CONTEXT The receipt of health care in a medical home is increasingly touted as a fundamental basis for improved care for persons with chronic conditions, yet the evidence for this claim has not been systematically assessed. OBJECTIVE Our goal was to determine the evidence for the federal Maternal and Child Health Bureau recommendation that children with special health care needs receive ongoi...

The ketogenic diet is an effective treatment for drug-resistant epilepsies in children. In addition, it is the first-line treatment for some metabolic disorders, such as glucose transporter 1 deficiency syndrome. This article discusses the proposed mechanisms of a ketogenic diet's antiseizure action, its clinical indications, and its contraindications. The steps involved in ketogenic diet initi...

Health services in many developed countries are experiencing an urgent need for innovation in response to an ageing population and the growing prevalence of chronic and degenerative diseases.Many urge reform of what are now perceived as inadequate and outdated services that have traditionally focused on a medical model predicated on access, continuity, integration and comprehensive care. Differ...

PURPOSE To develop an End of Life Care (EOLC) Policy for patients who are dying with an advanced life limiting illness. To improve the quality of care of the dying by limiting unnecessary therapeutic medical interventions, providing access to trained palliative care providers, ensuring availability of essential medications for pain and symptom control and improving awareness of EOLC issues thro...

Comprehensive care models in dental education encourage students to deliver patient-centered care. But to deliver effective comprehensive care, a clinician must first make a comprehensive diagnosis. Students of general dentistry are taught to make one or more diagnoses as defined by the dental specialties, and to direct patient care accordingly. Without a comprehensive diagnosis, patients may r...

Fig. 1 Taiwan government predicted that elderly population will take 20% in 2026 and 29.8% in 2050 toward total people in Taiwan. Abstract—In Taiwan, there are three types of caring patterns for elders, home care service, community care service and institution care service. In recent years, many syndicates have “advanced welfare park”, which purpose is to provide a perfect caring system thus, i...

OBJECTIVE To provide a patient-centered medical home (PCMH) primer for pharmacists, including basic background information, key terminology, and examples of success stories. DATA SOURCES PCMH literature and resources obtained through search strategies by authors including but not limited to PubMed and Google Scholar. SUMMARY PCMHs are a potential means of achieving cost reduction in health ...

Policymakers no longer question that healthcare system reform will occur; rather they differ on the timing and direction of change. The Washington Business Group on Health envisions a future healthcare delivery system called an organized system of care (OSC). An OSC is an integrated financing and delivery system that uses a panel of providers selected on the basis of quality and cost management...