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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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This article presents the treatment of a group of health care workers admitted to a psychiatric hospital and considers the prevention of emotional exhaustion and the risk of mental illness among health care workers. A psychotherapy group provides the case material in which the carers discuss and describe their inability to seek help through fear of recrimination.
This article discusses the changes that are needed in the prison healthcare service, outlining the move to a multidisciplinary team approach, away from the outdated, medically dominated service which prevails today. This article supports the partnership arrangements put forward in 'The Future Organization of Prison Health Care' (Department of Health (DoH), 1999) and suggests how this can be achieved locally, calling on nurses working in the prison environment to be proactive and forge links with colleagues in local NHS services. The need for clinical governance to be firmly established and regular reports to be submitted to prison governors on the quality and provision of services is highlighted.
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The future medical staffing for the NHS needs to take account of the demands of doctors for a humane lifestyle and the service demands of all groups of patients. The increasing numbers of female practitioners and the reduction in hours required by new legislation will be important influences. Suggestions are made about possible future working patterns.
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The analysis by Barbara Starfield and colleagues has serious methodological and conceptual shortcomings. Despite the reference to "evidence" in the title, there is little evidence to guide the health care community or policymakers. The paper faults specialists for most of the ailments of U.S. medicine and fails to recognize the critical role of specialists in improving Americans' health status. A variety of factors, including organizational and financing systems, discourage effective use of both primary care and specialty physicians. The nation would be better served by developing an evidence base on the relationship between outcomes and education, training, and specialty.
This policy statement defines culturally effective health care and describes its importance for pediatrics. The statement also defines cultural effectiveness, cultural sensitivity, and cultural competence and describes the importance of these concepts for training in medical school, residency, and continuing medical education. The statement is based on the premise that culturally effective health care is important and that the knowledge and skills necessary for providing culturally effective health care can be taught and acquired through 1) educational courses and other formats developed with the expressed purpose of addressing cultural competence and/or cultural sensitivity, and 2) educational components on cultural competence and/or cultural sensitivity that are incorporated into medical school, residency, and continuing medical education curricula.