Artificial intelligence (AI) has been put forth as a technological innovation which can change the way in which healthcare will be delivered in the near future. AI developers plan to deploy tools that will aid diagnosis, improve therapy, minimize errors, increase safety, and optimize systems and bring down costs. In addition, a paradigmatic shift…

We present an instrument to allow individuals with autism spectrum disorder, their families and/or their caregivers to prepare emergency department staff for the care needs of this patient population ahead of acute presentation.

Context: Musculoskeletal palpation is taught in our athletic training programs as part of the injury evaluation process. However, as palpation skills are taught, the focus is oftentimes on accuracy of surface-anatomy landmarks instead of the ability to discriminate qualitative information such as tissue tone, spasm, or pain response from the soft…

The development of European Union of Medical Specialists (UEMS) physical and rehabilitation medicine programmes of care (PRMPC) and physical and rehabilitation medicine care pathways (PRMCP) in France is a good example of the positive interaction between European and national organizations. PRMPC were defined at the European level to offer a…

Using principles of Applied Implementation Science, this paper examines strategies for systematically selecting and operationalising National clinical practice guidelines and intentionally creating implementation supports to ensure high fidelity use and sustainable application and outcomes. In the spirit of participatory action research, key…

Healthcare has become a rapidly changing field. With the introduction of value-based purchasing to determine reimbursement of Medicare providers based on the quality of care in addition to outcomes in treatment, the environment is becoming ever more competitive. Saint Philip's Hospital is among the largest non-profit hospitals in the nation…

Continuing education (CE) that strives to improve patient care in a complex health care system requires a different paradigm than CE that seeks to improve clinician knowledge and competence in an educational setting. A new paradigm for CE is necessary in order to change clinician behavior and to improve patient outcomes in an increasingly…

In this article, the author presents an update of Herman's article ["Changes in Patterns of Health Care," "School Health Review," 1(9-14)1969] that focuses on the changes in patterns of health care. He discusses the poverty, insurance, and access to medical care as well as the quality of medical care for adults and minors. He stresses that…

Reducing health inequalities is a key priority for the Scottish Government. Health authorities are expected to meet quality targets. The involvement of people with learning disabilities in health service review teams has been one of the initiatives used in by National Health Service Quality Improvement Scotland to empower patients and improve…

A biology teacher has developed a rare and troubling neurologic disorder. He hears of an experimental treatment that has produced impressive results. The treatment involves surgically ablating selective parts of the brain at close proximity to the brainstem. There is a risk that, during the procedure, vital parts of the brain could be…

Knowledge of health behavior theory allows health practitioners to design health promotion interventions that are based on factors that influence behavior. Objectives: At the conclusion of this lesson, students will be able to: (1) identify and define the three major levels of influence of the Ecological Perspective, (2) identify how each level of…

Shadowing entails a researcher closely following a subject over a period of time to investigate what people actually do in the course of their everyday lives, not what their roles dictate of them. Behaviors, opinions, actions, and explanations for those actions are reflected in the resulting thick, descriptive data. There is little written that…

Complementary and alternative medicine (CAM) has experienced a dramatic growth in use and acceptability over the last 20 years. CAM is a diverse collection of medical and healthcare systems, practices, and products that are not presently considered a component of conventional medicine. CAM traditionally has been practiced by informally educated…

To provide the best care to patients, a physician must commit to lifelong learning, but continuing education and evaluation systems in the United States typically require little more than records of attendance for professional association memberships, hospital staff privileges, or reregistration of a medical license. While 61 of 68 medical and…

Assessment is a critical step in determining appropriate support services. This article discusses "caregiver assessment," a systematic process of gathering information to describe a caregiving situation. Caregiver assessment identifies the particular problems, needs, resources, and strengths of the family caregiver and approaches issues from the…