Direct Smears

Englar, Ryane E.

doi:10.1002/9781119714521.ch17

Cited by 2 publications

(9 citation statements)

References 39 publications

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“…The definition of optimal care has changed over the years within the practice of veterinary medicine. 84 Case management was historically dictated by the gold standard. 84 The term ‘gold standard’ originated as a currency exchange rate system.…”

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

“… 84 Case management was historically dictated by the gold standard. 84 The term ‘gold standard’ originated as a currency exchange rate system. 84 – 87 Countries that subscribed to this system set a fixed price for gold and their currency was assigned a value relative to that price.…”

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

“… 84 The term ‘gold standard’ originated as a currency exchange rate system. 84 – 87 Countries that subscribed to this system set a fixed price for gold and their currency was assigned a value relative to that price. 84 – 87 International trade was facilitated through exchange rates between countries that agreed upon the value of gold.…”

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

“… 84 – 87 International trade was facilitated through exchange rates between countries that agreed upon the value of gold. 84 …”

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

“…The commentary, ‘Towards a Gold Standard’, encouraged physicians to treat rheumatoid arthritis with gold salts. 84 The term did not take on its present-day meaning in human healthcare until 1979, when it appeared in an editorial by Dr Peter Rudd in Archives of Internal Medicine . 84 , 88 Frustrated by non-compliant patients, Rudd proposed that healthcare develop a gold standard for compliance to facilitate case management.…”

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

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Recasting the gold standard – part I of II: delineating healthcare options across a continuum of care

Englar

2023

Journal of Feline Medicine and Surgery

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Aim This is the first part of a two-part series on spectrum of care that encourages practitioners to embrace a non-binary approach to healthcare delivery. When care is not framed as all-or-none, either/or or best versus lesser, the provider and client can agree to diagnostic and/or treatment plans that individualize the practice of veterinary medicine. Care is tailored to the patient along a continuum of acceptable options. Care may also be intentionally incremental, with plans to reassess the patient and revise case management as needed. Relevance Acknowledgment and ultimately acceptance that patient care journeys can be distinct, yet equitably appropriate, offers providers the flexibility to adapt case management competently and confidently to the patient based upon contextualized circumstances including client needs, wants and expectations for healthcare outcomes. Thinking outside the box to recast the historic gold standard with a continuum of care strategically offers feline practitioners a means by which they can overcome barriers to healthcare delivery. Series outline This first article introduces spectrum of care as an appropriate approach to case management and broadens its definition beyond cost of care. Part II explores communication strategies that enhance veterinary professionals’ delivery of spectrum of care through open exchange of relationship-centered dialogue.

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Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

“… 84 – 87 International trade was facilitated through exchange rates between countries that agreed upon the value of gold. 84 …”

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

See 3 more Smart Citations

Recasting the gold standard – part I of II: delineating healthcare options across a continuum of care

Englar

2023

Journal of Feline Medicine and Surgery

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Recasting the gold standard – part II of II: communicating healthcare options along a continuum of care

Englar

2023

Journal of Feline Medicine and Surgery

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Series outline This is the second part of a two-part series on spectrum of care that encourages practitioners to tailor case management to the patient along a continuum of acceptable options. Part I defined the spectrum of care and broadened its approach beyond initial cost-of-care considerations. This second article introduces strategies for initiating conversations with clients about their needs, wants and expectations specific to healthcare options and case management decisions. It will explore how open inquiry, reflective listening, transparency and unconditional positive regard facilitate dialogue between providers and their clients as they collaborate on decision-making along a spectrum of care. Relevance Contextual case management prioritizes interventions that are appropriate for both the patient and the client. To identify and explore which healthcare options represent the best fit for those impacted most by medical decisions, veterinarians need to make space for clients to feel comfortable sharing their perspectives. Clients are more likely to be engaged in decision-making when their insight is actively solicited. They have much to share with us as experts about their cat’s overall health and wellness needs. Inviting clients to contribute to the consultation and being receptive to hearing what motivates their choices helps us to structure conversations around healthcare options. The ability to communicate healthcare options is as vital as the provision of healthcare, if not more so.

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Direct Smears

Cited by 2 publications

References 39 publications

Recasting the gold standard – part I of II: delineating healthcare options across a continuum of care

Recasting the gold standard – part I of II: delineating healthcare options across a continuum of care

Recasting the gold standard – part II of II: communicating healthcare options along a continuum of care

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