The introduction of new rotas, rota gaps, poor handover arrangements, the junior hospital doctors’ strike, the imposition of a new contract after a four-year period of contract negotiation, the Bawa-Garba case, the abolition of the “Firm”, poor rest facilities and bullying have all contributed to eroding the morale of junior doctors. The retention of newly registered doctors is falling. Recent evidence shows that in 2010 83% of Foundation Year 2's went straight into training compared to 38% in 2018. This study was undertaken to assess the extent to which the plans and intentions of current Foundation Year Doctors have been influenced by recent history. With the large volume of complaints and their associated costs on the NHS, the study included questions to identify whether junior doctors feel prepared to deal with the medico-legal issues.
Introduction. Women in Ohio Appalachia experience greater maternal health disparities relative to the general U.S. population, resulting in poorer health outcomes. This paper describes the Ohio Better Starts for All (BSFA) program that provides mobile maternal health services in rural Ohio. Methods. This three-year intervention was delivered through a community-clinical partnership in Ohio Appalachia. The program's preliminary evaluation and opportunities were informed by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. Results. Over six months, 86 patients were referred to the BSFA program, 54 (62.8 %) were seen by the maternal care team, and 14 out of 19 scheduled clinic days were held. Five clinics were canceled due to inclement weather, mobile unit breakdown, or provider COVID-19 infection. Discussion. Maternal care providers must provide equitable care to patients, with particular attention to those who face substantial challenges accessing obstetric services. The BSFA program offers one promising solution to help women overcome barriers to accessing care.
Date Presented 04/05/19
This study explored perspectives of OTs at a skilled-nursing facility regarding the use of standardized assessments during patient evaluation. Study results revealed that clinical observations are the chosen method of evaluation to support billing procedures using new CPT codes. Participants indicated that despite the value of objective measurements, they cannot ignore the pressures of time and productivity.
Primary Author and Speaker: Callie Victor
Additional Authors and Speakers: Susan Krutis
Contributing Authors: Erica Chandler, Beth Chang, Whitney Cherry, Paige Doughty, Danielle Hubka, Kaitlin Murphy, Zach Zepf
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