Systematic approach to community risk assessment and management

Abstract

A move from institutional to community health care means that health service staff are increasingly requested to visit patients in their own homes. This undertaking is not without risk, particularly where the patient or the locality is unknown. There are no nationally available guidelines for formally assessing potential risk to a health worker before the home visit. A protocol for risk assessment and a safety schedule before making a home visit was therefore developed and is described in this article. The difficulties in carrying out a comprehensive risk assessment are outlined. Several ways in which the assessment of risk before home visits could be made more effective are suggested.

The application of a violence risk assessment tool among Chinese psychiatric service users: a preliminary study

“…Although there is an increasing interest in violence risk assessment for psychiatric service users, several studies have raised concerns about using instruments for assessing the risk of community violence after forensic consumers' discharge (Arshad et al . 2000, Coid et al .…”

Monitoring and treatment of chronic patients through uHealth: Keys to sustainability (efficiency) and quality of care

“…It is estimated an attention to chronic processes between 70% and 75% of total health expenditure in industrialized countries Goodwin & Curry, 2008;Hroscikoski et al, 2006;Ouwens, Wollersheim, Hermens, Hulscher, & Grol, 2005;Ramsey et al, 2008;WHO, 2002). This attention to chronic patients implies an imperative need to change the paradigm of the current management model, from fragmented and isolated care, social or health care, to a socio-health care integration; redesigning the organization and optimizing socio-health resources; enhancing primary care; reorganizing hospital management, focusing on acute care; transferring the management of chronicity to the family and community environment, with a greater, more efficient and higher quality social-health care integration perceived by the user (Arshad, Oxley, Watts, Davenport, & Sermin, 2000;Bengoa & Nuño, 2008;Boult et al, 2008;Cabo-Salvador et al, 2017;Cabo-Salvador, 2017).…”

“…Se estima que la atención de los procesos crónicos supone entre el 70 % y el 75 % del gasto sanitario total de los países industrializados Goodwin & Curry, 2008;Hroscikoski et al, 2006;Ouwens, Wollersheim, Hermens, Hulscher, & Grol, 2005;Ramsey et al, 2008;WHO, 2002). Esta atención a los pacientes crónicos implica una necesidad imperiosa de cambio de paradigma del modelo de gestión actual, desde una atención fragmentada y aislada, bien social o sanitaria, hacia una integración asistencial socio-sanitaria; rediseñando la organización y optimizando los recursos socio-sanitarios; potenciando la atención primaria; reorganizando la gestión hospitalaria, enfocándola hacia una atención de pacientes agudos; trasladando la gestión de la cronicidad al ambiente familiar y comunitario, con una integración asistencial socio-sanitaria mayor, más eficiente y de mayor calidad percibida por el usuario (Arshad, Oxley, Watts, Davenport, & Sermin, 2000;Bengoa & Nuño, 2008;Boult et al, 2008;Cabo-Salvador et al, 2017;Cabo-Salvador, 2017). Figure 1.…”

Ubiquitous Computing and Its Applications in the Disease Management in a Ubiquitous City

“…Patients with chronic diseases, their management (process management) and their integral treatment (socio-health care) represent one of the main current challenges for health systems in any country [1]- [15]. The advance in the management of chronic diseases and in the management of patients with multiple pathologies (patients with two or more chronic pathologies), requires a paradigm shift of our usual concepts of management of acute patients within the National Health Systems (NHS), and that the current conceptual frameworks are cio-health needs are the real center of the health system [16]- [24].…”