General practice is the cornerstone of primary care in the UK. However, this traditional model has been challenged by new visions of its role, particularly a responsibility for improving health as well as for the care of illness, and a responsibility for populations as well as for individuals. This book focuses on the development of general practice as a framework within which community nurses and other professionals can build their contibution to the future of primary care. In so doing it shows how the care of general practice can be maintained and strengthened. This work is intended for all primary care staff, including doctors, nurses and managers, and for anyone interested in the future of primary care in the changing NHS.

The NHS pension scheme is the largest in Europe. This guide explains how it works and how to maximize its benefits and avoid its pitfalls. The book covers: recent changes to the scheme including new provisions for early retirement; personal pensions, financial planning and investment options; advice on preparing for retirement and working after retirement; state benefits; and health and leisure in retirement. It is written for all NHS staff and should be of particular value to GPs and salaried doctors.

The quality of health care in the US depends on the patient's ability to pay and his or her insurance cover, at an annual cost of $3600 per head of population. In the UK, the quality of care costs less at an annual cost of $1000 per head of population, although care is sometimes delayed through a lack of resources. This book compares the two systems from the viewpoint of primary care, identifying some models of excellence from which both can benefit. It draws on the experience of the NHS reforms in the UK and the political imperative to control costs and improve the service in the US.

This book deals with the area of marketing in general practice. It presents a step-by-step guide to the nature of marketing in which each aspect is presented in short, separate chapters accompanied by questions, checklists and practical examples. It is based upon the lessons learned by a number of GPs and practice managers over a variety of situations and concludes with a comprehensive case study of one particular practice with which the authors worked. Readers of this book should gain a clear idea of the nature and purpose of marketing techniques and how the opportunities now becoming available can benefit both practice and patients.

As soon as this book first appeared in 1990 it became the standard text for the new generation of practice managers with responsibility for implementing many of the radical changes taking place in general practice. It required reprinting several times to satisfy demand and has since undergone two major revisions to ensure that it is up to date. This Third Edition incorporates several new chapters and new contributors, who reflect efficient and patient-friendly practice, and the continuing evolution of the NHS reforms. Topics are presented in clear, comprehensive and concise terms, from which managers will derive confidence and understanding, whether they use the book for background reading in the practice, or as a textbook on the many training courses that have now adopted it.

For GPs and practice managers the challenge of the NHS reforms is to understand the business context in which general practice operates. Of the many skills learned from commerce and industry needed for the development of an effective strategy, business planning has been demonstrated to bring important benefits to the practice. However, for many the concept is necessary but unfamiliar. This book sets out to demystify the subject, explains the benefits and, by way of numerous examples, shows how they can be applied to the single-handed GP and group practices, whether or not they are fundholders. It suggests that good clinical care is not possible without the necessary planning and management skills to run a business.

This is a book about primary care clinicians and the "clinical uncertainty" endemic to their work. Even when seemingly straightforward, each patient raises unique questions regarding how best to listen to their complaints, empathize with their suffering, or respond to their silences.

This book is also about "addressing" uncertainty in primary care practice and "engaging" it. Engagement requires knowledge, explicit and tacit, placed in the service of a single patient s problem. It also requires carefully managed communication, facilitating dialogue with the patient and encouraging shared problem-solving.

Most importantly, this book is about "collaborative engagement with case-based uncertainty in the setting of small groups of clinicians. "Sommers and Launer contend that the medical profession s tradition of working independently should be augmented with an explicitly shared, collegial one of jointly creating wisdom through practice-based learning.

An international panel of expert clinicians and educators provides: Perspectives on clinical uncertainty in the medical literatureA taxonomy of clinical uncertainty with patient examplesAnalysis of the educator role to support clinicians in engaginguncertainty A compendium of small group methods for collaborative engagement with clinical scenariosAnalysis of the special challenges ofcollaborative engagement

A mind-opening manifesto, "Clinical Uncertainty in Primary Care" will equip primary care clinicians, educators, public health and behavioral health professionals with resources for infusing practice with meaning through collegial collaboration.

From the Foreword: Lucia Sommers and John Launer, with the accompanying input of their contributing authors, have done a deeply insightful and close-to-exhaustive job of defining clinical uncertainty. They identify its origins, components and subtypes; demonstrate the ways in which, and the extent to which it is intrinsic to medicine and they present a cogent case for itsspecial relationship to primary care practice Clinical Uncertainty in Primary Care not only presents amodel of collegialcollaboration and support, it also implicitly legitimatesit. Renee Fox. "

The recent shifts in power, resources, influence and responsibility in primary care has increased the strain on general practice. This book is a comprehensive guide to the wide range of quality schemes available. It is unique in examining quality within the context of current practice, and it discusses future options based on new examples and research. It outlines the development of clinical governance, strategies for managing and assessing quality, continuing professional development, Department of Health policy initiatives and future trends.

This book has been written to serve as a manual for physicians practicing in a private office setting to recognize and recommend appropriate treatment for patients believed to be substance abusers. While it is not written for drug abuse specialists, it provides information regarding the diagnosis and treatments a competent, concerned physician can provide without becoming immersed in addiction treatment. Topics discussed include the degree to which a physician should become involved, when it is appropriate to refer, using other professions and volunteer groups, and useful medications. Guidelines for recognizing substance abuse, testing to confirm the abuse, confronting the patient, and motivating the patient into specific treatment are also presented. Tables and illustrations are used to summarize major points, making this an extremely useful reference tool for internists and other non-specialist private practitioners.

Medical partnerships are highly complex legal and financial entities. This book navigates the reader through the key issues and deals with the less tangible aspects such as partnership dynamics and organisational behaviour. Examples illustrate common difficulties and offer possible choices. It is clear, practical and readable and essential for all GPs entering a partnership. It is also relevant for GPs currently in partnerships, practices considering their partnership deed, Senior House Officers and GP registrars.

With every passing year, the mutual mistrust between doctor and patient widens, as doctors retreat into resentment and patients become increasingly disillusioned with the quality of care. Rich in anecdote as well as science Doctors and Their Patients describes how both have arrived at this sad shape.

Over ten percent of people infected with the COVID virus will suffer with long COVID syndrome. Up until now, more than one million people have been affected with this syndrome in the United Kingdom alone, and the incidence worldwide is estimated to be more than 35 million people, although this may be the tip of the iceberg. The World Health Organization has highlighted a need for the three Rs -- Recognition, Research and Rehabilitation. Long COVID syndrome can be frustrating and disabling, even many months or years after the infection; sufferers complain of fatigue, pain, post-exertional malaise, cognitive dysfunction and many other systemic symptoms. It can be challenging for healthcare professionals to recognise the disease and for patients who are suffering from the condition it can have a wide and far-reaching impact on their lives and day-to-day activities. Being a relatively new condition, many healthcare professionals, now more than ever, need to have the requisite knowledge to recognise and manage this severely debilitating disease. This book will be useful to all frontline healthcare professionals to help diagnose, manage and direct patients to the available resources. General practitioners, physiotherapists, pain therapists, nurses, surgeons, physicians, junior doctors, psychologists, medical students and other clinicians will be able to update their knowledge on long COVID syndrome with this easy-to-read book. Patients will also find the book useful to understand the basis of the disease and how they can seek help. This comprehensive treatise covers a wide variety of topics on long COVID syndrome including the aetiopathogenesis, recognition, systemic involvement, investigations, guidelines on management, available resources, systemic management and pain/fatigue management. This book will be handy for candidates preparing for various examinations conducted by the Royal College of General Practitioners, UK (MRCGP), Royal College of Anaesthetists, UK (FRCA), Faculty of Pain Medicine, UK (FFPMRCA), College of Anaesthesiologists of Ireland (FCAI), European Society of Anaesthesiology and Intensive Care (EDAIC), Australian and New Zealand College of Anaesthetists (FANZCA), World Institute of Pain (FIPP/CIPS), National Board of Examinations of India (Dip NB), and the American and Canadian board examinations, as well as other examinations conducted by medical boards across the globe. The author is a consultant in pain medicine who has published extensively on various topics and specialises in treating long COVID patients. He has written many textbooks in the fields of anaesthesia and pain, and conducts regular examination courses attended by candidates from all over the world. He is also a regular invited lecturer on the specialist subject of long COVID syndrome.

A Fateful Meeting A year and a half ago, I was sitting at a conference listening to Ed Noffsinger speak, and suddenly had the most profound ''Aha'' moment of my professional career. Here was someone presenting a practical and tested solution to some of the most challenging problems currently plaguing the US healthcare system, problems such as poor access to primary and specialty care; the uncontainable and rising costs of healthcare; our nation's relatively poor quality outcomes; and finally, the sense of frustration, disempowerment, loneliness, and disenfranchisement that patients and their families too often experience. Dr. Noffsinger's solution seemed deceptively simple-shared medical appointments (SMAs) that afford the highest quality healthcare to be delivered in the highest quality care experience-a group setting. Experience collected over a decade and involving more than 100,000 patient visits throughout the United States, Canada, and parts of Europe has demonstrated that SMAs, when used in primary care as well as in the medical and surgical subspecialties, lead to increased access to care, enhanced quality of care, and improved patient satisfaction. For physicians, the efficiency gains and team support from their participation in SMAs translate into much needed relief and improved career satisfaction.

This book examines the best ways to provide primary care at nights and weekends. There has been increasing demand from patients for out-of-hours care, and a great reorganisation of primary care services outside normal surgery hours. Different models of organisations are being tested, including primary care centres and nurses giving telephone advice. This book examines the tensions between public and professional expectations, and describes the range of options for providing services, with examples of good practice. It reviews the evidence about what works best, and the issues to consider in setting up different services. The contributors combine experience in organising, researching, evaluating and providing out-of-hours care, and offer practical advice, critical analysis and a political perspective. The book is an accessible and valuable contribution to this increasingly important aspect of healthcare. It is essential reading for all practitioners, managers and researchers in primary care, public health, Accident and Emergency departments, pharmacy, community nursing and ambulance services.

How patients heal doctors In Patients and Doctors, physicians from around the world share stories of the patients they'll never forget, patients who have changed the way they practice medicine. Their thoughtful reflections on a variety of themes--from suffering to humor to death--help us to understand the experience of doctoring, in all its ordinary and extraordinary aspects. In settings as diverse as Slovenia and Sweden, Cambodia and New Jersey, we learn what makes the healer feel graced with insight or scarred with misadventure. In Washington State, we anguish with patient and doctor alike when a young resident removes a screw from a little boy's foot; on the Israeli-Jordanian border, a woman goes into labor just as the air-raid sirens signal the beginning of the Gulf War. These compelling accounts remind us what is at stake in doctoring, reinforcing the value of stories in the teaching and practice of medicine: to calm, to validate, and to illuminate the human experience. "These stories illustrate humane physicians at their best."--Sharon Kaufman, author of The Healer's Tale

Bewahrt als Standardwerk fur Kinder- und Jugendarzte in Klinik und Praxis, prasentiert die 5. Auflage luckenlos das gesamte aktuelle Wissen der Padiatrie in zwei Banden. Der Erfahrungsschatz des erweiterten Herausgeberteams und der uber 300 renommierten Autoren sorgt fur exzellente didaktische und inhaltliche Qualitat des Buches. In dem mehrbandigen Werk sind in uber 350 Kapiteln alle organspezifischen Erkrankungen bis hin zu seltenen Krankheiten nach aktuellen Behandlungsleitlinien ubersichtlich, pragnant und klar beschrieben. Eingangige UEbersichten und instruktive Abbildungen machen das Werk anschaulich. Knappe Literaturangaben geben am Ende jedes Kapitels die wichtigsten UEbersichtsarbeiten zu jedem der padiatrischen Themen und Spezialgebiete an. Die letzte Sektion widmet sich der Arzneimitteltherapie bei Kindern und bietet unter anderem ein Kapitel zur padiatrischen Labordiagnostik und eine UEbersicht uber die Interaktion von Arzneimitteln in der Kinder- und Jugendmedizin.

Selected as a Doody's Core Title for 2022! For more than 30 years, health care providers have turned to The Only EKG Book You'll Ever Need for Dr. Malcolm S. Thaler's clear and concise guidance on EKG use in everyday practice. Ideal for readers at all levels of experience, the tenth edition of this straightforward, highly visual resource presents must-know information on using an EKG to diagnose cardiac and non-cardiac conditions, with numerous EKG strips, clear illustrations, clinical examples, and case studies throughout. From cover to cover, Dr. Thaler's commitment to "keeping simple things simple and making complicated things easy to understand" helps you learn and understand how to best use an EKG in actual clinical settings. Provides more than 200 EKG strips, including many new to this edition Includes updated clinical scenarios and case studies, step-by-step instructions, newly clarified concepts, and high-quality illustrations throughout Uses a lighthearted, lively writing style designed to be compelling and minimize confusion of principles discussed Outlines processes for identifying and interpreting arrhythmias, myocardial infarctions, hypertrophy, atrial fibrillation, and other disorders Advises on the dangers of over-reliance on computer interpretations and includes many other practical considerations that other books leave out Enrich Your eBook Reading Experience Read directly on your preferred device(s),such as computer, tablet, or smartphone. Easily convert to audiobook,powering your content with natural language text-to-speech.

What 'kind' of community is demanded by a problem like dementia? As aspects of care continue to transition from institutional to community and home settings, this book considers the implications for people living with dementia and their carers. Drawing on extensive fieldwork and case studies from Canada, this book analyses the intersections of formal dementia strategies and the experiences of families and others on the frontlines of care. Considering the strains placed on care systems by the COVID-19 pandemic, this book looks afresh at what makes home-based care possible or impossible and how these considerations can help establish a deeper understanding necessary for good policy and practice.

What are the dynamics that shape a primary care team? How can difficult issues be tackled when aiming towards the government's strategies? This book shows how good governance and quality management in general practice can be achieved. It addresses difficult issues, such as power, leadership, interpersonal behavior, confrontation, accountability and handling conflict, and looks at the dynamics of both groups and individuals, and investigates ways of dealing with them. It provides practical solutions, questions to help the reader analyze problems and test their performance, case studies and real examples drawn from the authors' many years experience in diagnostic management consultancy. It is essential reading for all members of the new primary care organizations, especially GPs, practice managers and nurses.

This text uses cases to illustrate differential diagnoses of various infectious diseases. Unlike any other book on the market, this book is specifically designed for ease of use and can cater to a variety of medical professionals and their needs. The text features brief cases that allow for quick readability, an appendix particularly designed for cross-referencing cases with common symptoms, exposures, and putative diagnoses, bulleted conclusion points, and differential diagnoses tables. Each case is written by an expert in the field and includes a discussion that leads the reader through the logical process of deduction to narrow the diagnosis as well as the laboratory testing, physical examination findings, and elements of the patient's history and exposures utilized to make a diagnosis. Chapters conclude with a focused review on a specific topic related to diagnosis, treatment, or prognosis that the case illustrates, including references for further reading on the topics from the literature. The Infectious Disease Diagnosis is an outstanding resource for infectious disease specialists, internal medicine physicians, emergency room staff, primary care and general practice physicians, family practitioners, consultants in infectious disease, medical students, residents, fellows, and trainees who diagnose patients.

Master the skills needed for medical coding today with Green's best-selling 3-2-1 CODE IT!, 2022 EDITION. Updated each year to reflect the most recent code and guideline changes, this easy-to-use medical coding guide is ideal if you are just beginning medical coding. Updates incorporate the latest changes to ICD-10-CM, ICD-10-PCS, CPT (R) and HCPCS Level II coding sets and guide you in using the CDC's ICD-10-CM search tool website. This well-organized, intuitive approach begins with diagnosis coding before guiding you through coding procedures and services. Separate chapters differentiate inpatient and outpatient coding as well as general and specific coding guidelines. Memorable examples, clearly defined terms and hundreds of updated printed and digital practice activities help you master concepts. You also work with computer-assisted coding cases and professional tools as you prepare for professional coding credentials. MindTap digital resources further equip you for coding success.

Approximately one-quarter of the U.S. population is enrolled in HMOs or similar managed care health plans, and the proportion is increasing. But even though such plans dominate today's agenda for health care reform, good, quantitative information on the performance of managed care programs is scarce. In "Promise and Performance in Managed Care," Donald Freeborn and Clyde Pope draw on the research literature and unique data sources to provide that information.

Focusing on the human experience of managed care, the authors examine the effects of managed care on members as well as physicians--assessing whether members are satisfied with the care they receive, and how physicians evaluate their experience with managed care. After offering a brief history of managed care in the United States, the book addresses such questions as what determines the choice of a health plan, access to care, patient satisfaction, physician satisfaction, and the implications of these findings for the future of managed care.

With the issue of health care reform in the forefront of national debate, the topics raised in "Promise and Performance in Managed Care" are particularly timely. Serving as both a standard against which to examine the effectiveness of proposed reforms and as a methodological "how to" for the evaluation of system changes, the book will be of interest to professionals and students of health policy as well as to HMO administrators and practitioners.

How do economic stresses on the family, such as dual-earner parents, unemployment, and poverty, affect the human service professional's assessment of the families he or she serves? The field of family sociology is now providing a wealth of empirical, relevant knowledge on the impact of macroeconomic issues on the families most frequently helped by social workers. New Approaches to Family Practice takes current research driven by the family systems theoretical framework and applies it to human services direct practice with families in three specific areas: employed-work and family-work, unemployment, and poverty. To illustrate the linkages from research to practice, the book presents chapters on the theory and research in each of the three target areas, each followed by a chapter on application and tools for direct practice in that area. Individual chapters include case studies, assessment tools, multilevel interventions and evaluations, and strategies for social change. In addition to being a rich resource for the human services professional who works with families, this book is ideal for courses in social work with the family, social work and human services, family studies, and clinical/counseling psychology.

Qualifizierte Diagnostik des Urinsediments! Dieses Lehrbuch vermittelt umfassend in Theorie und Praxis die qualifizierte Diagnostik des Urinsediments. Es erklart die Grundlagen der Urinsedimentdiagnostik und gibt daruber hinaus auch versierten Untersuchern zahlreiche Tipps. Exzellente Digitalfotografien in der Hellfeld- und Phasenkontrast-Mikroskopie zeigen eindeutig alle morphologischen Merkmale und unterstutzen das sichere Erkennen und Differenzieren der Bestandteile des Urinsediments. Fur Nephrologen, Urologen, Gynakologen, Internisten, Allgemeinmediziner, Studierende der Medizin, MTLAs und medizinisches Fachpersonal. Die 3. Auflage wurde umfassend aktualisiert, einige Kapitel ganzlich erneuert und durch zahlreiche neue hochaufloesenden mikroskopischen Aufnahmen als auch durch Kurzvideos als Zusatzmaterial erweitert.