Community Interest Group: From 1 Different Sources
(in Britain) any of the groups that work with NHS foundation trusts to represent the views of patients and other interested parties in setting the strategic direction of the trust. They are often formed around specific disease categories or patient groups (e.g. deaf patients, children in care).
The combination of sciences, skills and beliefs directed towards the maintenance and improvement of the health of all the people through collective or social actions. The programmes, services and institutions involved emphasize the prevention of disease and the health needs of the population as a whole. Community health activities change with changing technology and social values, but the goals remain the same.... community health
Psychotherapy in which at least two, but more commonly up to ten, patients, as well as the therapist, take part. The therapist encourages the patients to analyse their own and the others’ emotional and psychological diffculties. Group therapy is also used to help patients sharing the same condition – for instance, alcoholism or compulsive gambling. They discuss their problems for perhaps an hour twice a week and explore ways of resolving them.... group therapy
See BLOOD GROUPS.... abo blood groups
People are divided into four main groups in respect of a certain reaction of the blood. This depends upon the capacity of the serum of one person’s blood to cause the red cells of another’s to stick together (agglutinate). The reaction depends on antigens (see ANTIGEN), known as agglutinogens, in the erythrocytes and on ANTIBODIES, known as agglutinins, in the serum. There are two of each, the agglutinogens being known as A and B. A person’s erythrocytes may have (1) no agglutinogens, (2) agglutinogen A, (3) agglutinogen B, (4) agglutinogens A and B: these are the four groups. Since the identi?cation of the ABO and Rhesus factors (see below), around 400 other antigens have been discovered, but they cause few problems over transfusions.
In blood transfusion, the person giving and the person receiving the blood must belong to the same blood group, or a dangerous reaction will take place from the agglutination that occurs when blood of a di?erent group is present. One exception is that group O Rhesus-negative blood can be used in an emergency for anybody.
| Agglutinogens | Agglutinins | Frequency |
| in the | in the | in Great |
| Group | erythrocytes | plasma | Britain |
| AB | A and B | None | 2 per cent |
| A | A | Anti-B | 46 per cent |
| B | B | Anti-A | 8 per cent |
| O | Neither | Anti-A and | 44 per cent |
| A nor B | Anti-B | |
| | | |
Rhesus factor In addition to the A and B agglutinogens (or antigens), there is another one known as the Rhesus (or Rh) factor – so named because there is a similar antigen in the red blood corpuscles of the Rhesus monkey. About 84 per cent of the population have this Rh factor in their blood and are therefore known as ‘Rh-positive’. The remaining 16 per cent who do not possess the factor are known as ‘Rh-negative’.
The practical importance of the Rh factor is that, unlike the A and B agglutinogens, there are no naturally occurring Rh antibodies. However, such antibodies may develop in a Rh-negative person if the Rh antigen is introduced into his or her circulation. This can occur (a) if a Rh-negative person is given a transfusion of Rh-positive blood, and (b) if a Rh-negative mother married to a Rh-positive husband becomes pregnant and the fetus is Rh-positive. If the latter happens, the mother develops Rh antibodies which can pass into the fetal circulation, where they react with the baby’s Rh antigen and cause HAEMOLYTIC DISEASE of the fetus and newborn. This means that, untreated, the child may be stillborn or become jaundiced shortly after birth.
As about one in six expectant mothers is Rh-negative, a blood-group examination is now considered an essential part of the antenatal examination of a pregnant woman. All such Rh-negative expectant mothers are now given a ‘Rhesus card’ showing that they belong to the rhesus-negative blood group. This card should always be carried with them. Rh-positive blood should never be transfused to a Rh-negative girl or woman.... blood groups
Services and support to help people with care needs to live as independently as possible in their communities.... community care
The study of health and disease in the population of a defined community or group and the practice of medicine concerned with groups or populations rather than individual patients.... community medicine
A term that includes district nurses, health visitors, practice nurses and school nurses. While customarily based in a general practice or a health centre, they are independent health professionals contracted to the NHS (see NURSING).... community nurses
Formerly entitled consultant paediatrician (community child health), these are specialists dealing with children with chronic problems not involving acute or hospital care. For example, they have a primary role in dealing with disabled children, children with special educational needs and abused children.... community paediatrician
A formal association of three or more health practitioners or other health professionals providing health services. Income from the practice is pooled and redistributed to the members of the group according to some prearranged plan.... group practice
The group of persons for whom an intervention is planned. For example, the targeting of services to particular user groups.... targeting / target population / target group
See COMMUNITY CARE.... care in community
A category in a classification or typology of clients. Clients can be classified in various dimensions, e.g. by dependency level, by diagnosis.... client group
A group of people, often living in a defined geographical area, who may share a common culture, values and norms, and are arranged in a social structure according to relationships which the community has developed over a period of time. Members of a community gain their personal and social identity by sharing common beliefs, values and norms which have been developed by the community in the past and may be modified in the future. They exhibit some awareness of their identity as a group, and share common needs and a commitment to meeting them.... community
Collective efforts by communities which are directed towards increasing community control over the determinants of health and thereby improving health.... community action for health
See “emergency alarm”.... community alarm
Involves individuals acting collectively to gain greater influence and control over the determinants of health and the quality of life in their communities. Community empowerment is an important goal in community action for health.... community empowerment
See “aid”.... community equipment
Includes health services and integrates social care. It promotes self care, independence and family support networks.... community health care
An ambulatory health care programme, usually serving a catchment area which has scarce or non-existent health services or a population with special health needs. These centres attempt to coordinate federal, state and local resources in a single organization capable of delivering both health and related social services to a defined population.... community health centre
An integrated collection of computer and telecommunication capabilities that permit multiple providers, payers, employers and related health care entities within a geographic area to share and communicate client, clinical and payment information.... community health information network (chin)
The ongoing process of evaluating the health needs of a community. Usually facilitates prioritization of needs and a strategy to address them.... community health needs assessment
Usually managed by NHS trusts, these are a complex variety of services provided to people outside hospital settings. The key parts are the services delivered by district nurses, health visitors and therapists – for example, physiotherapists and speech therapists.... community health services
A trained health worker who works with other health and development workers as a team. The community health worker provides the first contact between the individual and the health system. The types of community health worker vary between countries and communities according to their needs and the resources available to meet them. In many societies, these workers come from and are chosen by the community in which they work. In some countries they work as volunteers; normally those who work part-time or full-time are rewarded, in cash or in kind, by the community and the formal health services.... community health worker
The active involvement of people living together in some form of social organization and cohesion in the planning, operation and control of primary health care, using local, national and other resources. In community involvement, individuals and families assume responsibility for their and their communities’ health and welfare, and develop the capacity to contribute to their own and their communities’ development.... community involvement
An entity which provides comprehensive mental health services (principally ambulatory), primarily to individuals residing or employed in a defined catchment area.... community mental health centre
Intended as a key part of the NHS’s local comprehensive mental health services serving populations of around 50,000, these multidisciplinary, multi-agency teams have been less e?ective than expected, in part due to varying modes of operation in di?erent districts. Some experts argue that the services they provide – for example, crisis intervention, liaison with primary care services and continuing care for long-term clients – could be delivered more e?ectively by several specialist teams rather than a single, large generic one comprising psychiatrists, psychologists, community mental health nurses, occupational therapists, support and (sometimes) social workers.... community mental health teams
A doctor who works in the specialty that encompasses PREVENTIVE MEDICINE, EPIDEMIOLOGY and PUBLIC HEALTH.... community physician
A method for the determination of health insurance premiums that spreads the risk among members of a large community and establishes premiums based on the utilization experience of the whole community. For a set of benefits, the same rate applies to everyone regardless of age, gender, occupation or any other indicator of health risk.... community rating
A scheme utilizing volunteers to visit, spend time with and become friends with an older person in his/her place of residence.... community visitor scheme
The blend of health and social services provided to an individual or family in his/her place of residence for the purpose of promoting, maintaining or restoring health or minimizing the effects of illness and disability. These services are usually designed to help older people remain independent and in their own homes. They can include senior centres, transportation, delivered meals or congregate meals sites, visiting nurses or home health aides, adult day care and homemaker services.... community-based care / community-based services / programmes
A community which provides several levels of housing and services for older people, ranging from independent living units to nursing homes, on one site but generally in separate buildings.... continuing care retirement community
A group of participants that serves as the basis of comparison when assessing the effects of the intervention of interest that is given to the participants in the treatment group. Depending upon the circumstances of the trial, a control group may receive no treatment, a ‘usual’ or ‘standard’ treatment, or a placebo. To make the comparison valid, the composition of the control group should resemble that of the treatment group as closely as possible.... control group
A system used for payment under prospective payment systems. It classifies treatments by diagnosis, measuring the relative complexity of a hospital procedure and accounting for the resources used in the procedure. The system accounts for principal diagnosis, secondary diagnosis, surgical procedures, age, sex and presence of complications.... diagnosis-related group
1 Represents classes of hospital patients with similar clinical characteristics. DRGs form a clinical grouping system which describes hospital discharges according to medical condition. 2 A system used for payment under prospective payment systems. It classifies treatments by diagnosis, measuring the relative complexity of a hospital procedure and accounting for the resources used in the procedure. The system accounts for principal diagnosis, secondary diagnosis, surgical procedures, age, sex and presence of complications.... diagnosis-related group (drg)
A type of group discussion that is designed to elicit information about the wants, needs, viewpoints, beliefs and experiences of the intended audience. Focus groups can aid in better understanding the expressions and terminology commonly used by people in the audience, as well as their attitudes and beliefs about health care. They are useful for helping uncover the reasons behind people’s responses.... focus group
A house in which people have their own rooms but there are communal facilities. Staff may live in to offer support.... group home
See “assisted living facility”.... group senior assisted housing
See “community-based care”.... home and community-based services; home and community care programme
People who share a cultural heritage which is different from the majority ethnic culture. See also “ethnicity”; “culture”.... minority ethnic group
A face-to-face group judgement technique in which participants generate silently, in writing, responses to a given question/problem; responses are collected and posted, but not identified by author, for all to see; responses are openly clarified, often in a round robin format; further iterations may follow; and a final set of responses is established by voting/ranking.... nominal group technique
A community which provides several levels/types of housing and services for older people, ranging from independent living units to nursing homes, on one site but generally in separate buildings.... retirement village / retirement community
Any set of persons within society with particular demographic, economic or social characteristics.... social group
A group of people who share a common bond (e.g. caregivers, patients, families of patients) who come together on a regular basis to share problems and experiences or keep in contact in other ways (e.g. the Internet).... support group
A method of treating drug dependence and alcohol dependence, and some personality disorders, that entails patients living together as a group in a nonhospital environment, usually under supervision. (See also social skills training.)... therapeutic community
Blood group of people donor can receive blood from... donor’s blood group
(CCGs) self-governing bodies set up by the Health and Social Care Act 2012, following the abolition of *primary care trusts and *strategic health authorities, to commission most NHS services in England. CCGs are formed of all GP practices within a given geographical area, and all GP practices must belong to a clinical commissioning group. All CCGs have their own constitution and governing body, which (in addition to GPs) must include at least one registered nurse and at least one secondary care specialist doctor. There are currently 195 CCGs in England.... clinical commissioning groups
(CAP) see pneumonia.... community-acquired pneumonia
see hospital.... community hospital
(CMHT) a multidisciplinary team consisting of psychiatrists, psychiatric nurses, psychologists, social workers, and occupational therapists who treat patients with severe mental illness in the community.... community mental health team
(domiciliary midwife) (in Britain) a registered *nurse with special training in midwifery (both hospital and domiciliary practice). The midwife must be registered with the *Nursing and Midwifery Council in order to practise; this requires regular refresher courses to supplement the basic qualification of Registered Midwife (RM). Community midwives are attached to general practices or hospitals, and their work includes home deliveries and antenatal and postnatal care in the community.... community midwife
see domiciliary services.... community services
see Mental Health Act.... community treatment order
(in medical ethics) the situation in which a health professional is subject to potential or actual pressures that may conflict with his or her obligation to promote the *best interests of the patient over and above all else. A conflict of interest arises from a particular context or situation and may threaten a doctor’s integrity and undermine trust between professional and patient. For example, a drug company may encourage a doctor to prescribe a particular medicine, which may not be the treatment of choice for a patient, or contractual financial disincentives may discourage a doctor from providing a more expensive treatment of choice for a patient. In medical research, there is always a potential conflict between protecting the individual and benefiting society. Particular problems of this kind occur in randomized controlled trials (see equipoise; intervention study). Doctors will always experience competing pressures and it is important for them to be able to recognize and then, where possible, disclose, resolve, or mitigate morally problematic conflicts.... conflict of interest
(GPwSI, GPSI) see general practitioner.... general practitioner with special interest
(GBS) a Gram-positive bacterium that causes life-threatening infections in newborn infants following vaginal delivery (see Streptococcus; Lancefield classification). 20% of pregnant women are carriers and have no symptoms; however, *vertical transmission of the bacterium from mother to fetus at the time of delivery may lead to neonatal sepsis, characterized by pneumonia, meningitis, and death in some cases. Antibiotic prophylaxis with penicillin during labour is recommended for women with risk factors or who are known to be carriers.... group b streptococcus
see National Statistics Socio-economic Classification.... socio-economic group
1. the expression of concern about performance or competence that is privileged at law by virtue of the Public Interest Disclosure Act 1998. The statute provides that where an employee acts in good faith in questioning the behaviour or performance of another member of staff or an organization, he or she should be protected from such penalties as disciplinary procedures, suspension, or dismissal. See also whistle-blowing. 2. circumstances in which *confidentiality can be breached because there is a serious risk of physical harm to an identifiable individual or individuals. The basis on which confidentiality can be breached in the public interest were defined in the case of W v Egdell, in which the court held that the risk had to be of physical harm to identifiable person(s) and must not be merely ‘fanciful’. Where there is a serious risk of physical harm to a specific person, there is an entitlement but not a duty to breach confidentiality, and the *General Medical Council requires that doctors must be prepared to justify their decision either way.... public interest disclosure
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