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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.
The US healthcare system faces numerous difficulties: uncontrolled increases in costs; major access problems; doctor shortages; closing practices; inefficiencies; decreasing revenues; shrinking bottom lines; large numbers of uninsured and underinsured patients; and the upcoming increased demands in service posed by the Affordable Care Act. As a result, many physicians and health care organications are turning to group visits to address these problems. While Dr. Noffsinger's textbook Running Group Visits In Your Practice is the cornerstone reference on designing, implementing and running shared medical appointments (SMAs) in one's practice, it lacks the simplicity and practicality that clinicians are looking for to start their own SMA programs. The ABCs of Group Visits is a practical, streamlined and step-by-step guide focused on the implementation aspects of group visits.Healthcare professionals at every level are looking for alternate ways to deliver high quality care at lower cost, and it is clear to many that group visits provide a care delivery model that will address many of today's critical challenges. The ABCs of Group Visits quickly provides a solution for your busy practice.
The field of lifestyle medicine, which is the study of how daily habits and actions impact on both short- and long-term health and quality of life, continues to expand globally. The scientific and medical literature that supports the success of these lifestyle habits and actions is now overwhelming. Thousands of studies provide evidence that regular physical activity, maintenance of a health body weight, following sound nutritional practices, stress reduction, and other good practices all profoundly impact both health and quality of life. Following its predecessors, Lifestyle Medicine, Third Edition, is edited by lifestyle medicine pioneer, cardiologist Dr. James Rippe. This edition has been thoroughly updated and represents the expert opinions of 20 section editors as well as more than 150 expert chapter authors whose knowledge span all aspects of this emerging discipline. Topics cover lifestyle medicine practices including regular physical activity, proper nutrition, and weight management. These principles are applied to the prevention and or treatment of a wide variety of chronic conditions ranging from heart disease and diabetes to cancer, mental health, addiction, and injury prevention. This book serves as evidence base for individuals who wish to practice lifestyle medicine or incorporate some of its principles into either general medicine or subspecialty practice. It provides valuable information to healthcare workers in the fields of nutrition, exercise physiology, psychology, behavioral medicine, health promotion, and public policy where lifestyle medicine principles play an ever-increasing role.
Describes a highly effective alternative health care paradigm Two distinguished leaders in (nurse-)midwifery provide a comprehensive examination of an effective, well-known model of perinatal care associated with improved health outcomes and reduced costs. This book describes basic tenets of the Centering Healthcare Model, which brings cohorts of people with similar health care needs together in a circle group setting for care. It encourages meaningful dialog between the patient, other patients, clinicians, the family, and the community. The chapters discuss the clinical practice landscape leading to the model’s development, its use in clinical practice, and its widespread and continuing growth as an effective alternative to traditional care. Interspersed with comments and stories of support from Centering alumni, both group members and health care professionals, this book provides information on how to implement the group model in practice and maintain the three foundations of the model: health care, interactive learning, and community building. Chapters describe the power of the group process, through facilitative leadership, to encourage behavior change and personal empowerment. Data documents increased satisfaction with care and better health outcomes. Key Features: Describes the theoretical underpinnings and foundations of the Centering Model Demonstrates ways that the Centering Model achieves improved health care outcomes and reduced costs Discusses the impact of evidence-based research on providers, administrators, and policy-makers Focuses on implementation science relating to stages of system redesign and supportive mentoring Includes personal stories from patients, providers, and staff Demonstrates the validity and applicability of the model to a variety of healthcare fields and practices.
Prepare for success in today's fast-paced, collaborative healthcare environment! Offering expert perspectives from a variety of primary care and nurse practitioners, Primary Care: A Collaborative Practice, 5th Edition helps you diagnose, treat, and manage hundreds of adult disorders. Care recommendations indicate when to consult with physicians or specialists, and when to refer patients to an emergency facility. This edition includes six new chapters, a fresh new design, the latest evidence-based guidelines, and a new emphasis on clinical reasoning. Combining academic and clinical expertise, an author team led by Terry Mahan Buttaro shows NPs how to provide effective, truly interdisciplinary health care. UNIQUE! A collaborative perspective promotes seamless continuity of care, with chapters written by NPs, physicians, PAs, and other primary care providers. Comprehensive, evidence-based content covers every major disorder of adults seen in the outpatient office setting, reflects today's best practices, and includes the knowledge you need for the NP/DNP level of practice. A consistent format in each chapter is used to describe disorders, facilitating easier learning and quick clinical reference. Diagnostics and Differential Diagnosis boxes provide a quick reference for diagnosing disorders and making care management decisions. Complementary and alternative therapies are addressed where supported by solid research evidence. Referral icons highlight situations calling for specialist referral or emergency referral. NEW chapters cover topics including transitional care, risk management, LGBTQ patient care, bullous pemphigoid, pulmonary embolism, and dysphagia. NEW! An emphasis on clinical reasoning helps you develop skills in diagnosis and treatment, with coverage moving away from pathophysiology and toward diagnostic reasoning and disease management — including pharmacologic management. NEW focus on interdisciplinary care underscores the importance of interprofessional education and practice, and includes Interdisciplinary Management features. UPDATED chapters reflect the latest literature and evidence-based treatment guidelines, including new content on the Affordable Care Act as well as new coverage of patient satisfaction metrics, quality metrics, value-based purchasing, pharmacogenetics/genomics, and teen pregnancy and abnormal pregnancy. NEW quick-reference features make it easier to locate important information, through colorful section tabs, bulleted summaries, additional algorithms, a more logical table of contents, an Index to Standardized Treatment Guidelines, and a Reference to Common Laboratory Values.
Empowering Behavior Change in Patients: Practical Strategies for the Healthcare Professional reviews medical research and pairs it with behavior change theories to create counseling strategies and tools that equip the reader to empower others to adopt and sustain change. With contributions by leading physicians, PhDs, health coaches and other experts in behavior change, the book presents a variety of perspectives, backgrounds and educational experiences encouraging readers to alter their counseling practices to include more behavior change and coaching strategies. Features Guidance from renowned behavior change experts as well as medical students and healthcare professional students in training to create a unique mix of well-established theories and practices, review articles and research, and tools and strategies, in addition to perspectives on change to use when counseling individuals with chronic conditions and those looking to prevent disease. Presents healthcare providers with tools to be empowering messengers by relaying this information to patients in relatable, inspiring ways. Features successful case studies throughout and provides examples of language to use when counseling individuals. Provides cutting-edge examples of the effectiveness of group visits to help create sustainable change which is a healthcare trend that is up and coming. Shares concrete strategies to help readers move forward in their own behavior change journeys as well as help others, either patients, colleagues, or loved ones to make strides toward optimal health and well-being. Implements lifestyle medicine concepts and principles. Each chapter includes a summary and takeaway points for the reader. A volume in the Lifestyle Medicine series, this book is for those in healthcare looking to empower people to adopt and sustain healthy lifestyles based on the six pillars of lifestyle medicine, including routine physical activity, nutritious eating patterns, sound sleep, positive social connections, stress resilience, and avoidance of risky substances. This book is a solid resource for information on behavior change in healthcare benefiting not only the healthcare industry and students, but also parents, teachers, and anyone who cares for an individual with a chronic condition such as diabetes, heart disease, hypertension, or obesity, and for those looking to prevent the onset of disease.
Through a Trauma Lens aims to understand and highlight successful examples of health, mental health, substance abuse treatment, and other service delivery systems that have implemented an integrated trauma-informed service model. This innovative volume draws on the author’s first-hand experience working alongside a number of local and state organizations as well as a nationwide survey of notable trauma-informed models. Structured around illustrative case studies, chapters that correspond to stage of adoption, and strategies for cultivating staff support, this valuable new resource include examples and strategies to be applied in any treatment or service setting.
The fourth edition of Dr. James Rippe’s classic Lifestyle Medicine textbook continues to lead and inform the rapidly growing field of lifestyle medicine. This is the discipline that focuses on the impact of daily habits and actions on both short- and long-term health and quality of life. The first edition of this comprehensive work named the field of lifestyle medicine in the academic medical literature. The fourth edition continues to span and expand the field and offers extensive evidence-based literature in virtually every aspect of lifestyle medicine. This Textbook, edited by cardiologist Dr. James Rippe, who is a leading lifestyle medicine researcher, represents the combined wisdom and recommendations of over 325 experts in virtually every aspect of lifestyle medicine. Chapter authors have been chosen because of their background as leaders in various aspects of lifestyle medicine. Lifestyle Medicine, Fourth Edition contains extensive sections on the treatment and prevention of coronary heart disease,stroke, cancer, diabetes, obesity, substance abuse, dementia, and many other clinical conditions. Key lifestyle modalities such as physical activity, nutrition, weight management, sleep, stress reduction, and positive connections with other humans are supported by detailed discussion and state-of-the-art evidence. The expanded section on behavioral medicine provides an important framework for these discussions. Every chapter has been completely revised and many new topics added, such as lifestyle medicine for nursing, psychiatry, and preventive neurology. The fourth edition of this classic text continues to serve as the leading, comprehensive textbook in lifestyle medicine. The original has been called the “indispensable bible” of lifestyle medicine, and the fourth edition of this work continues to justify this designation. There is no longer any serious doubt that daily habits and actions have a significant impact on multiple aspects of health. The fourth edition of Lifestyle Medicine provides the scientific evidence to support this assertion and will serve as an invaluable reference and guide, not only to lifestyle medicine practitioners but to all primary care physicians, subspecialty physicians, nurses, and other healthcare practitioners.
This book focuses on optimizing management and outcomes rather than on routine diagnosis of chronic disease. The reader learns proven methods for treating the most common chronic conditions that they see in daily practice. Chapters are structured to help physicians adopt evidence-based management techniques specific for each condition. Special emphasis is placed on the use of action plans and educational resources for promoting patient self-management.