The Impact of Primary Care: A Focused Review
The Impact of Primary Care: A Focused Review Scientifica Volume 2012 (2012), Article ID 432892, 22 pages In this focused review paper, Leiyu Shi of Johns Hopkins Bloomberg School of Public Health. aims to identify research evidence on the value of primary care both in the USA and internationally, focusing on the importance of effective primary care services in delivering quality healthcare, improving health outcomes, and reducing disparities. Leiyu Shi was a colleague of Barbara Starfield, collaborating with her on the Commonwealth Fund report Contribution of Primary Care to Health Systems...
Read MoreMedicare’s Transitional Care Payment — A Step toward the Medical Home
Medicare’s Transitional Care Payment — A Step toward the Medical Home — NEJM“” The US medicare funders have acted to shift more funding to primary care. They have announced the creation of a fee for service item number for primary care clinicians to conduct a post discharge consultation and perform coordination activities after hospital or nursing home admission. They discuss the activities that evidence shows reduce hospital readmission…. “The most effective of these — particularly if initiated early and in combination — are structured hospital discharge...
Read MoreGuidelines for people, not dieases
Hughes LD, McMurdo ME, Guthrie B. Guidelines for people not for diseases: the challenges of applying UK clinical guidelines to people with multimorbidity. Age Ageing 2013;42(1):62-69. The National Institute of Health and Clinical Excellence (NICE) develops management guidelines for the UK NHS based on international best evidence. This study looked at five recent guidelines for commen conditions and the implications of using these in practice for real patients – at least two thirds of patients with each of these conditions will have significant comorbidities. The guidelines chosen were...
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