Download or read book The Influence of Group Medical Visits on Patients Behavioral Intentions Self management Behaviors and Clinical Outcomes written by Ruth Zuniga and published by . This book was released on 2013 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes is linked to behavior and requires patients to engage in complex self management practices to attain glycemic control and prevent complications. Group medical visits (GMVs)--which are shared medical appointments used in primary care provide a model of care to help patients adhere to self-management behaviors. Developing, implementing, and translating this model of care in a clinical setting has proven challenging, and the underlying mechanisms related to improved outcomes found in participants of GMVs are undetermined. The purpose of this study was to implement and evaluate GMVs for diabetes care in a primary-care and residency-training facility and explore changes in behavioral intentions, self-management behaviors, and blood HbA1c levels. The study also explored whether behavioral intentions and self-management behaviors functioned as mediators of changes in HbA1c levels. A repeated measures design with 37 participants examined the behavioral intentions to diet, to exercise, and to adhere to medication; self-management behaviors (i.e., diet, exercise, and adherence to medication); and HbA1c levels of participants with Type 2 diabetes during and after the GMVs. Behavioral intentions and self-management behaviors were measured through self-report instruments at baseline, posttreatment, and 3-month follow-up; HbA1c values were measured at baseline and 3-month follow-up. Self-reported adherence to diet changed significantly from baseline to posttreatment and remained at 3-month follow-up. Self-reported exercise changed significantly from baseline to posttreatment; changes were not sustained at 3-month follow-up. Clinical and statically significant changes in HbA1c levels were seen at 3- month follow-up. A reduction of 0.7% in blood glucose levels was observed; the majority of the participants (59.5%) attained diabetes control at 3-month follow-up. No mediation relationship was found between behavioral intentions, self-management behaviors, and HbA1c levels. This study is the first reported examination of GMVs that found significance in biophysical outcomes without research-based funding. GMVs focused on health-behavior change can be executed and sustained in primary-care and residency-training facilities. This program modality is a promising model of care for motivated patients and may help patients reach self-care goals and diabetes control. Future research with a larger sample size and a control group is needed to enhance the current findings.
Download or read book Motivational Interviewing in Diabetes Care written by Marc P. Steinberg and published by Guilford Publications. This book was released on 2015-08-14 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: People with diabetes often struggle to make healthy choices and stay on top of managing their illness. Filling a vital need, this is the first book to focus on the use of motivational interviewing (MI) in diabetes care. The uniquely qualified authors--physician Marc P. Steinberg has devoted much of his career to diabetes care, and renowned clinical psychologist William R. Miller is the codeveloper of MI--present proven counseling techniques that can make any conversation with a patient more efficacious and motivating. Numerous sample dialogues illustrate specific ways to elicit patients' strengths and help them overcome barriers to change in such areas as eating habits, physical activity, medication use, insulin treatment, substance abuse, psychological issues, and more. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers. Winner (First Place)--American Journal of Nursing Book of the Year Award, Adult Primary Care Category
Download or read book Integrated Behavioral Healthcare written by Nicholas A. Cummings and published by Elsevier. This book was released on 2001-09-05 with total page 365 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare is now practiced in a different financial and delivery system than it was two decades ago. Currently managed care defines what is treated, how, by whom and for what reimbursement. Mental health professionals have been greatly impacted by these changes to their practice, and yet, there is little understanding of exactly what it is and where it is going. The present volume explores these issues, prospects and opportunities from the vantage of mental health /medical professionals and managed care executives who are in the very process of implementing changes to the existing system of managed care. Behavioral healthcare will be integrated into medical practice in the future for sound clinical and economic reasons. The present volume, edited by four prominent mental health professionals provides a roadmap of the emerging directions integrated behavioral healthcare is taking and lays out the steps the mental health professional needs to take--in training, and modifying her/his clinical practice--to adapt to the new system of healthcare. Leading Experts in managed care Nicholas Cummings, Father of behavioral managed care Multidisciplinary approach
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 The Oxford Handbook of Health Communication Behavior Change and Treatment Adherence written by Leslie R. Martin and published by Oxford University Press. This book was released on 2013-11 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edited volume brings together top-notch scientists and practitioners to illustrate intersections between health communication, behavior change, and treatment adherence.
Download or read book Goldman s Cecil Medicine Expert Consult Premium Edition Enhanced Online Features and Print Single Volume 24 written by Russell La Fayette Cecil and published by Elsevier Health Sciences. This book was released on 2012-01-01 with total page 2848 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since 1927, Goldman-Cecil Medicine has been the world's most influential internal medicine resource. In the ground-breaking 25th edition, your original purchase ensures you will be up-to-date without the need for a subscription. Through the new, more powerful Expert Consult eBook platform, this "living text" provides continuous updates that will integrate the latest research, guidelines, and treatments into each chapter, ensuring that the content is as current as the day this edition was first published. Goldman-Cecil Medicine offers definitive, unbiased guidance on the evaluation and management of every medical condition, presented by a veritable "Who's Who" of modern medicine. A practical, straightforward style; templated organization; evidence-based references; and robust interactive content combine to make this dynamic resource quite simply the fastest and best place to find all of the authoritative, state-of-the-art clinical answers you need. "The content is superb, authoritative and not surprisingly very up to date." Reviewed by: Dr Harry Brown, on behalf of Glycosmedia Date: July 2015 Expert Consult eBook version included with print purchase: Access continuous updates from Editor Lee Goldman, MD, who thoroughly reviews internal medicine and specialty journals, updating online content to reflect the latest guidelines and translating that evidence into treatment. Interactive Q&A section features over 1,500 board-style questions and answers to aid in preparing for certification or recertification exams. Outstanding supplementary tools include figures, tables, videos, heart and lung sounds, treatment and management algorithms, fully integrated references, and thousands of illustrations and full-color photos. Search all of the text, figures, supplementary material, and references from the book on a variety of devices and at no additional cost - Expert Consult access is included with this title! Practical, bulleted, highly templated text with easy-to-use features including flow charts and treatment boxes. New chapters on global health, cancer biology and genetics, and the human microbiome in health and disease keep you on the cutting edge of medicine. Today's most current evidence-based medicine guidelines help you form a definitive diagnosis and create the best treatment plans possible. Focused coverage of the latest developments in biology includes the specifics of current diagnosis, therapy, and medication doses. The reference of choice for every stage of your career! Goldman-Cecil Medicine is an ideal learning tool for residents, physicians, and students as well as a valuable go-to resource for experienced healthcare professionals. Cecil - the best internal medicine resource available since 1927 - far exceeds the competition in versatility, ease-of-use and up-to-datedness.
Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.
Download or read book Psycho Oncology written by Jimmie C. Holland and published by Oxford University Press. This book was released on 2010-03-22 with total page 712 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psycho-Oncology was the first comprehensive text in the field of psychosocial oncology and remains the gold standard today. Written by 67 internationally known psychiatry and palliative care experts, the resource is truly an essential reference for all providers of palliative care. Joining Oxford Medicine Online this resource offers the best quality content in an easy-to-access format. Online only benefits include downloading images and figures to PowerPoint and downloading chapters to PDF.
Download or read book Patient Engagement in Health and Well being Theoretical and Empirical Perspectives in Patient Centered Medicine written by Guendalina Graffigna and published by Frontiers Media SA. This book was released on 2018-02-07 with total page 127 pages. Available in PDF, EPUB and Kindle. Book excerpt: At present citizens are more aware of their health and care rights and more literate about their disease. Furthermore the continuous development of technological and bio-medical solutions are alimenting the expectation for longer and better life expectancy, even despite the diagnosis. Patients require to be higher involved in the decision making about their care and are willing to deeply entangle all the possible treatment options, their advantages, and their risks. In other terms, citizens today want to be treated not only as “client” but mainly as partners of the medical action and as co-authors of the success of their healthcare pathway. Due to this socio-psychological change in patients’ attitude, healthcare systems today are claimed to a deep revision of their practices and organizational models in order to become better responsive to patients’ expectation and more sustainable and effective in the management of their services. Patient participation and engagement in healthcare management, indeed, is today acknowledged by policy makers and healthcare experts as a valuable option to orient changes and actions of the healthcare systems. Several empirical studies have demonstrated the positive outcomes of a participatory care approach at the clinical, psychosocial, and economic levels. Patient Engagement, thus, appears today not only an ethical but also a pragmatic imperative for the innovation and the improvement of healthcare system. Moving from these premises, this e-book collect first research experiences, conceptual contribution and review of good practices in the area of Patient Engagement promotion. The e-book also discuss the relevance and the theoretical linkages between the concept of Patient Engagement and that one of Patient Centered Medicine.
Download or read book Evidence Helping people help themselves written by Debra de Silva and published by The Health Foundation. This book was released on 2011 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Goldman s Cecil Medicine E Book written by Lee Goldman and published by Elsevier Health Sciences. This book was released on 2011-07-08 with total page 2849 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stay on the cutting edge with the newly revised eBook of Goldman’s Cecil Medicine, with over 400 updates personally selected by Dr. Lee Goldman and integrated directly into each chapter. Since 1927, Goldman’s Cecil Medicine has been the world’s most influential internal medicine resource and now in its 24th edition, continues to set the standard for all other references of its kind. Edited by Lee Goldman, MD and Andrew I. Schafer, MD, this is quite simply the fastest and best place to find all of the definitive, state-of-the-art clinical answers you need to understand, diagnosis, or treat essentially anything you are going to encounter. At your fingertips, you'll find authoritative, unbiased, evidence-based guidance on the evaluation and management of every medical condition from a veritable "Who's Who" of modern medicine. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Simplify decision making with practical, well-organized, templated chapters that include evidence-ranked references and algorithms to make clinically actionable information leap right off the page. Keep current with the latest knowledge and evidence-based practices. Comprehensive updates throughout include many brand-new and completely revamped chapters on topics like applications of molecular technologies, infectious diseases, and cardiovascular techniques and treatments. Get all the accuracy, expertise, and dependability you could ask for from Dr. Goldman and an editorial team that is a veritable "who's who" of modern medicine including Jeffrey Drazen, MD, Editor-in-Chief of the New England Journal of Medicine and new associate editor Wendy Levinson, MD, 2009-2010 Chair of the Board of Directors of the American Board of Internal Medicine. Reference information more quickly thanks to a new, streamlined format.
Download or read book New Research Frontiers in Behavioral Medicine written by Susan J. Blumenthal and published by National Institutes of Health National. This book was released on 1994 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Confidence Or Control written by Vanessa I. Saylor and published by . This book was released on 2021 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study was to explore whether subjective norms moderate the relationship between perceived control and behavioral intention and between self-efficacy and behavioral intention to address religion and spirituality (r/s) in patient care among first- through fifth-year medical residents. The study used a non-experimental design and included a sample of medical residents working in a hospital system in southeastern Pennsylvania during the summer of the 2021 were gathered to respond to the survey questionnaire measuring subjective norms, perceived control and behavioral control and behavioral intention, and self-efficacy variables. The instrument used for this study, Assessing Residents' Intentions to Address Religion/Spirituality in Patient Care, was adapted from an instrument used to measure medical residents’ intentions to adopt a comprehensive scope of practice after exposure to Canada’s Triple C curriculum. The results showed that perceived control, self-efficacy, and subjective norms are not significant predictors of intent to address r/s in patient care, and further, that subjective norm does not moderate the relationships between perceived control, self-efficacy, and intention. Recommendations for further research include examining variables across specific demographics, identifying attitudes as a possible moderating variable, and exploring the impact of the hidden medical curriculum on resident behaviors, attitudes, and values related to r/s in patient care. Finally, a future study that examines the physician-chaplain relationship may lead to increased assessment of and engagement in r/s issues.
Download or read book The Oxford Handbook of Health Communication Behavior Change and Treatment Adherence written by Leslie R. Martin and published by Oxford University Press. This book was released on 2013-10-02 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: Better health all around--this is what clinicians and patients, alike, desire. But achieving and maintaining good health can be difficult task, as this requires the adoption of behaviors, habits, and lifestyles that are challenging for a variety of reasons. Perhaps the most vital tool in the delivery of healthcare, despite its low-tech nature, is communication--it plays an important role in informing, motivating, and ultimately achieving optimal health behaviors. This edited volume brings together top-notch scientists and practitioners to explain and illustrate the state-of-the-art in the interfaces of health communication, behavior change, and treatment adherence. The Oxford Handbook of Health Communication, Behavior Change, and Treatment Adherence presents a three-factor model that includes information, motivation, and strategy. If individuals are to engage in health-promoting behaviors they must be informed and know what they should do and how to do it. But information is not enough--individuals must want to carry out those behaviors, they must be motivated to do so. Finally, people must have the resources to do those things that they know are good and that they desire to do--barriers must be minimized or removed and effective strategies and support systems put into place. Although these three elements are broadly applicable, their details will necessarily vary; the second major section of the handbook therefore revisits health behavior change and treatment adherence from the perspective of different points in the lifespan and in the context of comorbidities. Readers will find in this handbook a synthesis of cutting-edge empirical research and demonstrably effective applications, solidly grounded in theory. Clearly written by some of the best scholars and professionals in the field, this volume is accessible, highly informative, and a must-have for understanding the ins-and-outs of health communication, behavior change, and treatment adherence.
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Download or read book Abstracts Annual Meeting of the American Public Health Association and Related Organizations written by American Public Health Association. Annual Meeting and published by . This book was released on 2000 with total page 750 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Systems Practices for the Care of Socially At Risk Populations written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-05-07 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Centers for Medicare & Medicaid Services (CMS) have been moving from volume-based, fee-for-service payment to value-based payment (VBP), which aims to improve health care quality, health outcomes, and patient care experiences, while also controlling costs. Since the passage of the Patient Protection and Affordable Care Act of 2010, CMS has implemented a variety of VBP strategies, including incentive programs and risk-based alternative payment models. Early evidence from these programs raised concerns about potential unintended consequences for health equity. Specifically, emerging evidence suggests that providers disproportionately serving patients with social risk factors for poor health outcomes (e.g., individuals with low socioeconomic position, racial and ethnic minorities, gender and sexual minorities, socially isolated persons, and individuals residing in disadvantaged neighborhoods) may be more likely to fare poorly on quality rankings and to receive financial penalties, and less likely to receive financial rewards. The drivers of these disparities are poorly understood, and differences in interpretation have led to divergent concerns about the potential effect of VBP on health equity. Some suggest that underlying differences in patient characteristics that are out of the control of providers lead to differences in health outcomes. At the same time, others are concerned that differences in outcomes between providers serving socially at-risk populations and providers serving the general population reflect disparities in the provision of health care. Systems Practices for the Care of Socially At-Risk Populations seeks to better distinguish the drivers of variations in performance among providers disproportionately serving socially at-risk populations and identifies methods to account for social risk factors in Medicare payment programs. This report identifies best practices of high-performing hospitals, health plans, and other providers that serve disproportionately higher shares of socioeconomically disadvantaged populations and compares those best practices of low-performing providers serving similar patient populations. It is the second in a series of five brief reports that aim to inform the Office of the Assistant Secretary of Planning and Evaluation (ASPE) analyses that account for social risk factors in Medicare payment programs mandated through the Improving Medicare Post-Acute Care Transformation (IMPACT) Act.
