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Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Drug Dosing: Obese Patients01:21

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In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

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Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
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Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

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In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
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Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
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Value-Based Dentistry: Putting Patients First.

Sreenivas Koka1, Wayne D Gonzales2, Sai Vishnu Pokala3

  • 1Koka Dental Clinic; Lecturer, Advanced Prosthodontics, UCLA School of Dentistry, Los Angeles, California; Clinical Professor, Advanced Prosthodontics, Loma Linda University, Loma Linda, California.

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Summary

Value-based dentistry (VBD) prioritizes patient needs and cost concerns. Adopting VBD helps dental practices meet patient desires by focusing on value, quality, and cost assessment.

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Area of Science:

  • Dental Science
  • Health Services Research

Background:

  • The dental profession involves numerous stakeholders, with optimal focus directed towards patient care.
  • A key opportunity exists for dental teams to enhance patient satisfaction through value-based dentistry (VBD).

Purpose of the Study:

  • To explore the principles and implementation of value-based dentistry (VBD).
  • To guide dental practices in prioritizing patient needs and cost considerations.

Main Methods:

  • Exploration of patient decision-making processes for selecting dental practices.
  • Analysis of methods for capturing and assessing practice-generated value.
  • Evaluation of quality and cost assessment strategies within dental care.

Main Results:

  • Value-based dentistry (VBD) centers on patient requests and cost of care.
  • Understanding patient decision-making is crucial for practice engagement.
  • Practices can capture value by assessing quality and cost.

Conclusions:

  • Dental practices can achieve value-based dentistry (VBD) by prioritizing patient-centric care.
  • Focusing on patient desires within the context of care costs is essential for VBD.
  • Implementing VBD strategies enhances a practice's ability to meet patient needs effectively.