Family physicians and primary care are essential for strong healthcare systems and improved population health outcomes. Studies from numerous countries have shown that greater emphasis on primary care, through measures like increased primary care physician supply and comprehensive primary health services, is associated with lower costs, reduced health inequities, decreased preventable hospitalizations, and lower mortality rates. In contrast, reliance on specialist care has been linked to higher costs and greater mortality. Strong primary healthcare should be the foundation of any national health system.
The home visit is a crucial responsibility of family doctors. By doing home visits the physician and the team become more aware of the nature of the illness and other factors that playing role in either increasing the burden or decreasing the severity of the disease 9Such as the home environment, the family members interactions, and others...)
This document summarizes a presentation given by Dr. Efrain Talamantes on culture and resilience in Latino health, past, present, and future. The presentation discusses how cultural strengths can be leveraged to improve health equity for Latinos. It outlines five strategies for making health equity a priority in healthcare organizations: making it a leader-driven priority, developing supportive structures and processes, taking actions to address social determinants of health, confronting institutional racism, and partnering with community organizations. The presentation then explores how personal experiences with language barriers, low income, and lack of resources can build qualities needed in healthcare providers today, like being bilingual and culturally competent.
INFLUCENCE OF POLITICS ON HEALTH POLICIES OF INDIA 20-9.pptxsangeetachatterjee10
The document discusses the influence of politics on health policies in India. It outlines several domains of government's role in health development, including leadership and governance, health service delivery, health care financing, and human resource development. It also discusses India's public and private healthcare systems, noting positives like growing facilities but also challenges like uneven quality and rural-urban disparities. It concludes by recommending that governments prioritize health spending and strengthen core public health functions to improve health outcomes and access across India.
EFFECTIVENESS OF JAGGERY BALL ON HAEMOGLOBIN LEVEL AMONG YOUNG ADOLESCENT GIR...sangeetachatterjee10
This document provides a synopsis for a study assessing the effectiveness of nutrition balls on haemoglobin levels among young adolescent girls in India. The study aims to evaluate haemoglobin levels before and after administering nutrition balls made from jaggery and amla powder. The background discusses the high prevalence of anaemia in India, especially among adolescent girls. A literature review found studies showing anaemia's relationship to poor nutrition and socioeconomic status. The study aims to test the hypothesis that nutrition balls can effectively increase haemoglobin levels and help address iron deficiency anaemia.
The document summarizes health and human rights challenges in several countries in Africa and the United States. In Kenya, availability, accessibility, acceptability and quality of health services are issues, especially in rural areas. In Uganda, challenges include poor working conditions for health workers, inequitable access to services for patients, and corruption within the health system. Rwanda struggles with high maternal and infant mortality as well as health workforce shortages. Burundi faces issues with the cost of healthcare, shortages of health workers, and women's vulnerability to HIV/AIDS.
The document discusses how health information technology (HIT) can help decrease healthcare disparities. It provides an overview of HIT, including electronic health records and personal health records. It also discusses barriers to HIT adoption among minority groups. The Affordable Care Act aims to alleviate disparities through expanding access to insurance coverage, especially for minorities. HIT and telemedicine can increase access to care and education for underserved populations by facilitating remote monitoring and management of chronic conditions. Overall, the document examines how implementing HIT and utilizing telemedicine and self-management tools can help address gaps in healthcare faced by racial, ethnic, socioeconomic and other minority groups.
The key priority issues for improving Australia's health are reducing health inequities faced by certain groups. Aboriginal and Torres Strait Islanders, socioeconomically disadvantaged people, rural/remote residents, and immigrants experience unfair health differences. They are more likely to die younger, have lower life expectancy and quality of life, higher rates of disease, and less access to healthcare and health information. Addressing the social and economic determinants of health through government programs, community support, and empowering individuals is needed to improve health equity across all Australians.
The home visit is a crucial responsibility of family doctors. By doing home visits the physician and the team become more aware of the nature of the illness and other factors that playing role in either increasing the burden or decreasing the severity of the disease 9Such as the home environment, the family members interactions, and others...)
This document summarizes a presentation given by Dr. Efrain Talamantes on culture and resilience in Latino health, past, present, and future. The presentation discusses how cultural strengths can be leveraged to improve health equity for Latinos. It outlines five strategies for making health equity a priority in healthcare organizations: making it a leader-driven priority, developing supportive structures and processes, taking actions to address social determinants of health, confronting institutional racism, and partnering with community organizations. The presentation then explores how personal experiences with language barriers, low income, and lack of resources can build qualities needed in healthcare providers today, like being bilingual and culturally competent.
INFLUCENCE OF POLITICS ON HEALTH POLICIES OF INDIA 20-9.pptxsangeetachatterjee10
The document discusses the influence of politics on health policies in India. It outlines several domains of government's role in health development, including leadership and governance, health service delivery, health care financing, and human resource development. It also discusses India's public and private healthcare systems, noting positives like growing facilities but also challenges like uneven quality and rural-urban disparities. It concludes by recommending that governments prioritize health spending and strengthen core public health functions to improve health outcomes and access across India.
EFFECTIVENESS OF JAGGERY BALL ON HAEMOGLOBIN LEVEL AMONG YOUNG ADOLESCENT GIR...sangeetachatterjee10
This document provides a synopsis for a study assessing the effectiveness of nutrition balls on haemoglobin levels among young adolescent girls in India. The study aims to evaluate haemoglobin levels before and after administering nutrition balls made from jaggery and amla powder. The background discusses the high prevalence of anaemia in India, especially among adolescent girls. A literature review found studies showing anaemia's relationship to poor nutrition and socioeconomic status. The study aims to test the hypothesis that nutrition balls can effectively increase haemoglobin levels and help address iron deficiency anaemia.
The document summarizes health and human rights challenges in several countries in Africa and the United States. In Kenya, availability, accessibility, acceptability and quality of health services are issues, especially in rural areas. In Uganda, challenges include poor working conditions for health workers, inequitable access to services for patients, and corruption within the health system. Rwanda struggles with high maternal and infant mortality as well as health workforce shortages. Burundi faces issues with the cost of healthcare, shortages of health workers, and women's vulnerability to HIV/AIDS.
The document discusses how health information technology (HIT) can help decrease healthcare disparities. It provides an overview of HIT, including electronic health records and personal health records. It also discusses barriers to HIT adoption among minority groups. The Affordable Care Act aims to alleviate disparities through expanding access to insurance coverage, especially for minorities. HIT and telemedicine can increase access to care and education for underserved populations by facilitating remote monitoring and management of chronic conditions. Overall, the document examines how implementing HIT and utilizing telemedicine and self-management tools can help address gaps in healthcare faced by racial, ethnic, socioeconomic and other minority groups.
The key priority issues for improving Australia's health are reducing health inequities faced by certain groups. Aboriginal and Torres Strait Islanders, socioeconomically disadvantaged people, rural/remote residents, and immigrants experience unfair health differences. They are more likely to die younger, have lower life expectancy and quality of life, higher rates of disease, and less access to healthcare and health information. Addressing the social and economic determinants of health through government programs, community support, and empowering individuals is needed to improve health equity across all Australians.
This presents the trends, issues, and challenges in the Philippine Health Care Delivery System. The data were mostly taken from the Philippine Department of Health (DOH) website and DOH Region VI Office.
The importance of family medicine in Eastern Mediterranean countries is discussed. Family medicine is highlighted as the first level of contact with the health system, providing comprehensive and continuing care through principles of primary health care including continuity, accessibility, and community participation. There is a need to strengthen family medicine in the region given the small number of family physicians currently, which is insufficient to meet population needs. Barriers to developing family medicine include the presence of narrow specialists at primary care centers.
Understand why hospitals must take the lead in eliminating disparities in care
Learn about the various dimensions of health care disparities. This presentation provides a background on the factors contributing to health care disparities, the ways in which race, ethnicity and language (REaL) data may be applied to improve health equity, as well as strategies through which to enhance the collection of REaL data.
Authors: Bohr D, Bostick N
The document outlines the vision, mission, goals and planned activities of the Women's Health and Empowerment Center of Expertise. The vision is for all women and girls to be empowered and healthy globally. The mission is to promote justice, equity and scientific advances to reduce gender and health disparities. Key goals include advancing sexual and reproductive health and rights, reducing violence against women and family planning. Planned activities involve research, education, knowledge dissemination and partnerships to study and improve women's empowerment and health.
Keller (Bellevue/NYU) - Health and Human Rightsguestc7da32
The document discusses the important roles that physicians can play in promoting health and human rights through advocacy, documentation, education, and policy work. It outlines how physicians have ethical obligations to promote patient and community health, respect human rights, and address social factors that impact health. The document provides examples of how physicians have advocated on issues like access to care, torture treatment, detention conditions, and land mines to fulfill these roles and obligations.
The document provides an overview of ischemic heart disease (IHD), the leading cause of death globally. It discusses IHD in detail, including its symptoms, risk factors, global and national burden, economic costs, and approaches for prevention and control. Key points are: IHD accounts for over 9 million deaths annually worldwide; prevalence is highest in Eastern Europe but increasing in Western countries; Nepal faces a growing IHD burden responsible for 16.4% of deaths; and prevention relies on controlling major risk factors like smoking, diet, activity levels, and treating conditions like diabetes and hypertension.
Addressing hearing loss through a health care systems approachAlbert Domingo
Presentation by Dr Albert Francis Domingo, Consultant of the Division of NCDs and Health through the Life-Course, WHO Regional Office for the Western Pacific delivered at the Multi-country Workshop on Ear and Hearing Care in the Western Pacific Region (6-7 Dec 2016, Beijing, China).
Surveillance for Health Disparities and the Social Determinants of Health - D...Lauren Johnson
This document discusses health equity, health disparities, and social determinants of health. It defines health equity as achieving the highest level of health for all people through addressing avoidable inequalities. Health disparities are closely linked to social and economic disadvantage and adversely affect groups that have systematically faced discrimination. Social determinants of health are the circumstances where people are born, live, work and age, shaped by economics, social policies and politics. These determinants include education, employment, income, housing, transportation, social status and environment. The document provides examples of health disparities data from different cities and states, and discusses how improving social determinants like education can positively impact health.
Global nursing aims to promote sustainable planetary health and equity for all people through an evidence-based nursing process. It considers social determinants of health and includes individual, population-level care, research, education, leadership, advocacy and policy initiatives. Global nurses engage ethically and respect human dignity, rights and diversity, partnering with communities and other providers.
Health services in developing countriesKailash Nagar
1. The document discusses health services in developing countries, outlining goals of reducing mortality and morbidity, increasing life expectancy, and improving access.
2. It notes that while effective interventions exist, there is widespread underutilization, especially among the poor. Barriers include inadequate resources, poor allocation to primary care, and low quality of services.
3. Both supply- and demand-side factors constrain access. On the demand side, low income, user fees, and other costs limit utilization. Cultural preferences, lack of knowledge, and poor perceived quality also reduce demand.
This document discusses developing comprehensive and integrated approaches to suicide prevention. It provides background information on suicide rates and methods in the United States over time. It also discusses common barriers to suicide prevention, circumstances preceding suicide, and the public health rationale for preventing suicide at the population level rather than just focusing on clinical care. The document advocates for using a social-ecological approach to identify at-risk groups and design interventions across multiple settings and populations. It emphasizes the need to build an integrated mosaic of prevention components within local communities and social contexts.
This document discusses literacy and its relationship to physical and mental health. It begins by presenting results from national literacy surveys that found about 14% of American adults have below basic literacy skills, while 29% have basic skills. Higher literacy is associated with better health outcomes like greater use of medical screenings and treatments. Lower literacy costs the US an estimated $73 billion annually in healthcare. The document defines health literacy and mental health literacy. It provides tips for creating effective health materials, such as using plain language and respecting cultural beliefs. Tools for assessing readability, like the Flesch-Kincaid and Fry formulas, are also presented.
HSC PDHPE Core 1 – Health Priorities in AustraliaVas Ratusau
The document discusses how priority health issues in Australia are identified. It notes that epidemiology plays a key role by measuring health status indicators like life expectancy, mortality rates, and prevalence of diseases and conditions. This data is collected by organizations like the Australian Bureau of Statistics and Australian Institute of Health and Welfare. The data shows trends like increasing life expectancy but also rising rates of obesity, diabetes, and mental health issues. Priority issues are identified based on factors like the social and economic burden of diseases.
The document summarizes major health problems in India, including communicable diseases like malaria, tuberculosis, diarrheal diseases, acute respiratory infections, leprosy, and AIDS. Nutritional problems such as protein energy malnutrition, nutritional anemia, low birth weight, and iodine deficiency disorders are also discussed. Environmental sanitation problems related to lack of safe water and proper excreta disposal are mentioned. Medical care problems pertaining to inadequate financial resources and uneven distribution of health services are outlined. The population problem of India is also briefly noted.
This document discusses health disparities and resources for promoting health equity. It defines health disparities as significant disparities in disease rates or health outcomes between populations compared to the general population. It identifies four population groups that experience health disparities: African Americans, Hispanics/Latinos, immigrants/refugees, and American Indian/Alaskan Natives. The document outlines unique health issues that affect these and other groups. It also describes several resources for finding health information, including MedlinePlus, the CDC, and databases like PubMed.
Introduction and definition of healthcare
Concepts and values in healthcare
Efficiency-driven approaches
Problems and proposed solutions
Healthcare and population health
Investing in Health
Equity-driven approaches
Primary health care
Conclusion
Low Health Literacy in the Older Adult: Identification & Intervention power p...Jeanne Baus
Low Health Literacy in Older Adults is a common challenge for home health care nurses. This powerpoint addresses how to identify low health literacy levels and how to effectively meet the patient needs to improve health education goals and outcomes.
The document discusses health status and challenges in Bangladesh. It notes that Bangladesh has made progress towards achieving some Millennium Development Goals like reducing child mortality, but still faces challenges in reducing maternal mortality and achieving full vaccination coverage. Current health issues include poor governance and management of health services, lack of resources, and unequal access between rural and urban or rich and poor populations. Moving forward will require strengthening health systems, increasing accountability, improving access to healthcare, and expanding use of digital health services.
It is prime important to maintain the health of all the population, in particular, the elderly. The home visit is an integral part of health provision and it should be implemented in all countries.
Why Emplyers care about Pimary care 2008Paul Grundy
Employers have struggled with rising healthcare costs and uneven quality of care. Investing in primary care may help address these issues, as primary care is associated with reduced costs and better health outcomes. However, primary care faces a crisis in the US with a declining primary care workforce. Employers are well positioned to help strengthen primary care through initiatives that support primary care practices, payment reform, and advocating for policies that value primary care. By rebuilding the primary care system, employers can work towards stabilizing costs and improving employee productivity.
This presents the trends, issues, and challenges in the Philippine Health Care Delivery System. The data were mostly taken from the Philippine Department of Health (DOH) website and DOH Region VI Office.
The importance of family medicine in Eastern Mediterranean countries is discussed. Family medicine is highlighted as the first level of contact with the health system, providing comprehensive and continuing care through principles of primary health care including continuity, accessibility, and community participation. There is a need to strengthen family medicine in the region given the small number of family physicians currently, which is insufficient to meet population needs. Barriers to developing family medicine include the presence of narrow specialists at primary care centers.
Understand why hospitals must take the lead in eliminating disparities in care
Learn about the various dimensions of health care disparities. This presentation provides a background on the factors contributing to health care disparities, the ways in which race, ethnicity and language (REaL) data may be applied to improve health equity, as well as strategies through which to enhance the collection of REaL data.
Authors: Bohr D, Bostick N
The document outlines the vision, mission, goals and planned activities of the Women's Health and Empowerment Center of Expertise. The vision is for all women and girls to be empowered and healthy globally. The mission is to promote justice, equity and scientific advances to reduce gender and health disparities. Key goals include advancing sexual and reproductive health and rights, reducing violence against women and family planning. Planned activities involve research, education, knowledge dissemination and partnerships to study and improve women's empowerment and health.
Keller (Bellevue/NYU) - Health and Human Rightsguestc7da32
The document discusses the important roles that physicians can play in promoting health and human rights through advocacy, documentation, education, and policy work. It outlines how physicians have ethical obligations to promote patient and community health, respect human rights, and address social factors that impact health. The document provides examples of how physicians have advocated on issues like access to care, torture treatment, detention conditions, and land mines to fulfill these roles and obligations.
The document provides an overview of ischemic heart disease (IHD), the leading cause of death globally. It discusses IHD in detail, including its symptoms, risk factors, global and national burden, economic costs, and approaches for prevention and control. Key points are: IHD accounts for over 9 million deaths annually worldwide; prevalence is highest in Eastern Europe but increasing in Western countries; Nepal faces a growing IHD burden responsible for 16.4% of deaths; and prevention relies on controlling major risk factors like smoking, diet, activity levels, and treating conditions like diabetes and hypertension.
Addressing hearing loss through a health care systems approachAlbert Domingo
Presentation by Dr Albert Francis Domingo, Consultant of the Division of NCDs and Health through the Life-Course, WHO Regional Office for the Western Pacific delivered at the Multi-country Workshop on Ear and Hearing Care in the Western Pacific Region (6-7 Dec 2016, Beijing, China).
Surveillance for Health Disparities and the Social Determinants of Health - D...Lauren Johnson
This document discusses health equity, health disparities, and social determinants of health. It defines health equity as achieving the highest level of health for all people through addressing avoidable inequalities. Health disparities are closely linked to social and economic disadvantage and adversely affect groups that have systematically faced discrimination. Social determinants of health are the circumstances where people are born, live, work and age, shaped by economics, social policies and politics. These determinants include education, employment, income, housing, transportation, social status and environment. The document provides examples of health disparities data from different cities and states, and discusses how improving social determinants like education can positively impact health.
Global nursing aims to promote sustainable planetary health and equity for all people through an evidence-based nursing process. It considers social determinants of health and includes individual, population-level care, research, education, leadership, advocacy and policy initiatives. Global nurses engage ethically and respect human dignity, rights and diversity, partnering with communities and other providers.
Health services in developing countriesKailash Nagar
1. The document discusses health services in developing countries, outlining goals of reducing mortality and morbidity, increasing life expectancy, and improving access.
2. It notes that while effective interventions exist, there is widespread underutilization, especially among the poor. Barriers include inadequate resources, poor allocation to primary care, and low quality of services.
3. Both supply- and demand-side factors constrain access. On the demand side, low income, user fees, and other costs limit utilization. Cultural preferences, lack of knowledge, and poor perceived quality also reduce demand.
This document discusses developing comprehensive and integrated approaches to suicide prevention. It provides background information on suicide rates and methods in the United States over time. It also discusses common barriers to suicide prevention, circumstances preceding suicide, and the public health rationale for preventing suicide at the population level rather than just focusing on clinical care. The document advocates for using a social-ecological approach to identify at-risk groups and design interventions across multiple settings and populations. It emphasizes the need to build an integrated mosaic of prevention components within local communities and social contexts.
This document discusses literacy and its relationship to physical and mental health. It begins by presenting results from national literacy surveys that found about 14% of American adults have below basic literacy skills, while 29% have basic skills. Higher literacy is associated with better health outcomes like greater use of medical screenings and treatments. Lower literacy costs the US an estimated $73 billion annually in healthcare. The document defines health literacy and mental health literacy. It provides tips for creating effective health materials, such as using plain language and respecting cultural beliefs. Tools for assessing readability, like the Flesch-Kincaid and Fry formulas, are also presented.
HSC PDHPE Core 1 – Health Priorities in AustraliaVas Ratusau
The document discusses how priority health issues in Australia are identified. It notes that epidemiology plays a key role by measuring health status indicators like life expectancy, mortality rates, and prevalence of diseases and conditions. This data is collected by organizations like the Australian Bureau of Statistics and Australian Institute of Health and Welfare. The data shows trends like increasing life expectancy but also rising rates of obesity, diabetes, and mental health issues. Priority issues are identified based on factors like the social and economic burden of diseases.
The document summarizes major health problems in India, including communicable diseases like malaria, tuberculosis, diarrheal diseases, acute respiratory infections, leprosy, and AIDS. Nutritional problems such as protein energy malnutrition, nutritional anemia, low birth weight, and iodine deficiency disorders are also discussed. Environmental sanitation problems related to lack of safe water and proper excreta disposal are mentioned. Medical care problems pertaining to inadequate financial resources and uneven distribution of health services are outlined. The population problem of India is also briefly noted.
This document discusses health disparities and resources for promoting health equity. It defines health disparities as significant disparities in disease rates or health outcomes between populations compared to the general population. It identifies four population groups that experience health disparities: African Americans, Hispanics/Latinos, immigrants/refugees, and American Indian/Alaskan Natives. The document outlines unique health issues that affect these and other groups. It also describes several resources for finding health information, including MedlinePlus, the CDC, and databases like PubMed.
Introduction and definition of healthcare
Concepts and values in healthcare
Efficiency-driven approaches
Problems and proposed solutions
Healthcare and population health
Investing in Health
Equity-driven approaches
Primary health care
Conclusion
Low Health Literacy in the Older Adult: Identification & Intervention power p...Jeanne Baus
Low Health Literacy in Older Adults is a common challenge for home health care nurses. This powerpoint addresses how to identify low health literacy levels and how to effectively meet the patient needs to improve health education goals and outcomes.
The document discusses health status and challenges in Bangladesh. It notes that Bangladesh has made progress towards achieving some Millennium Development Goals like reducing child mortality, but still faces challenges in reducing maternal mortality and achieving full vaccination coverage. Current health issues include poor governance and management of health services, lack of resources, and unequal access between rural and urban or rich and poor populations. Moving forward will require strengthening health systems, increasing accountability, improving access to healthcare, and expanding use of digital health services.
It is prime important to maintain the health of all the population, in particular, the elderly. The home visit is an integral part of health provision and it should be implemented in all countries.
Why Emplyers care about Pimary care 2008Paul Grundy
Employers have struggled with rising healthcare costs and uneven quality of care. Investing in primary care may help address these issues, as primary care is associated with reduced costs and better health outcomes. However, primary care faces a crisis in the US with a declining primary care workforce. Employers are well positioned to help strengthen primary care through initiatives that support primary care practices, payment reform, and advocating for policies that value primary care. By rebuilding the primary care system, employers can work towards stabilizing costs and improving employee productivity.
Rebuilding the Health Care System in New Orleans and the UScentralconference
The document discusses rebuilding the health care system in New Orleans post-Hurricane Katrina and applying Jewish principles of health care. It notes that pre-Katrina, Louisiana ranked 50th in health outcomes and had high rates of poverty, uninsured individuals, and health disparities. After Katrina, most hospitals and health infrastructure was destroyed, exacerbating access issues. The document advocates redesigning the system based on primary care-centered models shown to improve outcomes and lower costs through principles like comprehensive and coordinated care.
This document discusses a module developed through a collaboration between the Brody School of Medicine at East Carolina University and the Centers for Disease Control and Prevention (CDC) to enhance population health education. It acknowledges the individuals and institutions involved in developing the module. The module aims to discuss key topics related to population health determinants, health status, leading causes of death, health disparities, and use of Healthy People objectives in public health planning. It was made possible through a cooperative agreement between the CDC and the Association for Prevention Teaching and Research.
Submission Ide 9e61a295-6866-4394-8151-63a36d3d2f9567 SI.docxdavid4611
Submission Ide: 9e61a295-6866-4394-8151-63a36d3d2f95
67% SIMILARITY SCORE 5 CITATION ITEMS 15 GRAMMAR ISSUES 0 FEEDBACK COMMENT
Internet Source 0%
Institution 67%
Liliana Faura
week 4.doc
Summary
1031 Words
Running head: THE INFLUENCE OF PATIENT EDUCATION ON HEALTHCARE AMONG
THE ELDERLY 1
THE INFLUENCE OF PATIENT EDUCATION ON HEALTHCARE AMONG THE
ELDERLY 2
The Influence of Patient Education on Healthcare among the Elderly
Liliana Faura
GCU
03/08/2020
The Influence of Patient Education on Healthcare among the Elderly.
THE INFLUENCE OF PATIENT EDUCATION ON HEALTHCARE AMONG THE
ELDERLY 3
Student: Submitted to Grand Canyon University 24-Feb-2020…
type of (omit): type of
Student: Submitted to Grand Canyon University 24-Feb-2020…
assist, assistance (help): assisted help
assist, assistance (help): assistance help
type of (omit): type of
Student: Submitted to Grand Canyon University 24-Feb-2020…
Three successive sentences begin ...: Joseph
Redundant phr...: comfortable w... comfortable u...
Spelling mistake: glucometer gasometer
Three successive sentences begin ...: Joseph
Spelling mistake: glucometer gasometer
Three successive sentences begin ...: Joseph
type of (omit): type of
Passive voice: diabetes were also taught ...
Patient education involves a process where health professionals give knowledge and
educate both the caregivers and the patients on how they should adjust their health behaviors to
improve their health status and of those other people next to them. A caregiver who has
undergone patient education is likely to give proper and quality care to the patients. This paper
focuses on explaining how patient education influences how care is provided in a health care
system or facility. To achieve this, the essay involves an interview process of an older person
where personal experiences about the health care system are well given. The part of the interview
is to ask questions concerning the patient's experience with their healthcare professional and the
type of education they received about their current or past health issues. Therefore, the
interviewee for this case, is Mr. Joseph Henning, an old man aged 71 years old. Joseph was
recently diagnosed with diabetes. He has had several health issues in the past which has had both
good and bad outcomes based on the healthcare professionals educating styles and applications
in relation to proper health care.
Questions asked:
1. Did the patient education representative, as well as the caregiver, give you
instructions that guide you on how to care for yourself after an operation or during
illness?
2. Did the health care professional, doctor, pharmacist, nurse, elder counselor, or
caregiver advise you on diet, exercise, or medication?
3. Who assisted you at your home or place o.
Submission Ide 9e61a295-6866-4394-8151-63a36d3d2f9567 SI.docxdeanmtaylor1545
Submission Ide: 9e61a295-6866-4394-8151-63a36d3d2f95
67% SIMILARITY SCORE 5 CITATION ITEMS 15 GRAMMAR ISSUES 0 FEEDBACK COMMENT
Internet Source 0%
Institution 67%
Liliana Faura
week 4.doc
Summary
1031 Words
Running head: THE INFLUENCE OF PATIENT EDUCATION ON HEALTHCARE AMONG
THE ELDERLY 1
THE INFLUENCE OF PATIENT EDUCATION ON HEALTHCARE AMONG THE
ELDERLY 2
The Influence of Patient Education on Healthcare among the Elderly
Liliana Faura
GCU
03/08/2020
The Influence of Patient Education on Healthcare among the Elderly.
THE INFLUENCE OF PATIENT EDUCATION ON HEALTHCARE AMONG THE
ELDERLY 3
Student: Submitted to Grand Canyon University 24-Feb-2020…
type of (omit): type of
Student: Submitted to Grand Canyon University 24-Feb-2020…
assist, assistance (help): assisted help
assist, assistance (help): assistance help
type of (omit): type of
Student: Submitted to Grand Canyon University 24-Feb-2020…
Three successive sentences begin ...: Joseph
Redundant phr...: comfortable w... comfortable u...
Spelling mistake: glucometer gasometer
Three successive sentences begin ...: Joseph
Spelling mistake: glucometer gasometer
Three successive sentences begin ...: Joseph
type of (omit): type of
Passive voice: diabetes were also taught ...
Patient education involves a process where health professionals give knowledge and
educate both the caregivers and the patients on how they should adjust their health behaviors to
improve their health status and of those other people next to them. A caregiver who has
undergone patient education is likely to give proper and quality care to the patients. This paper
focuses on explaining how patient education influences how care is provided in a health care
system or facility. To achieve this, the essay involves an interview process of an older person
where personal experiences about the health care system are well given. The part of the interview
is to ask questions concerning the patient's experience with their healthcare professional and the
type of education they received about their current or past health issues. Therefore, the
interviewee for this case, is Mr. Joseph Henning, an old man aged 71 years old. Joseph was
recently diagnosed with diabetes. He has had several health issues in the past which has had both
good and bad outcomes based on the healthcare professionals educating styles and applications
in relation to proper health care.
Questions asked:
1. Did the patient education representative, as well as the caregiver, give you
instructions that guide you on how to care for yourself after an operation or during
illness?
2. Did the health care professional, doctor, pharmacist, nurse, elder counselor, or
caregiver advise you on diet, exercise, or medication?
3. Who assisted you at your home or place o.
Healthy People 2010 aims to improve national health through two overarching goals: increasing quality and years of healthy life, and eliminating health disparities. It monitors progress through 467 objectives across 28 focus areas. Achieving its goals requires recognizing that health is determined by interactions between individual behaviors, environments, and policies targeting factors like access to healthcare. Two successful programs that exemplify this systematic approach are Action for Healthy Kids, which promotes healthy school environments, and the 100 Black Men Health Challenge, which empowers communities through lifestyle modeling and education.
This document discusses the challenges facing healthcare in developing countries like India. It notes that India has a large and growing population but lacks sufficient healthcare infrastructure and resources. Disease burdens include both infectious diseases and new chronic issues. Poverty limits access to care while lack of education hinders health. Improving health will require prioritizing sanitation, nutrition, education, and access to preventive healthcare. Vaccination coverage and rational drug use also need strengthening. Cost-effective interventions around public health programs could help address the major health issues facing developing nations. Stakeholder involvement and viewing health as an investment are important for building sustainable healthcare systems.
This document summarizes a study on barriers to diabetes care in the Appalachian region. 27 participants were interviewed across two counties in West Virginia. 4 major themes emerged from the interviews related to barriers: 1) Lack of access to healthcare resources and education, 2) High rates of obesity, 3) Socioeconomic challenges like low income and lack of insurance, 4) Geographic isolation. The identical themes between counties suggest similar barriers may exist throughout Appalachia. The study used Leininger's theory of cultural care to guide ethnographic interviews and identify culturally appropriate ways to address diabetes in the region.
This document discusses improving access to and equity in healthcare. It notes that while progress has been made towards the Millennium Development Goals, significant gaps remain between the health and life expectancy of different groups. Two success stories are provided that illustrate how nurses are helping to close these gaps and improve access: 1) A nurse visits at-risk mothers and their families to improve health outcomes and reduce social problems. 2) A nurse practitioner travels to provide chronic disease care to underserved rural and Aboriginal communities.
This document discusses population health determinants and their influence on individual and population health status. It notes that factors like genetics, environment, social circumstances, and behaviors are important determinants of health. While medical care is important, these other determinants have a major influence on population disease patterns and outcomes. Addressing the root causes of health through these broader determinants will be necessary for real health improvements.
Presentation Fam Med Masters Seminar Apr 25 07briefJanet2007
The document discusses the impact of poverty on health. It provides background on poverty and health indicators in Canada, showing that those in poverty experience higher rates of chronic disease, infant mortality, lower life expectancy, and worse mental and physical health overall. It suggests that poverty, through factors like inadequate income for nutrition and housing, is the main determinant of these health inequities. The document proposes ways for health providers to help address poverty, such as by expanding assessments of social/economic barriers patients face and connecting them to resources to improve their situations.
The document discusses the challenges facing healthcare in developing countries such as India, including a growing population that is straining resources, a high burden of infectious and chronic diseases, and inequities in access and health outcomes between rich and poor. It outlines strategies to address these issues, such as improving vaccination coverage, implementing cost-effective public health programs, promoting preventive healthcare and healthy lifestyles, and strengthening existing health infrastructure through greater funding and inclusion of stakeholders. Overall, the document analyzes the current state of healthcare in developing nations and proposes approaches to enhance healthcare systems and population health.
This document outlines the objectives and content of a presentation on evidence-based medicine and good stewardship. The presentation discusses how unnecessary medical care increases costs and risks harming patients. It describes specialty-specific recommendations from the Choosing Wisely campaign to reduce unnecessary care. These recommendations include limiting imaging for back pain, reducing antibiotic prescriptions for sinus infections, and restricting osteoporosis screening to high-risk patients. The goals are to have conversations with patients about care decisions using evidence-based guidelines and avoiding overtreatment.
Three key barriers to the diagnosis and treatment of depression in Jordan were identified from focus groups with primary health care providers:
1) Lack of education about depression among providers which hinders proper identification, diagnosis, and treatment.
2) Limited availability of appropriate therapies like counseling services and antidepressant medications at primary care clinics.
3) Social stigma surrounding mental illness that prevents patients from accepting depression diagnoses due to beliefs that it reflects poorly on themselves or their families.
Addressing these barriers through provider education, expanding mental health services, and destigmatizing depression could improve rates of recognizing and treating depression in Jordan's primary care system according to the researchers.
This document discusses palliative care in the pediatric setting. It begins by outlining the epidemiology of childhood death, noting that over 55,000 children under 19 die annually in the US from a diverse set of causes including injuries, cancer, and complex chronic conditions. The goals and focus of palliative care are then described, emphasizing active total care to improve quality of life for patients and their families. Five principles of pediatric palliative care are discussed, including respect for patients/families, access to compassionate care, family support, advancement through research/education, and overlapping curative and comfort-focused care. Common symptoms experienced by children at end of life like pain, fatigue and dyspnea are also reviewed.
This study analyzed US health care spending from 1996-2013 using 183 data sources to estimate spending for 155 conditions stratified by age, sex, and type of care. The key findings were:
1) Diabetes had the highest spending in 2013 at $101.4 billion, with 57.6% spent on pharmaceuticals and 23.5% on ambulatory care.
2) Ischemic heart disease and low back/neck pain had the second and third highest spending in 2013.
3) Spending increased for 143 of 155 conditions from 1996-2013, with the largest increases for diabetes ($64.4 billion) and low back/neck pain ($57.2 billion).
4) Emergency
Diabetes has become the fastest growing chronic disease in New Zealand and a major cause of death for Māori. A community-based program in the Waikato region aims to prevent diabetes through health education, screening, and lifestyle changes. Key interventions include raising awareness of diabetes risks and promoting screening to catch cases early. Evaluating the program through surveys before and after will assess if the goal of minimizing complications was achieved to guide future programs.
Advancing Nursing Research to Address Global Health ChallengesRyan Michael Oducado
I this presentation, I will delve into the significance
of nursing research, some of the global health challenges that demand our attention,
the current state of nursing research, the vital role of studies conducted by nurses in
addressing these challenges, and how we can collectively advance the cause of
nursing research. We will also explore the challenges and the hurdles that often
accompany our research journey. Furthermore, we will discuss the power of
research, the strengths of collaboration, the availability of resources, and the
dissemination of research findings to create a positive, lasting impact.
Table of TablesS. No.ContentsPage No.Table 5-1Name.docxdeanmtaylor1545
Table of Tables
S. No.
Contents
Page No.
Table 5-1
Name of the table
18
Table 5-2
Name of the table
19
Table 5-3
Name of the table
20
Table 5-4
21
Table 5-5
22
Table 5-6
23
Table 5-7
24
Table 5-8
25
Table 5-9
25
Table 5-10
26
Table 5-11
26
List of Appendixes
No.
Contents
Page No.
Appendix A
Questionnaire
43
Appendix B
Consent Form
44
Appendix C
Declaration Form with your signature
List of Abbreviations
All of the following abbreviations are to be taken in context of the study
A
B
C
Palliative care
terminal illness
Abstract
Background: Palliative care clinical nurse specialists play an important role in specialist palliative care. Nurses perceive palliative care to be the most stressing facet of nursing. This is because it is emotionally draining to see a patient experience immense pain due to the inevitability of their death. Despite the view that palliative care is emotionally straining, it improves the quality of life of patients with terminal illnesses, such as cancer. This form of care also assists families of patients diagnosed with life-threatening ailments or organ failures. This is because palliative care involves early identification, and impeccable evaluation and curing of physical and emotional pain associated with chronic diseases.
Aim of the study: The purpose of this study was to assess nurses’ knowledge, attitude and practices about palliative care, determine the effect of the training program about palliative care on quality of nursing care and Identify factors affecting quality of nurses’ preparedness to practice palliative care in oncology units at King Abdullah specialized children hospital in Riyadh, Saudi Arabia
Subjects and methods: cross sectional study was used for conducting the study, A convenience sample nursing were included from five oncology units
Data collected through; demographic characteristic and PC knowledge and attitude .
Results:
Conclusion:
Chapter One
Introduction
Introduction
Everyone is mortal; hence, death is an inevitable phenomenon that affects every person across the globe. Nurses play a critical role in the beginning and ending of individuals’ lives as they are present at birth and dying moments. Many nurses play a vital role in caring for individuals who are in their final days on the world. As such, nurses perceive palliative care to be the most stressing facet of nursing. This is because it is emotionally draining to see a patient experience immense pain due to the inevitability of their death. Despite the view that palliative care is emotionally straining, it improves the quality of life of patients with terminal illnesses, such as cancer. This form of care also assists families of patients diagnosed with life-threatening ailments or organ failures. This is because palliative care involves early identification, and impeccable evaluation and curing of physical and emotional pain.
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Role of Family medicine in fighting illness by Prof Faisal Alnaser /Alnasir د. فيصل عبداللطيف الناصر
1. 1
Role of Family Physicians in
fighting the health risks;
Home Care as a tool
Professor Faisal Abdul Latif Alnasir FPC, FRCGP, MICGP, FFPH,
PhD
Chairman; Dept of Family & Community Medicine
Arabian Gulf University. Bahrain
President; Scientific Council Family & Com. Medicine
Arab Board for Medical Specializations
General Secretary: Inter. Society for the History of Islamic Medicine
F. Alnasir 2012
3. 3
• Family Practice / Primary Health Care
• Effect of PHC on Health Of the Nation
• Why PHC
• Cost Health Care
• Home Health Care as an example
F. Alnasir 2012
4. 4
Family Practice is the medical specialty
which provides continuing,
comprehensive health care for the
individual and family. It is a specialty in
breadth that integrates the biological,
clinical and behavioral sciences. The
scope of family practice encompasses
all ages, both sexes, each organ system
and every disease entity.
F. Alnasir 2012
5. 5
Family Medicine is centered on lasting,
caring relationships with patients and
their families. Family physicians
integrate the biological, clinical and
behavioral sciences to provide
continuing and comprehensive health
care. The scope of family medicine
encompasses all ages, sexes, each
organ system and every disease entity.
Dept Of Family Medicine University of Chicago
F. Alnasir 2012
6. 6
FM: One place you could go for all
your health concerns.
Primary health care refers to health
care services that are provided
outside the hospital.
F. Alnasir 2012
7. 7
Family medicine is a person-focused
and should not be disease-focused
discipline; i.e., based on the health of
people and populations.
The World Health Report 2008,
Primary Health Care – Now More Than
Ever, indicates that this requires a
renewed universal emphasis on
primary health care – i.e., person-
focused care over time, not disease-
focused care.
World Health Organization. The World Health Report 2008F. Alnasir 2012
8. 8
Why Family Medicine is needed in
every nation:
• Invading serious healthcare
challenges
• Family medicine is the answer to the
health care challenges facing nations
• PC is the foundation of any
successful health system
F. Alnasir 2012
9. 9
WHO as well as a number of other
international commissions, reflect the
widespread acceptance of the
importance of primary health care.
Barbra Starfield, 2012
Both People's Health Movement and
WHO agree that primary healthcare
makes a considerable contribution to
reducing the adverse impact of social
inequalities on health.
Sanders D, et al 2011, Rasanathan K, et al 2011F. Alnasir 2012
10. 10
Primary healthcare-oriented health systems
have been shown to be generally more
effective in achieving better health (particularly
at young ages) at lower costs than is the case
for systems more oriented to disease
management and specialty care.
Even in the USA, “one of the most inequitable
societies in the industrialized world”, better
primary care resources preferentially improve
health more in socially disadvantaged
populations than in the majority population.
Starfield B. Shi L, Macinko J. 2005
F. Alnasir 2012
11. 11
Strong primary care health systems
are more likely to provide better
population health, better distribution
(more equity) in health throughout the
populations, and greater economy in
the use of resources.
Barbra Starfield, 2012.
F. Alnasir 2012
12. 12
Stronger primary care should
produce better outcomes than
weaker primary care
F. Alnasir 2012
13. 13
It is known that, “within certain
bounds, neither the wealth of a
country nor the total number of health
personnel are related to health
levels”.
What counts is the existence of key
features of health policy (Primary
Health Care)
Barbra Starfield, 2012.
F. Alnasir 2012
14. 14
It's very well documented:
“That a system that is based on
primary care can provide higher
quality care,"
said Dr. Minal Kale, of the Mount Sinai School of Medicine in New York.2012
F. Alnasir 2012
17. 17
Studies consistently find that the supply
of primary care physicians is associated
with:
•better quality of care
•better population health
•lower cost of care
Stange KC, Ferrer RL. Paradox of primary care. Ann Fam Med 2009
F. Alnasir 2012
18. 18
In USA a study in 2011, found that
seniors living in areas with more primary
care doctors were less likely to be
hospitalized with a preventable disease
and had lower death rates.
Reuters Health story of May 24, 2011. http://reut.rs/O2itHr
F. Alnasir 2012
19. 19
In Thailand after primary care reform was
initiated in the early 1990s, there was marked
improvement in under-5 mortality
Vapattanawong P, et al, 2007
In Ontario, Canada, populations in areas with
greater primary care physician supply have
better experiences with a wide variety of
healthcare access and outcome indicators—
even more so in lower income areas than in
higher income ones.
Guttmann A, et al.2010
F. Alnasir 2012
20. 20
Brazil in 1990 built health services system based on
strong PHC. During the period 1990-2007, the following were
found:
• Improvements in maternal education
• Large reductions in post-neonatal mortality and under-5
mortality.
• Infant mortality declined 40% between 1990 and 2002;
controlling for other impacts on infant mortality.
• A 10% increase in primary care coverage was associated
with an average 4.6% decline in infant mortality.
• Decrease in absolute rich-poor differences in infant and
child mortality across different areas.
• Large decline in hospitalizations for primary care sensitive
conditions and for chronic diseases by 25-30%, especially
(cardiovascular diseases, asthma, hypertension, stroke).
• In general hospitalizations that would be prevented by
good primary care declined by over 5% annually.
Macinko J, et-al.2006, 2010, 2011F. Alnasir 2012
21. 21
In Bahrain
After adopting the primary Health Care
Policy and start of the Family Residency
Program in 1983, there were;
• Decrease in AE attenders
• Decrease in unnecessary referral
• Decrease in the prevalence of
hereditary blood diseases
• Increase health awareness
Alnasir,Faisal
F. Alnasir 2012
22. 22
Among 90 countries with Gross National
Income of less than $10,000 per person,
30 have moved toward primary health
care. Of these 30, 14 moved to
comprehensive primary care (defined as
skilled attendance at birth).
These 14 have achieved much lower
under-five mortality rates along with
greater equity in health care as well as
more equitable distribution of health
services.
Rohde J, et al 2008F. Alnasir 2012
23. 23
In the United States
An increase of one primary care doctor
(PCP) per 10,000 population (approximately a
15% increase) (after controlling for income inequality, education, unemployment,
racial/ethnic composition, urban/rural location, percentage elderly, percentage living in poverty
and/or low income) is associated with:
• 1.44 fewer deaths per 10,000 population
• a 2.5% reduction in infant mortality
• a 3.2% reduction in low birth weight
Shi L, Macinko J, Starfield B, et-al. 2004.
F. Alnasir 2012
24. 24
In the United States
An increase of one primary care doctor
(PCP) per 10,000 population (approximately a
15% increase) (after controlling for income inequality, education, unemployment,
racial/ethnic composition, urban/rural location, percentage elderly, percentage living in poverty
and/or low income) is associated with reduction:
• Inpatient admissions by an estimated 6%,
• Outpatient visits by 5%,
• Emergency room visits by 10%
• Surgeries by over 7%.
Kravet SJ, Shore AD, Miller R, et-al.2008
F. Alnasir 2012
25. 25
A nationally representative USA study
showed that adults and children with a
Family Physician (rather than a general
internist, pediatrician, or sub-specialist)
as their regular source of care had:
• reported less difficulty in accessing
care
• lower annual cost of care
• made fewer visits
• had 25% fewer prescriptions
Phillips RL, et-al. 2009
F. Alnasir 2012
26. Starfield Barbra
No equity in Health
Care
• Budget allocated is on
an average of 70% to
80% to Secondary and
tertiary care.
• Health care human
resources are allocated
more to secondary and
tertiary care (80% to
20%)
0
10
20
30
40
50
60
70
80
PC SC TC
F. Alnasir 2012
27. 27
Primary health care can now be
measured and assessed; all innovations
and enhancements in it must serve its
essential features in order to be useful.
Barbra Starfield, 2012
F. Alnasir 2012
28. 28
Two in five adults in the U.S.
are getting general
healthcare from specialist
doctors, according to a new
study.
Researchers found that in
1999 and 2007,
approximately 59% of visits
family physicians and 41%
were to specialists, such as
internists and obstetricians-
gynecologists.
Andrew M. Seaman, (Reuters Health) 2012
0
10
20
30
40
50
60
FP Specialist
F. Alnasir 2012
29. 29
In USA Specialists now provide a significant
percentage of primary care services.
A 2012 Archives of Internal Medicine study
found that 41% of primary care office visits
were provided by specialists.
The Wrong Battles
Brian Klepper, Sep 20, 2012
F. Alnasir 2012
30. 30
A study examined more than a billion patient
encounters between 2002-2004 in USA
found:
46.3% of specialist visits were for preventive
care or routine follow-up of patients who the
specialist had previously seen.
New referrals accounted for only 30.4% of all
visits. Many of these visits could be handled
competently and far more cost-effectively by a
generalist.
The Wrong Battles
Brian Klepper, Sep 20, 2012
F. Alnasir 2012
31. Shi. Jam Board Fam Practic 2003;16:412-22
Mortality Outcome
• Specialists:
Increase of 1 Specialists/10000 (8%more)
increases mortality by 16 per 100000
(2% more deaths)
• Primary Care Physicians:
Increase of 1 PCP/10000 (20%) would
decreases mortality by 40 per 100000
(5% fewer deaths)
• Family Physicians;
Increase of 1 FP/10000 (33%more) results
in decrease mortality by 70 per 100000
(9% fewer deaths)
-80
-70
-60
-50
-40
-30
-20
-10
0
10
20
30
SP PCP FP
F. Alnasir 2012
32. Baicker et al.,2004
Cost implication
Increasing 1 physicians/10000
population would:
Specialists;
-Increase costs $526/beneficiary
and decrease quality
Primary care;
-Decrease costs
$684/beneficiary and increase
quality
-800
-600
-400
-200
0
200
400
600
SP FP
F. Alnasir 2012
33. 33
In 2010 a study found
that primary care
doctors in the USA earn
about $60 per hour,
which is much less than
the $92 per hour and
$85 per hour rates for
surgeons and ob-gyns,
respectively.
FP Obgyn Surgeon
0
20
40
60
80
100
Earn
(Reuters Health story of October 25, 2010.
http://reut.rs/O2mVG9)
F. Alnasir 2012
34. 34
Why do people get worse with specialists:
-Outside areas of expertise1
-Late stage diagnosis of cancers (Breast 2 or
Colorectal3)
-Excessive utilization4
-Communication errors5
1. Weingarton et al Arch int Med 2002: 162:627-532
2. Ferrante et al J Am Board Fam Pract 2000;13;408-414
3. Rotezheim et al J Fam Pract 1999:48:850-858
4. Greenfield et al. JAMa 1992:367; 1024-1030
5. Skinner et al Health Affairs 2006; 25;w34-w37
F. Alnasir 2012
35. 35
Care during family physician visits is
more complex per hour than the care
during visits to cardiologists or
psychiatrists. This may account for a
lower rate of completion of process items
measured for quality of care.
The complexity of care provided per hour
in general/family practice is 33% more
relative to cardiology and 5 times more
relative to psychiatry.
David K ,Robert W,Carlos J, 2011
F. Alnasir 2012
36. 36
Policy for success of any PHC:
1. Any reform of health system must ensure equity
2. Ensure quality and safety
3. Continuity of care is the corner stone of any PC
4. Ensure the sustainability of PC services
5. Community engagement is an essential
component of PC policy development
6. Health promotion and prevention are core
components of the work carried out in PC
7. Strengthen the role of PC in chronic disease
management
8. Support and grow PC workforce
9. Exploit new technologies
10.Address the specialist needs of each group of
people within the community.
F. Alnasir 2012
40. 40
Delivery of various items and
services directly to the home has
mushroomed since the beginning of
this century.
The philosophy behind home delivery
is to reduce the hassle of getting the
service from its source, requiring
effort, causing stress and costing
money.
F. Alnasir 2012
41. 41
WHO Define Home Care as:
Provision of health services by formal and
informal caregivers in the home.
This includes physical psychological,
palliative and spiritual activities.
Home care services can be classified into
preventive, promotive, therapeutic,
rehabilitative long term and palliative
care.
F. Alnasir 2012
43. 43
The medical home is conceptualized
as an approach which provides
comprehensive primary care, fosters
a close partnering relationship
between patient and provider and,
when appropriate, their family as
well.
F. Alnasir 2012
44. 44
Home care are offered by
interdisciplinary team, but due to
many reasons, doctors, most of the
time are not part of this.
Boling quoted that “there are still
policies that make it difficult for a
physician to be part of the
interdisciplinary team providing home
care”
Peter A. Boling, 1997
F. Alnasir 2012
45. 45
To be able to offer these services
within the patient’s home, special
characteristics, skills and attitude are
required from each team member.
Since home is considered the
patient’s safe haven, many factors,
whether familial, social or
environmental, factors interact,
affecting the well-being of the
individual.
Alnasir F, 2009
F. Alnasir 2012
46. 46
The role of this team:
Providing the required services to
patients within their home
environment without the hassle of
moving the patient to primary,
secondary, or tertiary care units to
meet their needs.
F. Alnasir 2012
47. 47
Why there is demand for home care?
•Demographic trends with ageing population.
•Changes in family structures and role of
women
•Increased focus on person-centred services
•Availability of new support technologies
•Need to redesign health systems to improve
responsiveness, continuity, efficiency and
equity.
Home care in Europe, WHO European office (2008) Copenhagen WHO
F. Alnasir 2012
48. 48
Advantages of HHC:
• provision of care in the home environment where
patients are surrounded by their beloved ones
giving the patient a positive element of support,
reducing strain and anxiety induced by separation.
• Decreasing the risk of noso-comial infection, due to
shorter periods of hospital stay.
• When HHC is provided in a professional, well-
planned way, it could replace some non-urgent
hospital stay.
• HHC could reduce patients’ hospital stays by
allowing earlier discharge.
• Offers an opportunity for home health nurses to
provide vital home care which is complex using a
high technology approach.
Humphrey, Carolyn J. 2009.F. Alnasir 2012
50. 50
The medical role should be well-
organized and known before the
home visit. For this reason, the
American Medical Association (AMA)
developed guidelines for physicians
when they practice home care
American Medical Association, 1992.
F. Alnasir 2012
51. 51
As part of the medical care provided
to patients in the UK, the Department
of Health has recommended
replacing hospital admissions by
offering in home treatment for acute
problems.
Harrison, Judy et al 2003.
F. Alnasir 2012
52. 52
In the USA, an estimated three
million Americans receive home
health care, which is fast becoming
the preferred method of meeting the
social and medical challenges of
patients especially the elderly
Steven R. Eastaugh, 2001.
F. Alnasir 2012
53. 53
In Sweden a study showed that
patients were pleased with HHC
most of the time and satisfied when
they were not being forced to leave
their home for nursing and medical
care.
They thought it is safer to be at
home to receive care rather than in
the hospital. The patients also
admitted advantages other than
medical care.
Öresland Stina, Määttä Sylvia, 2009
F. Alnasir 2012
55. 55
Family-centered care rests on a
foundation of a collaborative partnership
between health care providers and
families to provide the best care possible.
It facilitates communication and respects
the diversity and individuality within
families. Recognizing family needs and
ensuring that services and support
systems are available is essential in the
provision of family-centered care.
Lewandowski & Tesler, 2003.
F. Alnasir 2012
56. 56
The quality of the physician-patient
therapeutic relationship is a key factor in
the effectiveness of care. Social
competence is a process based on
knowledge, skills and attitudes that
support effective interaction between the
physician and patient despite the
intervening social distance. It enables
physicians to better understand their
patients' living conditions and to adapt
care to patients' needs and abilities.
Loignon, et al, 2010.
F. Alnasir 2012
57. 57
The physician-patient relationship is part of the
patient's larger social system and is influenced
by the patient's family.
The patient-centered medical home, a patient
care concept that helps address this dynamic,
often involves a robust partnership among the
physician, the patient, and the patient's family.
Omole et al,2011.
For the medical house to be a home requires
physicians to demonstrate a personal touch
that communicates caring to the patient.
Egnew TR, 2010.
F. Alnasir 2012
58. 58
Having a health care home has been
shown to be associated with positive
health outcomes for children with special
health care needs.
The health care home represents a
process of care that may help families
manage the daily demands of caring for
such children through family-centered
care, provider-to-provider communication,
and provision of care coordination.
Angela D, Wendy L, Abby P, 2012
F. Alnasir 2012
59. 59
HHC decreases the financial burden
on hospitals and patients by
preventing longer stays in hospital.
Eastaugh stated that, within HHC, a
good saving could be accomplished
by better case management and by
avoiding expensive hospital stays.
Steven R. Eastaugh, 2001.
F. Alnasir 2012
60. 60
A study done in the USA found that the
marginal cost of a day stay in the hospital
could range from US $315 to US $472, but
each dollar invested in HHC shows a benefit
reduction of US $1.78 in hospital costs.
Steven R. Eastaugh, 2001.
F. Alnasir 2012
61. 61
They also reported that “these were
the largest cost savings ever reported
due to reductions in hospital
readmission days and to use of
lower-intensity hospital beds for a
hospital stay”.
Humphrey, Carolyn J.,2009
F. Alnasir 2012
62. 62
In Bahrain;
Each HHC visit would cost on an average
US $50 (about 10% of each day’s hospital
stay cost or 40% of the hospital’s
outpatient visit cost).
Alnasir, Faisal 2009.
0 200 400 600
HHC
OPD
Admission
F. Alnasir 2012
63. 63
In Bahrain;
A very successful practice adopted by the
Ministry of Social Affairs in the Kingdom is
utilizing the Mobile Unit Services to
provide limited services to the elderly in
their own homes. However, this does not
cover all patients on the Island.
Alnasir, Faisal 2009.
F. Alnasir 2012
65. 65
The Patient Centered Medical
Home is a health care setting that
facilitates partnerships between
individual patients, and their
personal physicians, and when
appropriate, the patient’s family.
F. Alnasir 2012
66. 66
Why home care in PHC
- Home health Care has a natural appeal
- Home is a place of emotional and
physical associations, memories and
comfort.
- Home care offers a mix of services
associated with health promotion,
prevention, ageing and chronic
conditions in familiar environment.
- It improves access to health care such
as thorough home visits,
telemedicine/telenursing.
F. Alnasir 2012