Self-help organizations Health Dictionary

Self-help Organizations: From 1 Different Sources


Organizations, usually set up by patients or their relatives, that provide people affected by particular conditions with information, support, and, sometimes, financial aid.
Health Source: BMA Medical Dictionary
Author: The British Medical Association

Clinical Governance

A framework through which health organizations are accountable for continuously improving the quality of their services and safeguarding high standards of care.... clinical governance

Accreditation

A process whereby a programme of study or an institution is recognized by an external body as meeting certain predetermined standards. Accreditation is often carried out by organizations created for the purpose of assuring the public of the quality of the accredited institution or programme. The state or federal governments can recognize accreditation in lieu of, or as the basis for licensure or other mandatory approvals. Public or private payment programmes often require accreditation as a condition of payment for covered services. Accreditation may either be permanent or may be given for a specified period of time. See also “licence”.... accreditation

Consolidation

A concentration of control by a few organizations over other existing organizations through consolidation of facility assets that already exist. Acquisitions, mergers, alliances and formation of contractual networks are examples of consolidation.... consolidation

Formal Assistance

Help provided to persons with one or more disability by organizations, or individuals representing organizations (whether profit-making or non-profit-making, government or private), or by other persons (excluding family, friends or neighbours as described in informal help) who provide assistance on a regular, paid basis and who are not associated with any organization.... formal assistance

Health Sector

The sector consisting of organized public and private health services (including health promotion, disease prevention, diagnostic, treatment and care services), the policies and activities of health departments and ministries, health-related nongovernmental organizations (NGOs) and community groups, and professional associations.... health sector

Health Services Research

The multidisciplinary field of scientific investigation that studies how social factors, financing systems, organizational structures and processes, health technologies, and personal behaviours affect access to health care, the quality and cost of health care, and ultimately health and well-being. Its research domains are individuals, families, organizations, institutions, communities and populations.... health services research

Health System Infrastructure

Services, facilities, institutions, personnel or establishments, organizations and those operating them for the delivery of a variety of health programmes.... health system infrastructure

Home Health Agency (hha) / Home Health Care Agency

A public or private organization that provides home health services supervised by a licensed health professional in a person’s home, either directly or through arrangements with other organizations.... home health agency (hha) / home health care agency

Horizontal Integration

Merging of two or more firms at the same level of production in some formal, legal relationship. In hospital networks, this may refer to the grouping of several hospitals, the grouping of outpatient clinics with the hospital, or a geographic network of various health care services. Integrated systems seek to integrate both vertically with some organizations and horizontally with others. See “vertical integration”.... horizontal integration

Independent Sector

Umbrella term describing the private and voluntary sectors. The private sector consists of individuals or organizations that run services for a profit. The voluntary sector covers a range of not-for-profit organizations, such as charities, housing associations, some religious organizations and some self-help groups.... independent sector

Integrated Delivery System / Integrated Services Network (isn)

A network of organizations, usually including hospitals and medical practitioner groups, that provides or arranges to provide a coordinated continuum of services to a defined population and is held both clinically and financially accountable for the outcomes in the populations served.... integrated delivery system / integrated services network (isn)

Nongovernmental Organization (ngo)

An independent, national or international organization. These organizations may be run either for profit or not for profit.... nongovernmental organization (ngo)

Vertical Integration

The organization of production whereby one entity controls or owns all stages of the production and distribution of goods or services. In health care, vertical integration can take many forms, but generally implies that medical practitioners, hospitals and health plans have combined their organizations or processes in some manner to increase efficiencies, increase competitive strength, or improve quality of care. Integrated delivery systems or health care networks are generally vertically integrated. See “horizontal integration”.... vertical integration

American Medical Association

(AMA) a professional organization for US physicians. Its purposes include dissemination of scientific information through journals, a weekly newspaper, and a website; representation of the profession to Congress and state legislatures; keeping members informed of pending health and medical legislation; evaluating prescription and non-prescription drugs; and cooperating with other organizations in setting standards for hospitals and medical schools. The AMA maintains a comprehensive directory of licensed physicians in the US.... american medical association

Governance

n. the use of political power or authority to set, monitor, and enforce standards within systems or organizations. Within the UK National Health Service, there are two principal governance frameworks within which health-care professionals must work: *clinical governance and research governance.... governance

Quality Assessment And Performance Improvement Programme (qapi)

QAPI establishes strategies for promoting high quality health care. First, each organization must meet certain required levels of performance when providing specific health care and related services. Second, organizations must conduct performance improvement projects that are outcome-oriented and that achieve demonstrable and sustained improvement in care and services. It is expected that an organization will continuously monitor its own performance on a variety of dimensions of care and services, identify its own areas for potential improvement, carry out individual projects to undertake system interventions to improve care, and monitor the effectiveness of those interventions.... quality assessment and performance improvement programme (qapi)

Alcohol Dependence

An illness characterized by habitual, compulsive, longterm, heavy consumption of alcohol and the development of withdrawal symptoms when drinking is suddenly stopped.

Three causative factors interact in the development of the illness: personality, environment, and the addictive nature of alcohol. Inadequate, insecure, or immature personalities are more at risk. Environmental factors are important, especially the ready availability, affordability, and social acceptance of alcohol. Genetic factors may play a part in causing dependence in some cases, but it is now widely believed that anyone, irrespective of personality, environment, or genetic background, can become an alcoholic. Stress is often a major factor in precipitating heavy drinking.

Alcohol dependence usually develops in 4 main stages that occur over a number of years. In the 1st phase, tolerance to alcohol develops in the heavy social drinker. In the 2nd phase, the drinker experiences memory lapses relating to events during the drinking episodes. In the 3rd phase, there is loss of control over alcohol consumption. The final phase is characterized by prolonged binges of intoxication and mental or physical complications.

Behavioural symptoms are varied and can include furtive, aggressive, or grandiose behaviour; personality changes (such as irritability, jealousy, or uncontrolled anger); neglect of food intake and personal appearance; and lengthy periods of intoxication.

Physical symptoms may include nausea, vomiting, or shaking in the morning; abdominal pain; cramps; numbness or tingling; weakness in the legs and hands; irregular pulse; enlarged blood vessels in the face; unsteadiness; confusion; memory lapses; and incontinence. After sudden withdrawal from alcohol, delirium tremens may occur.

Alcohol-dependent persons are more susceptible than others to a variety of physical and mental disorders (see alcohol-related disorders).

Many alcoholics require detoxification followed by long-term treatment. Different methods of treatment may be combined. Psychological treatments involve psychotherapy and are commonly carried out as group therapy. Social treatments may offer practical help and tend to include family members in the process. Physical treatment generally includes the use of disulfiram, a drug that sensitizes the drinker to alcohol so that he or she experiences unpleasant side effects when drinking. Alcoholics Anonymous and other self-help organizations can provide support and advice.... alcohol dependence

Asthma

n. the condition of subjects with widespread narrowing of the bronchial airways, which changes in severity over short periods of time (either spontaneously or under treatment) and leads to cough, wheezing, and difficulty in breathing. Bronchial asthma may be precipitated by exposure to one or more of a wide range of stimuli, including *allergens, drugs (such as aspirin and other NSAIDs and beta blockers), exertion, emotion, infections, and air pollution. The onset of asthma is usually early in life and in atopic subjects (see atopy) may be accompanied by other manifestations of hypersensitivity, such as hay fever and dermatitis; however, the onset may be delayed into adulthood or even middle or old age. Treatment is with *bronchodilators, with or without corticosteroids, usually administered via aerosol or dry-powder inhalers, or – if the condition is more severe – via a nebulizer. Oral corticosteroids are reserved for those patients who fail to respond adequately to these measures. Severe asthmatic attacks may need large doses of oral corticosteroids (see status asthmaticus). Selection of treatment for individual cases is made using stepped guidelines issued by respiratory organizations, e.g. the British and American Thoracic Societies and the European Respiratory Society. A new group of drug treatments, using *monoclonal antibodies to target components in the allergic response, have recently become available (see omalizumab). Avoidance of known allergens, especially the house dust mite, allergens arising from domestic pets, and food additives, will help to reduce the frequency of attacks, as will the discouragement of smoking.

Cardiac asthma occurs in left ventricular heart failure and must be distinguished from bronchial asthma, as the treatment is quite different. —asthmatic adj.... asthma

Local Involvement Networks

(LINks) groups set up to help local people get involved in the development and delivery of health and social care services; they were replaced by local *Healthwatch organizations in 2013.... local involvement networks

Managed Care

a US system that integrates the financing and delivery of medical care by means of contracts with physicians and with hospitals. The goal is to cut costs through economic incentives, cost sharing, controlling the length of inpatient admissions, and careful management of high-cost cases. Providers of managed care take several different forms, including health maintenance organizations and preferred provider organizations.... managed care

Nhs Business Services Authority

(NHSBSA) a *special health authority formed in 2006 to provide a range of back office and financial services to NHS organizations, contractors, and patients. These include administering the NHS pension scheme, issuing European Health Insurance Cards to UK residents, and issuing penalty charge notices to patients who falsely claim to be exempt from paying prescription charges. NHSBSA also hosts NHS Prescription Services, which provides pharmacies with reimbursement for items supplied under NHS prescriptions.

NHS Business Services Authority website... nhs business services authority

Nhs Constitution For England

a single document, first published in 2009, that sets out the rights and responsibilities of health-care organizations, patients, and staff members. The constitution lists legally binding rights for patients, which largely formalize legal positions that had previously developed through case law. The constitution also lists nonbinding pledges.

Full text of the document... nhs constitution for england

Care Quality Commission

(CQC) a publicly funded independent organization established in 2009 and responsible for regulation of health and social care in England; it replaced the Healthcare Commission, the Commission for Social Care Inspection, and the Mental Health Act Commission. The responsibilities of the commission include publication of national health-care standards; annual assessment of the performance of NHS and social-care organizations; reviewing other (i.e. private and voluntary) health- and social-care organizations; reviewing complaints about the services when it has not been possible to resolve them locally; and investigating serious service failures.... care quality commission

Foundation Trusts

(foundation hospitals) self-governing NHS organizations established under the Health and Social Care Act 2003. Foundation trusts were intended to be accountable to their local communities and *NHS Improvement rather than to central government, while remaining subject to inspection by the *Care Quality Commission in the same way as other health-care providers. In recent years, however, many foundation trusts have required additional government funding due to financial deficits, with the result that central government has regained a large degree of financial and planning control. In practice, few differences now remain between foundation trusts and other NHS acute trusts.... foundation trusts

Nhs Counter Fraud Authority

(NHSCFA) a *special health authority formed in 2017 to identify, investigate, and prevent fraud, bribery, and corruption within NHS organizations in England. These functions were formerly carried out by NHS Protect, part of the *NHS Business Services Authority.

NHS Counter Fraud Authority website... nhs counter fraud authority

Nhs Resolution

a *special health authority of the NHS established in 1995 and responsible for handling *negligence and other claims against NHS organizations in England. NHS Resolution also advises the NHS on human rights case law and handles equal pay claims. Until 2017 it was known as the NHS Litigation Authority (NHSLA).

NHS Resolution website... nhs resolution

Practice Manager

the person responsible for running a doctor’s surgery, whose role involves managing staff, accounts, and medical records as well as developing the practice’s business strategy. Practice managers also liaise with external bodies, such as local NHS trusts and social service departments, to ensure efficient communication between the various organizations.... practice manager

Whistle-blowing

n. expressing concerns about the professional performance of a member of staff, team, or organization. NHS organizations are required to have a whistle-blowing policy that sets out the procedures to be followed by those who wish to raise questions about an aspect of professional practice. See also public interest disclosure.... whistle-blowing



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