Community care

The main process (Fig. 1.1) for the care of a patient is normally the Primary care process (the patient handles their own drugs)—or the community care process (the patient gets help from community nurses at home or at a nursing home). All other processes such as hospital care (secondary/tertiary care) and the pharmacy process must support the main patient process. For improvement we must focus on patient safety and reduce drug-related problems. This means correct prescription and correct use (follow-up, documentation and communication) from the supportive process to the main process. 

Community care treatment by community mental health providers (about two-thirds of these children received stimulant medication through their doctors). 

Pritchard, C., Fielding, M., Choudry, N., Cox, M., and Swan, C. (1985) Drug and solvent abuse in the caseload of probation and social services departments a balanced approach , Community Care, 570 25-7. 

The development of specialist community teams is occurring against a background of increasing concern about the entire concept of community care which has been criticised by both the Commons Social Services Committee in f 9851 and the Audit Commission in... 

Hou se of Commons Second Report from the Social Services Committee (1985) Community Care with Special Reference to Adult Mentally III and Mentally Handicapped People, London HMSO. 

Audit Commission for Local Authorities in England and Wales (1986) Making a Reality of Community Care, London HMSO. 

Clement, S. (1987) The Salford experiment , in Stockwell, T. and Clement, S. (eds) Helping the Problem Drinker, New Initiatives in Community Care, London Croom Helm. 

Ineichen, B. and Russell, J.A.O. (1980) Mental Handicap and Community Care—the View Point of the General Practitioner, Mental Handicap Studies, Research Report no. 4, University of Bristol, Development of Mental Health. 

Tiihonen, J., Walhbeck, K., Lonnqvist, J., Klaukka, T., Ioannidis, J. P., Volavka, J., Haukka, J. 2006, Effectiveness of antipsychotic treatments in a nationwide cohort of patients in community care after first hospitalisation due to schizophrenia and schizoaffective disorder observational follow-up study, Br.Med.J., vol. 333, no. 7561, p. 224. 

Titmuss, R. M. 1968, Community care fact or fiction , in Commitment to Welfare, R. M. Titmuss, ed., Allen Unwin, London. 

Critical thinking—Use clinical judgment and decision-making skills in assessing the client for appropriate, timely individual, family, and community care during a disaster. 

Development of health models which integrate the different areas (basically hospital and community care). The separation between the different areas of patient care is artificial, while integration implies a higher quality and more individualized care. 

Patients evaluated for inclusion in a home care program may proceed to a hospital, emergency room, or community care center. 

Health service providers include clinics, informal practitioners, hospitals, laboratories or other diagnostic services, pharmacies, community care service providers, health promoters, ambulances or other transport service providers, and vendors of prostheses. 

The vertical domain services include (but are not limited to) clinical event management services, ADT services, diagnostic information sharing services, provider office system services, pharmacare services, telemedicine and telesurgery services, continuing or community care services, and public health and surveillance services. 

The continuing or community care services are to identify the requirements associated with supporting the delivery of services in a larger community setting. 

Community care refers primarily to those applications involved with the operations of the Health Units or Community Mental Health clinics. Issues included are intake, workload, and features capture of immunization data and mental health information. 

Wellness management can be a practical way of harnessing the benefits of real collaborative working, creating the opportunity for new initiatives beyond the normal boundaries of hospital and community care, along what Professor Brian Edwards at the University of Sheffield might call a care pathway . 

The RBJ Health Center is headquarters for the public health and community care components of the Austin/Travis County Health and Human Services Department. Austin Energy, which is Austin s community-owned utility, plans to open the installation to the public as a demonstration facility and provide tours and educational programs. The fuel ceU is a PC25 system manufactured by UTC Fuel Cells, a unit of United Technologies Corporation." ... 

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