Medico-social Aspects

Paris, Wayne; Thompson, Sharon E; Brawner, N; Penido, Marcia; Bright, Measha; Robertson, Charles M.

doi:10.1007/978-0-585-34287-0_15

Cited by 8 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Also, it is important to note that of the 115 who returned to work, 17 (15%, 17/115) secured new posttransplant employment (data not shown). There are numerous studies that have reported an employer would be reluctant to hire a patient after transplantation (Evans et al, 1984;Lough, 1988;Paris, 1990). Our results confirm previous findings (Paris et al, 1993;Paris, Tebow, et al, 1997) that indicate when social work was actively involved with the transplant population, 12% to 15% would be able to secure new posttransplant employment.…”

Section: Discussion and Applications To Social Work Practicesupporting

confidence: 88%

Social Work Services on an Organ Transplantation Program: A Preliminary Cost-Benefit Analysis

Paris

Calhoun-Wilson³

et al. 1999

Research on Social Work Practice

View full text Add to dashboard Cite

Objective: A prospective clinical trial was conducted to measure the effectiveness and cost-benefit of social work clinical practice on a multi-organ transplant program. Method: Recipient financial, clinical, and quality-of-life data were collected for patients who received organ transplants in 1995 ( N= 105) at Integris Oklahoma Transplantation Institute. Results: The income produced for the organization exceeded the cost of providing social work services but demonstrated only a limited ability to reduce the future cost exposure for the program. Prioritized clinical practice identified those at greatest need of social work services, provided the framework for interventions and reporting of outcomes, while maintaining a patient's quality-of-life. Conclusions: The outcome-based clinical research has resulted in policies and clinical practice patterns that are both beneficial for transplant patients and meet the economic and clinical mandates of the employing organization.

show abstract

Section: Discussion and Applications To Social Work Practicesupporting

confidence: 88%

Social Work Services on an Organ Transplantation Program: A Preliminary Cost-Benefit Analysis

Paris

Calhoun-Wilson³

et al. 1999

Research on Social Work Practice

View full text Add to dashboard Cite

show abstract

“…In our experience, psychiatric and substance abuse/dependence disorders negatively affect outcomes and are more likely to occur in cases in which there is no acknowledgment of a problem, commitment to treatment, and clearly stated behavioral criteria. [24][25][26][27][28][29][30] In this case, the patient openly admitted his problems, was committed to his treatment plan, and remains compliant with behavioral objectives.…”

Section: Discussionmentioning

confidence: 99%

Pedophiles and Stalkers as Transplant Candidates: One Program's Experience

et al. 2005

View full text Add to dashboard Cite

Transplant assessment of pedophiles and stalkers presents a challenge for clinicians and requires the ability to separate the science from the hysteria. Although rarely seen in organ transplant clinics, the presence of psychosexual disorders can result in both criminal charges and harsh societal reactions. Clinicians must be able to assess and make informed recommendations about the suitability of the candidate and any potential risks for staff, other patients, and society at large. Six patients (5 pedophiles and 1 stalker) were assessed at our major regional multiorgan transplant program; each patient presented with unique and challenging assessment, treatment, and selection issues for the transplant team. The objectives of this article are to raise awareness of the issues associated with pedophiles and stalkers, and to provide the basis for better-informed discussions based on one program's struggles with its candidate selection and follow-up.

show abstract

“…In countries such as the United States, with a healthcare system based largely on the recipient's ability to pay, finances are a major concern. 2 Ideally, a prospective candidate has insurance that covers 80% to 100% of medical expenses. In the absence of private or state insurance, the recipient may have to rely on his or her personal resources or local fund-raising efforts.…”

Section: Discussionmentioning

confidence: 99%

“…Appropriate interventions cannot be designed until factors that contribute to nonadherence are identified. 2 However, often-ignored aspects of a recipient's nonadherence are the social and economic factors, which also require a corrective plan of action.…”

Section: Medication Nonadherence and Its Relation To Financial Restrimentioning

confidence: 99%

Medication Nonadherence and its Relation to Financial Restriction

Paris

Dunham

Sebastián

et al. 1999

Journal of Transplant Coordination

View full text Add to dashboard Cite

The question of patient nonadherence has always been an important factor in determining candidate suitability for organ transplantation. Data that explore the association of financial problems and posttransplant medication nonadherence are limited. Findings suggest that medication nonadherence was more likely to occur when recipients did not have insurance coverage and had to rely on Medicaid or indigent drug programs. Our center developed a formalized program within the outpatient pharmacy, including a full-time medication counselor who helped recipients secure resources to pay for pre- and posttransplant medications. To determine whether the availability of posttransplant medications could reduce medication nonadherence, we conducted a survey with 50 consecutive liver transplant recipients in the outpatient clinic. Nonadherence rates were significantly reduced from 25% to 10% ( P<.01) compared with recipients who had been transplanted before the development of our drug program. These results suggest that optimum medication adherence can be obtained when recipients are provided guidance in securing their necessary medications without financial restriction.

show abstract

Medico-social Aspects

Cited by 8 publications

References 8 publications

Social Work Services on an Organ Transplantation Program: A Preliminary Cost-Benefit Analysis

Social Work Services on an Organ Transplantation Program: A Preliminary Cost-Benefit Analysis

Pedophiles and Stalkers as Transplant Candidates: One Program's Experience

Medication Nonadherence and its Relation to Financial Restriction

Contact Info

Product

Resources

About