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The Quality And Outcomes Framework

Author : Stephen Gillam
ISBN : 9781315357607
Genre : Medical
File Size : 63.62 MB
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The Quality and Outcomes Framework has deeply divided UK general practitioners. I commend this book and applaud its determination to scrutinise every aspect of the Quality and Outcomes Framework - good and bad and in-between. - From the Foreword by Iona Heath General practice in the UK faces transformation following the introduction of the Quality & Outcomes Framework (QOF), a pay-for-performance scheme unprecedented in the NHS, and the most comprehensive scheme of its kind in the world. Champions claim the QOF advances the quality of primary care; detractors fear the end of general practice as we know it. The introduction of the QOF provides a unique opportunity for research, analysis and reflection. This book is the first comprehensive analysis of the impact of the QOF, examining the claims and counter-claims in depth through the experience of those delivering QOF, comparisons with other countries, and analysis of the wealth of research evidence emerging. Assessments of the true impact of QOF will influence the development of health services in the UK and beyond. This book is essential reading for anyone with an interest in the future of general practice and primary care, including health professionals, trainers, students, MRCGP candidates and researchers, managers, and policy-makers and shapers.
Category: Medical

Fair Resource Allocation And Rationing At The Bedside

Author : Reidun Forde
ISBN : 9780199989447
Genre : Medical
File Size : 33.26 MB
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Health systems need to set priorities fairly. In one way or another, part of this important task will fall to physicians. How do they make judgments about resource stewardship, and how should they do so? How can they make such decisions in a manner that is compatible with their clinical duties to patients? In this book, philosophers, bioethicists, physicians, lawyers and health policy experts make the case that priority setting and rationing contribute significantly to the possibility of affordable and fair healthcare and that clinicians play an indispensable role in that process. The book depicts the results of a survey of European physicians about their experiences with rationing and other cost containment strategies, and their perception of scarcity and fairness in their health care systems. Responding to and complementing these findings, commentators discuss why resource allocation and bedside rationing is necessary and justifiable. The book explores how bedside rationing relates to clinical judgments about medical necessity and medical indications, marginal benefits, weak evidence based medicine, off-label use. The book highlights how comparative studies of health care systems can advance more effective and fair bedside rationing through learning from one another. From a practical standpoint, the book offers a number of strategies for health care systems and clinicians to work in tandem to allocate and ration resources as fairly as possible: how to foster more attention to fairness when rationing at the bedside, how to avoid exacerbating health disparities when allocating resources, how to teach about bedside rationing to students, how to discuss rationing more explicitly in the public arena and in the doctor's office.
Category: Medical

Primary Care Diagnostics

Author : Nicholas Summerton
ISBN : 9781846195044
Genre : Medical
File Size : 63.45 MB
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Primary Care Diagnostics the patient-centred approach in the new commissioning environment Second Edition Primary care diagnostics involves interpreting and applying information obtained directly horn the patient. It re-emphasises the importance of the: patient's input into the diagnostic process and of using investigations only alter careful consideration has been given to the costs and benefits from both the patients and the health services perspectives. The first edition of this book. Patient-Centred Diagnosis was acclaimed lot returning the patient to the centre of diagnostic. input and focusing on the interaction between doctor and patient. This revised and augmented new edition. Primary Care Diagnostics, expands on that success; it reflects the broader and equally important issues considered by clinicians or commissioners focusing on the diagnostic approach within primary care, and includes entirely new chapters on cancer and commissioning. Family doctors and other healthcare professionals in the primary care team will fin this an enlightening guide. Private and commercial providers of primary care clinical assessment and diagnostic services will also find it of great interest, as will healthcare managers, and policy makers and shapers. Radcliffe books of related interest Diagnosing Cancer In Primary Care Nicholas Summerton Symptom Sorter Fourth Edition Keith Hoperoft and Vincent Force The Quality And Outcomes Framework QOF - transforming general practice Edited by Stephen Gillam and A Niroshan Siriwardena Narrative In Health Care healing patients. practitioners, profession and community John D Engel. Joseph Zarconi. Lura L Pethrel and Sally A Missimi
Category: Medical

Advancing Dietetics And Clinical Nutrition E Book

Author : Anne Payne
ISBN : 9781455725243
Genre : Medical
File Size : 63.12 MB
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This book provides a comprehensive account of the relevant physiology, pathophysiology, nutritional therapy and dietetic application for each specialist dietetic area. All major specialist areas involved in the the treatment of adults are covered. The first section deals with clinical governance, for example patient-centred care, clinical decision-making and developing evidence-based practice. The second section on advanced clinical practice describes 18 clinical conditions or dietetic areas in detail. There is detailed coverage of 18 clinical conditions or dietetic areas: The control of food intake and absorption of nutrients Drug nutrient interactions Food allergy – allergy and intolerance Irritable bowel disease (IBD) and colorectal cancer Short bowel syndrome Enteral nutrition Parenteral nutrition Thermal injury Nutrition and liver disease HIV Palliative care Renal disease Diabetes Obesity Cardiovascular disease Stroke Neurological conditions Mental health. Each chapter concludes with a section on possible future developments in the specialty, providing insight into 'hot topics', making this an essential text for all working in the field of Dietetics and Clinical Nutrition. Each clinical chapter follows a standard structure: Learning objectives Key points summarise important aspects Case studies with questions and answers help link theory to practice References and further reading suggestions encourage wider research.
Category: Medical


Author :
ISBN : UCLA:L0102975364
Genre : Medicine
File Size : 84.55 MB
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Category: Medicine

Journal Of The Royal Society Of Medicine

Author : Royal Society of Medicine (Great Britain)
ISBN : UCLA:L0099047607
Genre : Medicine
File Size : 90.50 MB
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Includes selected papers from meetings of the Society and of its sections
Category: Medicine


Author : J Graham Douglas
ISBN : 9781840765137
Genre : Medical
File Size : 42.39 MB
Format : PDF
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As the series title implies each Clinician’s Desk Reference is a practical resource and a daily aid for physicians in the hospital setting and in primary care. Asthma is one of the most important chronic disorders in the developed world. Evidence from around the world shows the prevalence of asthma has increased considerably since 1975, and now affects around 7.2% of the world population (about 100 million individuals). In the UK asthma is now the most common chronic disease affecting all age groups with approximately 11% of the population being diagnosed as having asthma at some time in their lives. Understanding of the basic mechanisms involved in the pathogenesis of asthma has improved dramatically over the past 20 years. Along with this increase in basic scientific knowledge, randomized clinical trials have produced evidence to guide clinicians in how to manage patients with asthma. The book covers epidemiology, diagnosis and management, and takes a look at future developments. The authors highlight the under diagnosis of occupational asthma and emphasize the importance of effective patient education, particularly asthma action plans. There are ten clinical cases dealing with common diagnostic and management problems, frequently asked questions and appendices containing resources for patients and clinicians including useful websites, information leaflets and major references.
Category: Medical

Prevention Of Cardiovascular Disease A Continuum An Issue Of Cardiology Clinics E Book

Author : Prakash C. Deedwania
ISBN : 9781455709083
Genre : Medical
File Size : 46.43 MB
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With the numerous advances that have been made in treatment of heart disease over the past 20 years, physicians are now emphasizing more than ever the prevention of heart disease. This issue provides cardiologists with practical state-of-the-art information on prevention that can be be easily applied to their patients. Topics covered include diabetes, lipid-lowering therapy, RAAS blockade, emerging therapies for atherosclerosis prevention, and heart disease in women.
Category: Medical