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Academic literature on the topic 'Managed care plans United Kingdom'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Managed care plans United Kingdom"

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Nelson, D. "Service innovations: the Orchard Clinic: Scotland's first medium secure unit." Psychiatric Bulletin 27, no. 03 (March 2003): 105–7. http://dx.doi.org/10.1192/s0955603600001641.

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The development of forensic psychiatry provision in Scotland lags behind that in other parts of the United Kingdom. Until recently, there were no medium secure units in the country and mentally disordered offenders (MDOs) requiring such care had to be managed in intensive psychiatric care unit (IPCU) settings. In November 2000, The Orchard Clinic, a medium secure unit sited at the Royal Edinburgh Hospital, was opened. This paper discusses the background to this development, the government policies setting out plans for the care, services and support of MDOs in Scotland, progress and work of the new unit to date and plans for developments in other parts of Scotland.
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Nelson, D. "Service innovations: the Orchard Clinic: Scotland's first medium secure unit." Psychiatric Bulletin 27, no. 3 (March 2003): 105–7. http://dx.doi.org/10.1192/pb.27.3.105.

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The development of forensic psychiatry provision in Scotland lags behind that in other parts of the United Kingdom. Until recently, there were no medium secure units in the country and mentally disordered offenders (MDOs) requiring such care had to be managed in intensive psychiatric care unit (IPCU) settings. In November 2000, The Orchard Clinic, a medium secure unit sited at the Royal Edinburgh Hospital, was opened. This paper discusses the background to this development, the government policies setting out plans for the care, services and support of MDOs in Scotland, progress and work of the new unit to date and plans for developments in other parts of Scotland.
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Laird, Siobhan E., Kate Morris, Philip Archard, and Rachael Clawson. "Changing practice: The possibilities and limits for reshaping social work practice." Qualitative Social Work 17, no. 4 (January 9, 2017): 577–93. http://dx.doi.org/10.1177/1473325016688371.

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Since 2010, the United Kingdom has witnessed a number of initiatives that shift away from reliance on performance management to improve social work with children and families, towards a renewed interest in practice models. This study reports on the evaluation of a local government programme in England to introduce and embed systemic family practice through the roll out of intensive training to social workers and frontline managers. It was anticipated through the programme that child protection social workers would undertake more direct work with families and build more positive relationships, resulting in a fall in the number of child protection plans and children experiencing repeat periods of care. The evaluation adopted a mixed-method approach encompassing an online survey of social workers, interviews with team managers and family members, a case audit and statistical analysis of local level metrics. It found limited employment of systemic family practice or improvement due to the programme. Adopting the 7 S framework, this study examines the barriers to and facilitators of successful change and identifies generic considerations for change programmes in child protection social work.
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Fong, Stephanie, and Patricia Morley-Forster. "Pain management training in undergraduate medical education." University of Western Ontario Medical Journal 87, no. 1 (April 24, 2018): 16–18. http://dx.doi.org/10.5206/uwomj.v87i1.1790.

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The pain curriculum in medical education across the globe is lacking, leaving medical trainees ill prepared to properly assess and design plans to address acute and chronic pain. Poorly managed pain has implications on the individual in the form of psychological, physical, and financial costs, and on the greater healthcare system and economy. Gaps in education have resulted in suboptimal opioid prescribing habits contributing to the current opioid epidemic, and the development of negative attitudes towards patients with chronic pain amongst healthcare providers. Studies researching existing pain education in undergraduate medical education in North America, the United Kingdom, and Europe have identified limited pain teaching, typically incorporated into other courses rather than given a designated place in the curriculum. Several barriers to improving the provision of pain education have been identified, including resource limitations and perceived importance in comparison to other content. Improving pain education in Canada should be a priority given recent updates to the Canadian Guideline for Opioid Therapy and Chronic Noncancer Pain which recommends a decrease to the maximum dose of morphine. Implementing these guidelines will require physicians to have the knowledge and ability to safely taper patients whose opioid doses exceed the upper limit. Enhancing pain education will require an interdisciplinary approach with students developing competence not only in the identification and appropriate management of pain, but learning the communication and motivational interviewing skills to display empathy and compassion when providing care to the chronic pain patient population.
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Stevens, Andrew, Claire Packer, and Glenn Robert. "Early Warning of New Health Care Technologies in the United Kingdom." International Journal of Technology Assessment in Health Care 14, no. 4 (1998): 680–86. http://dx.doi.org/10.1017/s0266462300011995.

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AbstractIn this paper we describe the present range of organizations that have a role in the early warning of new and emerging health care technologies in the United Kingdom. We discuss in more detail the processes and prioritization criteria used by the U.K. horizon-scanning project for the NHS Health Technology Assessment Programme, and the principal methods of technology identification for the horizon-scanning project are outlined. The United Kingdom plans to develop an integrated system for the identification of technologies for commercial planning, health service research prioritization, financial planning, and provision of information to policy makers, purchasers, and providers of health care.
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Farrell, Margaret G. "ERISA Preemption and Regulation of Managed Health Care: The Case for Managed Federalism." American Journal of Law & Medicine 23, no. 2-3 (1997): 251–89. http://dx.doi.org/10.1017/s0098858800010728.

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The result ERISA compels us to reach means that the Corcorans [who lost their unborn child allegedly as a result of United Healthcare’s negligent determination that hospitalization was not medically necessary] have no remedy, state or federal, for what may have been a serious mistake. This is troubling....In the words of its sponsor, Senator Jacob Javits, the Employee Retirement Income Security Act (ERISA) was enacted in 1974 “to maintain the voluntary growth of private [pension and employee benefit] plans while at the same time making needed structural reforms in such areas as vesting, funding, termination, etc. so as to safeguard workers against loss of their earned or anticipated benefits....” Ironically, one of ERISA’s provisions—its indeterminate provision for the preemption of state law—has probably created more uncertainty about the adequacy and security of health care benefits than any other piece of legislation. Neither ERISA nor any other federal statute comprehensively regulates the content of employer provided health care plans, including benefits provided through managed care organizations (MCOs).
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Crowcroft, N., D. W. Brown, and R. Gopal. "Current management of patients with Viral Haemorrhagic Fevers in the United Kingdom." Eurosurveillance 7, no. 3 (March 1, 2002): 44–48. http://dx.doi.org/10.2807/esm.07.03.00339-en.

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In the UK, suspected and confirmed cases of viral haemorrhagic fever are currently managed according to the 1996 Guidance of the Advisory Committee on Dangerous Pathogens, which describes an approach to the risk categorisation of suspected cases. It also provides guidance on patient management including transfer, laboratory investigations, infection control, and monitoring of contacts based on the risk assessment. Confirmed cases are managed in bed isolators ("Trexler units"), two of which are available in high security infectious disease units in the UK. This guidance is under review and may change. Recent experience has shown that communication and reassurance for health care workers and the public are major tasks in managing such cases.
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Ng, Judy, Faye Ye, Lindsey Roth, Katherine Sobel, Sepheen Byron, Mary Barton, Megan Lindley, and Shannon Stokley. "Human Papillomavirus Vaccination Coverage Among Female Adolescents in Managed Care Plans — United States, 2013." MMWR. Morbidity and Mortality Weekly Report 64, no. 42 (October 30, 2015): 1185–89. http://dx.doi.org/10.15585/mmwr.mm6442a1.

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Mason, Heather, Nicole Schnackenberg, and Robin Monro. "Yoga and Healthcare in the United Kingdom." International Journal of Yoga Therapy 27, no. 1 (November 1, 2017): 121–26. http://dx.doi.org/10.17761/1531-2054-27.1.121.

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Abstract The emergence of yoga therapy in the United Kingdom began about 45 years ago with the emergence of yoga therapy organizations that offered both treatment and training. The integration of yoga into the National Health Service (NHS) is gradually happening Because: (a) yoga research supports its efficacy as a cost-effective, preventive and complementary treatment for a host of non-communicable diseases; and (b) the escalating economic burden of long-term conditions is overwhelming the NHS. The NHS is actively developing ‘sustainability and transformation plans’ that include yoga. Chief among these is ‘social prescribing,’ which empowers patients with complex health needs through activities groups. These activities reduce sedentary habits and social isolation, while helping patients to be more self-reliant. The NHS has allocated £450 million in funding to implement a variety of programs for its own staff, in which staff yoga classes were expressly mentioned. The yoga community is mobilizing forces and applying for funding to pilot relevant NHS staff yoga courses that can support the service in achieving its vision. Research shows that integrating yoga therapy for the treatment of low back pain (LBP) into the NHS would result in significant cost savings as compared with usual care. The National Institute for Health and Care Excellence (NICE) Guidelines on LBP and sciatica include yoga as one of the recommended treatments for these conditions. Three groups of yoga teachers, using different yoga practices, have gained traction with the NHS for the application of yoga therapy to LBP. Many regional hospitals in England have yoga classes. The NHS Choices website, which conveys information to the public regarding treatment options, has a page dedicated to the health benefits of yoga. Several institutions offer comprehensive training programs in yoga therapy and yoga therapy is recognized as an official profession. The Yoga in Healthcare Alliance has been established to help integrate yoga therapy into the NHS. This consists of parliamentarians, leaders in the NHS, yoga researchers, health professionals, and representatives from leading yoga organizations.
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Cocks, H., K. Ah-See, M. Capel, and P. Taylor. "Palliative and supportive care in head and neck cancer: United Kingdom National Multidisciplinary Guidelines." Journal of Laryngology & Otology 130, S2 (May 2016): S198—S207. http://dx.doi.org/10.1017/s0022215116000633.

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AbstractThis is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. It provides recommendations on the assessments and interventions for this group of patients receiving palliative and supportive care.Recommendations• Palliative and supportive care must be multidisciplinary. (G)• All core team members should have training in advanced communication skills. (G)• Palliative surgery should be considered in selected cases. (R)• Hypofractionated or short course radiotherapy should be considered for local pain control and for painful bony metastases. (R)• All palliative patients should have a functional endoscopic evaluation of swallowing (FEES) assessment of swallow to assess for risk of aspiration. (G)• Pain relief should be based on the World Health Organization pain ladder. (R)• Specialist pain management service involvement should be considered early for those with refractory pain. (G)• Constipation should be avoided by the judicious use of prophylactic laxatives and the correction of systemic causes such as dehydration, hypercalcaemia and hypothyroidism. (G)• Organic causes of confusion should be identified and corrected where appropriate, failing this, treatment with benzodiazepines or antipsychotics should be considered. (G)• Patients with symptoms suggestive of spinal metastases or metastatic cord compression must be managed in accordance with the National Institute for Health and Care Excellence guidance. (R)• Cardiopulmonary resuscitation is inappropriate in the palliative dying patient. (R)• ‘Do not attempt cardiopulmonary resuscitation’ orders should be completed and discussed with the patient and/or the family unless good reasons exist not to do so where appropriate. This is absolutely necessary when a patient's care is to be managed at home. (G)
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Dissertations / Theses on the topic "Managed care plans United Kingdom"

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Peters, Candice Marie. "A comparison of the levels of patient staffing ratios and staffing mix to the number of patient falls in an acute care setting." CSUSB ScholarWorks, 1997. https://scholarworks.lib.csusb.edu/etd-project/1314.

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Howard, Steven W. "Medicare managed care : market penetration and the resulting health outcomes." Thesis, 2011. http://hdl.handle.net/1957/26133.

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Managed care plans purport to improve the health of their members with chronic diseases. How has the growing adoption of Medicare Advantage (MA), the managed care program for Medicare beneficiaries, affected the progression of chronic disease? The literature is rich with articles focusing on managed care organizations' impacts on quality of care, access, patient satisfaction, and costs. However, few studies have analyzed these impacts with respect to market penetration of Medicare managed care. The objective of this research has been to analyze the relationships between the market penetration of MA plans and the progression of chronic diseases among Medicare beneficiaries. The Chronic Disease Severity Index scale (CDSI) was constructed to represent beneficiaries' overall chronic disease states for survey or claims-based data, when more direct clinical measures of disease progression are not available. Using the CDSI on the MEPS survey dataset from AHRQ, we sought to assess the impacts of MA market penetration and other covariates on the overall chronic disease state of Medicare beneficiaries from 2004 through 2008. Though the model explains much of the variation in CDSI change, the author expected the multilevel model would show that MA penetration explains a significant level of variation in CDSI change. However, this hypothesis was not substantiated, and the findings suggest that unmeasured factors may be contributing to additional unexplained heterogeneity. Policymakers should explore opportunities to refine the current MA program. The MA program costs the federal government more than the Traditional Fee-for-Service Medicare program, and there is no definitive evidence that outcomes differ. Within both programs, there is opportunity to experiment with different models of payment, healthcare service delivery and care coordination. The Patient Protection and Affordable Care Act (ACA) contains provisions for innovative demonstration projects in delivery and payment. The effectiveness of these ACA initiatives must be monitored, both for impacts on health outcomes and for economic effects. This research can inform future approaches to outcomes assessment using the CDSI, and multilevel modeling methodologies similar to those employed here. Firms offering MA health plans would be prudent to proactively demonstrate their value to beneficiaries and taxpayers. They should explore means of better monitoring and reporting the longitudinal outcomes of their enrolled beneficiaries. Demonstrating that they can bring value in terms of improved health outcomes will help insure their long-term survival, both in the marketplace and in the political arena.
Graduation date: 2012
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Books on the topic "Managed care plans United Kingdom"

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Office, General Accounting. Primary care physicians: Managing supply in Canada, Germany, Sweden, and the United Kingdom : report to the Chairman, Committee on Government Operations, House of Representatives. Washington, D.C: The Office, 1994.

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1952-, Steiner Andrea, ed. Managed health care: US evidence and lessons for the National Health Service. Buckingham: Open University Press, 1998.

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Momoka, Ito, and Nakajima Yui, eds. Managed care programs. New York: Nova Science, 2008.

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Managed care: Made in America. Westport, Conn: Praeger, 1997.

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Baldor, Robert A. Managed care made simple. Cambridge, Mass., USA: Blackwell Science, 1996.

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Managed care made simple. 2nd ed. Malden, MA: Blackwell Science, 1998.

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Peter, Boland, ed. Making managed healthcare work: A practical guide to strategies and solutions. New York: McGraw-Hill, Health Professions Division, 1991.

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T, Horwitz Eve, and Reardon Thomas M, eds. Managed care contracting: A practical guide for health care executives. San Francisco: Jossey-Bass Publishers, 1999.

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Marketing health care into the twenty-first century: The changing dynamic. Binghamton, N.Y: Haworth Press, 1996.

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Contracting with managed care organizations: A guide for the health care provider. Chicago, Ill: American Hospital Pub., Inc., 1996.

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Book chapters on the topic "Managed care plans United Kingdom"

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Lynch, Gordon. "‘Australia as the Coming Greatest Foster-Father of Children the World Has Ever Known’: The Post-war Resumption of Child Migration to Australia, 1945–1947." In UK Child Migration to Australia, 1945-1970, 131–89. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-69728-0_5.

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AbstractThis chapter examines the policy context and administrative systems associated with the resumption of assisted child migration from the United Kingdom to Australia in 1947. During the Second World War, the Australian Commonwealth Government came to see child migration as an increasingly important element in its wider plans for post-war population growth. Whilst initially developing a plan to receive up to 50,000 ‘war orphans’ shortly after the war in new government-run cottage homes, the Commonwealth Government subsequently abandoned this, partly for financial reasons. A more cost-effective strategy of working with voluntary societies, and their residential institutions, was adopted instead. Monitoring systems of these initial migration parties by the UK Government were weak. Whilst the Home Office began to formulate policies about appropriate standards of care for child migrants overseas, this work was hampered by tensions between the Home Office and the Commonwealth Relations Office about the extent to control over organisations in Australia was possible.
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Kane, Robert L., and Clive E. Bowman. "Managed Care in the United States and United Kingdom." In The Cambridge Handbook of Age and Ageing, 647–55. Cambridge University Press, 2005. http://dx.doi.org/10.1017/cbo9780511610714.071.

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Sutch, Steve. "Casemix in the United Kingdom: From development to plans." In The Globalization of Managerial Innovation in Health Care, 34–50. Cambridge University Press, 2001. http://dx.doi.org/10.1017/cbo9780511620003.003.

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Burns, Tom. "Planning and providing mental health services for a community." In New Oxford Textbook of Psychiatry, 1452–63. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199696758.003.0185.

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The aim of this chapter is to assist clinicians and managers review and plan services effectively for their local population. Severe psychiatric disorders manifest themselves in social relations and often disrupt social structures; they have wide-ranging consequences and services need to be comprehensive. Health and social care have been intertwined in psychiatry from its origins—it is neither feasible nor sensible to ignore the wider context of their management. The last 30 years have seen an explosion of Mental Health Services Research alongside the shrinking and closure of mental hospitals (see Chapter 7.6). Policy considerations, particularly cost containment and public safety, have influenced the research agenda which is disproportionately Anglophone (from the United States, United Kingdom, and Australasia) and focused on new services developed as alternatives to institutional care with staffing and motivation that are not easily generalizable. More routine practices, crucial for safe and effective care, have been relatively neglected by researchers. This chapter is mainly devoted to describing the essential components of a mental health service—its ‘building blocks’. It will then consider how they relate to one another, how they can be prioritized, and how integrated into an effective local service linking into other essential services. Lastly it will stress how their inevitable evolution should be monitored. Services for adults (increasingly referred to as ‘adults of working age’ indicating 18–65 years) will be used as the template. In many settings these may be the only services, stretching to accommodate all comers. In better resourced health care systems a range of specialized services have evolved from this basic model and are described elsewhere in this section (refugees 7.10.1, homeless 7.10.2, and ethnic minorities 7.10.3).
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Messac, Luke. "“The Partnership Between a Rider and His Horse,” 1953–1963." In No More to Spend, 109–43. Oxford University Press, 2020. http://dx.doi.org/10.1093/oso/9780190066192.003.0006.

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Chapter 5 demonstrates how the newfound potency of postwar medical technologies made it ever more difficult for colonial officials to deny them to colonized publics. With the arrival of novel and effective antibiotics, attendance at government health facilities rose precipitously. At the same time, a widely detested new Federation Government, based in Southern Rhodesia and dominated by white settlers, faced militant opposition from Nyasaland’s African population. The concomitant rise in popularity in government health-care facilities and a crescendo in civil unrest and repression impelled the Federation government to increase spending on health care in Nyasaland. When the United Kingdom dissolved the Federation and announced plans to grant Nyasaland its independence, Federation officials made drastic cuts to health care spending.
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Little, P. "Upper respiratory tract infections." In Oxford Textbook of Medicine, edited by Pallav L. Shah, 4004–8. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198746690.003.0402.

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Acute upper respiratory tract infections include acute pharyngitis/tonsillitis and acute rhinitis. Acute sinusitis, acute otitis media, and influenza also come under the umbrella of infections of the upper respiratory tract. Otitis media and influenza will be discussed elsewhere: this chapter concentrates on acute pharyngitis/tonsillitis, acute rhinitis, and acute sinusitis. Acute upper respiratory tract infections are one of the commonest reason for patients to seek medical advice in the United Kingdom, and nearly all cases are managed in primary care. Respiratory tract infections are also the commonest reason for antibiotics to be prescribed, leading to serious concern that the inappropriate use of antibiotics for predominantly self-limiting conditions will foster the development of antibiotic resistance, with the danger that serious infections will become untreatable. Thus it is currently an international priority to discourage the use of antibiotics where there is poor evidence of their efficacy.
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Conference papers on the topic "Managed care plans United Kingdom"

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Milburn, A. H. "Windscale Pile 1: A New Approach." In ASME 2003 9th International Conference on Radioactive Waste Management and Environmental Remediation. ASMEDC, 2003. http://dx.doi.org/10.1115/icem2003-4540.

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One of the most technically challenging reactor decommissioning projects in the UK, if not the world, is being tackled in a new way managed by a team lead by the United Kingdom Atomic Energy Authority. Windscale Pile 1, a graphite moderated, air cooled, horizontal, natural uranium fuelled reactor was damaged by fire in October 1957. De-fuelling, initial clean-up and isolation operations were carried out in the 1960’s. During the 1980’s and 90’s a successful Phase1 decommissioning campaign resulted in the plant being cleared of all accessible fuel and graphite debris and it being sealed and isolated from associated facilities and put on a monitoring and surveillance regime while plans for dismantling were being developed. For years intrusive inspection of the fire damaged region has been precluded on safety grounds. Consequently early plans for dismantling were constructed using pessimistic assumptions and worst case predictions. This in turn lead to technical, financial and regulatory hurdles which were found to be too high to overcome. The new approach utilises the best from several areas: • The design process incorporates principles of the US DoE safety analysis process to address safety, and adds further key stages of design concept and detail to generate concurrent development of a technical solution and a safety case. • A staged and gated Project Management Process provides for stakeholder involvement and consensus at key stages. • Targeted knowledge acquisition is used to minimise uncertainty. • A stepwise approach to intrusive surveys is employed to systematically increase confidence. The result is a process which yields the optimum solution in terms of safety, environmental impact, technical feasibility, political acceptability and affordability. The change from previous approaches is that the project starts from the hazards and associated hazard management strategies, through engineering concept, to design manufacture and testing of the resulting solution rather than starting with the engineer’s “good idea” and then trying to make it work, safely and at an affordable price. Progress has been made in making the intrusive survey work a reality. This is a significant step in building a realistic picture of the physical and radiological state of the core and in building confidence in the process.
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