3.1 Aim of preoperative evaluation To obtain pertinent information about the patient's medical history and physical and mental Conditions, in order to determine which tests and consultations are needed. Guided by patient choices and the risk factors uncovered by the medical history, to choose the care plans to be followed. To obtain informed consent. To educate the patient about anesthesia, per...

Medical Interventions among Pregnant Women in Fee-for-Service and Managed Care Insurance: A Propensity Score Analysis We extend prior research on the effect of managed care on the receipt of four medical interventions for pregnant women: ultrasound, induction/stimulation of birth, electronic fetal monitor, and cesarean delivery. Propensity score methods are used to account for sample selection ...

1990’s were marked by massive introduction of user fee health care plans as a mean of improving efficiency by moderating demand, containing cost, and mobilize more funds for health care than existing sources provided. Introduction of user fees raised a lot of controversy with common claims that their implementation reinforced the poverty trap in developing world, which has considerable health a...

I n the current costand resource-constrained healthcare environment in the United States, characterized by declining government reimbursement and increased utilization scrutiny by managed care plans, providers are challenged to continue delivering quality care to more patients while also more effectively managing practice economics. Employing technology to improve practice efficiency is one of ...

Background A comprehensive primary healthcare (PHC) approach requires clear referral and continuity of care pathways. South Africa is a lower-middle income country (LMIC) that lacks data on the role of intermediate care (IC) services in the health system. This study described the model of service provision at one facility in Cape Town, including reason for admission, the mix of services and ski...

Interprofessional collaboration is central to quality patient care; however, little is known about developing interprofessional care plans, particularly in oncology. This article describes the development of an interprofessional care plan for an older adult woman with breast cancer. Two collaborative expert workshops were used; 15 clinical experts reviewed an online patient case and were asked ...

OBJECTIVE This paper explores the development of a specific youth care plan which provides a framework for adolescent appropriate care in an adult acute care facility. SETTING The Sydney South Western Area Health Service (SSWAHS) Youth Consultancy, Royal Prince Alfred Hospital (RPAH), Camperdown, Sydney, Australia. SUBJECTS Young people aged 12- 24 years who were admitted to the acute hospi...

Purpose: Implementation and evaluation of a personalized care plan for approximately 350 people with (an increased risk of) cardio­ vascular disease in ten general practices in the Netherlands. Context: The ‘Healthy Vessels’ (‘Vitale Vaten’) care standard of 2009 describes the optimum care for people with (an increased risk of) cardiovascular disease and is based on the Chronic Care Model. New:...