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1

Association, Medical Group Management, ed. Patient care systems. Medical Group Management Association, 2008.

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2

Olsen, Jan Abel. Primary care: paying general practitioners. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198794837.003.0014.

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This chapter discusses the three most widely used remuneration systems for general practitioners (GPs): fee-for-service, capitation, and salary. Each system has its pros and cons, so in practice some sort of blended system would often be chosen. A concern with the fee-for-service system is that it might make doctors provide too many services, that is, supplier-induced demand. Capitation breaks the link between payment and amount of services provided by giving the GP a fixed fee for each patient registered on the list. This system may lead GPs to selectively attract healthy patients and make un
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3

Raving Referrals for Dentists: The Proven Step-By-Step System to Attract Profitable Patients. Spotlight Publishing, 2023.

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4

Raving Referrals for Dentists: The Proven Step-By-Step System to Attract Profitable Patients. Spotlight Publishing, 2023.

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5

Raving Referrals for Dentists: The Proven Step-By-Step System to Attract Profitable Patients. Spotlight Publishing, 2023.

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6

Raving Referrals for Dentists: The Proven Step-By-Step System to Attract Profitable Patients. Spotlight Publishing House, 2023.

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7

Burgart, Alyssa M., and Louise K. Furukawa. Perioperative Care of Patients with Epidermolysis Bullosa. Edited by Kirk Lalwani, Ira Todd Cohen, Ellen Y. Choi, and Vidya T. Raman. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190685157.003.0065.

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Inherited epidermolysis bullosa comprises a group of rare, serious conditions affecting multiple organ systems. While generally referred to as a dermatologic condition, any organ with an epithelial surface is affected, leading to serious extracutaneous manifestations. These have wide-ranging implications for anesthetic management, including airway management, vascular access, skin protection, and effective pain control. A successful and safe patient experience requires thoughtful evaluation, communication with a multidisciplinary team, anesthetic planning, intraoperative management, and postop
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8

Penn, Joseph V. Standards and accreditation for jails, prisons, and juvenile facilities. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0063.

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Numerous challenges confront correctional health staff in serving the needs of incarcerated adults and juveniles. Effective screening, timely referral, and appropriate treatment are critical. Their implementation requires interagency collaboration, adherence to established national standards of care, and implementation of continuous quality improvement practices and research on the health needs of this vulnerable patient population. Effective evaluation and treatment during incarceration meets important public health objectives and helps improve health services and effective transition into th
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9

Huber, Kurt, and Tom Quinn. Systems of care for patients with acute ST elevation myocardial infarction (STEMI networks). Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0042.

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Although primary percutaneous coronary intervention is the preferred strategy for patients with ST elevation myocardial infarction, offering a fast access to this procedure often remains difficult, because of local resources and capabilities and a lack of cooperation and organization. Accordingly, for most countries worldwide, primary percutaneous coronary intervention can be provided for only part of the population. Moreover, not all patients referred for primary percutaneous coronary intervention receive an optimal mechanical reperfusion within the recommended time intervals with the procedu
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10

Huber, Kurt, and Tom Quinn. Systems of care for patients with acute ST elevation myocardial infarction (STEMI networks). Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199687039.003.0042_update_001.

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Although primary percutaneous coronary intervention is the preferred strategy for patients with ST elevation myocardial infarction, offering a fast access to this procedure often remains difficult, because of local resources and capabilities and a lack of cooperation and organization. Accordingly, for most countries worldwide, primary percutaneous coronary intervention can be provided for only part of the population. Moreover, not all patients referred for primary percutaneous coronary intervention receive an optimal mechanical reperfusion within the recommended time intervals with the procedu
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11

Huber, Kurt, and Tom Quinn. Systems of care for patients with acute ST elevation myocardial infarction (STEMI networks). Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199687039.003.0042_update_002.

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Although primary percutaneous coronary intervention is the preferred strategy for patients with ST elevation myocardial infarction, offering a fast access to this procedure often remains difficult, because of local resources and capabilities and a lack of cooperation and organization. Accordingly, for most countries worldwide, primary percutaneous coronary intervention can be provided for only part of the population. Moreover, not all patients referred for primary percutaneous coronary intervention receive an optimal mechanical reperfusion within the recommended time intervals with the procedu
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12

Olsen, Jan Abel. The healthcare delivery system: an overview. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198794837.003.0013.

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This chapter provides an overview of the healthcare delivery system. A figure illustrates how six different parts of the system relate to each other. The primary care level plays a key role in many countries by representing the gate, in which referrals to secondary care are being made. Tertiary care is principally of two types depending on patients’ prognosis: chronic care or rehabilitation. In addition to the three care levels, there are two parts with quite different roles: pharmacies provide pharmaceuticals, and sickness benefit schemes compensate the sick for their income losses. A recurre
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13

Teoh, Eugene, and Michael J. Weston. Computed tomography. Edited by Christopher G. Winearls. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0014.

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Computed tomography (CT) has increased in use exponentially for the assessment of patients with renal tract pathology. This has been promoted by the availability of multidetector thin-slice CT so that intravenous urography has been superseded by CT urography. The latter may be considered as a ‘one-stop’ imaging investigation for haematuria, with increased detection of both urinary tract cancers and urolithiasis. Multiplanar reformats are made possible with the use of thin slices, allowing clear delineation of other pathologies such as urinary tract injury. In the transplant recipient, protocol
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14

Scheuner, Maren T., Marcia Russell, Jane Peredo, Alison B. Hamilton, and Elizabeth M. Yano. Implementing Lynch Syndrome Screening in the Veterans Health Administration. Edited by David A. Chambers, Wynne E. Norton, and Cynthia A. Vinson. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190647421.003.0024.

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Lynch syndrome (LS) is the most common hereditary colorectal cancer (CRC) syndrome. Diagnosis of LS has important clinical implications for CRC patients and their family members. LS screening in tumor tissue is possible, and screen-positive cases are referred for diagnostic testing. This case study describes how implementation science informed a population-based LS screening program in the Veterans Health Administration (VHA), the largest integrated health care delivery system in the United States. Successful implementation strategies relied on the organizational structures and processes chara
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15

DeAugustinas, M., and A. Kiely. Endophthalmitis. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199976805.003.0017.

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Endophthalmitis refers to inflammation of both the anterior and posterior intraocular chambers and their structures. This vision-threatening condition occurs in three principal scenarios: penetrating ocular trauma, after intraocular surgery, and in systemically infected (often immunocompromised) patients. Endophthalmitis presents with marked intraocular inflammation, often with hypopyon. Patients report pain and significant vision loss out of proportion to typical post-operative complaints. It is distinguished from uveitis by both history and slit lamp examination. Endophthalmitis is an ophtha
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16

Barakat, Amin Y., and Russell W. Chesney, eds. Pediatric Nephrology for Primary Care. American Academy of Pediatrics, 2008. http://dx.doi.org/10.1542/9781581104356.

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This clinical resource is purpose-built to help primary caregivers take a lead role in diagnosis, evaluation, and treatment of diverse pediatric kidney diseases. Diagnose and manage renal diseases with confidence. The resource book has clear, concise overviews of the full range of renal conditions you're likely to encounter; evidence-based discussion of each condition's clinical course, pathogenesis, and etiology; expert management recommendations and valuable clinical pearls, tables, algorithms, and clinical calculators to help with differential diagnosis and patient workups; advice on when t
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17

Hain, Richard D. W., and Satbir Singh Jassal. Malignant diseases. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198745457.003.0016.

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With respect to palliative medicine, malignant diseases can be considered in three broad groups: haemopoietic malignancies, central nervous system tumours, and other solid tumours. The likelihood of needing referral for specialist palliative medicine is influenced by prognosis, as well as by incidence, and therefore change as outcomes improve. This chapter includes an easy-to-assimilate list of the commonest symptoms experienced by children with cancer, broken down by incidence. A detailed examination of the interface between oncology and palliative care is provided, with discussion of the pri
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18

Kahn, S. Lowell. Creation of a Steerable Coaxial Needle System for Indirect Line-of-Site Computed Tomography-Guided Procedures. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0098.

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A standard computed tomography (CT)-guided biopsy, aspiration, injection, or drainage procedure typically requires a direct line of access from the skin to the target lesion or collection. Safe performance of these procedures is ideally done without violation of vascular structures or solid or hollow viscous. When a direct pathway to the target is absent, patients are commonly denied the procedure and instead referred to surgery. This chapter describes a solution for CT-guided procedures when a direct line of access to the intended target is unavailable. The technique involves a coaxial needle
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19

Winearls, Christopher G. Presentations of renal disease. Edited by Christopher G. Winearls. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0003.

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Patients are referred to nephrologists either because they are found incidentally to have clinical or laboratory abnormalities that may point to renal disease, or they have an illness that is likely to be caused by renal disease, or in the case of systemic disorders known to be complicated by renal injury. An overview of these presentations is given.
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20

Orellana, Renán A., and Jorge A. Coss-Bu. Nutrition and Gastrointestinal Emergencies. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199918027.003.0014.

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Appropriate nutrition must be tailored to the specific needs of individual patients. Needs depend on the child’s baseline nutritional status, the severity of disease, and specific organ dysfunction. Enteral nutrition is preferable whenever possible. Parenteral nutrition may be necessary when efforts to supply adequate nutrition enterally are contraindicated or unsuccessful. Patients with symptoms of acute abdomen require prompt recognition of surgical and nonsurgical disorders. Upper gastrointestinal hemorrhage may require transfusion of blood products, vasoactive drug infusion to minimize ong
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21

Olsen, Jan Abel. Funding sources: an overview. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198794837.003.0009.

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This chapter provides an overview of alternative funding sources. It starts with the ‘three-party model’ to illustrate the money flows between households, providers, and purchasers, that is, government and private insurance as the third-party payers. The chapter distinguishes four funding sources which in sum will represent the total budget for possible healthcare expenditures: (1) patient payments (commonly referred to as ‘out-of-pocket’ payments); (2) private health insurance; (3) tax funding, including social insurance systems with payroll contributions; and (4) donations. These four source
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22

DeAugustinas, M., and A. Kiely. Periocular Infections. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199976805.003.0015.

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Periocular Infections occur when there is inflammation of the conjunctiva. Uncomplicated viral infections can usually be managed with careful hand hygiene and lubrication of the eye with artificial tears. More severe infections are notable for purulent discharge, membrane formation, and scarring, and can lead to corneal change. For suspected bacterial conjunctivitis, empiric therapy begins with broad spectrum antibiotic eye drops or ointment, which are supplemented with oral antibiotics in cases associated with pharyngitis and in children with H. influenzae infection. For gonococcal conjunctiv
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23

Chamberlain, Marc C., Stephanie E. Combs, and Soichiro Shibui. Neoplastic meningitis: metastases to the leptomeninges and cerebrospinal fluid. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199651870.003.0021.

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Carcinomatous meningitis or meningeal carcinomatosis is a term that defines leptomeningeal metastases arising as a result of metastases from systemic solid cancers. Similarly, lymphomatous and leukaemic meningitis result from cerebrospinal fluid dissemination of lymphoma or leukaemia. All three entities are commonly referred to as neoplastic meningitis or leptomeningeal metastases due to involvement of both the cerebrospinal fluid compartment as well as the leptomeninges comprised of the pia and arachnoid. Treatment options are limited for these neurological complications and outcomes are gene
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24

Keshav, Satish, and Alexandra Kent. Chronic diarrhoea. Edited by Patrick Davey and David Sprigings. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199568741.003.0029.

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Four to five per cent of the Western population suffers from chronic diarrhoea (defined as the passage of >3 stools per day, for >4 weeks), with irritable bowel syndrome (IBS) being the commonest cause in 20–40-year-old patients. It is the commonest reason for referral to secondary care gastroenterology clinics. The list of possible causes of chronic diarrhoea is long but, in the absence of rectal bleeding, loss of weight, or abnormal blood tests, it is unlikely to be due to a serious illness. Laboratory investigations should include serum glucose, electrolytes, renal and liver tests, fu
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25

Lowdermilk, Elizabeth, Nicole Joseph, and Robert E. Feinstein. The Treatment of Schizophrenia Spectrum and Other Psychotic Disorders in Integrated Primary Care. Edited by Robert E. Feinstein, Joseph V. Connelly, and Marilyn S. Feinstein. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190276201.003.0013.

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Many patients with psychotic disorders, for systemic and personal reasons, are treated in primary care, even though there currently are no evidence-based integrated care models supporting this practice. This chapter describes the screening and salient clinical features of schizophrenia and psychotic disorders, management of emergencies, the biopsychosocial-cultural evaluation, differential diagnosis (medical and psychiatric), and medications and other treatments that can be delivered by an integrated multidisciplinary team. Psychiatric specialty services are also described, so that primary car
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26

Rainville, Pierre. A signature of pain in the brain. Edited by Paul Farquhar-Smith, Pierre Beaulieu, and Sian Jagger. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198834359.003.0029.

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The discovery of pain biomarkers has profound implications for both pharmacology and neurobiology; in 2013, in the landmark paper discussed in this chapter, Wager et al. presented a neurologic signature of pain based on human brain imaging performed in healthy individuals administered experimental heat-pain stimuli. Using advanced analytic methods based on machine learning and multivariate pattern analysis, Wagner et al. provide very convincing support for the idea that pain is encoded in a distinctive pattern of brain activity in one or several brain areas typically referred to as the ‘pain m
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27

Oliver, Nora, and Elizabeth Chiao. Malignant Diseases in HIV. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190493097.003.0033.

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Malignancies were one of the earliest recognized manifestations that led to the eventual description of the AIDS epidemic. Kaposi’s sarcoma was one of the first entities described in association with AIDS. Subsequently, intermediate-grade and high-grade non-Hodgkin’s lymphoma, invasive cervical cancer, and primary central nervous system lymphoma were defined by the Centers for Disease Control and Prevention as “AIDS-defining conditions.” Since the advent of combination antiretroviral therapy, several other cancers that are not AIDS-defining have been found to have an increased incidence in pat
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28

Jefferis, Helen, and Natalia Price. Urogynaecology. Edited by Sally Collins. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198829065.001.0001.

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Urogynaecological problems are one of the most common reasons that women are referred to the hospital services, and can account for up to a fifth of the gynaecological surgery waiting list at any time. Pelvic floor problems can have a huge impact on the patient’s quality of life, and therefore should be managed appropriately. Succinct yet comprehensive, this new addition to the Oxford Specialist Handbooks in Obstetrics and Gynaecology series covers all aspects of pelvic floor function and dysfunction, and approaches to assessment and management in all compartments (the bladder, reproductive sy
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29

Dasgupta, Bhaskar. Polymyalgia rheumatica. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199642489.003.0134.

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This chapter reviews advances in pathogenesis; European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) classification criteria with clinical, laboratory, and ultrasound criteria for classification as polymyalgia rheumatica (PMR); the heterogeneity and overlap between PMR, inflammatory arthritis, and large-vessel vasculitis as illustrated by representative cases; recent guidelines on early and correct recognition, investigations, and management of PMR; the scope of disease-modifying agents; socio-economic impact, outcomes, and patient experience in PMR. It also discusses
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30

Robinson, Max, Keith Hunter, Michael Pemberton, and Philip Sloan. Soames' & Southam's Oral Pathology. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780199697786.001.0001.

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A sound understanding of clinical oral pathology is essential if a dental clinician is to navigate successfully through clinical guidelines, make timely referrals to specialists, and provide good care for patients. This new edition of Soames' & Southam's Oral Pathology provides a clear and friendly guide for students, practitioners, and the whole dental team. Thoroughly updated for today's clinical practice, this textbook covers 'must-know' oral pathology and integrates key aspects of oral medicine. It begins by explaining the principles of clinical assessment, the synthesis of a different
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31

McShane, Tony, Peter Clayton, Michael Donaghy, and Robert Surtees. Neurometabolic disorders. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780198569381.003.0213.

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Various disorders result from genetically determined abnormalities of enzymes, the metabolic consequences of which affect the development or functioning of the nervous system. The range of metabolic disturbances is wide, as is the resultant range of clinical syndromes. Although most occur in children, some can present in adult life, and increasing numbers of affected children survive into adult life. In some, specific treatments are possible or are being developed. The last 20 years has seen a considerable expansion in our understanding of the genetic and metabolic basis for many neurological
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