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Results for “Practice Guidelines as Topic”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 775 records · Page 43Linked to original sources
PubMed1997

Clinical pathways can help manage managed care.

Clinical pathways are designed to map the course of medical or surgical interventions and their expected outcomes. They take into account standards of care and the human and material resources needed to provide specific services. Clinical pathways promote cost-effective, high-quality care and thereby help to standardize practice protocols and coordinate care. Healthcare organizations can decrease lengths of stay, reduce costs, and win more managed care contracts by developing and implementing comprehensive clinical pathways. Pathways can also make carve-outs and other specialty contract services easier to manage.

Contract Services↗
PubMed1998

Disease management program improves diabetes outcomes, curbs hospital costs, utilization.

Reducing the cost of diabetes care with an ambitious disease management program. Located in an area with an unusually high rate of diabetes, Spohn Memorial Hospital in Corpus Christi, TX, has fought back with an innovative diabetes management program. A recent two-year study reveals a 60% drop in average health costs among diabetes patients who participated in the 12-month program. Learn how this program could work for your organization.

Cost Control↗
PubMed1998

Move forward with prostate Ca education despite lack of consensus over screening.

Prostate cancer screening may be a subject of debate for your health plan, but a lack of consensus on this issue shouldn't preempt efforts to educate patients about the disease and let them decide, with their doctor, about the best prevention strategy. Get the details behind a quality initiative that's putting the decision in patients' hands while also gathering data on the cost-effectiveness of screening efforts.

Algorithms↗
PubMed1998

Implementing a visual rehabilitation program.

Improving visual skills among home care patients has ramifications across all disciplines, affecting both their care and quality of life. The home creates an ideal setting for visual rehabilitation programs. Education and training to individuals in their own homes fosters enthusiasm. Modifications made in the home offer long-lasting benefits.

Community-Institutional Relations↗
PubMed1995

Put prevention into practice: a systematic approach.

Use of a systematic program, such as Put Prevention Into Practice (PPIP), to improve the delivery of clinical preventive services by public health nurses is recommended. The Public Health Service, a part of the U.S. Department of Health and Human Services, designed PPIP to help achieve the goals of Healthy People 2000. PPIP is a research-based team approach using a kit of materials targeted at patients, providers, and the office/clinic system. It includes pocket-sized patient booklets, a Clinician's Handbook of Clinical Preventive Services, posters for the waiting and examination rooms, flowcharts and alert stickers for medical records, prescription pads, and reminder postcards. Sources of the materials, implementation and evaluation strategies, and groups implementing the program are discussed.

Delivery of Health Care↗
PubMed1999

Flexible sigmoidoscopy: screening for colorectal cancer.

Flexible sigmoidoscopy is an important screening procedure because of its ability to detect early changes in the distal colon. The 60-cm flexible sigmoidoscope provides excellent visualization with minimal discomfort to patients. Successful sigmoidoscopy requires adequate patient preparation, proper equipment and an experienced examiner who can recognize both normal and abnormal findings. Complications arising from sigmoidoscopy are rare, but patients may experience some cramping, gas or watery stools. Screening and primary preventive measures, including regular exercise and increased dietary fiber intake, can lower the morbidity and mortality associated with colorectal cancer.

Colorectal Neoplasms↗
PubMed1999

Hypertension: setting new goals for lower readings.

Mean systolic blood pressures increase and mean diastolic pressures decrease with aging, primarily in response to the stiffening of blood vessels. These trends are related to the interplay of genetic factors that control renal, vascular, and hormonal functions. The prevalence of hypertension and the rate of blood pressure control vary among population groups; only one-fourth (24%) of all Americans with hypertension are controlled. Some persistent myths about hypertension may interfere with its diagnosis and treatment. Other barriers to control appear to be the side effects and cost of medications. Control rates improve when physicians increase their emphasis on patient education.

Aged↗
PubMed1999

Some adverse effects of antipsychotics: prevention and treatment.

Antipsychotic medication causes a wide range of adverse effects, which can be serious and may further imperil both the physical and psychological health of schizophrenic patients. The range of side effects patients commonly encounter includes weight gain, endocrine disturbances, sedation, anticholinergic effects, hypotension, seizures, and extrapyramidal symptoms. Less common and unpredictable reactions are blood dyscrasias, cardiotoxicity, sudden death, and the neuroleptic malignant syndrome. Antipsychotic drugs differ significantly regarding their propensity to cause these reactions. Patients should undergo comprehensive health checks before an antipsychotic is prescribed, and drug therapy should be individualized to take account of any preexisting symptoms. Side effects and the wider implications of drug treatment, such as effects on occupational and social functioning, should be discussed with the patient before initiating therapy. Patients should be regularly monitored for side effects during treatment and switched to alternative therapy if side effects are serious and/or persistent.

Antipsychotic Agents↗