book Synopsis Physical Activity and Cancer by : Kerry S. Courneya

Download or read book Physical Activity and Cancer written by Kerry S. Courneya and published by Springer Science & Business Media. This book was released on 2010-11-26 with total page 389 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores in depth the relation between physical activity and cancer control, including primary prevention, coping with treatments, recovery after treatments, long-term survivorship, secondary prevention, and survival. The first part of the book presents the most recent research on the impact of physical activity in preventing a range of cancers. In the second part, the association between physical activity and cancer survivorship is addressed. The effects of physical activity on supportive care endpoints (e.g., quality of life, fatigue, physical functioning) and disease endpoints (e.g., biomarkers, recurrence, survival) are carefully analyzed. In addition, the determinants of physical activity in cancer survivors are discussed, and behavior change strategies for increasing physical activity in cancer survivors are appraised. The final part of the book is devoted to special topics, including the relation of physical activity to pediatric cancer survivorship and to palliative cancer care.

Nursing Outcomes Classification (NOC)

Author : Marion Johnson
Publisher :
ISBN 13 :
Total Pages : 646 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Nursing Outcomes Classification (NOC) by : Marion Johnson

Download or read book Nursing Outcomes Classification (NOC) written by Marion Johnson and published by . This book was released on 2000 with total page 646 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the ongoing reform in health care delivery, outcomes have continued to be an important focus for both cost containment and effective care. NURSING OUTCOMES CLASSIFICATION standardizes the terminology and criteria for measurable or desirable outcomes as a result of interventions performed by nurses. The only comprehensive collection of nursing-sensitive patient outcomes on the market, this second edition of NOC features 260 outcomes, including 57 new outcomes for individual patients and family care givers, as well as 7 family-level and 6 community-level outcomes. In addition to label categories, the research covers community settings, and the newest developed taxonomy for NOC. Spanish version also available, ISBN: 84-8174-540-5

Health Status and Health Policy

Author : Donald L. Patrick
Publisher : Oxford University Press, USA
ISBN 13 :
Total Pages : 512 pages
Book Rating : 4.4/5 (91 download)

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Book Synopsis Health Status and Health Policy by : Donald L. Patrick

Download or read book Health Status and Health Policy written by Donald L. Patrick and published by Oxford University Press, USA. This book was released on 1993 with total page 512 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book has two major objectives. The first is to propose the Health Resource Allocation Strategy as a social and political process for comparing costs and outcomes of alternative policy options in the health and medical care arena to select interventions with greatest benefit in relation to cost. The second objective is to provide a reference for state-ofthe-art development and application of health status and quality of life measures for health care policy and research, including clinical applications. Not all policy applications of health- related quality of life involve resource allocation. Thus we present guidelines to assessment for use in program evaluation, monitoring of health policy, clinical trials, and health services research.

Mini Nutritional Assessment (MNA)

Author : Bruno J. Vellas
Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3805568037
Total Pages : 202 pages
Book Rating : 4.8/5 (55 download)

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Book Synopsis Mini Nutritional Assessment (MNA) by : Bruno J. Vellas

Download or read book Mini Nutritional Assessment (MNA) written by Bruno J. Vellas and published by Karger Medical and Scientific Publishers. This book was released on 1999 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the first of a new series which will present the proceedings of the newly established Nestlé Nutrition Workshop Series: Clinical & Performance Programme aimed at adult nutrition. Undernutrition is a common phenomenon in elderly people, and malnutrition reaches significant levels in those being in hospital, nursing homes or home care programs. Consequences of malnutrition often go unrecognised owing to the lack of specific validated instruments to assess nutritional status in frail elderly persons. The Mini Nutritional Assessment (MNA) provides a single, rapid assessment of nutritional status in the elderly of different degrees of independence, allowing the prevalence of protein-energy malnutrition to be determined and to evaluate the efficacy of nutritional intervention and strategies. Easy, quick and economical to perform, it enables staff to check the nutritional status of elderly people when they enter hospitals or institutions and to monitor changes occurring during their stay. Moreover, the MNA is predictive of the cost of care and length of stay in hospital. This publication will be of immense assistance to heads of geriatric teaching units, teachers in nutrition, clinicians general practitioners and dieticians, enabling them to better detect, recognise and start treatment of malnutrition in the elderly.

Helping people share decision making

Author : Debra de Silva
Publisher : The Health Foundation
ISBN 13 : 1906461406
Total Pages : 78 pages
Book Rating : 4.9/5 (64 download)

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Book Synopsis Helping people share decision making by : Debra de Silva

Download or read book Helping people share decision making written by Debra de Silva and published by The Health Foundation. This book was released on 2012 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Decentralized Hospital Computer Program (DHCP).

Author :
Publisher :
ISBN 13 :
Total Pages : 6 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis Decentralized Hospital Computer Program (DHCP). by :

Download or read book Decentralized Hospital Computer Program (DHCP). written by and published by . This book was released on 1988 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Pharmaceutical Innovation and Access to Medicines

Author : OECD
Publisher : Org. for Economic Cooperation & Development
ISBN 13 : 9789264307384
Total Pages : 0 pages
Book Rating : 4.3/5 (73 download)

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Book Synopsis Pharmaceutical Innovation and Access to Medicines by : OECD

Download or read book Pharmaceutical Innovation and Access to Medicines written by OECD and published by Org. for Economic Cooperation & Development. This book was released on 2019-01-24 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report reviews the important role of medicines in health sytems, describes recent trends in pharmaceutical expenditure and financing, and summarises the approaches used by OECD countries to determine coverage and pricing.

Textbook of Pain

Author : Patrick D. Wall
Publisher : Edinburgh : Churchill Livingstone
ISBN 13 : 9780443036699
Total Pages : 1064 pages
Book Rating : 4.0/5 (366 download)

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Book Synopsis Textbook of Pain by : Patrick D. Wall

Download or read book Textbook of Pain written by Patrick D. Wall and published by Edinburgh : Churchill Livingstone. This book was released on 1989-01-01 with total page 1064 pages. Available in PDF, EPUB and Kindle. Book excerpt: The New Edition of the most comprehensive and scholarly reference book on pain research and management has been completely revised and updated. Covers all aspects of the understanding and management of pain.

Communicating with Medical Patients

Author : Moira A. Stewart
Publisher : SAGE Publications, Incorporated
ISBN 13 :
Total Pages : 296 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Communicating with Medical Patients by : Moira A. Stewart

Download or read book Communicating with Medical Patients written by Moira A. Stewart and published by SAGE Publications, Incorporated. This book was released on 1989-06 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed to synthesize a growing international and interdisciplinary body of experience, this volume provides a mandate and a charge to medicine to fundamentally transform the traditional clinical method and the social relations it fosters between doctor and patient and between student and teacher. The contributors challenge the medical establishment to change their clinical method from that of a disease-centred to a patient-centred one. Four sections deal with issues related to the doctor's own transformation, the medical interview, teaching and learning, and validation.