New Paradigm In Healthcare Research Articles

Knowledge management in evidence-based healthcare: issues raised when specialist information services search for the evidence

Knowledge management is in many ways a new paradigm in healthcare. This paper discusses how knowledge-management problems arising in evidence-based practice can be explored using ‘soft systems methodology’ and action research. An information centre working exclusively in evidence-based practice is used as a case study to explore how work teams and systems can be better utilized to provide clinical effectiveness information for busy healthcare practitioners.

The midwife and her functions by level of care

The role the midwives play in women's healthcare in Chile demonstrates appropriate utilization of human resources according to their capacity to provide services. Historically, the Chilean midwife came into being more than 160 years ago, exclusively as a birth attendant. The midwives' functions have evolved, particularly during the last few decades, following the demographic and epidemiological evolution of the Chilean population and the new paradigm of healthcare addressed to woman throughout her life cycle, not only during pregnancy and childbirth. At the present time, the midwife is the professional that provides the great majority of gynecological and obstetrics care at the primary healthcare level, while also attending most of the deliveries in the public health services. The close link with physicians working as a team, and the emotional ties of the midwife as a provider with the woman as a client, is emphasized as an additional advantage of the presence of the midwife as a key person in women's healthcare.

Global health care and neurosurgeons.

The contributions that neurosurgeons can make to global health are discussed in the context of the author's clinical and research experience, his views on priorities and equity in research and economic development, and the state of health care in developed and developing countries. Ideas for establishing a new paradigm of health care for all are proposed, as well as more general interventions on behalf of human rights and peace. Neurosurgeons, other medical professionals, and those who are concerned about these global issues are urged to work in concert to remove inequalities in health care both locally and globally.

Disease management a new paradigm in healthcare

Disease management a new paradigm in healthcare

A case management system was ineffective in reducing hospital readmissions for general medical inpatients

Quality ImprovementMarch 1, 1995A case management system was ineffective in reducing hospital readmissions for general medical inpatientsBarbara E. Barnes, MDBarbara E. Barnes, MDUniversity of Pittsburgh, Pittsburgh, Pennsylvania, USA (B.E.B.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/ACPJC-1995-122-2-052 SectionsAboutFull Text ToolsAdd to favoritesDownload CitationsTrack Citations ShareFacebookTwitterLinkedInRedditEmail Source CitationFitzgerald JF, Smith DM, Martin DK, Freedman JA, Katz BP. A case manager intervention to reduce readmissions. Arch Intern Med. 1994 Aug 8;154:1721-9.References1 Miller ME, Gengler DJ. Medicaid case management: Kentucky's Patient Access and Care Program. Health Care Financ Rev. 1993;15:55-69 Google Scholar2 Naylor M, Brooten D, Jones R, et al. Comprehensive discharge planning for the hospitalized elderly. A randomized clinical trial. Ann Intern Med. 1994;120:999-1006. Google Scholar3 Pawlson LG. Chronic illness: implications of a new paradigm for health care. Jt Comm J Qual Improv. 1994;20:33-9. Google Scholar Author, Article, and Disclosure InformationAffiliations: University of Pittsburgh, Pittsburgh, Pennsylvania, USA (B.E.B.) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails March 1, 1995Volume 122, Issue 2Page: 52KeywordsAge groupsComplex systemsHealth care providersHospital medicineHospitalsInpatientsNursesNursing homesOutpatient clinicsPatients ePublished: 9 March 2020 Issue Published: March 1, 1995 Copyright & PermissionsCopyright © 1995 by American College of Physicians. All Rights Reserved.Loading ...

Chronic Illness: Implications of a New Paradigm for Health Care

A major factor in determining and maintaining the form of our health care system is our underlying assumptions about the origins of problems related to health. The author explores the implications of the change from an acute simple disease model to a chronic complex illness model for the evaluation of quality in health care.

Continuous quality improvement: an analysis of the new paradigm in healthcare.

Evaluating the quality of medical care is a documented activity extending as far back as 1910, when William Flexner, MD, examined the nation's medical schools. Standards promulgated by the federal government and by voluntary accreditation agencies have been primarily responsible for driving the development and widespread use of monitoring activities over the past 20 years. A new wind is blowing, however. Momentum is increasing to incorporate the principles of industrial quality improvement into the healthcare arena. In this study, Michelle Harvey poses the following questions: Have hospitals made the transition from traditional quality assurance to continuous quality improvement? Is an individual hospital's transition affected by such variables as bed size, region, profit or nonprofit status, and system affiliation? This analysis suggests that opportunities to facilitate transition to the new paradigm abound.

Toward a new paradigm of health care: Artificial intelligence and medical management

The health care system in many societies is facing a profound crisis. Confronted by financial, legal and cultural pressures, the traditional practice of medicine is falling progressively behind the expectations of an information-intensive society and its skilled professions. A new health care system which is more cost-effective, reliable and humanistic is actively sought. Computer technology provides new tools to assist physicians and enhance communication with patients; it sets the stage for a revolution in values and methods in the profession. Small systems like problem-knowledge couplers will proliferate rapidly and link doctors and databases. They will permit more exhaustive diagnostic workups and presentations of all therapeutic choices. More complex software like expert systems require more development before becoming widely available, but they will provide increasingly sophisticated services responsive to specific demands. With these systems, the knowledge of the best experts can be brought to bear on each instance of a health problem. Medical management could be completely transformed with a shift of primary responsibility from the once-omnipotent doctor to the fully informed patient.

Ethics, Ideals, and Dissatisfaction

Previous articleNext article No AccessDiscussionEthics, Ideals, and DissatisfactionC. West ChurchmanC. West Churchman Search for more articles by this author PDFPDF PLUS Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by Ethics Volume 63, Number 1Oct., 1952 Article DOIhttps://doi.org/10.1086/290861 Views: 2Total views on this site Citations: 4Citations are reported from Crossref Copyright 1952 The University of ChicagoPDF download Crossref reports the following articles citing this article:Mike Walsh, Markus G. Kittler, Dawn Mahal Towards a new paradigm of healthcare: Addressing challenges to professional identities through Community Operational Research, European Journal of Operational Research 268, no.33 (Aug 2018): 1125–1133.https://doi.org/10.1016/j.ejor.2017.05.052Arjang A. Assad C. West Churchman, (Feb 2011): 171–200.https://doi.org/10.1007/978-1-4419-6281-2_11Norma R.A. Romm The Social Significance of Churchman’s Epistemological Position, (Jan 2006): 68–92.https://doi.org/10.1007/0-387-27589-4_6Rachel S. Sutton An Analysis of Factors Related to Educational Achievement, The Journal of Genetic Psychology 98, no.22 (Jun 1961): 193–201.https://doi.org/10.1080/00221325.1961.10534369