Primary care

“ Establishing community-based health teams to support small-practice medical homes by assisting the primary care practitioner in chronic care management, including patient self-management, activities. ` (ix) Assisting applicable individuals in making informed health care choices by paying providers of services and suppliers for using patient decision-support tools, including tools that meet the standards developed and identified under section 936 (c) (2) (A) of the Public Health Service Act, that improve applicable individual and caregiver understanding of medical treatment options. ”

“ Develop and implement innovative curricula in collaboration with community-based accredited primary care residency training programs, Federally qualified health centers, rural health clinics, behavioral and mental health facilities, public health departments, or other appropriate facilities, with the goal of increasing the number of primary care physicians and other primary care providers prepared to serve in underserved areas and health disparity populations. ”

“ Preference.—In awarding grants or contracts under this section, the Secretary shall give preference to entities that have a demonstrated record of the following: `` (1) Training the greatest percentage, or significantly improving the percentage, of health care professionals who provide primary care. `` (2) Training individuals who are from underrepresented minority groups or disadvantaged backgrounds. ”

“ Appropriate organizations may include hospitals, health organizations with accredited primary care training programs, accredited physician assistant educational programs associated with a college or university, and universities or colleges not operating a school of medicine or osteopathic medicine. ”

“ TREATMENT OF QUALIFIED DIRECT PRIMARY CARE MEDICAL HOME PLANS- The Secretary of Health and Human Services shall permit a qualified health plan to provide coverage through a qualified direct primary care medical home plan that meets criteria established by the Secretary, so long as the qualified health plan meets all requirements that are otherwise applicable and the services covered by the medical home plan are coordinated with the entity offering the qualified health plan. ”

“ Patient safety programs, including provisions for hospital-based patient safety programs in contracts that the Medicare Advantage organization offering the MA plan has with hospitals.
` (v) Financial policies that promote systematic coordination of care by primary care physicians across the full spectrum of specialties and sites of care, such as medical homes, capitation arrangements, or pay-for-performance programs. ”

“ Maintenance of primary care resident level.—The hospital maintains the number of primary care residents at a level that is not less than the base level of primary care residents increased by the number of additional primary care resident positions provided to the hospital under this subparagraph. ”

“ The health care system shall give preference to the training and employment of local community health workers, and focus on primary health care while maintaining strong links with other levels of health care services. ”

“ IMPROVED TREATMENT STANDARDS, CLINICAL GUIDELINES, DIAGNOSTIC PROTOCOLS, AND CARE COORDINATION PRACTICE- Each Center shall collaborate with other Centers in the network to-- (A) develop and implement treatment standards, clinical guidelines, and protocols that emphasize primary prevention, early intervention, treatment for, and recovery from, depressive disorders; (B) foster communication with other providers attending to co-occurring physical health conditions such as cardiovascular, diabetes, cancer, and substance abuse disorders ”

“ The group provides notice to applicable beneficiaries regarding the pilot program (as determined appropriate by the Secretary) . `` (F) The group contributes to a best practices network or website, that shall be maintained by the Secretary for the purpose of sharing strategies on quality improvement, care coordination, and efficiency that the groups believe are effective. `` (G) The group utilizes patient-centered processes of care, including those that emphasize patient and caregiver involvement in planning and monitoring of ongoing care management plan. ”

“ Healthiness and primary health care; services for the protection of infants and children, adolescents and senior citizens; pre-school education; family services to integrate the disabled into the development of the community ”

“ Article 36
⁠Medical and healthcare institutions of all types and at all levels shall divide responsibilities and cooperate with each other to provide citizens with such all-round and full-life-cycle medical and healthcare services as disease prevention, healthcare, treatment, nursing, rehabilitation, and palliative care. ”

“ Services You will also be entitled to all forms of treatment in general or special hospitals, whether as an in-patient or as an out-patient. These include, for instance, maternity care, sanatorium treatment, care of mental health, and all surgical operations. The help of consultants and specialists of all kinds will be made available to you as national resources allow, whether at hospital, at special health centres, or at home.
Your doctor will arrange this help when you need it. ”

“ There will not be complete success until means are discovered for training and enlisting every medical practitioner as a medical officer of health in the circle of his private or public practice, and of securing his services not only in the early and prompt detection of disease, but also in the systematic supervision during health of the families under his care, and in advising them as to habits or methods of life which are inimical to health. ”

“ A variety of groups make such care available. Thousands of home health agencies-large and small, urban and rural, public and private, hospital-based and independent-provide nursing services; physical, speech, and occupational therapy; social services ”

“ Each day, thousands of hardworking men and women bring vital home health care services to Americans who are incapacitated by illness, age, or disability. Working in association with more that 12,000 home care agencies across the country, these dedicated professionals and volunteers form a core of caring support in our Nation's vast health care system. ”

“ Babies and older children with special health needs such as severe chronic illnesses, birth impairments, and related conditions often require early intervention and highly specialized care. A family-centered, comprehensive program of medical, educational, and social services in the community and in the home may also be needed. ”

“ General practitioners shall mainly provide such services as diagnosis, treatment, referral, prevention, healthcare and rehabilitation of common diseases and frequently-occurring diseases, chronic diseases management, and health management. ”

“ The combination of professional services with such situations can add to the effectiveness of home health care. National Home Care Week, 1988, reminds us of the good that results when families and home care providers put into practice the respect we all owe to everyone in need of such care. ”

“ The administrators and employees of home health care agencies work closely with government agencies and with concerned private organizations, including hospitals, to give patients a welcome alternative to institutionalized care. Home health care treats the patient and his or her family members, attending to needs both physical and spiritual, in an atmosphere that fosters dignity, healing, and independence. Secure in familiar surroundings, patients find comfort in the support of their loved ones, while receiving efficient, effective health services, free from institutional constraints. ”

“ PURPOSES AND DUTIES- The Advisory Group shall develop policy and program recommendations and advise the Council on lifestyle-based chronic disease prevention and management, integrative health care practices, and health promotion. ”

“ In every way, it is kept in advance of the age. The staff of physicians and nurses spare no pains to make the visit of every one pleasant as well as beneficial in the highest degree. I would urge all sufferers afflicted as I was, or with any chronic disease, to avail themselves, without delay, of the skillful treatment to be obtained of the specialists of the World's Dispensary Medical Association, for I am confident that they will receive all the benefit that can be obtained from medical or surgical treatment and care. ”

“ For example, during the 19th and early 20th centuries the burdens of serving as research subjects fell largely upon poor ward patients, while the benefits of improved medical care flowed primarily to private patients. ”

“ Today, as an increasing number of people are being released from acute care settings and returning to their communities in need of complex home health assistance, Visiting Nurse Associations have been quick to respond. ”

“ The care and skill with which the sick are treated in hospitals, infirmaries, and even private houses, are far greater than they were; the improvement and extension of nursing are more than can be described; the care which the rich bestow on the poor, whom they visit in their own homes, is every day saving health and life; and, even more effectual than any of these, is the work done by the medical officers of health, and all the sanitary authorities now active and influential in every part of the kingdom. ”

“ ALLIED HEALTH PROFESSIONALS- The individual is employed full-time as an allied health professional-- (A) in a Federal, State, local, or tribal public health agency; or (B) in a setting where patients might require health care services, including acute care facilities, ambulatory care facilities, personal residences and other settings located in health professional shortage areas, medically underserved areas, or medically underserved populations, as recognized by the Secretary of Health and Human Services.' ”

“ Whatever methods are employed, the principle already enunciated must be maintained that the patient in his own interest and in that of his family must be the subject of uninterrupted care and supervision. ”

“ Preventing low birth weights and infant mortality from other causes; reducing disability levels; and increasing the feasibility of home care in cases of severe chronic illness are objectives of high priority. Health professionals and staff members of State and local social service agencies can improve the effectiveness of health care delivery as they cooperate fully in these approaches. ”

“ And when families have nowhere to turn when their loved ones are harmed by health care plans' bad decisions, when there's a denial of specialist care or emergency care when they're plainly needed and recommended by physicians, when those kinds of things happen, we know we have to take action.
Whether in managed care or traditional care, every single American deserves quality care. ”

“ The relatively large death-figure in the medical reports is explained by this statement.
Such cases of illness are the more serious that they are all, in fact, in the most urgent need of hospital care. To replace the latter as much and as efficiently as possible, is the task of our physicians. They visit the patients as often as necessary, and prescribe for them, at the expense of the Society, the requisite medicines. In the treatment of such patients our physicians encounter difficulties which it is possible to remove only partially. ”

“ The healthcare delivery system shall prioritize services to serving those who are the sickest and shall prioritize resources, including personal protective equipment, for the providers providing direct care to them. ”

“ The demonstration should draw upon promising, innovative models and incentives to reduce behavioral risk factors. The Administrator of the Centers for Medicare & Medicaid Services shall consult with the Director of the Centers for Disease Control and Prevention, the Director of the Office of Minority Health, the heads of other agencies in the Department of Health and Human Services, and such professional organizations, as the Secretary determines to be appropriate, on the design, conduct, and evaluation of the demonstration. ”

“ Transitional care interventions that focus on care provided around a hospital inpatient episode, including programs that target post-discharge patient care in order to reduce unnecessary health complications and readmissions. ”

“ When, again, an out-patient of the better class was entitled, from the severity of his ailment, to receive the advantages of a consultation by the medical staff, no method existed whereby this aid could be rendered to him, and his transfer afterwards to the care of a medical practitioner attached to some provident dispensary, or resident near the patient’s home, could be properly carried out. ”

“ At this time of great change in our health care system, patients need a guarantee that they can see a specialist and go to the nearest emergency room; a guarantee that their doctor can discuss the best treatment options, not just the cheapest ”

“ IN GENERAL- The Director shall develop a program to provide training for eligible entities on effective strategies for the prevention and control of chronic disease and the link between physical, emotional, and social well-being. ”

“ HEALTH-RELATED TASKS- The term `health-related tasks' means specific tasks related to the needs of an individual, which can be delegated or assigned by licensed health-care professionals under State law to be performed by an attendant. ”

“ It is the first level of contact of individuals, the family and community with the national health system bringing health care as close as possible to where people live and work, and constitutes the first element of a continuing health care process. ”