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Author: Lilia Misane Publisher: ISBN: Category : Languages : en Pages : 164
Book Description
Because of insufficient control of asthma in many patients, the collaboration between healthcare professionals is regarded as a promising strategy to improve asthma outcomes. This study explored views and attitudes of asthma patients in their care pathway, especially regarding collaborative care We conducted a qualitative study based on the interviews of 30 asthma patients aged 18-40 years, recruited in French primary care. We performed a thematic analysis of the data collected, using the NVivo software. According to the patients, the multiple stakeholders potentially involved in asthma management were distributed among those visible to the healthcare professionals (general practitioner, specialist(s), pharmacist, physiotherapist, close circle), those hidden by the patients (complementary and alternative practitioners) and those inexistent (nurse, occupational physician). Asthma management at diagnosis and follow-up phases proved to be unstructured, which was associated with poor patient education. This was favored by patients' ambivalence (in relation to illness and treatments), poor communication between patients and healthcare professionals (lack of listening and inappropriate vocabulary of physicians, unsaid of patients) and weak cooperation between professionals (limited to the couple general practitioner-specialist). Asthma management would probably benefit from a more coordinated care pathway, at each phase of the disease, consistent with the expectations and goals of the patients. It should be based on improved organizations (involvement of other healthcare professionals and the patient as partners) and shared processes (regular follow-up, specific tools).
Author: Lilia Misane Publisher: ISBN: Category : Languages : en Pages : 164
Book Description
Because of insufficient control of asthma in many patients, the collaboration between healthcare professionals is regarded as a promising strategy to improve asthma outcomes. This study explored views and attitudes of asthma patients in their care pathway, especially regarding collaborative care We conducted a qualitative study based on the interviews of 30 asthma patients aged 18-40 years, recruited in French primary care. We performed a thematic analysis of the data collected, using the NVivo software. According to the patients, the multiple stakeholders potentially involved in asthma management were distributed among those visible to the healthcare professionals (general practitioner, specialist(s), pharmacist, physiotherapist, close circle), those hidden by the patients (complementary and alternative practitioners) and those inexistent (nurse, occupational physician). Asthma management at diagnosis and follow-up phases proved to be unstructured, which was associated with poor patient education. This was favored by patients' ambivalence (in relation to illness and treatments), poor communication between patients and healthcare professionals (lack of listening and inappropriate vocabulary of physicians, unsaid of patients) and weak cooperation between professionals (limited to the couple general practitioner-specialist). Asthma management would probably benefit from a more coordinated care pathway, at each phase of the disease, consistent with the expectations and goals of the patients. It should be based on improved organizations (involvement of other healthcare professionals and the patient as partners) and shared processes (regular follow-up, specific tools).
Author: OECD Publisher: OECD Publishing ISBN: 9264805907 Category : Languages : en Pages : 447
Book Description
This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Author: Kian Fan Chung Publisher: European Respiratory Society ISBN: 1849841047 Category : Medical Languages : en Pages : 360
Book Description
Severe asthma is a form of asthma that responds poorly to currently available medication, and its patients represent those with greatest unmet needs. In the last 10 years, substantial progress has been made in terms of understanding some of the mechanisms that drive severe asthma; there have also been concomitant advances in the recognition of specific molecular phenotypes. This ERS Monograph covers all aspects of severe asthma – epidemiology, diagnosis, mechanisms, treatment and management – but has a particular focus on recent understanding of mechanistic heterogeneity based on an analytic approach using various ‘omics platforms applied to clinically well-defined asthma cohorts. How these advances have led to improved management targets is also emphasised. This book brings together the clinical and scientific expertise of those from around the world who are collaborating to solve the problem of severe asthma.
Author: Allan R. Brasier Publisher: Springer Nature ISBN: 3031322592 Category : Medical Languages : en Pages : 416
Book Description
Asthma is a common chronic respiratory disease that causes substantial morbidity and has been challenging to treat due to its heterogeneous onset, environmental triggers, severity, and treatment response. To update the field on the rapid advances in this field, Precision Approaches to Heterogeneity in Asthma follows its highly successful predecessor, Heterogeneity in Asthma. In this new volume, noted authorities Allan R Brasier and Nizar N Jarjour and a cadre of leaders in the field incorporate new work advancing our understanding of phenotypes (endotypes) of disease, regional variations in ventilation, systems approach to analyzing the findings from studies of inducible phenotypes, and emerging results of biomarker-informed clinical trials. This work will facilitate our current understanding of the spectrum of disease etiology, prognosis, and the likelihood of responding to the range of available therapeutic interventions.
Author: Health and Administration Development Group (Aspen Publishers) Publisher: Jones & Bartlett Learning ISBN: 9780834217058 Category : Asthma Languages : en Pages : 250
Book Description
Asthma Management: Clinical Pathways, Guidelines, and Patient Educatio n is a comprehensive disease management program designed to assist cli nicians in diagnosing and effectively controlling asthma. It provides detailed guidelines on all aspects of managing asthma from the initial diagnosis in the clinical examination to the treatment strategy which may include drug therapy and lifestyle modification. This essential r esource also includes easy-to-read patient education handouts, which t each and encourage patients to comply with interventions, while becomi ng active participants in managing their chronic condition.
Author: Francesco Chiappelli Publisher: Springer Science & Business Media ISBN: 3642231446 Category : Medical Languages : en Pages : 199
Book Description
Recent trends in health care across the United States and internationally have emphasized a novel approach that consists in comparing the effectiveness and efficacy of treatment interventions with a patient-centered emphasis (i.e., evidence-based health care), while ensuring cost constraints, maximizing benefits, and minimizing risks. In this book, experts in comparative effectiveness and efficacy research and analysis for practice (CEERAP) in health care in general address a range of topical issues. The emphasis is on implications for endodontics and nursing, both of which are considered in a series of detailed chapters. Commonalities and differences among CEERAP, utility-based and logic-based analysis and decision-making, and evidence-based and patient-centered practice are defined and discussed. The book concludes by examining applications for CEERAP in developing patient-centered optimal treatment interventions for the next decade.
Author: Secretary of State for Health Publisher: The Stationery Office ISBN: 9780101743228 Category : Business & Economics Languages : en Pages : 92
Book Description
This review incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England, and has been developed in discussion with patients, carers and the general public. The changes proposed are locally-led, patient-centred and clinically driven. Chapter 2 identifies the challenges facing the NHS in the 21st century: ever higher expectations; demand driven by demographics as people live longer; health in an age of information and connectivity; the changing nature of disease; advances in treatment; a changing health workplace. Chapter 3 outlines the proposals to deliver high quality care for patients and the public, with an emphasis on helping people to stay healthy, empowering patients, providing the most effective treatments, and keeping patients as safe as possible in healthcare environments. The importance of quality in all aspects of the NHS is reinforced in chapter 4, and must be understood from the perspective of the patient's safety, experience in care received and the effectiveness of that care. Best practice will be widely promoted, with a central role for the National Institute for Health and Clinical Excellence (NICE) in expanding national standards. This will bring clarity to the high standards expected and quality performance will be measured and published. The review outlines the need to put frontline staff in control of this drive for quality (chapter 5), with greater freedom to use their expertise and skill and decision-making to find innovative ways to improve care for patients. Clinical and managerial leadership skills at the local level need further development, and all levels of staff will receive support through education and training (chapter 6). The review recommends the introduction of an NHS Constitution (chapter 7). The final chapter sets out the means of implementation.
Author: Lilia Misane
Author: Lilia Misane
Author: Patricia L. Givens
Author: OECD
Author: Kian Fan Chung
Author: Helena Baxter
Author: Allan R. Brasier
Author: Health and Administration Development Group (Aspen Publishers)
Author: Royal College of Physicians of London
Author: Francesco Chiappelli
Author: Secretary of State for Health