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Academic literature on the topic 'Private Diagnostic Clinic'
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Journal articles on the topic "Private Diagnostic Clinic"
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Jensen, A., G. J. Mikkelsen, M. Vestergaard, E. Lynge, and I. Vejborg. "Compliance with european guidelines for diagnostic mammography in a decentralized health‐care setting." Acta Radiologica 46, no. 2 (2005): 140–47. http://dx.doi.org/10.1080/02841850510015929.
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Purpose: To evaluate the compliance of Danish mammography clinics with requirements concerning organization, activity volume, and assessment procedures from two European guidelines for quality assurance in diagnostic mammography (EUSOMA and EUREF). Material and Methods: We used individual records on all diagnostic mammographies performed in Denmark in 2000, and questionnaires given to Danish mammography clinics in 2000, 2002, and 2004. Results: The study showed a marked centralization of the diagnostic activity from 2000 to 2004 to a smaller number of public breast assessment centers with full multidisciplinary breast assessment. However, a relatively large number of these centers did not comply with the activity volume requirement of 2000 mammograms per clinic per year. The number of private diagnostic mammography clinics performing basic diagnostic mammography has remained fairly stable in the period 2000 to 2004. Compared with public breast assessment centers, the private diagnostic mammography clinics had a lower compliance with activity volume requirements. Conclusion: A marked proportion of Danish public breast assessment centers operate with less than optimal activity volume, suggesting that further centralization would be appropriate. The situation in private diagnostic mammography clinics may cause concern, as our study showed that the majority of these clinics did not meet the activity volume requirements.
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Sreedharan, S., A. Hoi, N. Li, et al. "POS0753 SUBSPECIALTY LUPUS CLINIC CARE IS ASSOCIATED WITH HIGHER QUALITY FOR PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS." Annals of the Rheumatic Diseases 80, Suppl 1 (2021): 629.1–629. http://dx.doi.org/10.1136/annrheumdis-2021-eular.2760.
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Background:Healthcare quality for systemic lupus erythematosus (SLE) is a modifiable target for improving patient outcomes. Disease-specific subspecialty clinics offer experienced healthcare professionals, collaborative multidisciplinary teams and streamlined care processes. A single centre study in the USA has suggested superior performance of the subspecialty lupus clinic in the provision of quality care (1), but this has not been examined outside the USA where access to care may be influential.Objectives:To assess the quality of SLE care provided in a subspecialty lupus clinic compared with hospital general rheumatology and private rheumatology clinics in a non-US, universal healthcare setting.Methods:Lupus patients (n = 258) were recruited in 2016 from various clinic settings in Australia, including a subspecialty lupus clinic (n = 147), two hospital general rheumatology clinics (n = 56) and two private clinics (n = 55). Quality of care was assessed using 31 validated SLE quality indicators (QI) encompassing diagnostic work-up, disease and comorbidities assessment, drug monitoring, preventative care and reproductive health (2,3). Data were collected from medical records and patient questionnaires. Overall and individual QI performance was calculated and compared between the three clinic settings, and multivariable regression was performed to adjust for sociodemographic, disease and healthcare factors.Results:Median [IQR] overall performance on eligible QIs was higher in the lupus clinic (66.7% [16.9]) than the hospital general rheumatology (52.7% [10.6]) and private rheumatology (50.00% [18.0]) clinics (p <0.01), and remained significant with multivariable adjustment. This trend was still observed when the overall performance was reassessed to include patient self-report (73.1% [14.8] vs 68.1% [11.5] vs 63.2% [13.4], p <0.01). This difference may be due to consistent formal assessments of disease activity (100% vs 0% vs 0%, p <0.01) and disease damage (95.9% vs 0% vs 0%, p <0.01) at the lupus clinic. Performance was high across all clinic settings for diagnostic work-up, comorbidity assessment, drug monitoring, prednisolone taper, osteoporosis management, lupus nephritis and pregnancy quality indicators. However, the lupus clinic significantly outperformed the other clinic settings on eligible quality indicators for new medication counselling, pre-immunosuppression hepatitis and tuberculosis screening, drug toxicity assessment, sun avoidance education, vaccinations, cardiovascular risk factor assessment and contraception counselling.Conclusion:SLE patients managed in a subspecialty lupus clinic received higher overall quality of care when compared to hospital general rheumatology and private rheumatology clinics. Regular assessment of QI performance can improve quality of care for patients in all clinic settings.References:[1]Arora, S et al. Does Systemic Lupus Erythematosus Care Provided in a Lupus Clinic Result in Higher Quality of Care Than That Provided in a General Rheumatology Clinic? Arthritis Care Res. 2018;70(12):1771-1777.[2]Mosca, M et al. Development of quality indicators to evaluate the monitoring of SLE patients in routine clinical practice. Autoimmune Rev. 2011;10(7):383-8.[3]Yazdany, J et al. A quality indicator set for systemic lupus erythematosus. Arthritis Rheum. 2009;61(3):370-7.Disclosure of Interests:None declared
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Бережков, D. Berezhkov, Москвичева, and M. Moskvicheva. "The Improvement of Quality and Efficiency of Diagnostic Researches in the Private Medical Centre." Journal of New Medical Technologies. eJournal 8, no. 1 (2014): 1–3. http://dx.doi.org/10.12737/5758.
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In this article the authors consider the development of diagnostic aid in an ultrasound department of a private medical centre and assess the efficiency of organizing technologies. In improving diagnostic care in private health institutions, availability of ultrasound diagnostics for patients, the possibility of acquisition of innovative equipment, further development and increase of professionalism of beam diagnostics is playing a significant role. The authors note an improvement of internal communication division, the increase of results of activity of specialists, motivate employees to achieve the end results, increase of volumes of diagnostic services at high quality of medical services. The quality management system of medical care is based on the prevention of mistakes and defects in the work of monitoring and self-monitoring of the work of doctors - diagnosticians. To increase the number of equipment units doesn’t enough to increase the impact of modern methods of ultrasonic diagnostics. It is necessary to maintain the proper technical condition of equipment, to use it more intensively and to improve training of specialists. The process of forming and perfection of organizational technologies, aimed at continuous improvement of quality and availability of diagnostic examination, undoubtedly increases competitive position of a clinic on the market of medical services that is proved by the positive dynamics of the analyzed period.
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David AKA, N’da Angbeletchi, Kalou Dibert Zika, Gonat Serge Pacôme Dou, et al. "Pediatric Cutaneous Leishmaniasis in a Private Clinic of Abidjan, Ivory Coast: A Case Report." Open Parasitology Journal 9, no. 1 (2021): 1–4. http://dx.doi.org/10.2174/1874421402109010001.
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Introduction: Cutaneous Leishmaniasis (CL) is a zoonotic disease with global distribution, especially in underdeveloped countries. This parasitic disease is caused by the bite of an infected sandfly. Case Report: We report here the first case of cutaneous leishmaniasis discovered incidentally in an 11-year-old child in a private clinic. He is a primarian boy who had a wound located on his left leg. On questioning, we ascertained that the wound was not the first one and had been present for about 2 months. The cutaneous lesion was painless but itchy. The location, the crateriform appearance, and the chronic nature of the wound led us to suspect a case of cutaneous leishmaniasis. Methods: Microscopic examination of cutaneous exsudation’s smears of lesions revealed amastigote forms of leishmania, confirming our diagnostic hypothesis. The child was placed under Imidazole-based treatment associate cloxacilline. The child also received local gentamycin-based dressings. Results: The child was cured after one month. The diagnostic issues of cutaneous leishmaniasis constitute a great challenge for practitioners in endemic zone. Also, a systematic differential diagnostic should be required in the face of chronic wounds. Conclusion: The integration of the screening and management of cutaneous leishmaniasis against Buruli ulcer are eagerly waited as a future work.
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Chopchik, V. D. "PUBLIC-PRIVATE PARTNERSHIP TOWARD THE DEVELOPMENT OF UNIVERSITY CLINICS." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 20, no. 1 (2020): 181–85. http://dx.doi.org/10.31718/2077-1096.20.1.181.
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The article summarizes the main shortcomings in the functioning of university clinics, including inadequate material and technical equipment, the lack of up-to-date diagnostic and treatment technologies, low salary for medical personnel and scientific staff, students’ insufficient practical training. All these issues necessitate the search for more effective forms of establishing university clinics, and, in particular, on the principles of public-private partnership (PPP).
 It has been shown that one of the possible ways to develop university clinics is implementing private-public partnership (PPP) that can provide a number of advantages compared with purely public administration: private investment, development of innovative areas, ensuring economic stability, the influx of highly qualified personnel, providing high-quality medical care, ensuring profitability for enterprises etc.
 The article provides the methodological approaches to elaborating the model of PPP establishing based on PPP principles. Within the methodological approaches, the key stages of the establishment and development of university clinics and their management have been identified. These stages enable to monitor the implementation of the strategies for developing university clinics and to make adjustments it in accordance with environmental conditions.
 The methodological approaches presented in the article are summed up as a set of methods for investigating the possibilities and prospects of improving public and private business to solve a difficult practical task – to organize a modern university dental clinic based on PPP principles. The methodology of creating this model is an important prerequisite for organizing the model and serves as the basis for forming a modern management company, a legally independent high-technology clinical dental base of the university, and system of professional personnel training.
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Knight, Rod Eric, Cathy Chabot, Anna Carson, et al. "Qualitative analysis of the experiences of gay, bisexual and other men who have sex with men who use GetCheckedOnline.com: a comprehensive internet-based diagnostic service for HIV and other STIs." Sexually Transmitted Infections 95, no. 2 (2019): 145–50. http://dx.doi.org/10.1136/sextrans-2018-053645.
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ObjectivesTo describe the factors that influence gay, bisexual and other men who have sex with men’s (gbMSM) experiences with GetCheckedOnline.com (GCO) in British Columbia (BC), Canada. GCO clients complete an internet-based risk assessment and print a laboratory test requisition form for HIV and other STIs to take to a private laboratory for diagnostic services.MethodsDrawing on a purposive stratified sampling framework, we conducted 37 in-depth semistructured interviews with gbMSM who had used GCO at least once between 2015 and 2017.ResultsParticipants expressed a preference for GCO (instead of clinic-based testing) because of convenience, privacy and control over specimen collection (specifically with doing one’s own throat or anal swab). Participants preferred receiving their results online via GCO compared with phone or email follow-up by clinic staff. GCO was viewed positively because it offers gbMSM living outside of urban city centres easy access to diagnostic services, including access to pooled nucleic acid amplification testing. Many participants also continued to positively view the clinic-based services available for gbMSM in their community. These services were frequently described as highly competent, tailored and comprehensive in responding to more complex needs. For example, attending a clinic was viewed as preferential to GCO in instances where there was a desire to access services addressing co-occurring health issues (eg, mental health; substance use disorders). Almost all of the participants anticipated using both GCO and clinic-based services in the future.ConclusionsgbMSM report positive experiences and perceptions of GCO; however, they do not view GCO as a panacea. The results of this study point to the need to ensure that a wide range of integrated service options (eg, online; clinic-based) are available to address the range of sexual health needs of gbMSM living in BC's diverse settings.
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Tumbinskaya, Lidia V., Olga V. Yashchina, and Marina Yu Gerasimenko. "Analysis of medical records in a specialized osteopathic clinic in Moscow." Russian Journal of Physiotherapy, Balneology and Rehabilitation 18, no. 1 (2019): 28–32. http://dx.doi.org/10.17816/1681-3456-2019-18-1-28-32.
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Introduction. In clinics, hospitals, public and private hospitals, it is necessary to ensure that documentation meets all the requirements of the industry regulator. Registration, maintenance, systematization, storage of medical documentation is a specific and difficult task, it serves as a means of proving the conduct of medical, diagnostic and other specialized procedures. Medical documents serve as a tool for monitoring the quality of medical services provided, confirming the fact of assistance and revealing its essence.
 The goal is to conduct internal quality control of medical documentation and develop a set of measures to improve quality control of medical care.
 Methods. The research uses statistical methods of data processing (calculation of shares, average) and analysis of literature data .
 Conclusion. As one of the main indicators of the effectiveness of the chief physician, it is necessary to consider quality control of medical documentation, the most complete registration of it by specialists of the clinic and regular training of clinicians.
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Aregbeshola, Bolaji Samson, and Samina Mohsin Khan. "Impact of health facilities on malaria control interventions among children under five years of age and pregnant women in Nigeria." South East Asia Journal of Public Health 7, no. 1 (2017): 35–41. http://dx.doi.org/10.3329/seajph.v7i1.34677.
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Malaria is still one of the biggest public health problems in Nigeria in spite of numerous control interventions against the disease as well as access to and availability of medicines to address it. The children under five years of age and pregnant women are household members that are most at risk of this disease. The study aims to examine the impact of health facilities on malaria control interventions. Secondary data from Nigeria Demographic and Health Survey 2013 was utilized to investigate the impact of type of health facility visited on malaria control interventions. Variables on malaria control interventions such as malaria prevention in pregnancy, antimalarial drugs and rapid diagnostic testing were analysed. Chi square analysis was used to test for association between variables at 0.05 level of significance. The number of dose of Intermittent Preventive Treatment in Pregnancy (IPTp) taken during pregnancy was associated with private hospital/clinic, government health post and government hospital. The type of antimalarial drug used was associated with the type of health facility visited by children under 5 years. Rapid diagnostic tests (RDTs) for children under 5 years of age was associated with government hospital, government health centre, private hospital/clinic, chemist/patent medicine store and other private medical sector. Our study concludes that the type of health facility visited has an impact on malaria control interventions in Nigeria. There is a need for political actors and policy makers to improve the standard of health care facilities across the country in order to engender the provision of adequate health service delivery to the children under 5 years of age and pregnant women.South East Asia Journal of Public Health Vol.7(1) 2017: 35-41
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Sawase, G. B., S. M. Achrya, and R. R. Shinde. "A cross sectional study to assess the diagnostic and management practices of general practitioners regarding tuberculosis in an urban slum of Mumbai, Maharashtra." International Journal Of Community Medicine And Public Health 4, no. 7 (2017): 2548. http://dx.doi.org/10.18203/2394-6040.ijcmph20172857.
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Background: India has large and growing private medical sector and it is observed that Private Practitioners are generally the first point of contact for significant proportion of patients with tuberculosis. Hence the present study was carried out to assess the diagnostic and management practices for tuberculosis among the private practitioners in an urban slum area. Methods: A cross sectional study was conducted in the field practice area of Urban Health Centre attached to the teaching hospital and medical college. A total of 76 Private Practitioners practising in the field practice area were contacted, explained the purpose and benefits of the study, 67 private practitioners gave consent for involvement in the study. A semi structured and pretested questionnaire was used to interview the private practitioners. Data was analyzed by using SPSS software version 17.0. Results: Among 67 Private Practitioners in the area only 19 (28.4%) doctors mentioned that they diagnose TB patients in their clinic and start the diagnosed TB patients on treatment. Persistent cough (97%), fever (86.5%), weight loss (58.2%) were the most common symptoms of TB identified by these doctors. The mean duration for suspecting TB mentioned was 3.79 weeks. Chest x-ray was the most common (85.1%) investigation advised. HRZE was the drug regimen of choice whereas few doctors gave various anti-TB drugs including 2nd line drugs like kanamycin, PAS, cycloserine to their patients. Conclusions: In present study showed majority of the private practitioners are neither updated nor very particular about the diagnosis and correct regimen of anti TB therapy. A few doctors also used 2nd line anti-TB drugs drugs like kanamycin, PAS, cycloserine to their patients which shows the likely irrational use of the few available anti-tuberculosis drugs, which may favour the emergence and spread of drug resistance.
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Tenytska, Tetiana, Iuliia Myroshnychenko, and Ekaterine Lomia. "Conflict management system in health care." Health Economics and Management Review 1, no. 2 (2020): 61–69. http://dx.doi.org/10.21272/hem.2020.2-07.
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This article provides ways to improve the conflict management system in health care based on analyzing the causes of conflicts in a private medical institution. The authors considered the healthcare delivery process in the triad «health worker – patient – society». The study involved analyzing conflict causes in the health care system in the relationship between «health worker – patient» and «health worker – health worker». To determine the conflict causes in private medical institutions and ways to minimize them, the authors used questionnaire data collection, interviewing technique, data analysis, and graphic approach. The study object is medical staff and patients of SILMED Diagnostic Medical Center in Ukraine. The findings identified the main problems in the organization of the conflict management system. Therefore, the essence of conflict situations arising in a medical institution was determined. The obtained results allowed formulating proposals to improve the conflict management system of the private medical institution. Thus, the authors emphasized that the conflict management system in private medicine should minimize the probability of conflict, focus on the treatment quality and the service price. Besides, it should include the development of moral codes for doctors in private medical institutions. The authors noted that to reduce conflict in the relationship «medical worker – medical worker», conflict prevention is more effective than constructive resolution. Thus, conflict prevention requires less effort, resources, and time for a successful clinic operation. To decrease conflicts in the relationship «health worker – patient», it is essential to make a pact between the patient and private medical institution. It establishes the patient’s relationship with the clinic and is publicly available for customers. In the study, the authors concluded that during the consultation, the healthcare professional should persuade the patient to follow all recommendations for maintaining or improving the patient’s health, requiring, if necessary, evidence from the clinic’s patients to follow the treatment protocol.
Books on the topic "Private Diagnostic Clinic"
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Islam, Md Zakirul. Testing facilities for STD/RTI, and quality assurance in private pathology centers in Dhaka city. Population Council, 1997.
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Institute of Medicine (U.S.). Committee on the Role of Institutional Review Boards in Health Services Research Data Privacy Protection. Protecting data privacy in health services research. National Academy Press, 2000.
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Association, British Medical, ed. Guidelines for doctors employed by private organisations providing clinical diagnostic or medical advisory services. British Medical Association, 1994.
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Shorter, Edward, and Max Fink. Karl Kahlbaum. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190881191.003.0003.
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In 1874, Karl Kahlbaum, a German psychiatrist in an obscure private hospital, pulled various symptom pictures together into a single diagnosis: “catatonia.” Kahlbaum had earlier pioneered the modern classification of illness with his concepts of course and outcome as demarcating the various disease entities. He thought that, similar to neurosyphilis, catatonia had a common cause and common clinical course but, unlike neurosyphilis, often a relatively benign outcome. He believed the illness progressed in fixed stages. At the same time, Kahlbaum’s associate, Ewald Hecker, described madness in young people (“hebephrenia”), which became the forbearer of “schizophrenia.” Kahlbaum’s ideas were not immediately accepted: there was a core of true believers, but many psychiatrists in the Atlantic community did not readily take up the diagnosis and remained skeptical that Kahlbaum had done anything other than repackage familiar symptoms in a new and unfamiliar box.
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Lucius-Hoene, Gabriele, Christine Holmberg, and Thorsten Meyer, eds. Illness Narratives in Practice: Potentials and Challenges of Using Narratives in Health-related Contexts. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198806660.001.0001.
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Illness narratives, patients’ stories about their experiences of illness, have gained a reputation as a scientific domain in medicine in the last thirty years. Patients’ stories about living with an illness, diagnostic procedures and treatments, encounters with medical institutions and its impact on their private and social life have been considered as an important access to their meaning-making and coping endeavours. They also play an important role in doctor-patient communication and the development of a healing relationship. This book aims at sensitizing professionals who use illness narratives in the field of medicine for their problems, challenges, and chances. In what ways should scholars of narratives respond to such uses? We argue that the use of narratives in applied contexts raises many questions about what kind of tools they are and what epistemological foundations, communicational properties and pragmatic effects they comprise when they are shifted from research material to clinical or educational and instructive instruments in various domains. This raises ethical concern and reflections. The book brings together scholars from various disciplines across clinical and theoretical fields. They give impressive examples how illness narratives can be used in many practical domains, and reflect on the chances as well as on the methodological or epistemological assumptions and challenges which are inevitably connected with the use of narratives as clinical, educational, or informative tools.
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Daley, Dennis C., and Antoine B. Douaihy. Managing Substance Use Disorder. Oxford University Press, 2019. http://dx.doi.org/10.1093/med-psych/9780190926717.001.0001.
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This practitioner guide reviews screening, assessment, and treatment of substance use disorders (SUDs). It is designed to accompany Managing Your Substance Use Disorder: Client Workbook and A Family Guide to Coping with Substance Use Disorders. The latter guide was added because each person with a SUD affects the family and concerned significant others. The information and strategies that the authors present can be used with clients who have any type of SUD. The guide focuses on strategies to reduce or stop substance use and change behaviors that challenge recovery. The information presented is derived from research, clinical, and recovery literature and from the authors’ extensive experience developing and managing a large continuum of clinical services, providing direct care, conducting quality improvement initiatives, participating in clinical trials, and teaching all disciplines in a large medical center and the community. This guide discusses professional approaches and attitudes toward individuals with SUDs, assessment, diagnostic formulation, psychosocial and pharmacotherapeutic treatments, and mutual support programs. It provides an overview of the recovery and relapse processes and practical strategies to address issues associated with SUDs. This guide is for practitioners from any discipline who encounter individuals with SUDs in addiction, mental health, psychiatric, private practice, or other settings such as social services and the criminal justice system. Even medical practitioners who do not specialize in addiction treatment can benefit from the information in this guide because individuals with SUDs are found in all types of healthcare settings.
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Randhawa, Gurvaneet S., and Edwin A. Lomotan. Harnessing Big Data-Based Technologies to Improve Cancer Care. Edited by David A. Chambers, Wynne E. Norton, and Cynthia A. Vinson. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190647421.003.0034.
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Big data promises to harness the power of advanced computing to transform health and health care, including cancer research and care delivery. In health care, big data can be generated by administrative and clinical processes, by patients and families, and by machines. Ultimately, the goal of big data is to transform data into actionable knowledge with attention to four dimensions: person-level data collection; data access, exchange, and aggregation; population-level analytics; and provider, researcher, or patient-facing clinical decision support. A fabric of trust forms the basis for policies for governance, privacy and security, and confidentiality. This chapter offers several examples of the application of big data along the cancer care continuum, ranging from primary prevention through diagnosis, survivorship, and end-of-life care. Challenges to the effective collection and use of big data include its integration with health care delivery; interoperability; and the need for validated, well-designed informatics tools.
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Illes, Judy, ed. Neuroethics. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198786832.001.0001.
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We have new answers to how the brain works and tools which can now monitor and manipulate brain function. Rapid advances in neuroscience raise critical questions with which society must grapple. What new balances must be struck between diagnosis and prediction, and invasive and noninvasive interventions? Are new criteria needed for the clinical definition of death in cases where individuals are eligible for organ donation? How will new mobile and wearable technologies affect the future of growing children and aging adults? To what extent is society responsible for protecting populations at risk from environmental neurotoxins? As data from emerging technologies converge and are made available on public databases, what frameworks and policies will maximize benefits while ensuring privacy of health information? And how can people and communities with different values and perspectives be maximally engaged in these important questions? Neuroethics: Anticipating the Future is written by scholars from diverse disciplines—neurology and neuroscience, ethics and law, public health, sociology, and philosophy. With its forward-looking insights and considerations for the future, the book examines the most pressing current ethical issues.
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Medicine, Institute of, Division of Health Care Services, and Committee on the Role of Institutional Review Boards in Health Services Research Data Privacy Protection. Protecting Data Privacy in Health Services Research. National Academies Press, 2000.
Find full textBook chapters on the topic "Private Diagnostic Clinic"
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Meng, Qinghe, and Xu Qian. "Ethics: Informed Consent, Patient Privacy." In Clinical Molecular Diagnostics. Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-16-1037-0_4.
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Wiger, Donald E. "Typical Forms Used in a Private Practice." In Handbook of Private Practice. Oxford University Press, 2017. http://dx.doi.org/10.1093/med:psych/9780190272166.003.0005.
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Filling out forms in the practice of mental health is much more than “dull paperwork.” With proper training, most forms can be filled out during the session rather than spending valuable time afterward. On-target forms can provide the required documentation that the services provided are medically necessary. Too many mental health clinics have gone out of business or have suffered severe financial loss after an audit or review of records by third parties such as insurance companies, licensing boards, clients, or the court. The discussion of forms in this chapter provides information about what is necessary to clearly document the client’s diagnosis, treatment plan, progress of therapy, need for continued services, discharge, outcomes, Health Insurance Portability and Accountability Act (HIPAA) compliance, and financial policies.
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Danjuma, Kwetishe Joro, Solomon Sunday Oyelere, Elisha Sunday Oyelere, and Teemu H. Laine. "Mobile Application for Ebola Virus Disease Diagnosis (EbolaDiag)." In Censorship, Surveillance, and Privacy. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-7113-1.ch023.
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This chapter describes how the Ebola virus is considered extremely infectious with a series of physical and psychological traumas on the victims. Common clinical signs associated with the disease include a sudden fever, severe headaches, muscle pain, fatigue, diarrhea, vomiting, and unexplained hemorrhages. In Africa, with strained medical facilities and remote localities, prompt identification and diagnosis of the symptoms of Ebola in a suspected patient are important to the control of the epidemic and in curtailing further spread. This chapter presents the development of an Android mobile application called EbolaDiag (Ebola Diagnosis), which is capable of supporting the diagnosis, screening, and healthcare experts working on the frontline in contact tracing and monitoring of the spread of Ebola. Furthermore, EbolaDiag is suitable for aiding the strained medical facilities in endemic areas. In addressing this gap, the application provided a model for implementing such solutions in pandemic environments. Such a solution becomes more relevant and useful to combat Ebola and several other diseases in similar environments.
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Cerrito, Patricia, and John Cerrito. "Introduction to the Use of MEPS (Medical Expenditure Panel Survey)." In Advances in Medical Technologies and Clinical Practice. IGI Global, 2010. http://dx.doi.org/10.4018/978-1-61520-905-7.ch003.
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We will begin with data from the Medical Expenditure Panel Survey and use it throughout the text. This dataset has been provided since 1996 and contains yearly information concerning every interaction with the healthcare profession for a cohort of approximately 30,000 patients and 11,000 households. Each household is included in the survey for a two-year period. It contains every inpatient and outpatient event, all physician visits, medications, and lab orders for every member of this cohort. It is usually two years behind, so that in 2008, medication information concerning Medicare, Part D from 2006 first became available for analysis. Because of patient privacy, patient treatment and diagnosis information is incomplete. However, this database contains very complete information about reimbursements from private insurers, government agencies, and individual patients. Therefore, it can be used to determine healthcare expenditures by individuals and households.
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Schwartz, Charles E., Fiorella Gurrieri, and Giovanni Neri. "Intellectual Disability Syndromes." In Neurobiology of Mental Illness, edited by Joseph D. Buxbaum. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199934959.003.0076.
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Intellectual disability (ID) constitutes a spectrum of chronic human diseases that occur in about 1-3% of the population. This spectrum includes those precipitated by environmental factors as well as genetic disorders, the latter including some that are relatively prevalent, such as Down syndrome and fragile X syndrome, to rather “private” conditions limited to a few individuals with small chromosomal duplications or deletions. With the assistance of tremendous advances in technology – chromosome microarray analysis and next generation sequencing – it is now possible to arrive at a genetic diagnosis in a significant proportion of individuals with such forms of ID. Clinical evaluation remains the most effective means by which a clinician can prioritize diagnostic approaches to pursue for an individual with ID. This chapter briefly describes the clinical aspects of selected ID syndromes, grouped by the mode of inheritance. The selection was done with the goal of illustrating better known as well as less well known molecular pathways and cellular compartments whose disruption results in ID in association with additional clinical features. These pathways and compartments represent important modules for study using neurobiological methods, and for improved neuronal and neural systems-level understanding of the biology of typical brain function and of the pathophysiology of mental illness.
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Watfa, Mohamed K., Hina Majeed, and Tooba Salahuddin. "Computer Based E-Healthcare Clinical Systems." In Healthcare Ethics and Training. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-2237-9.ch018.
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Over the years, interactive computer-based systems have provided crucial support to clinics, hospitals and other health-based centers. These systems have continued to influence the manner in which clinical tasks are organized and fulfilled in terms of performing tests, diagnosis procedures, treatment methods, as well as storing, analyzing and accessing patient and staff information. At the present time, the computer-based systems used in healthcare settings of high standards are the result of joint efforts of clinicians, software developers and clinical informaticians hence triggering the outcome of the desired system to outdo that of existing applications. Major concerns arise in designing clinical application including data privacy, minimal bias offered by a system (i.e. in terms of searching and decision-making), a user friendly GUI and an efficient integration of the new system with the existing standard applications at the health based setting being considered. In this paper, we provide a comprehensive survey on the existing research work on computer based E-Healthcare applications for clinicians highlighting both the challenges and benefits of such applications which would be of value to both patients and clinicians.
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Cohen, Jason F., Jean-Marie Bancilhon, and Shaun Sergay. "An Empirical Study of Patient Willingness to Use Self-Service Technologies in the Healthcare Context." In Handbook of Research on ICTs and Management Systems for Improving Efficiency in Healthcare and Social Care. IGI Global, 2013. http://dx.doi.org/10.4018/978-1-4666-3990-4.ch019.
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Self-Service Technologies (SSTs) enable consumers to produce services independent of direct employee involvement. The successful introduction of SSTs into healthcare and the realisation of their benefits will however lie in their acceptance by patients. This chapter outlines the advantages and disadvantages of one type of SST, namely self-service hospital kiosks, and presents results of an empirical study carried out on the willingness of patients to use them. Data was collected from 192 patients attending two private healthcare clinics in Johannesburg, South Africa. Results show that patients are most willing to use kiosk technologies for administrative rather than diagnostic or treatment-related services. Moreover, the authors find that technology anxiety, self-efficacy beliefs, trust, and need for interaction are important antecedents to the formulation of performance and effort expectancies and the willingness of patients to use kiosk technology. Results have implications for healthcare providers looking to improve the success of their SST applications.
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Miyoshi, Koho. "Neuropsychiatry services in Japan." In Oxford Textbook of Neuropsychiatry, edited by Niruj Agrawal, Rafey Faruqui, and Mayur Bodani. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198757139.003.0046.
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This chapter deals with the neuropsychiatric service provision, training, career opportunities, particular issues in aged society, and scientific activities for understanding the situation of neuropsychiatry in Japan. The proportion of people aged 65 years and older in Japan reached the world’s highest at 21.0% in 2006. The elderly population has since increased persistently and is estimated at 27.1% of the total population. In addition to this, the ratios of people aged 75 years and over and those aged 85 years and over are estimated at 13.2% and 4.1%, respectively. The ‘oldest old ’ group has contributed to the increasing prevalence of dementia. According to the governmental survey, the estimated number of elderly persons with dementia was 2.80 million in 2010 and 3.45 million in 2015. It is predicted to increase to 4.1 million by 2020 and 4.7 million by 2035. The number of patients with major neuropsychiatric disorders, especially Alzheimer’s disease, vascular dementia, and Parkinson’s disease, has been increasing for the last two decades, and the needs for neuropsychiatric services are also rapidly increasing. Neuropsychiatric services consist mainly of provision of clinical diagnosis, based on clinical examination, and medical treatment for neuropsychiatric symptoms, i.e. psychiatric symptoms of neurological disorders. Neuropsychiatric services should be provided by neuropsychiatry specialists. There are approximately 13,000 psychiatrists and 8000 neurologists working in psychiatric hospitals, general hospitals, medical schools, and private clinics. However, the number of neuropsychiatry specialists is quite limited. Therefore, there is urgency for the Japanese Neuropsychiatric Association (JNA) to set up an appropriate training system for clinicians in order to remediate the shortage of neuropsychiatrists.
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Rothstein, William G. "Medical Care and Medical Education, 1825–1860." In American Medical Schools and the Practice of Medicine. Oxford University Press, 1987. http://dx.doi.org/10.1093/oso/9780195041866.003.0010.
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During the early nineteenth century, medical practice became professionalized and medical treatment standardized as medical school training became more popular and medical societies and journals were organized. Dispensary and hospital care increased with the growth in urban populations. Medical students became dissatisfied with the theoretical training in medical schools and turned to private courses from individual physicians and clinical instruction at hospitals and dispensaries. By mid-century, private instruction had become almost as important as medical school training. Because little progress occurred in medical knowledge during the first half of the nineteenth century, the quality of medical care remained low, although it became more standardized due to the greater popularity of medical school training. Diagnosis continued to be unsystematic and superficial. The physical examination consisted of observing the patient’s pulse, skin color, manner of breathing, and the appearance of the urine. Physicians attributed many diseases to heredity and often attached as much credence to the patient’s emotions and surmises as the natural history of the illness. Although the invention of the stethoscope in France in 1819 led to the use of auscultation and percussion, the new diagnostic tools contributed little to medical care in the short run because more accurate diagnoses did not lead to better treatment. Few useful drugs existed in the materia medica and they were often misused. According to Dowling, the United States Pharmacopoeia of 1820 contained only 20 active drugs, including 3 specifics: quinine for malaria, mercury for syphilis, and ipecac for amebic dysentery. Alkaloid chemistry led to the isolation of morphine from opium in 1817 and quinine from cinchona bark in 1820. Morphine was prescribed with a casual indifference to its addictive properties and quinine was widely used in nonmalarial fevers, where it was ineffective and produced dangerous side effects. Strychnine, a poisonous alkaloid isolated in 1818, was popular as a tonic for decades, and colchine, another alkaloid discovered in 1819, was widely used for gout despite its harmful side effects. Purgatives and emetics remained the most widely used drugs, although mineral drugs replaced botanical ones among physicians trained in medical schools because their actions were more drastic and immediate.
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Li, Ling, Kasun Rathnayake, Tsui Yue Ong, Cliff Hughes, Vincent Lam, and Johanna I. Westbrook. "Utilising Electronic Health Record Data to Assess the Sepsis Inpatient Care Pathway: A Feasibility Study." In Healthier Lives, Digitally Enabled. IOS Press, 2021. http://dx.doi.org/10.3233/shti210008.
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The World Health Organisation has recently declared sepsis a global medical emergency. Obtaining quality data to establish the evidence on how clinicians recognise, diagnose, and treat sepsis is still a challenge. This feasibility study aimed to utilise routinely collected data from electronic health records (EHR) to assess the sepsis inpatient care pathway. We conducted a retrospective observational cohort study which included all patients admitted to a private teaching hospital between 2015 and 2018. De-identified patient demographic and clinical data were extracted and analysed. A total of 47 sepsis patients were identified based on diagnoses recorded and a review of clinical notes. A surgical procedure was conducted on more than half of these patients (n=25, 53%). Nearly two-thirds were given antibiotics (n=30, 64%), of which 87% (n=26) were administered within 2-hours of sepsis diagnosis. Eighteen patients were admitted to ICU and 13 of them were diagnosed as septic in ICU. We identified some aspects of EHR data that could be improved. Overall, routinely collected data from clinical information systems provides rich information to assess the sepsis patient care pathway.
Reports on the topic "Private Diagnostic Clinic"
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Schnabel, Filipina, and Danielle Aldridge. Effectiveness of EHR-Depression Screening Among Adult Diabetics in an Urban Primary Care Clinic. University of Tennessee Health Science Center, 2021. http://dx.doi.org/10.21007/con.dnp.2021.0003.
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Background Diabetes mellitus (DM) and depression are important comorbid conditions that can lead to more serious health outcomes. The American Diabetes Association (ADA) supports routine screening for depression as part of standard diabetes management. The PHQ2 and PHQ9 questionnaires are good diagnostic screening tools used for major depressive disorders in Type 2 diabetes mellitus (DM2). This quality improvement study aims to compare the rate of depression screening, treatment, and referral to behavioral health in adult patients with DM2 pre and post-integration of depression screening tools into the electronic health record (EHR). Methods We conducted a retrospective chart review on patients aged 18 years and above with a diagnosis of DM2 and no initial diagnosis of depression or other mental illnesses. Chart reviews included those from 2018 or prior for before integration data and 2020 to present for after integration. Sixty subjects were randomly selected from a pool of 33,695 patients in the clinic with DM2 from the year 2013-2021. Thirty of the patients were prior to the integration of depression screening tools PHQ2 and PHQ9 into the EHR, while the other half were post-integration. The study population ranged from 18-83 years old. Results All subjects (100%) were screened using PHQ2 before integration and after integration. Twenty percent of patients screened had a positive PHQ2 among subjects before integration, while 10% had a positive PHQ2 after integration. Twenty percent of patients were screened with a PHQ9 pre-integration which accounted for 100% of those subjects with a positive PHQ2. However, of the 10% of patients with a positive PHQ2 post-integration, only 6.7 % of subjects were screened, which means not all patients with a positive PHQ2 were adequately screened post-integration. Interestingly, 10% of patients were treated with antidepressants before integration, while none were treated with medications in the post-integration group. There were no referrals made to the behavior team in either group. Conclusion There is no difference between the prevalence of depression screening before or after integration of depression screening tools in the EHR. The study noted that there is a decrease in the treatment using antidepressants after integration. However, other undetermined conditions could have influenced this. Furthermore, not all patients with positive PHQ2 in the after-integration group were screened with PHQ9. The authors are unsure if the integration of the depression screens influenced this change. In both groups, there is no difference between referrals to the behavior team. Implications to Nursing Practice This quality improvement study shows that providers are good at screening their DM2 patients for depression whether the screening tools were incorporated in the EHR or not. However, future studies regarding providers, support staff, and patient convenience relating to accessibility and availability of the tool should be made. Additional issues to consider are documentation reliability, hours of work to scan documents in the chart, risk of documentation getting lost, and the use of paper that requires shredding to comply with privacy.
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Merten, Martina, Susann Roth, and Fazilah Shaik Allaudin. Public Health Innovations for COVID-19: Finding, Trusting, and Scaling Innovation. Asian Development Bank, 2020. http://dx.doi.org/10.22617/wps200283-2.
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The public and private sector, civil society, and academic institutions have developed many innovative solutions to manage public health aspects of the coronavirus disease (COVID-19) pandemic. Innovators have focused on tools for surveillance, supply chain management, clinical trials, diagnosis, communication, and developing vaccines. These have been supplemented by research collaboration platforms, isolation and hospital upgrading novelties, as well as risk stratification resources. This paper provides an overview of these solutions to enhance the evidence-based application of innovative public health approaches. The author’s also propose that a “living platform” for sharing public health innovations is developed.