Integrated Care For Patients Research Articles

New USP resource covers preparation, handling for all three COVID-19 vaccines

APhA is the leading advocate for the pharmacy profession and a driving force in creating opportunities for pharmacists to play a key role in integrated patient care, and ensuring the profession is recognized as essential in optimal medication use.

Higher patient knowledge and resilience improve the functional outcome of primary total knee arthroplasty

Asignificant percentage of patients have an unfavorable outcome following primary total knee arthroplasty (TKA). This study aimed to evaluate whether specific knowledge about the implant and resilience can influence the functional outcome following TKA. Aconsecutive series of 163 patients following primary TKA at amean age of 70years (SD9.1 years) were included at aregional rehabilitation center between December 2015 and December 2016. Specific patient knowledge (scale 0-7), Connor Davidson Resilience Scale (CD-RISC), Western Ontario and McMaster Universities (WOMAC) score, University of California and Los Angeles (UCLA) score and constitutional parameters were assessed on admission. Pearson's correlation analysis and stepwise linear regression analysis were performed to investigate associations between knowledge, resilience and functional scores. The mean overall knowledge score was 3.5 out of7 and the mean resilience score was 72.9 out of 100. Mean WOMAC and UCLA scores on admission were 23.8 and 5.5, respectively. Stepwise linear regression analysis identified knowledge and age as significant predictors of WOMAC scores (R2 = 14.3%, p = 0.003). Knowledge and resilience were identified as significant predictors of UCLA scores (R2 = 13.8%, p = 0.013). This study highlights the importance of patient-related factors as part of an integral patient care concept in TKA. Although the identified predictors still need to be refined, it could be demonstrated how better patient knowledge might ultimately lead to better functional outcome following TKA. Routinely assessing patients' resilience might be auseful tool to identify patients at risk for low activity levels. III. Patient-reported outcome study.

Input From Practice: Reshaping Dental Education for Integrated Patient Care.

Among the primary challenges in advancing the practice of integrated primary dental and medical health care is the appropriate educational and clinical preparation of a dental workforce that can function and flourish within integrated care environments. Most dental schools teach to traditional concepts and standards of dental care delivery which may be inconsistent with those of integrated care and could deter the entry and retention of graduates in contemporary, non-traditional practice models. To better understand how the dental school curriculum should be modified to accommodate integrative care models, a number of patient care organizations actively engaged in dental-medical integration were site visited to gain insight into the readiness of newer graduates, with emphasis on the US DMD/DDS graduate, to function in integrated practice. Leaders, practicing clinicians and staff were interviewed and common observations and themes were documented. This manuscript will focus on those educational components that integrated care organizations identify as absent or inadequate in current dentist education which must be addressed to meet the unique expectations and requirements of integrated patient care. These changes appear pivotal in the preparation of a dental clinician workforce that is respectful and receptive to new practice concepts, adaptative to new practice models, and competent in new care delivery systems.

Pharmacists’ role during the COVID-19 pandemic

APhA is the leading advocate for the pharmacy profession and a driving force in creating opportunities for pharmacists to play a key role in integrated patient care, and ensuring the profession is recognized as essential in optimal medication use.

COVID-19 vs. influenza: An outclassed outbreak

APhA is the leading advocate for the pharmacy profession and a driving force in creating opportunities for pharmacists to play a key role in integrated patient care, and ensuring the profession is recognized as essential in optimal medication use.

A VALUED PROFESSION IN THE FACE OF COVID-19

APhA is the leading advocate for the pharmacy profession and a driving force in creating opportunities for pharmacists to play a key role in integrated patient care, and ensuring the profession is recognized as essential in optimal medication use.

Zorgzaam Leuven: binnen de nationale projecten rond chronische zorg een succesvolle oefening in buurtgerichte zorgreorganisatie

Zorgzaam Leuven: within the Belgian chronic care policy development projects a successful exercise in close to patient care reorganisation in the local community context “Zorgzaam Leuven” is a change and management project aiming at care integration for chronic patients. It started in 2018 for a duration of four years, as one of the twelve national policy development projects in Belgium. It is led by a consortium of 60 local care organisations. This paper reports on the bottom-up development line, with close care integration at the level of the caring communities. Two converging action lines are highlighted. The first one focuses on the local caregivers, who are stimulated to act as the “local multidisciplinary care team”. Within the development of the existing national chronic care programs, they are asked to organise themselves with other local caregivers and care structures, leading to initiatives including local volunteers and patient caretakers. They rethink all other care initiatives starting from the local needs and opportunities. Secondly, other initiatives were based on municipal and local welfare care integration, in correspondence with the same local care communities. Two of them, the most advanced projects, are discussed. Some early reflections on eminent bottlenecks are mentioned: the difficulties to reconcile fundamentally different care paradigms, and to adopt and host this type of broad change initiatives. Finally, a couple of learning points are listed, important for the extrapolation to national governance from 2022 onwards. Complex care reorganisation needs smart stimuli on a broad scale. Local initiatives regarding close to patient care integration showed a lot of opportunities when stimulated by a change management team supported by a large consortium of care organisations and structures.

Integrated care and outcomes in patients with atrial fibrillation and comorbidities.

Integrated care for management of atrial fibrillation (AF) patients has been associated with a reduction in adverse events. The 'Atrial fibrillation Better Care (ABC) pathway' has been proposed to streamline such integrated management. In this paper, we analysed the impact of ABC pathway adherent clinical management on outcomes in AF patients with high-risk 'metabolic' comorbidities (i.e. diabetes mellitus [DM], chronic kidney disease [CKD], metabolic syndrome [MetS]. Patients from the SPORTIF III and V trials and with available data to evaluate ABC criteria were analysed. DM, CKD and MetS were evaluated according to baseline data. A composite of major adverse cardiovascular events and all-cause death was the study outcome. A total of 3637 patients (median age 72 [IQR 66-77], 30.3% female) were analysed. DM was evident in 23.4%, CKD in 25.8% and MetS in 31.5% among the overall cohort. Respectively, 23.2% were ABC pathway adherent in the DM subgroup, 21.2% in CKD and 23.7% in MetS subgroups. Composite outcome occurred less frequently in patients managed adherent to ABC pathway than those nonadherents, in all three groups. In the final multivariate model, ABC adherent care was inversely associated with a lower risk of composite outcome in the DM (HR 0.45, 95% CI 0.23-0.88), CKD (HR 0.60, 95% CI 0.36-0.98) and MetS (HR 0.37, 95% CI 0.19-0.71) subgroups. In high-risk AF patients with DM, CKD and MetS, ABC pathway adherent management was associated with a lowered risk of the composite outcome of cardiovascular events, cardiovascular and all-cause death.

The COVID-19 vaccine is here—are you ready to vaccinate?

APhA is the leading advocate for the pharmacy profession and a driving force in creating opportunities for pharmacists to play a key role in integrated patient care, and ensuring the profession is recognized as essential in optimal medication use.

One word of advice to Biden's COVID-19 team: Pharmacists

APhA is the leading advocate for the pharmacy profession and a driving force in creating opportunities for pharmacists to play a key role in integrated patient care, and ensuring the profession is recognized as essential in optimal medication use.

FDA has authorized these therapies to manage patients with COVID-19

APhA is the leading advocate for the pharmacy profession and a driving force in creating opportunities for pharmacists to play a key role in integrated patient care, and ensuring the profession is recognized as essential in optimal medication use.

Reinventing the Delivery of Care in a New Women and Children's Center Using an Integrated Lean Model.

This article describes one heath system's creation of a new women's health hospital using an innovative model integrating patient care delivery, Lean building design, and Lean integrated project methodology. The article describes a 5-year journey detailing the innovative process that guided the planning and implementation of the new care delivery model, as well as employee and leader roles, employee behavior and engagement, and key insights and lessons learned that will benefit nurse leaders.

Pharmacists can provide guidance on managing anticoagulation in patients with COVID-19

APhA is the leading advocate for the pharmacy profession and a driving force in creating opportunities for pharmacists to play a key role in integrated patient care, and ensuring the profession is recognized as essential in optimal medication use.

Remdesivir gains FDA approval as first treatment for COVID-19

APhA is the leading advocate for the pharmacy profession and a driving force in creating opportunities for pharmacists to play a key role in integrated patient care, and ensuring the profession is recognized as essential in optimal medication use.

Standing up a large COVID-19 field hospital pharmacy: The Javits experience

APhA is the leading advocate for the pharmacy profession and a driving force in creating opportunities for pharmacists to play a key role in integrated patient care, and ensuring the profession is recognized as essential in optimal medication use.

Bibliometric Analysis of Integrative Medicine Studies from 2000 to 2019.

Integrative medicine has become a vital component of patient care. It provides patient-centered care that is focused on prevention and overall well-being. As there has been a growing number of patients favoring a blend of conventional, complementary and alternative approaches, integrative medicine has exceeded beyond the evaluation of complementary therapies. However, it is noteworthy that there has been a dilemma of providing substantial evidence supporting the efficacy of some complementary and alternative therapies. This study's goals were to analyze publication trends, most productive journals, most productive funding agencies, most productive authors, most relevant keywords, and countries in the field of integrative medicine research. Additionally, science mapping included country collaboration analysis and thematic evolution analysis. The findings from this study showed a constant rise in annual growth of publications from 2000 to 2019; the United States was dominant in various analysis categories. In conclusion, a comprehensive review of the evolution of research of integrative medicine will help healthcare providers understand an overview of the present status while encouraging more evidence-based research for the betterment of integrative patient care.

Successful Implementation of Integrated Care in Slovenian Primary Care.

For the purpose of celebrating the 40th anniversary of Alma Ata declaration, the WHO published a successful model of integrated patient care being performed in Slovenia. After two years, the WHO experts evaluated the success in practise during a visit to the Slovenian primary care environment. This report showed that Slovenia was a notable exception regarding developing effective primary care systems. The country has an impressive primary care which performs very well.

Use of a warm handoff interprofessional simulation to model asynchronous and patient-centered teamwork

An interprofessional education simulation in an outpatient clinic setting was utilized to allow pharmacy and social work students to practice the warm handoff communication technique. This event included 157 pharmacy and social work students. The primary objective of this encounter was for the learner to better understand the role of the partnering profession and demonstrate an appropriate warm handoff. The simulation included pre-event didactic education, performance of a warm handoff, and faculty-led debriefing. A novel warm handoff evaluation checklist was created to evaluate the performance of the students using the warm handoff communication technique. Students successfully initiated the warm handoff and demonstrated patient engagement by asking permission and using introductions. However, students did not perform as well with the more complex skills of communicating the patient's background, situation, and assessment to their colleagues. Students were asked to complete an anonymous, pre- and post-questionnaire to assess the impact and value of the interprofessional simulation and the likelihood that they would refer a patient to the partnering profession in the future. The post-questionnaire was evaluated both quantitatively and qualitatively using a content analysis of the open-ended questions. The quantitative analysis showed that students valued the simulation and the opportunity to practice and would use the skills gained in the future. The results also revealed an increased likelihood that students would refer patients to the partnering profession post-simulation. The content analysis of the open-ended question asking the learners what they thought was valuable about the simulation demonstrated that students value communicating with another healthcare team member with the patient in the room, learning about the role of other healthcare professionals, and practicing the warm handoff communication tool. Overall, this simulation was shown to be an effective activity to promote interprofessional care between pharmacy and social work students and to practice a warm handoff that promotes integrated patient care in outpatient healthcare settings.

Pharmacy's journey during the COVID-19 pandemic

APhA is the leading advocate for the pharmacy profession and a driving force in creating opportunities for pharmacists to play a key role in integrated patient care, and ensuring the profession is recognized as essential in optimal medication use.

Pediatric COVID-19 epidemiology slowly comes into focus

APhA is the leading advocate for the pharmacy profession and a driving force in creating opportunities for pharmacists to play a key role in integrated patient care, and ensuring the profession is recognized as essential in optimal medication use.