Clinics in Integrated Care最新文献_第2页

Social prescribing: the view from the VCSE sector 社会处方：来自 VCSE 部门的观点

Clinics in Integrated Care Pub Date : 2024-10-01 DOI: 10.1016/j.intcar.2024.100230

Kate Jopling

{"title":"Social prescribing: the view from the VCSE sector","authors":"Kate Jopling","doi":"10.1016/j.intcar.2024.100230","DOIUrl":"10.1016/j.intcar.2024.100230","url":null,"abstract":"<div><div>After many years of incubation by leading voluntary, community and social enterprise (VCSE) sector organisations, in 2019 social prescribing services were mainstreamed into the NHS primary care offer, with funding offered to Primary Care Networks to pay link workers’ salaries.</div><div>Social prescribing services capitalise on the VCSE's capacity to address issues that go beyond the medical, by bridging between the formal health system and the support available in communities. The VCSE sector has welcomed the NHS's adoption of social prescribing and wants to see it succeed.</div><div>However rolling social prescribing out across the NHS has been challenging, most notably in relation to funding for the VCSE sector. While NHS England now funds link workers directly, it does not fund the community activities and services into which link workers make referrals. The roll out of social prescribing has therefore created additional pressure on an already-stretched VCSE system, particularly in more deprived communities.</div><div>Finding sustainable solutions for funding the whole social prescribing “ecosystem” and securing its position as a core part of the health system will require work to bring a wider group of stakeholders together behind the vision for social prescribing and to secure their commitment to contributing to the outcomes it delivers.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"26 ","pages":"Article 100230"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142428689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How to behave in an interview with the media 在接受媒体采访时如何表现

Clinics in Integrated Care Pub Date : 2024-08-27 DOI: 10.1016/j.intcar.2024.100216

Graham Thornicroft, Norman Sartorius

引用次数: 0

How to read a research paper 如何阅读研究论文

Clinics in Integrated Care Pub Date : 2024-08-27 DOI: 10.1016/j.intcar.2024.100220

Norman Sartorius, Sir Graham Thornicroft

引用次数: 0

Promoting health and improving quality of life in heart failure patients 促进心力衰竭患者的健康并提高其生活质量

Clinics in Integrated Care Pub Date : 2024-08-01 DOI: 10.1016/j.intcar.2024.100215

M Suzanne White, Nathania Bush, Meredith Hennion, Brianna Bush

引用次数: 0

Social prescribing: community power and the community paradigm 社会处方：社区权力和社区范式

Clinics in Integrated Care Pub Date : 2024-08-01 DOI: 10.1016/j.intcar.2024.100222

Chris Dabbs

{"title":"Social prescribing: community power and the community paradigm","authors":"Chris Dabbs","doi":"10.1016/j.intcar.2024.100222","DOIUrl":"10.1016/j.intcar.2024.100222","url":null,"abstract":"<div><p>Social prescribing is an approach that connects people to activities, groups and services in their community, but it can also be counter-productive and disabling. It exists between state and market paradigms.</p><p>The ‘community paradigm’ reflects a belief that people and communities themselves have the best insight into their own situation. It seeks long-term solutions within communities, rather than for them.</p><p>What matters most to people with long-term health conditions are: being respected; health; understanding yourself; purpose and being valued; quality relationships; and enjoyment.</p><p>An approach reflecting the ‘community paradigm’ would address the determinants of health and well-being, rather than the symptoms. It would integrate social approaches and public services.</p><p>The offer would be more a community offer than a service offer. People would experience success as participating, interdependent members of their community, recognized and valued for their gifts.</p><p>This requires change within communities and systems, through genuine co-production between the two. Making social solutions as or more attractive than service solutions requires an open and honest reflection on, and redistribution of, collective power and wealth.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"25 ","pages":"Article 100222"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141985820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The management of inflammatory bowel disease in older adults 老年人炎症性肠病的治疗

Clinics in Integrated Care Pub Date : 2024-04-25 DOI: 10.1016/j.intcar.2024.100201

Karishma Sethi-Arora, Jimmy K. Limdi

{"title":"The management of inflammatory bowel disease in older adults","authors":"Karishma Sethi-Arora, Jimmy K. Limdi","doi":"10.1016/j.intcar.2024.100201","DOIUrl":"https://doi.org/10.1016/j.intcar.2024.100201","url":null,"abstract":"<div><p>The rising incidence and prevalence of inflammatory bowel diseases (IBD) is increasing. Taken together with population ageing, the number of older adults with IBD globally is set to increase. The wide differential diagnosis of IBD in older adults may result in diagnostic delay. In addition, there is a higher prevalence of frailty among older people with IBD, which is recognisable across age groups. Despite some common features, there are important differences in the clinical presentation and natural history of older-onset IBD compared with those diagnosed at a younger age. Challenges posed by co-morbidity, polypharmacy and loco-motor dysfunction influence treatment considerations and require a holistic and often multi-disciplinary therapeutic approach. The typical exclusion of older persons from clinical trials of IBD therapies may negatively influence application of modern treatment paradigms in these individuals. Recognition of the potential disconnect between chronological and biological age, with careful dynamic risk-stratification including frailty assessment, must underpin pragmatic and when possible, evidence-based decisions in this potentially vulnerable group, taking care to avoid under-treatment. This review covers the clinical presentation, diagnostic considerations and complexities surrounding the holistic management of IBD in older patients.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"24 ","pages":"Article 100201"},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140644436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The management of inflammatory bowel disease in pregnancy 妊娠期炎症性肠病的治疗

Clinics in Integrated Care Pub Date : 2024-03-14 DOI: 10.1016/j.intcar.2024.100200

Karishma Sethi-Arora, Yasmin Ingram, Jimmy K. Limdi

{"title":"The management of inflammatory bowel disease in pregnancy","authors":"Karishma Sethi-Arora, Yasmin Ingram, Jimmy K. Limdi","doi":"10.1016/j.intcar.2024.100200","DOIUrl":"https://doi.org/10.1016/j.intcar.2024.100200","url":null,"abstract":"<div><p>The peak incidence of inflammatory bowel disease (IBD) coincides with a woman's prime reproductive years. Pregnancy related knowledge remains suboptimal among healthcare professionals and women living with IBD. Preconception counselling can improve pregnancy specific IBD patient knowledge and provide a personalised risk assessment, to ensure optimal maternal and fetal outcomes. Although fertility rates in women with IBD are comparable with the general population, voluntary childlessness is common among women with IBD. IBD disease activity at conception and during pregnancy is a key determinant of the course of IBD during pregnancy. Active IBD during pregnancy is associated with adverse outcomes including spontaneous abortion, small for gestational age baby, and preterm birth. Most IBD medications are considered low risk during pregnancy and breastfeeding, except for methotrexate, JAK-inhibitors, ozanimod, ciclosporin, and allopurinol. Most women with IBD can have a vaginal delivery, but caesarean section should be considered in active perianal disease and history of ileal pouch surgery. We review the current evidence for preconceptual management of IBD, during pregnancy, and the postpartum period.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"23 ","pages":"Article 100200"},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health maintenance strategies in adults with inflammatory bowel disease 成人炎症性肠病患者的健康维护策略

Clinics in Integrated Care Pub Date : 2024-02-15 DOI: 10.1016/j.intcar.2024.100191

Kavita Sethi, Karishma Sethi-Arora, Jimmy K. Limdi

引用次数: 0

‘Anyone can make bad use of a good law’: exploring how constrained choice can result in moral injury 任何人都可能滥用良法"：探讨受限选择如何导致道德伤害

Clinics in Integrated Care Pub Date : 2024-01-04 DOI: 10.1016/j.intcar.2023.100190

Sarah-Jane Fenton, Sarah Carr, Louise Isham

引用次数: 0

Healthcare disparities 医疗差距

Clinics in Integrated Care Pub Date : 2023-12-17 DOI: 10.1016/j.intcar.2023.100181

Shondell V. Hickson

引用次数: 0