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This report is an appraisal of the British Paediatric Association Working Party report 'The care of critically ill children'. This report recommended several major changes including an increase in the number of paediatric intensive care facilities, larger units and more specialist trained nurses.There is a significant diversity of professional opinion over detailed recommendations in this area. This reflects the lack of reliable research evidence. The available evidence does not allow significant statements to be made about the best way to organise, staff and otherwise resource the care of critically ill children. Of particular note is the lack of British research in this area.Changes should be informed by better information based upon comprehensive and accurate data collection. Units currently providing regular care for critically ill children should collect standard outcome and severity data. This will allow a more informed discussion of possible variations in the survival of children between units. Change in the care of critically ill children should be carried out in a controlled manner which can be evaluated and options for change should be subjected to critical scrutiny and be adequately costed.The authors believe that while the BPA report is a useful source of information and summarises the views of a range of professional groups, it does not constitute sufficient basis for determining national or local policy for the care of critically ill children in Britain.

WX 218 Intensive care units. Critical care (General) --- WX 218 Intensive care units. Critical care (General) --- WX 218 Intensive care units. Critical care (General) --- Delivery of Health Care --- Delivery of Health Care --- Delivery of Health Care --- Child --- Child --- Child --- Intensive Care Units --- Intensive Care Units --- Intensive Care Units --- Intensive Care --- Intensive Care --- Intensive Care --- Critical Illness --- Critical Illness --- Critical Illness

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Health Care --- Health Care --- Health Care --- Health Care Costs --- Health Care Costs --- Health Care Costs --- Health Care Administration --- Health Care Administration --- Health Care Administration --- Health Care surveys --- Health Care surveys --- Health Care surveys --- Quality of Health Care --- Quality of Health Care --- Quality of Health Care --- W 84.4 Quality of health care (General) --- W 84.4 Quality of health care (General) --- W 84.4 Quality of health care (General)

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As ageing societies are pushing a growing number of frail old people into needing care, delivering quality long-term care services – care that is safe, effective, and responsive to needs – has become a priority for governments. Yet much still remains to be done to enhance evidence-based measurement and improvement of quality of long-term care services across EU and OECD countries. This book offers evidence and examples of useful experiences to help policy makers, providers and experts measure and improve the quality of long-term care services.

Public Policy --- Public Policy --- Public Policy --- Health Care --- Health Care --- Health Care --- Aged --- Aged --- Aged --- Long-Term Care --- Long-Term Care --- Long-Term Care --- Europe --- Europe --- Europe --- WT 31 Long-Term Care --- WT 31 Long-Term Care

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The integration of behavioral health with general health care improves outcomes, lowers costs, and leads to a better experience of care. But how to achieve this Triple Aim effectively and efficiently? This how-to book is essential for practitioners and policy makers who want to make collaborative care a reality everywhere. --Steven S. Sharfstein, M.D., President Emeritus, Sheppard Pratt Health System, Clinical Professor of Psychiatry, University of Maryland, and former President of APAThis book will be helpful for both primary care and behavioral health organizations on the path to integration, regardless of what stage they are in. The focus on the specifics of implementation will be very helpful for all disciplines. --Virna Little, PsyD, LCSW-r, MBA, CCM, SAP, Senior Vice President Psychosocial Services/Community AffairsIntegrated Care: A Guide for Effective Implementation covers a broad range of topics related to making behavioral health integration work in the readers setting. It covers clinical, operational, and financial aspects of integration. This book is full of practical advice from people who have worked in integrated settings and understand the potential benefits and the challenges of providing integrated care. --Neil Korsen, Physician Scientist, Center for Outcomes Research and Evaluation Maine Medical Center

W 84.1 Health services. Delivery of health care. General coverage.. --- Delivery of Health Care, Integrated --- Primary Health Care --- Mental Health Services --- Integrated delivery of health care. --- Primary health care. --- Mental health services. --- Behavioral health care --- Mental health care --- Psychiatric care --- Psychiatric services --- Medical care --- PHC (Primary health care) --- Community health services --- Delivery of health care, Integrated --- Integrated delivery of medical care --- Integrated delivery systems (Medical care) --- Integrated health care systems --- Integrated service networks (Medical care)

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The Hastings Center's 1987 Guidelines shaped the ethical and legal framework for treatment decision-making and end-of-life care in the U.S. This updated edition offers comprehensive practical guidance to professionals caring for seriously ill adults and children. It is a resource for clinical ethicists ethics committees, lawyers, administrators, educators, and policymakers.

Terminal care --- Life support systems (Critical care) --- Medical ethics. --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Critical care medicine --- End-of-life care --- Terminally ill --- Care of the sick --- Death --- Decision making --- Moral and ethical aspects. --- Moral and ethical aspects --- Care and treatment --- Life Support Care --- Decision Making --- Terminal Care --- Ethics --- WX 162 Patient care planning. Progressive patient care. Long term care