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Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Interdisciplinary Care: The Health Care Team-I01:21

Interdisciplinary Care: The Health Care Team-I

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Planning Nursing Care II01:29

Planning Nursing Care II

A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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 illness...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities

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Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
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Organising general practice for care homes: a multi-method study.

Barbara Hanratty1, Rachel Stocker1, David Sinclair1

  • 1Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.

Health and Social Care Delivery Research
|April 15, 2025
PubMed
Summary
This summary is machine-generated.

Trusting relationships and adequate resources are key for effective primary care in nursing homes. Larger practices or those with more care home residents showed better quality care, but flexibility in national initiatives is crucial.

Keywords:
FAMILY PHYSICIANSGENERAL PRACTICELONG TERM CAREMIXED-METHODS RESEARCHNURSING HOMESQUALITATIVE RESEARCHRESIDENTIAL FACILITIES

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Area of Science:

  • Healthcare Delivery Research
  • Primary Care Management
  • Geriatric Health Services

Background:

  • General practice is the primary point of contact for National Health Service (NHS) care for approximately 400,000 care home residents.
  • Effective primary care enhances resident well-being and optimizes hospital service utilization.

Purpose of the Study:

  • To investigate the links between general practice organization and resident/staff experiences, outcomes, and costs.
  • To explore the impact of primary care service delivery models on care home residents.

Main Methods:

  • A mixed-methods approach combining a national survey of general practices (2018), qualitative interviews (2019), and analysis of primary care data (2019-21).
  • Data collected from 150 general practices, 101 healthcare professionals and care home staff, and over 100,000 care home residents aged 75+.

Main Results:

  • Qualitative analysis revealed the importance of relational continuity, communication, and organizational factors in general practitioner (GP) services to care homes.
  • Larger practices or those with more care home residents reported higher quality care, increased primary care contacts, and fewer urgent referrals.
  • Implementation of new initiatives like telemedicine requires careful consideration of care home staff burden and acceptance.

Conclusions:

  • Trusting relationships and a motivated, well-resourced primary care workforce are paramount for enhancing care home primary care.
  • While practice size and resident volume correlate with better care, local flexibility in implementing national initiatives is essential for success.
  • Further research is needed on promoting trusting relationships and evaluating the system-wide impact of initiatives like Enhanced Health in Care Homes.