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Results for “Health Plan Implementation”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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At least 1,603 records · Page 89Linked to original sources
PubMed2006

The value of reality orientation with older adults who are mentally III: a study from the Republic of Ireland.

The goal of this study is to bring to the fore information that provides greater insight into the value of Reality Orientation (RO) in caring for older adults. More particularly, the author conducted this study for two reasons. First, he observed a tendency for himself and his colleagues to use RO in caring for older adults with mental illness, and second, there exists a paucity of recent research-based literature related to RO. The majority of research articles reviewed were quite old, originating in the late 1970s to early 1980s (e.g., Brook, Degun, and Mather [1975]; Zepelin, Wolfe, and Kleinplatz [1981]). Finally, this article focuses on how nurses perceived RO within an elderly mental health care setting within the Republic of Ireland.

Aged↗
PubMedDate not supplied

Assessing the structure of smoking cessation care in the Veterans Health Administration.

PURPOSE: National smoking cessation practice guidelines offer recommendations regarding the processes and structure of care. Facilities routinely measure the processes of care but not the structure of care. This pilot study assessed the structure of smoking cessation care at Veterans Health Administration facilities. METHODS: Key informants at 18 sites completed a brief checklist survey adapted from national smoking cessation guidelines. Responses were compared with detailed site surveys. RESULTS: Guideline adherence was seen in identifying smokers and treating inpatient smokers. Areas of low adherence include offering incentives and defining staff responsibilities. The checklist survey showed poor correspondence with the detailed survey, with low agreement on systematic screening (kappa = .21) and higher agreement on primary care prescribing authority (kappa = .53). DISCUSSION: This pilot survey provides a potential rapid method for assessing adherence to systems recommendations from the national smoking cessation guidelines. The relatively low agreement with a more detailed survey suggests that the two surveys may have been measuring different aspects of smoking cessation care.

Ambulatory Care Facilities↗
PubMed2004

Selecting, presenting and delivering clinical guidelines: are there any "magic bullets"?

There are internationally agreed optimal methods for developing clinical practice guidelines. The quality of published guidelines varies. A validated assessment instrument should be used to identify well developed guidelines that can be used with confidence. There are multiple ways of presenting guidelines, including computerised systems. Computerisation of guidelines can cover a range of formats, from brief prompts through to complex decision-support systems. Integrating guidelines into computerised reminder systems has been shown to be effective in improving patient care, but there is less evidence to support the effectiveness of guidelines integrated into computerised decision-support systems.

Australia↗
PubMedDate not supplied

Clinical audit in practice.

Clinical audit exists to improve the quality of patient care and clinical practice. The authors state that, given the necessary time and resources, nurses can confidently audit their practice. The article also discusses the differences between audit and research and outlines some of the steps to ensure a successful audit.

Clinical Nursing Research↗
PubMed1994

Resident participation in the Better Beginnings, Better Futures prevention project: Part I--The impacts of involvement.

What impact does the involvement of community residents in developing prevention programs have on the residents themselves, the programs they help to create, and the communities in which they live? The research literature suggests that resident involvement in program decision making can enhance residents' sense of control or empowerment, improve programs and services, and provide a better match between the needs of the community and the kinds of services provided. Much of this literature, however, has focused on relatively few of the benefits and costs that residents can experience as a result of their involvement. The investigation reported in this paper utilized a qualitative research methodology to discover the outcomes, both positive and negative, that residents derive from their involvement. Prevention programs operating in seven Ontario communities under the auspices of the Better Beginnings, Better Futures primary prevention initiative are featured in the discussion.

Affective Symptoms↗
PubMed1994

Community-based action research in a multi-site prevention project: challenges and resolutions.

This article examines the use of action research strategies over a four-year period in developing and evaluating a prevention program for children and their families. This research has taken place in a low-income multi-cultural neighbourhood in Sudbury. Strategies to foster participation and the practical relevance of findings are described, both for the initial proposal development stage, and for the period after a local program was funded as part of a multi-site evaluation project. After reviewing the challenges inherent in doing action research within a multicultural neighbourhood, and within a multi-site design, we discuss which strategies have worked, and what remains to be resolved.

Affective Symptoms↗
PubMed1991

Putting your strategic plan into effect.

Everyone has huddled over it for months, and now it's a can't-miss strategy for your hospital. Or is it? To find out whether the facility is ready for it, do an "organizational diagnostic" as explained by Gerald McManis in Modern Healthcare's first Managing feature for administrators.

Health Plan Implementation↗
PubMed1993

Recommendations for an object oriented healthcare information model.

The need for a healthcare information model as a component in a framework of standards for healthcare data interchange is identified. Key requirements for a method to support development of a healthcare information model are defined and recommendations for development of an Object Oriented Healthcare Information Model are presented.

Computer Communication Networks↗
PubMed1997

Telehealth in Africa.

This paper deals with the developments of the project "Telehealth in Africa", to establish a link between more European reference Hospital Centers and some African Hospital Centers, connected with Peripheral Units of Assistance, to transmit and receive health diagnostic images, etc. The project has been developed by the European Collaboration Group for Telemedicine in developing countries which was created in collaboration with ITU (International Telecommunication Union). A demonstration of telehealth from Milan (Italy), Toulouse (France), to Abidjan (Ivory Coast, Africa) and Midrand (South Africa) proves that it is possible for a diverse group of intergovernmental organizations, non-governmental organizations and the private sector to work together for the benefit of all participants and, most of all, for developing countries.

Africa↗