Relevant bibliographies by topics / Shared care

Academic literature on the topic 'Shared care'

Author: Grafiati
Published: 4 June 2021
Last updated: 20 February 2023

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Journal articles on the topic "Shared care"

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Schuyler, Dean. "Shared Care." Primary Care Companion to The Journal of Clinical Psychiatry 08, no. 04 (August 15, 2006): 241–42. http://dx.doi.org/10.4088/pcc.v08n0408.

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Bleddyn Davies, I., S. M. McGhee, and A. J. Hedley. "Shared care." Lancet 345, no. 8945 (February 1995): 323–24. http://dx.doi.org/10.1016/s0140-6736(95)90313-5.

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ORTON, D. "Shared care." Lancet 344, no. 8934 (November 1994): 1413–15. http://dx.doi.org/10.1016/s0140-6736(94)90573-8.

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Hill-Smith, Ian. "Shared? Care?" Practical Diabetes International 10, no. 1 (January 1993): 34. http://dx.doi.org/10.1002/pdi.1960100114.

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Bunskoek, S., H. Boer, and J. A. Gietema. "56 Shared care, better care!" European Journal of Oncology Nursing 18 (September 2014): S15. http://dx.doi.org/10.1016/s1462-3889(14)70075-4.

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Wilkie, Martin, and Tania Barnes. "Shared Hemodialysis Care." Clinical Journal of the American Society of Nephrology 14, no. 9 (July 26, 2019): 1402–4. http://dx.doi.org/10.2215/cjn.02050219.

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Kelly, Elizabeth. "Encouraging shared care." Nursing Standard 6, no. 30 (April 15, 1992): 42. http://dx.doi.org/10.7748/ns.6.30.42.s44.

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Montero Ruiz, E. "Shared care (comanagement)." Revista Clínica Española (English Edition) 216, no. 1 (January 2016): 27–33. http://dx.doi.org/10.1016/j.rceng.2015.09.002.

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Thomas, Mark. "OA35 Shared humanity, shared mortality – spiritual care in care homes." BMJ Supportive & Palliative Care 5, Suppl 1 (April 2015): A11.2—A11. http://dx.doi.org/10.1136/bmjspcare-2015-000906.35.

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Smith, Elisabeth, and Willm Mistral. "Shared Care: lessons from one model of shared care nursing in primary care." Drugs: Education, Prevention and Policy 10, no. 3 (January 2003): 263–70. http://dx.doi.org/10.1080/0968763031000102608.

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Dissertations / Theses on the topic "Shared care"

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Landon, Kelly S. (Kelly Suzanne) Carleton University Dissertation Sociology and Anthropology. "Caregivers take care! A literary anthology of journey toward shared care." Ottawa, 2000.

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Landon, Kelly S. "Caregivers take care!, a literary anthology of a journey toward shared care." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ57669.pdf.

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Stockwell-Smith, Gillian Barbara. "‘Shared Care’ An Early-Intervention, Self-Management and Empowerment Approach to Community Dementia Care." Thesis, Griffith University, 2015. http://hdl.handle.net/10072/366764.

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Dementia is a progressive, life limiting condition that, as cognitive and functional capacity decline, has an increasing impact on the health and quality of life of the person with the condition and their family caregivers (AIHW, 2012). It is a condition that is cloaked in stigma and misunderstanding, factors that have the potential to isolate those living with the condition from sources of practical and emotional support (Alzheimer's Australia, 2012). Recent advances in the treatment of dementia have not resulted in a cure or substantially altered the disease progression, which accentuates a need for early psychosocial intervention (Prince, Bryce, & Ferri, 2011). A proactive approach with interventions offered at the beginning of the disease/care trajectory is seen as a way to develop the coping resources of the person with dementia and their caregiver, to prevent or delay progression into a more dependent or critical period (Bates, Boote, & Beverley, 2003; Clare, Kinsella, Logsdon, Whitlatch, & Zarit, 2010; Moon & Betts Adams, 2012). Early-intervention also creates a window of opportunity for involving the person with dementia whilst they are still able to participate in planning discussions (Alzheimer's Australia NSW, 2012; Cooper et al., 2012; Whitlatch, Judge, Zarit, & Femia, 2006).
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing and Midwifery
Griffith Health
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Nompozolo, Nikiwe Nomapelo. "The value of shared corporate services in improving patient care." Thesis, Rhodes University, 2009. http://hdl.handle.net/10962/d1003844.

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This case study was undertaken from mid 2003 to December 2005. It investigates the influence of the Corporate Services Centre (CSC) on customer (patient) service quality in the East London Hospital Complex (ELHC). This approach was justified on the basis that even though most patients do not have enough knowledge of clinical practices in order to make an accurate assessment on their quality, the same patients would readily appreciate factors such as faster turnaround times, drug availability and cleanliness. The study focuses on both service providers and end users for a quality health service delivery by looking at the potential of the shared corporate services centre. This was done by identifying important areas for improvements, such as response times, waiting periods and other aspects of the various services. The ELHC was formed from the merger of Frere and Cecilia Makiwane Hospitals, with a distance of 26km between the two institutions. The complex itself was in its infancy stages, having had to go through a process of re-engineering, rationalisation and standardisation of the two hospitals. The study seeks to answer the following key question: What has been the contribution of the corporate service centres in relation to health care service quality? The study examines the impediments to the realization of full potential of the Corporate Services Centre (CSC) through expedited decision-making and improved turnaround times. The main functions of the CSC were Procurement and Asset Management; General Administration (including but not limited to Transport, Office equipment, Patient Administration, Office Support, and Professional Secretariat Support); Financial Management and Administration; and Human Resource Management and Human Resources Administration. The study recommends that the CSC, to justify its existence, needs to consult with the clinicians and the patients to better understand what their needs and aspirations are. The study also emphasizes that the CSC is there purely to remove the administrative load and ease the processes and the biggest mistake is to make it an authority over the hospital, instead of being a support. Finally, it was realized that a lot of structural changes, business processes and organisational cultural changes are essential if one wants to create an impact through shared corporate services.
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Lagerqvist, Anton. "Decision Support in Shared Decision-Making for Patient-Centered Care." Thesis, Högskolan i Gävle, Avdelningen för datavetenskap och samhällsbyggnad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-29864.

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Healthcare decisions should be evidence-based and patient-centered. Patient-centered care is about providing quality care with the patient as the focus. The provider has to incorporate the patient’s values, preferences, and objectives into the clinical decision. Traditionally, clinical decisions were made by the provider alone. Healthcare decisions are complex, due to the multiple objectives and potential serious outcomes, making it difficult for the provider to facilitate shared decision-making with the patient. Decision support software can assist with decision-making, by letting the patient incorporate their preferences and perform the decision analysis. Annalisa is a decision support software that has been developed for this purpose. The objective of this thesis is to analyze Annalisa, from a multi-criteria decision analysis (MCDA) perspective and to discuss the tool’s ability to assist with healthcare decisions in a patient-centered care setting. Annalisa’s elements and method were reviewed, using information from the developers. The input data and results from two healthcare studies using Annalisa were used to analyze the tool from a MCDA and patient-centered care perspective and discuss the tool’s ability to provide aid in healthcare decisions. The tool’s method of simple additive weighting (SAW) was compared to the expected utility function using a decision tree. The developers of Annalisa focused on the simplicity and ease of use, rather than creating a new kind of decision support tool. The two example studies indicated problems with the tool’s ability to incorporate the patient’s preferences and values. However, considering that one of the goals with using a decision aid software in healthcare is to assist with decision analysis after the patient has been presented with the information in the traditional healthcare decision guide, Annalisa makes an interesting attempt to provide aid in that next step of the decision-making process.
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Lavoie, Josée G. (Josée Gabrielle). "Public health politics in Nunavik health care : shared concepts, divergent meanings." Thesis, McGill University, 1993. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=69633.

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In Nunavik, the question of self-determination in health care is becoming increasingly embedded in the community health discourse, which is used by both health planners and Inuit alike to negotiate diverging positions. While health planners envision northern health care as a subset of the Quebec system, Inuit perceive it as a vehicle to ends that transcend conventional health issues. This thesis will provide an overview of the development of Nunavik health services since the James Bay agreement, focusing on how the use of the community health discourse serves to promote, but also shapes and limits regional and community self-determination.
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Venditti, Silvia. "Shared resources, calm appliances. Sustainable interaction and care in housing context." Thesis, Malmö högskola, Fakulteten för kultur och samhälle (KS), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-21877.

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Today’s environment conditions have reached a critical stage that challenges us to revertthe current paradigm of production and waste into new ways to fulfill needs. The wholesociety needs a shift away from the individual ownership, being it one big reason of environmentalcrisis.This thesis project is an exploration into the field of sustainability in housing contexts thatseeks a different approach in the matter by encouraging the collective use of resources.The resulting design is a product service system that uses indeed a combination of artifactsand services to enhance and augment behaviors towards sustainability, by usingcalm technology as main touchpoint with the users. This means that the project tries toestablish a dialog with the user at a level that presents a valuable aesthetic of interactionbecause of the fluency of communication.
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Anderson, Benjamin Michael. "Patient Experience and Readmissions Among Medicare Shared Savings Programs Accountable Care Organizations." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5539.

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In 2011, Medicare patients represented the largest share of total readmissions and health costs when compared to all other patient categories. Because patient-centered care drives the use of health services, the U.S. Patient Protection and Affordable Care Act outlined improving the patient experience to reduce readmission rates; however, the relationship between patient experience and readmissions is not well understood. Grounded in systems theory, the purpose of this correlational study was to determine if the relationship between patient experience and readmission rates in Medicare Shared Savings Program accountable care organizations. Data from the Consumer Assessment of Healthcare Providers and Systems survey were gathered from the Centers for Medicare and Medicaid datasets to analyze patient experience measurements and readmission rates, while accounting for variation among Medicare service regions, number of assigned beneficiaries, and performance year. Using multiple linear regression to analyze the data, the model was used to predict Medicare's all-condition readmission rate (per 1000), R-²= .242, F (13, 634) 15.59, p < .001. The research question was answered partially; variation in the patient experience domain did not support all hypotheses. Because the Medicare population represents the fastest growing patient population within the U.S. health care system, continuous evaluation of policy and performance provides an evidence-based analysis to health administrators and providers who have pivotal roles in the creation of positive social change. Findings may be used to improve quality and service while reducing costs, which contributes to the sustainability of the U.S. Medicare program and its beneficiary population.
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Grutters, Janneke Petronella Christina. "Health technology assessment of organizational innovation in health care the case of shared care in hearing aid provision /." Maastricht : Maastricht : Universiteit Maastricht ; University Library, Universiteit Maastricht [host], 2008. http://arno.unimaas.nl/show.cgi?fid=9519.

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Sheets, Anna M. "Use of a Shared Decision-Making Aid in Pediatric Autism Spectrum Disorder." Xavier University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1525290115971692.

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Books on the topic "Shared care"

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Hosie, Gillian. Shared care care for rheumatology. London: Martin Dunitz, 2002.

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Milford, Chris. Shared care for ENT. Oxford: Isis Medical Media, 1999.

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Max, Field, ed. Shared care for rheumatology. London: Martin Dunitz, 2002.

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D, Hill R., and Kirby Michael MRCP, eds. Shared care for diabetes. Oxford: Isis Medical Media, 1997.

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1946-, Kirby Michael, Poulter Neil, and Thom Simon, eds. Shared care for hypertension. London: Isis Medical Media, 2001.

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Harry, Dalton, and Stevens Richard 1912-, eds. Shared care in gastroenterology. Oxford: Isis Medical Media, 1997.

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Pritchard, Peter. Shared care: The future imperative? London: Royal Society of Medicine Press, 1995.

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Verheijde, L. Joseph. Managing Care: A Shared Responsibility. Dordrecht: Springer Netherlands, 2006. http://dx.doi.org/10.1007/1-4020-4185-3.

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Kirby, R. S. Shared care for prostatic diseases. 2nd ed. Oxford: Isis Medical Media, 2000.

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Laurence, Mynors-Wallis, ed. Shared care in mental health. Oxford: Oxford University Press, 2002.

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Book chapters on the topic "Shared care"

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Kesson, C. M. "Shared Care." In Diabetes in Elderly People, 103–7. Boston, MA: Springer US, 1990. http://dx.doi.org/10.1007/978-1-4899-3322-5_15.

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Hochlenert, Dirk, Gerald Engels, Stephan Morbach, Stefanie Schliwa, and Frances L. Game. "Organisation of Shared Care." In Diabetic Foot Syndrome, 361–69. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-92055-9_24.

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Hill, Malcolm. "Patterns of shared care." In Sharing Child Care in Early Parenthood, 32–76. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003370000-2.

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Qureshi, Hazel, and Alan Walker. "Conclusion: Towards Shared Care?" In The Caring Relationship, 243–72. London: Macmillan Education UK, 1989. http://dx.doi.org/10.1007/978-1-349-20264-5_9.

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Légaré, France, and Peng Zhang. "Shared decision making." In Knowledge Translation in Health Care, 217–21. Chichester, UK: John Wiley & Sons, Ltd, 2013. http://dx.doi.org/10.1002/9781118413555.ch20.

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Milford, Chris, and Aled Rowlands. "Shared care in practice: case studies." In Shared Care for ENT, 173–88. London: CRC Press, 2021. http://dx.doi.org/10.1201/9781003249863-7.

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Milford, Chris, and Aled Rowlands. "The ear." In Shared Care for ENT, 21–84. London: CRC Press, 2021. http://dx.doi.org/10.1201/9781003249863-2.

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Milford, Chris, and Aled Rowlands. "Injuries, emergencies and mandatory referrals." In Shared Care for ENT, 149–66. London: CRC Press, 2021. http://dx.doi.org/10.1201/9781003249863-5.

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Milford, Chris, and Aled Rowlands. "Practical procedures in family practice." In Shared Care for ENT, 167–71. London: CRC Press, 2021. http://dx.doi.org/10.1201/9781003249863-6.

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Milford, Chris, and Aled Rowlands. "The mouth and throat." In Shared Care for ENT, 109–48. London: CRC Press, 2021. http://dx.doi.org/10.1201/9781003249863-4.

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Conference papers on the topic "Shared care"

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Kelly, Laura, Prasad Nagakumar, and Clare Onyon. "1011 Shared care, shared responsibility by network approach: improving care for children with severe asthma." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference–Online, 15 June 2021–17 June 2021. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2021. http://dx.doi.org/10.1136/archdischild-2021-rcpch.334.

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Campbell, Virginia, and Sharon Quinn. "P-146 Shared care liver project." In People, Partnerships and Potential, 16 – 18 November 2016, Liverpool. British Medical Journal Publishing Group, 2016. http://dx.doi.org/10.1136/bmjspcare-2016-001245.169.

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Grixti, D., L. Grech, K. Cassar, D. Balzan, A. Serracino Inglott, and L. Azzopardi. "PS-078 Development of rheumatology shared care guidelines: improving transitional care." In 22nd EAHP Congress 22–24 March 2017 Cannes, France. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/ejhpharm-2017-000640.584.

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Kindberg, Tim, Nick Bryan-Kinns, and Ranjit Makwana. "Supporting the shared care of diabetic patients." In the international ACM SIGGROUP conference. New York, New York, USA: ACM Press, 1999. http://dx.doi.org/10.1145/320297.320307.

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Verheggen, Frank W. S. M., and Guy A. M. Widdershoven. "Informed consent: implementing shared decision-making in health care." In Proceedings of the First International Workshop on Communication Modeling. BCS Learning & Development, 1996. http://dx.doi.org/10.14236/ewic/cm1996.13.

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Killin, Cat, Jillian Nicoll, Meriel Conn, Josaleen Connolly, Fiona Ewart, James Mack, Morag Thomson, Morag Cahir, Rachel Pugh, and Shona Hynd. "122 The biggart project: collaboration between hospice and geriatric community hospital towards shared learning." In The APM’s Annual Supportive and Palliative Care Conference, In association with the Palliative Care Congress, “Towards evidence based compassionate care”, Bournemouth International Centre, 15–16 March 2018. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-aspabstracts.149.

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Tasevska, Ivana. "COMPARISON OF SHARED CARE IN THE CZECH REPUBLIC AND SLOVAK REPUBLIC." In 4th SGEM International Multidisciplinary Scientific Conferences on SOCIAL SCIENCES and ARTS Proceedings. STEF92 Technology, 2017. http://dx.doi.org/10.5593/sgemsocial2017/33/s12.019.

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Júdez, J., C. Lasmarias, I. Saralegui, N. Pérez de Lucas, H. García-Llana, J. Fernández-Bueno, N. Granero-Moya, T. Velasco, and V. Carrero. "P75 Shared care planning, the twist that could save the unfulfilled potential of advance care planning in Spain." In ACP-I Congress Abstracts. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/spcare-2019-acpicongressabs.154.

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Saralegui, I. "OP80 Shared care planning: a new model to integrate advance care planning into community. The basque country experience." In ACP-I Congress Abstracts. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/spcare-2019-acpicongressabs.80.

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Gurfinkel, Dennis, Jodi Summers Holtrop, Bethany Kwan, Phoutdavone Phimphasone-Brady, Jeanette Waxmonsky, and Andrea Nederveld. "Examining Adaptations to Implementation of Diabetes Shared Medical Appointments in Primary Care." In NAPCRG 50th Annual Meeting — Abstracts of Completed Research 2022. American Academy of Family Physicians, 2023. http://dx.doi.org/10.1370/afm.21.s1.3763.

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Reports on the topic "Shared care"

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Ciapponi, Agustín. Does midwife-led continuity of care improve the delivery of care to women during and after pregnancy? SUPPORT, 2016. http://dx.doi.org/10.30846/161016.

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Midwives are the primary providers of care for childbearing women around the world. In midwife-led continuity of care, midwives are the lead professionals in the planning, organisation and delivery of care given to women from the initial booking to the postnatal period. Non-midwife models of care includes obstetrician; family physician and shared models of care, in which responsibility for the organisation and delivery of care is shared between different health professionals.
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Dy, Sydney M., Julie M. Waldfogel, Danetta H. Sloan, Valerie Cotter, Susan Hannum, JaAlah-Ai Heughan, Linda Chyr, et al. Integrating Palliative Care in Ambulatory Care of Noncancer Serious Chronic Illness: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), February 2020. http://dx.doi.org/10.23970/ahrqepccer237.

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Objectives. To evaluate availability, effectiveness, and implementation of interventions for integrating palliative care into ambulatory care for U.S.-based adults with serious life-threatening chronic illness or conditions other than cancer and their caregivers We evaluated interventions addressing identification of patients, patient and caregiver education, shared decision-making tools, clinician education, and models of care. Data sources. We searched key U.S. national websites (March 2020) and PubMed®, CINAHL®, and the Cochrane Central Register of Controlled Trials (through May 2020). We also engaged Key Informants. Review methods. We completed a mixed-methods review; we sought, synthesized, and integrated Web resources; quantitative, qualitative and mixed-methods studies; and input from patient/caregiver and clinician/stakeholder Key Informants. Two reviewers screened websites and search results, abstracted data, assessed risk of bias or study quality, and graded strength of evidence (SOE) for key outcomes: health-related quality of life, patient overall symptom burden, patient depressive symptom scores, patient and caregiver satisfaction, and advance directive documentation. We performed meta-analyses when appropriate. Results. We included 46 Web resources, 20 quantitative effectiveness studies, and 16 qualitative implementation studies across primary care and specialty populations. Various prediction models, tools, and triggers to identify patients are available, but none were evaluated for effectiveness or implementation. Numerous patient and caregiver education tools are available, but none were evaluated for effectiveness or implementation. All of the shared decision-making tools addressed advance care planning; these tools may increase patient satisfaction and advance directive documentation compared with usual care (SOE: low). Patients and caregivers prefer advance care planning discussions grounded in patient and caregiver experiences with individualized timing. Although numerous education and training resources for nonpalliative care clinicians are available, we were unable to draw conclusions about implementation, and none have been evaluated for effectiveness. The models evaluated for integrating palliative care were not more effective than usual care for improving health-related quality of life or patient depressive symptom scores (SOE: moderate) and may have little to no effect on increasing patient satisfaction or decreasing overall symptom burden (SOE: low), but models for integrating palliative care were effective for increasing advance directive documentation (SOE: moderate). Multimodal interventions may have little to no effect on increasing advance directive documentation (SOE: low) and other graded outcomes were not assessed. For utilization, models for integrating palliative care were not found to be more effective than usual care for decreasing hospitalizations; we were unable to draw conclusions about most other aspects of utilization or cost and resource use. We were unable to draw conclusions about caregiver satisfaction or specific characteristics of models for integrating palliative care. Patient preferences for appropriate timing of palliative care varied; costs, additional visits, and travel were seen as barriers to implementation. Conclusions. For integrating palliative care into ambulatory care for serious illness and conditions other than cancer, advance care planning shared decision-making tools and palliative care models were the most widely evaluated interventions and may be effective for improving only a few outcomes. More research is needed, particularly on identification of patients for these interventions; education for patients, caregivers, and clinicians; shared decision-making tools beyond advance care planning and advance directive completion; and specific components, characteristics, and implementation factors in models for integrating palliative care into ambulatory care.
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Snyder, Claire, Christina T. Yuan, Renee F. Wilson, Katherine Smith, Youngjee Choi, Paul C. Nathan, Allen Zhang, and Karen A. Robinson. Models of Care That Include Primary Care for Adult Survivors of Childhood Cancer: A Realist Review. Agency for Healthcare Research and Quality (AHRQ), February 2022. http://dx.doi.org/10.23970/ahrqepcrealistmodelsofcare.

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Objectives. We had two aims: (1) identify and analyze models of survivorship care for adult survivors of childhood cancer that include primary care, and (2) identify available tools, training, and other resources for adult survivors of childhood cancer. Methods. For each aim, we used realist synthesis to provide insights on how and for whom, in what contexts, and via what mechanisms the models of care and resources we identified can be effective for adult survivors of childhood cancer. We developed an initial program theory through searches of the literature and discussions with Stakeholders. We then identified and summarized quantitative evidence that supported or refuted the theory and developed specific hypotheses about how contexts and mechanisms may interact to produce outcomes (i.e., “CMO” hypotheses). The final program theory and CMO hypotheses were presented to Stakeholders for feedback. Results. Our final refined theory describes how, within the overall environment, survivor and provider characteristics and facilitators/barriers interact to produce intermediate and final outcomes. We focus on the role of models of care and resources (e.g., care plans) in these interactions. The program theory variables seen most consistently in the literature include oncology care versus primary care, survivor and provider knowledge (i.e., survivor risks and needs), provider comfort treating childhood cancer survivors, communication and coordination between and among providers and survivors, and delivery/receipt of prevention and surveillance of late effects of original cancer treatment. In turn, these variables played the most prominent role in the seven CMO hypotheses (4 focused on survivors and 3 focused on providers) regarding what works for whom and in what circumstances. Conclusions. To enable models of care that include primary care for adult survivors of childhood cancer, there needs to be communication of knowledge to both survivors and primary care providers. Our program theory provides guidance on the ways this knowledge could be shared, including the role of resources in doing so, and our CMO hypotheses suggest how the relationships illustrated in our theory could be associated with survivors living longer and feeling better through high-value care.
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Kumar, Anil R., and Hannah Bowman. Understanding the Safety and Usability of Personal Vehicles for Non-Driving Individuals with Disabilities and their Families/Care Providers. Mineta Transportation Institute, October 2022. http://dx.doi.org/10.31979/mti.2022.2110.

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The connections between shared personal vehicles of individuals with disabilities (IWDs) and their household family members play an important role in the mobility, overall health, and well-being of all involved actors, yet this topic remains mostly overlooked within publicly available research. Families that include a non-driving IWD are more likely to be low-income, and often struggle with the costs of operating a family car but, due to insufficient public transportation options, they own vehicles despite their prohibitive cost. This exploratory study utilized the Systems Engineering Initiative for Patient Safety (SEIPS) model, a framework focused on assessing the interplaying sociotechnical factors that contribute toward work-systems to gain a holistic understanding of the factors that influence household vehicles, safety, and a sense of well-being for non-driving IWDs and their household family members. A combined effort of surveys, interviews, qualitative coding, and statistical analysis (including one-way ANOVA) revealed a series of influential factors, including: (1) slow bureaucratic processes for vehicle funding; (2) error-prone modifications including lift and tie-downs; (3) miscommunications between IWDs and family members; and (4) residential area development and subsequent social support. Findings highlight the need for improved access to government funding, more reliable modification equipment, and interior vehicle designs that consider better social integration for IWDs.
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MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, July 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.

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As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.
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Wang, Andrew, Shivaram Venkataraman, Sara Alspaugh, Randy H. Katz, and Ion Stoica. Cake: Enabling High-level SLOs on Shared Storage Systems. Fort Belvoir, VA: Defense Technical Information Center, November 2012. http://dx.doi.org/10.21236/ada569773.

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Paez, Kathryn, Rachel Shapiro, Lee Thompson, Erica Shelton, Lucy Savitz, Sarah Mossburg, Susan Baseman, and Amy Lin. Health System Panel To Inform and Encourage Use of Evidence Reports: Findings From the Implementation and Evaluation of Two Evidence-Based Tools. Agency for Healthcare Research and Quality (AHRQ), August 2022. http://dx.doi.org/10.23970/ahrqepchealthsystempanel.

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Objectives. The Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice Center (EPC) Program wants learning health systems (LHSs) to use the evidence from its reports to improve patient care. In 2018, to improve uptake of EPC Program findings, the EPC Program developed a project to enhance LHSs’ adoption of evidence to improve the quality and effectiveness of patient care. AHRQ contracted with the American Institutes for Research (AIR) and its partners to convene a panel of senior leaders from 11 LHSs to guide the development of tools to help health systems use findings from EPC evidence reports. The panel’s contributions led to developing, implementing, and evaluating two electronic tools to make the EPC report findings more accessible. AIR evaluated the LHSs’ use of the tools to understand (1) LHSs’ experiences with and impressions of the tools, (2) how well the tools helped them access evidence, and (3) how well the tools addressed barriers to LHS use of the EPC reports and barriers to applying the evidence from the reports. Data sources. (1) Implementation meetings with 6 LHSs; (2) interviews with 27 health system leaders and clinical staff who used the tools; and (3) website utilization metrics. Results. The tools were efficient and useful sources of summarized evidence to (1) inform systems change, (2) educate trainees and clinicians, (3) inform research, and (4) support shared decision making with patients and families. Clinical leaders appreciated the thoroughness and quality of the evidence reviews and view AHRQ as a trusted source of information. Participants found both tools to be valuable and complementary. Participants suggested optimizing the content for mobile device use to facilitate health system uptake of the tools. In addition, they felt it would be helpful to have training resources about tool navigation and interpreting the statistical content in the tools. Conclusions. The evaluation shows that LHSs find the tools to be useful resources for making the EPC Program reports more accessible to health system leaders. The tools have the potential to meet some, but not all, LHS evidence needs, while exposing health system leaders to AHRQ as a resource to help meet their information needs. The ability of the EPC reports to support LHSs in improving the quality of care is limited by the strength and robustness of the evidence, as well as the relevance of the report topics to patient care challenges faced by LHSs.
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Susnjak, Teo, Christoph Schumacher, Ajmol Ali, Alison Brook, Paul Geertsema, John Matthewson, Rachel Owens, and Jeremy Smith. Towards a global index of shared prosperity: a case study on New Zealand. Knowledge Exchange Hub, Massey University, May 2019. http://dx.doi.org/10.33217/keh/sharedprosperity/001/05.2019.

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González Rozada, Martín, and Hernán Ruffo. Do Trade Agreements Contribute to the Decline in Labor Share? Evidence from Latin American Countries. Inter-American Development Bank, November 2021. http://dx.doi.org/10.18235/0003790.

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In this paper, we explore the role of trade in the evolution of labor share in Latin American countries. We use trade agreements with large economies (the United States, the European Union, and China) to capture the effect of sharp changes in trade. In the last two decades, labor share has displayed a negative trend among those countries that signed trade agreements, while in other countries labor share increased, widening the gap by 7 percentage points. We apply synthetic control methods to estimate the average causal impact of trade agreements on labor share. While effects are heterogeneous in our eight case studies, the average impact is negative between 2 to 4 percentage points of GDP four years after the entry into force of the trade agreements. This result is robust to the specification used and to the set of countries in the donor pool. We also find that, after trade agreements, exports of manufactured goods and the share of industry in GDP increase on average, most notably in the case studies where negative effects on labor share are significant. A decomposition shows that all the reduction in labor share is explained by a negative impact on real wages.
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Zheng, Liange, Carlos Jov� Colon, Marco Bianchi, and Jens Birkholzer. Generic Argillite/Shale Disposal Reference Case. Office of Scientific and Technical Information (OSTI), August 2014. http://dx.doi.org/10.2172/1149531.

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