Patient-oriented approach in public health as a factor in the formation of a model of healthy behaviour (formation of sports lifestyle, introduction of individual physical activity)

Currently, the introduction of the patient-oriented approach in healthcare is relevant in the framework of improving the quality and accessibility of medical care. The aim of the research was to study the conditions and principles of the formation of a patient-oriented model of a medical organization. The study used research materials in the field of patient-oriented treatment in healthcare. The main research method was content analysis. The patient-centred approach is based on eight principles: respect for consumer values; integrity of the medical diagnostic process; patient awareness; creation of comfortable conditions; providing emotional support; ensuring the continuity of the treatment process; ensuring access to medical care. The introduction of the patient-oriented approach may be hindered by a number of factors: an inflexible system of remuneration and linking the number of patients served to the level of remuneration. In addition, the key basic principle of the patient-oriented approach is to increase patient compliance and patient loyalty. Thus, when forming patient-oriented management in a medical organization, it is necessary to be guided in decision-making primarily by the interests of the patient. The introduction of the patient-oriented approach leads to increased commitment and loyalty of future patients. The development of a patient-oriented approach is also an important factor in strengthening public health (the formation of a sports lifestyle, the introduction of individual physical activity)

“National Patient Flow Framework: An Ontological Patient-oriented Redesign,”

This study introduces the necessary ontological redesign regarding patient-oriented frameworks. Different national healthcare frameworks around the world as well as semantic gaps have been discovered and demonstrate the need for a new healthcare management framework. This study's Patient-Oriented Management and Reporting framework (POMR framework) will introduce and measure the concept of value-added, patient-oriented flow. The ontological introduction of leading patient-oriented measures is also considered as a novel approach to solving problems. These measures are included in this POMR framework which introduces a unique ontological model redesign (POMR model) and its patient-oriented supporting information system (POMRS) adding value to the concept's implementation in CLIPS technology

“National Patient Flow Framework: An ontological Patient-oriented Redesign

This study introduces the necessary ontological redesign regarding patient-oriented frameworks. Different national healthcare frameworks around the world as well as semantic gaps have been discovered and demonstrate the need for a new healthcare management framework. This study’s Patient-Oriented Management and Reporting framework (POMR framework) will introduce and measure the concept of value-added, patient-oriented flow. The ontological introduction of leading patient-oriented measures is also considered as a novel approach to solving problems. These measures are included in this POMR framework which introduces a unique ontological model redesign (POMR model) and its patient-oriented supporting information system (POMRS) adding value to the concept’s implementation in CLIPS technology

What is the role of prokinetic agents for constipation?

Erythromycin has a limited role in treating pediatric patients (strength of recommendation [SOR]: B, limited-quality, patient-oriented evidence). Tegaserod and cisapride are the only prokinetic agents available for constipated adults (SOR: A, consistent, good-quality, patient-oriented evidence for tegaserod; SOR: B, for cisapride), but cardiovascular risk restricts prescribing of both medications

What is the best initial treatment for orbital cellulitis in children?

Although antibiotics are the best initial treatment, surgical intervention is warranted when a child has: visual impairment, complete ophthalmoplegia, or well-defined abscess on presentation, or no clearly apparent clinical improvement by 24 hours (strength of recommendation [SOR]: C, based on patient-oriented case- series studies). Target antimicrobial therapy toward the common pathogens associated with pre- disposing factors for orbital cellulitis, such as sinusitis--and pay attention to local resistance patterns (SOR: C, based on patient-oriented case series)

Patient-Oriented Smartphone Apps to Improve Health & Wellbeing

Patients have the ability to improve their health outcomes, but their capacity to do so is sometimes underutilized due to misunderstandings or ineffective engagement in their healthcare. Nearly everyone owns a smartphone today, and there are innumerable patient-oriented smartphone apps in both the Apple and Android app stores. However, the clinical utility of these apps has not been widely studied. It is possible that we can incorporate the use of technology such as smartphone apps into our recommendations to patients in order to improve their management of their chronic diseases and their abilities to make lifestyle modifications.https://scholarworks.uvm.edu/fmclerk/1289/thumbnail.jp

When should travelers begin malaria prophylaxis?

Travelers should start on chloroquine 1 to 2 weeks before entering an area without chloroquine resistance (strength of recommendation [SOR]: C, based on expert opinion). In areas with chloroquine-resistant Plasmodium falciparum, travelers will need to take atovaquone/proguanil, doxycycline, or primaquine 1 day before entering the area, or mefloquine 2 to 7 weeks before travel (SOR: B, based on prospective patient-oriented outcomes and expert opinion). Before prescribing medications, determine malaria risk and sensitivity of Plasmodium species by country at wwwn.cdc.gov/travel/yellowBookCh5- MalariaYellowFeverTable.aspx (SOR: C, based on patient-oriented expert opinion)

Which women should we screen for gestational diabetes mellitus?

It's unclear which women we should screen. No randomized controlled trials (RCTs) demonstrate that either universal screening or risk factor screening for gestational diabetes mellitus (GDM) prevents maternal and fetal adverse outcomes. That said, the common practice of universal screening is more sensitive than screening based on risk factors (strength of recommendation [SOR]: B, 1 randomized trial and 3 retrospective cohort studies without patient-oriented outcomes). Historic risk factors are poor predictors of GDM in a current pregnancy (SOR: C, 1 retrospective cohort study without patient-oriented outcomes)