منابع مشابه
Integrated care pathways and task shifting
Delivery of HIV care has evolved over the last 10 years, and nurse specialists are a driving force in developing new pathways to enhance patient care. Despite the continued rise in numbers of people living with HIV, the financial constraints on the NHS have unfortunately resulted in a reduction in service provision. Experienced nurses are integral to patient care management. They not only provi...
متن کاملTask shifting or shifting care practices? The impact of task shifting on patients’ experiences and health care arrangements in Swaziland
BACKGROUND In the quest to achieve early HIV treatment goals, national HIV treatment programmes dependent on international funding have been dramatically redesigned over the last 5 years. Bottlenecks in treatment provision are conceived of as health system problems to be addressed via structural and logistical fixes (routine HIV testing, point-of-care equipment, nurse-led antiretroviral treatme...
متن کاملIntegrated care pathways.
Integrated care pathways specify and evaluate clinical practice and can improve patient care.' They use multidisciplinary guidelines to develop and implement clinical plans which represents current, local best practice for specific conditions. They may also incorporate national guidelines,' evidence based medicine,3" and benchmarking.5 Pathways are divided into time intervals during which speci...
متن کاملCasemix innovation: shifting to integrated care
Introduction The vested interests of both hospitals and medical specialists in the current system are blocking a breakthrough to a real patient-centred approach within healthcare. Adapting the funding system to cut across traditional silos of healthcare seems to be the key; however, these vested interests are preventing the introduction of a process of change which is needed for this paramount ...
متن کاملPower and Integrated Health Care: Shifting from Governance to Governmentality
Integrated care occurs within micro, meso and macro levels of governance structures, which are shaped by complex power dynamics. Yet theoretically-led notions of power, and scrutiny of its meanings and its functioning, are neglected in the literature on integrated care. We explore an alternative approach. Following a discussion on governance, two streams of theorising power are presented: mains...
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ژورنال
عنوان ژورنال: Journal of the International AIDS Society
سال: 2014
ISSN: 1758-2652
DOI: 10.7448/ias.17.4.19495