14,529 research outputs found

    Getting together? Voluntary groups in the Baltics

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    The best of both worlds : how primary care can save lives and money

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    Just imagine, for a moment, that you receive a request from a newly independent country, anywhere in the world, appointing you to devise a health care system. You have an absolutely free hand to design it as you wish. Where would you start? Most of us would start by determining exactly what outcomes we wanted for our system. It is hard to believe that many thinking people would opt for anything other than improved health outcomes for their population, and a reduction in health inequalities. What else could be more important? And so it is mystifying that so very many countries have healthcare systems that do the very opposite, that appear to have as their main reason for existence the provision of jobs for clinicians, or the acquisition of increasing levels of high technology equipment. Do their populations realize this? More importantly, do the health ministers, and their civil servants realize this? Sadly, one suspects that they do not. Because the evidence is remarkably clear that high quality primary care is the secret to effective health care. Primary care is the first point of contact for the majority of people who need to access health services, and is able to meet 90-95% of all health and personal social service needs.peer-reviewe

    Information technology to combat Czech corruption

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    “You’re an expert in me”: the role of the generalist doctor in the management of patients with multimorbidity

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    It is not often that a single patient successfully symbolizes almost every important trend in modern medicine, but one particular man achieved this in a solitary consultation. He was a patient in my general practice. He was 77 years old – exemplifying the ageing population, and had only lived in my area for 3 or 4 years – exemplifying an increasingly mobile population. I knew him well and saw him often – combining an aspiration for continuity, and increasing consultation rates in primary care. He had prostate cancer, but he also had hypertension, diabetes, coronary artery disease, macular degeneration, hyperlipidaemia, an arthritic right hip, and, hardly surprisingly, depression. This was multimorbidity par excellence.Journal of Comorbidity 2015;5(1):132–13

    Accounting for hospices: Palliative care at risk

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    This paper is based on a presentation given at the British Accounting and Finance Association 46th Annual Conference in 30 March to 1 April 2010 at Cardiff City HallThis article is concerned with how the Government’s end of life care strategy seeks to draw upon the capacity and additional choice provided by voluntary charitable hospices in England. Constructing a hospice financial business model we consider the extent to which the policy intersection outlined in the Governments End of Life Care Strategy between Primary Care Trust (PCT) commissioning and the contribution of voluntary hospices is robust or fragile going forward
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