Goals and strategies for improving dental care in the nursing home: Part Two.
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The objective of the ENN-European Neurologic Network project is to improve knowledge and treatment of sleep disorders, headache and epilepsy. The means to obtain this objective shall be certain software to be distributed to the appropriate users in the medical field and the collection of relevant cases, in order to set up a neurological database. It is intended that the distribution of the above mentioned software and access to the database, will be able to finance research projects in the neurological field. The outcome of the EU funded project have been six prototypes, which need further work in order to establish a system of compatible and linked products. A particular emphasis of this work should be put on making the products as process oriented as possible. At the time being there are already products available in the market, which would be competing with particular ENN prototypes, but there is no set of compatible and linked products, which would be comparable with the intended set of ENN neurological tools. Such set of tools therefore could be a unique selling proposition. Intellectual property rights and legal implications have to be taken into consideration for the marketing of the ENN products. It has to be made sure, that no third party can assert violation of its IPRs and that, a protection of the products can be attained by appropriate application for IPRs. In the legal field in particular the prescriptions of data protection legislation have to be observed e.g. by obtaining the written consent of patients, whose cases are reported. The marketing concept should be set up as a short-term, middle-term, long-term strategy. The short-term strategy should concentrate on carrying out a market validation study at European level and simultaneously the development from prototype to products. The middle-term strategy should be directed towards the market introduction of the ENN products in Europe. The long-term strategy should comprise marketing of the products in all potential markets worldwide. It is very important to create an ENN brand, which means a common label, a common layout and a common user interface.
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The following paper presents an argument for enhancing and encouraging the development of neighborhood-based disaster preparedness organizations, particularly as a potential medical triage and treatment resource following a disaster. First, the research context for the utility of non-institutional sources of post-diaster assistance is outlined, followed by the more specific instance of medical triage and treatment. An emerging model of community disaster preparedness training is described, noting the modules that address disaster medicine. Positive contributions and limitations are addressed looking to disaster and non-disaster experiences. While the potential for non-traditional resources to aid immediate post-disaster response is becoming both more common and more accepted, there are a number of recommendations that would improve the usefulness and value, including: 1) integration with existing emergency care infrastructure; 2) standardization of training; 3) use of coordinated drills between public safety organizations, hospitals, and voluntary sectors; and 4) dedication of more funding to assist in the creation and maintenance of programs. Because of the relative infancy of these community-based programs, and the infrequency of large-scale disasters, there is little, if any, pre-post research that can demonstrate a measured impact on response. More pre-disaster baseline data-gathering efforts are needed, combined with post-disaster evaluative research to understand the utility of these non-traditional resources in terms of overall response, and in particular the ability to assist in areas of disaster medicine practice. One also expects that under these kinds of [disaster] conditions, family members, fellow employees, and neighbors will spontaneously try to help each other. This was the case following the Mexico City earthquake where untrained, spontaneous volunteers saved 800 people. However, 100 people lost their lives while attempting to save others. This is a high price to pay and is preventable through training.
This paper explores the clinical changes that occurred following the introduction of casemix in Australia and more importantly how casemix classification systems and methodologies were influenced by clinicians. It highlights some of the important milestones, major events and key processes that were associated with the diffusion of Diagnosis Related Groups. Clinical leadership was critical. This was achieved through the combined activities of clinicians working through various national committees and organisations including the Australian Casemix Clinical Committee, the National Centre for Classification in Health, the various Commonwealth and State health departments and the respective specialist colleges and associations. These combined activities delivered a clinically meaningful, state-of-the-art casemix classification underpinned by a coding and data collection system that is both sophisticated in terms of its ability to meet the needs of practicing clinicians as well as being technologically advanced.
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This article provides an overview of important findings and discussion from the XIIIth International AIDS Conference held in Durban, South Africa, July 2000. It addresses global epidemiology, the sociopolitical impact of HIV disease, newer strategies to combat disease including medications and microbicides, advances laying the groundwork for vaccine development, and concerns about the economics of care. It highlights the need to recognize the complexity of the threat to the well-being of the entire global village posed by this epidemic.
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