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Related Concept Videos

Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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Urinary Bladder01:23

Urinary Bladder

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The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
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Updated: Jun 20, 2025

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Developing a urinary incontinence primary care pathway: a mixed methods study.

Marie C Luebke1, Joan M Neuner1, Joanna Balza1

  • 1Medical College of Wisconsin, Milwaukee, WI, United States.

Family Practice
|July 19, 2024
PubMed
Summary
This summary is machine-generated.

Most adult women with urinary incontinence (UI) do not receive treatment. A pilot UI care pathway showed that streamlining care may help primary care providers manage UI effectively.

Keywords:
health services researchlower urinary tract symptomspatient-centered carequality improvement

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Area of Science:

  • Urology
  • Primary Care Medicine
  • Healthcare Systems

Background:

  • Nearly 50% of adult women experience urinary incontinence (UI), yet most do not seek treatment.
  • Integrating primary and specialty care is crucial for improving UI management.

Purpose of the Study:

  • To assess resources for UI care in primary care settings.
  • To identify barriers primary care providers face in diagnosing and treating UI.
  • To pilot a UI care pathway intervention to improve patient outcomes.

Main Methods:

  • An environmental scan evaluated resource availability in primary care clinics.
  • Interviews with primary care providers identified barriers to UI care.
  • A pilot intervention provided patients with resources for behavioral management of UI.

Main Results:

  • Most clinics lacked essential resources like bladder ultrasound and on-site pelvic floor physical therapy.
  • Primary care providers cited lack of time as a major barrier to UI diagnosis and treatment.
  • Patients reported self-treatment strategies and modest improvements in UI symptoms at 6 months.

Conclusions:

  • A novel UI care pathway shows promise for enhancing primary care's role in managing urinary incontinence.
  • Streamlining UI care pathways can support primary care providers in delivering first-line treatment.