Download or read book Efficacy of the Doctor Interactive Group Medical Appointment written by Joshua Mark Westheimer and published by . This book was released on 2008 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Doctor Interactive Group Medical Appointment (DIGMA) is a group health intervention that combines the services of behavioral health and primary care. The DIGMA was first invented by Edward Noffsinger in 1996, in response to his own difficulties with the overtaxed primary care system at Kaiser Permanente in California (Noffsinger, 1999). Integrating healthcare services in this way has practical implications such as efficient use of resources, treating multiple complaints at once, and beginning to view the mind and body as one (Noffsinger, 1999; Engel, 1977). The DIGMA at the Austin Veterans Outpatient Clinic was designed to address the specific needs of veterans with hypertension. It consists of 4 sessions of 1.5 hours each and addresses such varied topics as exercise, stress-management, nutrition, and medication adherence. These topics are discussed in a group format with the tenets of group psychotherapy (Yalom & Leszcz, 2005) as a backdrop. An exploratory study was warranted to determine whether programs of this sort would be effective on a broad scale. A pretest/posttest design was utilized to determine if the DIGMA was effective at reducing symptoms of hypertension; improving health promoting behavior; increasing self-efficacy to manage hypertension; and increasing internal health locus of control while decreasing chance and powerful others health locus of control. Groups were conducted over a period of seven months with a total of 73 male veterans enrolled in the study. The final n was 58. Findings indicated that both systolic and diastolic blood pressure readings were reduced significantly from pretest to posttest. Health promoting behavior increased significantly; hypertension self efficacy increased significantly; and locus of control did not change significantly from pretest to posttest. The exploratory study concluded that the DIGMA may be efficacious for a variety of aspects of the management of hypertension. It is suggested that further research be conducted but that integrating services in this way can lead to improved patient outcomes and can also be cost-effective.

Download or read book An Evaluation of the Doctor Interactive Group Medical Appointment written by Jeremy Capello and published by . This book was released on 2008 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation investigated the effect of a Doctor Interactive Group Medical Appointment (DIGMA), a unique multidisciplinary medical treatment modality, upon the health behavior of hypertensive patients at the Veterans Health Administration Outpatient Clinic (VA-OPC) in Austin, Texas. Health behavior modification, differences in stress perceptions, blood pressure changes due to the intervention and differences in coping strategies were assessed. Integrated healthcare utilizes a multidisciplinary approach in considering physiological and psychological aspects of health, promoting patients to act on their own behalf in managing health. Increased healthcare costs, decreased patient satisfaction of care received and practitioner satisfaction in care provided currently afflict primary healthcare. Earlier, a "drop-in" shared medical appointment aimed to improve continuity of care, and increase patient and physician satisfaction by allowing patients better access to physicians without taxing more resources. Contrasting the "drop-in" model, this study examined the efficacy of a multi-session DIGMA. Functioning as an adjunct to hypertensive management, participants attended 5 sessions, including one introduction meeting, three consecutive weekly group sessions and an individual telephone session occurring one week following the intervention. The study utilized a pretest/posttest design, with participants acting as their own controls. Self-report measures and blood pressure readings were administered prior to the onset, and again at termination of the DIGMA program. Analyses of variance and hierarchical regression models helped reveal any significant changes in health behaviors, perceptions of stress, and coping styles related to hypertension among 58 participants occurring over time for 7 distinct cohorts participating in the DIGMA. Findings revealed significant differences in both systolic and diastolic blood pressure readings between pre and post intervention. Significant changes in health promoting behaviors among participants who successfully completed all components of the program were also detected. In addition, adaptive coping strategies were found to significantly impact components of health behaviors. Qualitative information supports the quantitative data in determining whether the agent of change is the group process itself, the information imparted in the group, or some other variable. Findings reveal the dynamic of the group, as well as the modality in which information was conveyed positively influenced health behavior changes. Results, implications, and limitations of the study as well as future directions are discussed.

Download or read book Group Medical Appointments written by DeeAnn Schmucker and published by Jones & Bartlett Learning. This book was released on 2006 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practice Management

Download or read book Running Group Visits in Your Practice written by Edward B. Noffsinger and published by Springer Science & Business Media. This book was released on 2009-07-21 with total page 544 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Fateful Meeting A year and a half ago, I was sitting at a conference listening to Ed Noffsinger speak, and suddenly had the most profound ‘‘Aha’’ moment of my professional career. Here was someone presenting a practical and tested solution to some of the most challenging problems currently plaguing the US healthcare system, problems such as poor access to primary and specialty care; the uncontainable and rising costs of healthcare; our nation’s relatively poor quality outcomes; and finally, the sense of frustration, disempowerment, loneliness, and disenfranchisement that patients and their families too often experience. Dr. Noffsinger’s solution seemed deceptively simple—shared medical appointments (SMAs) that afford the highest quality healthcare to be delivered in the highest quality care experience—a group setting. Experience collected over a decade and involving more than 100,000 patient visits throughout the United States, Canada, and parts of Europe has demonstrated that SMAs, when used in primary care as well as in the medical and surgical subspecialties, lead to increased access to care, enhanced quality of care, and improved patient satisfaction. For physicians, the efficiency gains and team support from their participation in SMAs translate into much needed relief and improved career satisfaction.

Download or read book The ABCs of Group Visits written by Edward B. Noffsinger and published by Springer Science & Business Media. This book was released on 2012-10-26 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: The US healthcare system faces numerous difficulties: uncontrolled increases in costs; major access problems; doctor shortages; closing practices; inefficiencies; decreasing revenues; shrinking bottom lines; large numbers of uninsured and underinsured patients; and the upcoming increased demands in service posed by the Affordable Care Act. As a result, many physicians and health care organications are turning to group visits to address these problems. While Dr. Noffsinger's textbook Running Group Visits In Your Practice is the cornerstone reference on designing, implementing and running shared medical appointments (SMAs) in one's practice, it lacks the simplicity and practicality that clinicians are looking for to start their own SMA programs. The ABCs of Group Visits is a practical, streamlined and step-by-step guide focused on the implementation aspects of group visits.Healthcare professionals at every level are looking for alternate ways to deliver high quality care at lower cost, and it is clear to many that group visits provide a care delivery model that will address many of today's critical challenges. The ABCs of Group Visits quickly provides a solution for your busy practice.

Download or read book Comparative Effectiveness and Efficacy Research and Analysis for Practice CEERAP written by Francesco Chiappelli and published by Springer Science & Business Media. This book was released on 2012-02-22 with total page 199 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent trends in health care across the United States and internationally have emphasized a novel approach that consists in comparing the effectiveness and efficacy of treatment interventions with a patient-centered emphasis (i.e., evidence-based health care), while ensuring cost constraints, maximizing benefits, and minimizing risks. In this book, experts in comparative effectiveness and efficacy research and analysis for practice (CEERAP) in health care in general address a range of topical issues. The emphasis is on implications for endodontics and nursing, both of which are considered in a series of detailed chapters. Commonalities and differences among CEERAP, utility-based and logic-based analysis and decision-making, and evidence-based and patient-centered practice are defined and discussed. The book concludes by examining applications for CEERAP in developing patient-centered optimal treatment interventions for the next decade.

Download or read book Mass Media and Health written by Kim Walsh-Childers and published by Routledge. This book was released on 2016-12-01 with total page 410 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mass Media and Health: Examining Media Impact on Individuals and the Health Environment covers media health influences from a variety of angles, including the impact on individual and public health, the intentionality of these effects, and the nature of the outcomes. Author Kim Walsh-Childers helps readers understand the influence that mass media has on an individual’s health beliefs and, in turn, their behaviors. She explains how public health policy can be affected, altering the environment in which a community’s members make choices, and discusses the unintentional health effects of mass media, examining them through the strategic lens of news framing and advocacy campaigns. Written for students across a variety of disciplines, Mass Media and Health will serve as primary reading for courses examining the broader view of mass media and health impacts, as well as providing supplemental reading for courses on health communication, public health campaigns, health journalism, and media effects.

Download or read book Artificial Intelligence in Healthcare written by Adam Bohr and published by Academic Press. This book was released on 2020-06-21 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: Artificial Intelligence (AI) in Healthcare is more than a comprehensive introduction to artificial intelligence as a tool in the generation and analysis of healthcare data. The book is split into two sections where the first section describes the current healthcare challenges and the rise of AI in this arena. The ten following chapters are written by specialists in each area, covering the whole healthcare ecosystem. First, the AI applications in drug design and drug development are presented followed by its applications in the field of cancer diagnostics, treatment and medical imaging. Subsequently, the application of AI in medical devices and surgery are covered as well as remote patient monitoring. Finally, the book dives into the topics of security, privacy, information sharing, health insurances and legal aspects of AI in healthcare. Highlights different data techniques in healthcare data analysis, including machine learning and data mining Illustrates different applications and challenges across the design, implementation and management of intelligent systems and healthcare data networks Includes applications and case studies across all areas of AI in healthcare data

Download or read book Research Anthology on Telemedicine Efficacy Adoption and Impact on Healthcare Delivery written by Management Association, Information Resources and published by IGI Global. This book was released on 2021-01-15 with total page 689 pages. Available in PDF, EPUB and Kindle. Book excerpt: Telemedicine, which involves electronic communications and software, provides the same clinical services to patients without the requirement of an in-person visit. Essentially, this is considered remote healthcare. Though telemedicine is not a new practice, it has become an increasingly popular form of healthcare delivery due to current events, including the COVID-19 pandemic. Not only are visits being moved onto virtual platforms, but additional materials and correspondence can remain in the digital sphere. Virtual lab results, digital imaging, medical diagnosis, and video consultations are just a few examples that encompass how telemedicine can be used for increased accessibility in healthcare delivery. With telemedicine being used in both the diagnosis and treatment of patients, technology in healthcare can be implemented at almost any phase of the patient experience. As healthcare delivery follows the digital shift, it is important to understand the technologies, benefits and challenges, and overall impacts of the remote healthcare experience. The Research Anthology on Telemedicine Efficacy, Adoption, and Impact on Healthcare Delivery presents the latest research on best practices for adopting telehealth into medical practices and its efficacy and solutions for the improvement of telemedicine, as well as addresses emerging challenges and opportunities, including issues such as securing patient data and providing healthcare accessibility to rural populations. Covering important themes that include doctor-patient relationships, tele-wound monitoring, and telemedicine regulations, this book is essential for healthcare professionals, doctors, medical students, academic and medical libraries, medical technologists, practitioners, stakeholders, researchers, academicians, and students interested in the emerging technological developments and solutions within the field of telemedicine.

Download or read book A Nurse s Survival Guide to General Practice Nursing E Book written by Karen Storey and published by Elsevier Health Sciences. This book was released on 2021-06-02 with total page 371 pages. Available in PDF, EPUB and Kindle. Book excerpt: General practice nurses are faced with the daily challenge of keeping up-to-date with a vast range of conditions and their management. They also need to be familiar with evidence-based practice to inform high-level decision making. This Survival Guide will prove a valuable resource to nursing students experiencing general practice for the first time. Many universities across England now deliver ‘Fundamentals of General Practice’ programmes. This book will complement those programmes and provide essential information to assist nurses new to general practice. For experienced nurses working in general practice there are essential chapters covering the latest developments such as leadership, quality improvement, PCN developments and essential clinical knowledge that highlight the changes in clinical care in recent years, plus an acknowledgement of the impact the COVID 19 pandemic has had on management of care. This is an indispensable handbook for: Defining the essential knowledge for meeting continuing professional development requirements Understanding fundamental clinical skills to ensure best practice Exploring new ways of working to consult and communicate with patients Investigating ways to improve care delivery Handy format makes for easy reference Clear, bulleted content puts the emphasis on quick reference Reflective activities Diagrams clearly explain difficult concepts Case studies highlight best practice

Download or read book Handbook of Social Work with Groups Second Edition written by Charles D. Garvin and published by Guilford Publications. This book was released on 2017-06-27 with total page 657 pages. Available in PDF, EPUB and Kindle. Book excerpt: Revised edition of Handbook of social work with groups, 2006.

Download or read book Telemedicine written by Institute of Medicine and published by National Academies Press. This book was released on 1996-10-08 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: Telemedicineâ€"the use of information and telecommunications technologies to provide and support health care when distance separates the participantsâ€"is receiving increasing attention not only in remote areas where health care access is troublesome but also in urban and suburban locations. Yet the benefits and costs of this blend of medicine and digital technologies must be better demonstrated before today's cautious decision-makers invest significant funds in its development. Telemedicine presents a framework for evaluating patient care applications of telemedicine. The book identifies managerial, technical, policy, legal, and human factors that must be taken into account in evaluating a telemedicine program. The committee reviews previous efforts to establish evaluation frameworks and reports on results from several completed studies of image transmission, consulting from remote locations, and other telemedicine programs. The committee also examines basic elements of an evaluation and considers relevant issues of quality, accessibility, and cost of health care. Telemedicine will be of immediate interest to anyone with interest in the clinical application of telemedicine.

Download or read book Challenges and Opportunities in Health Care Management written by Sebastian Gurtner and published by Springer. This book was released on 2014-11-27 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: This contributed volume draws a vital picture of the health care sector, which, like no other is affected by technology push and stakeholder pull. Innovative product and service solutions emerge, which have to integrate different stakeholders’ interests. This book studies current challenges in health care management from different perspectives. Research articles analyze the situation in the health care sector and present solutions in the following areas: the health care system; hospitals; teams in health care; patients’ perspectives; assessment of technologies and innovations; and toolkits for organizing health care. All these contributions summarize pressing hot topics in the health care sector, analyze their future potential, and derive managerial implications. Outstanding best practices throughout Europe are presented in the case study section of the book. Consequently, the book closes the gap between science and practical application by addressing not only readers from academia but also practitioners working in the health care industry.

Download or read book Transforming Health Care Scheduling and Access written by Institute of Medicine and published by National Academies Press. This book was released on 2015-08-24 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to Transforming Health Care Scheduling and Access, long waits for treatment are a function of the disjointed manner in which most health systems have evolved to accommodate the needs and the desires of doctors and administrators, rather than those of patients. The result is a health care system that deploys its most valuable resource-highly trained personnel-inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling. This study will be a valuable resource for practitioners to progress toward a more patient-focused "How can we help you today?" culture.

Download or read book History of Telemedicine written by Rashid Bashshur and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The History of Telemedicine provides a comprehensive and in-depth analysis of the evolution of telemedicine from ancient Greece to the present time. It places the development of this field in the context of the never ending quest for providing equitable access to health care and re-casting the medical care landscape, while trying to assure quality and contain cost. The book describes the origin of modern telemedicine in experiments such as those by Willem Einthoven's 1905 long distance transfer of electrocardiograms through the pioneering era of teleradiology and telepsychiatry of the 1950s, its coming of age in the 1970s, its maturation in the 1990s, and finally the recent transformation and adoption by the mainstream." -- BOOK PUBLISHER WEBSITE.

Download or read book Proceedings of the National Heart and Lung Institute Working Conference on Health Behavior Basye Va May 12 15 1975 written by Stephen M. Weiss and published by . This book was released on 1975 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Proceedings of the National Heart and Lung Institute Working Conference on Health Behavior Basye Virginia May 12 15 1975 written by and published by . This book was released on 1975 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: