Covers: the need for health care services to the home (home care organizations, family caregivers, etc.): therapeutic value of home care; the role of technology in facilitating home care (asesessment, dignosis & treatment; supervision & training; support groups, etc.); patients & health care provider satisfaction with remotely provided health care; economic impacts of home care (broadband infrastructure deployment costs, role of government, etc.); & policy issues & recommendations.
Small-town doctor Thomas Stern built a practice filled with memorable characters in rural Oregon. Then he moved to Southern California to work as technical advisor on the beloved TV series, "Marcus Welby, M.D". His life story is filled with episodes that are thought-provoking, heart-warming, and even rib-tickling.
The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.
The information in these pages will either excite you into beginning that house-call practice right away or scare you into keeping your day job. Either way, I'm glad you've chosen to learn about my happiness with beginning a house-call practice and to learn from my struggles to maintain a business in the nation's current health-care state. Are you looking for a step-by-step guide on how to start a house-call practice? Are you looking for a few examples from an expert in the fi eld of house calls to help guide your decision making? If you've answered yes to these questions, this is the book for you. Making medical house calls is an extremely rewarding and profi table niche practice that can be started with little or no overhead. If you already love or think you will love going into the home setting to provide primary care when health care is often scarce or unavailable, this is the fi eld for you. This book is written with nuances and scenarios of a house-call practice for an advanced practice nurse, but if you are a physician assistant, physician, or any other practitioner looking to begin a housecall practice, there is plenty of information here for you too!
In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.
Gain the understanding you need to provide compassionate, end-of-life pet care. Animal Hospice and Palliative Medicine for the House Call Veterinarian provides an all-in-one guide to the skills and challenges related to this growing area of veterinary care. From setting up your business and performing your first in-home consultation to managing pain, performing in-home euthanasia, and providing grief support to the family, this book walks you through each step of care. Written by Dr. Lynn Hendrix, a leading expert and researcher in veterinary palliative medicine, this practical resource shows how to improve the quality of care for pets in the final stages of life. - Comprehensive coverage addresses the essential topics of palliative care, hospice, and euthanasia. - Key topics range from setting up a mobile business, in-home consultations to pain management, euthanasia, physical support for the pet, and much more. - Information on the diseases commonly seen at the end of life includes disease progression and trajectories. - Single-source review covers animal end-of-life care and consulting, specifically through mobile veterinary services. - 100 full-color clinical photos depict the concepts and procedures of animal palliative care. - Practical insights are provided in the areas of family grief support, compassion fatigue, managing difficult home visits, and dispelling the myths of animal hospice and euthanasia. - Author Lynn Hendrix is an expert veterinarian with than a decade of experience in the field of Veterinary Palliative Medicine and is also the owner/founder of Beloved Pet Mobile Vet, a company providing in-home animal hospice and euthanasia.
Includes information on Mary Beard, black nurses, blacks, Boston (Massachusetts), Charleston (South Carolina), homecare, Ladies Benevolent Society, race, nursing salaries, tuberculosis, visiting nurse associations, etc.
Bullshit isn’t what it used to be. Now, two science professors give us the tools to dismantle misinformation and think clearly in a world of fake news and bad data. “A modern classic . . . a straight-talking survival guide to the mean streets of a dying democracy and a global pandemic.”—Wired Misinformation, disinformation, and fake news abound and it’s increasingly difficult to know what’s true. Our media environment has become hyperpartisan. Science is conducted by press release. Startup culture elevates bullshit to high art. We are fairly well equipped to spot the sort of old-school bullshit that is based in fancy rhetoric and weasel words, but most of us don’t feel qualified to challenge the avalanche of new-school bullshit presented in the language of math, science, or statistics. In Calling Bullshit, Professors Carl Bergstrom and Jevin West give us a set of powerful tools to cut through the most intimidating data. You don’t need a lot of technical expertise to call out problems with data. Are the numbers or results too good or too dramatic to be true? Is the claim comparing like with like? Is it confirming your personal bias? Drawing on a deep well of expertise in statistics and computational biology, Bergstrom and West exuberantly unpack examples of selection bias and muddled data visualization, distinguish between correlation and causation, and examine the susceptibility of science to modern bullshit. We have always needed people who call bullshit when necessary, whether within a circle of friends, a community of scholars, or the citizenry of a nation. Now that bullshit has evolved, we need to relearn the art of skepticism.
