LEADER 01176cam2 22002651 450 001 SOBE00046514 005 20230725121457.0 100 $a20150330d1835 |||||ita|0103 ba 101 $aita 102 $aIT 200 0 $a2 210 $aNapoli$cTipografia dell'Ateneo$d1835 215 $a557 p.$d17 cm 461 1$1001SOBE00046510$12001 $aLezioni italiane di letteratura e di morale, cioè Scelta di luoghi insigni o per sentimento o per locuzione, raccolti dagli scritti in prosa di autori italiani d'ogni secolo / per cura di Nicola Comerci 801 0$aIT$bBEM$c20230725$gRICA 850 $aBEM 852 $aBEM$j1$m00118 852 $aUNISOB$jSaggi|A$m175655 912 $aSOBE00046514 940 $aM 102 Monografia moderna SBN 941 $aM 957 $xLibrerie|Verdi$a1$b088$i-2$gNO$cLV$d00118$hLibrerieVerdi$rdono$1tcalvano$2BEM$3BEM$420150330093523.0$520150330093608.0$6tcalvano 957 $xFondo|Leopardiano$aSaggi|A$b000008$gCON$d175655$n20220328$hFondoLeopardiano$rdono$1menle$2UNISOB$3UNISOB$420220505100308.0$520230725121457.0$6Spinosa$fPer le modalità di consultazione vedi home page della Biblioteca link Fondi 996 $a2$961340 997 $aUNISOB LEADER 04829oam 2200769 450 001 9910716079603321 005 20220513104357.0 035 $a(CKB)5470000002517306 035 $a(OCoLC)814440675$z(OCoLC)1118520349 035 $a(EXLCZ)995470000002517306 100 $a20120913d2012 ua 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aShared medical appointments for chronic medical conditions $ea systematic review /$fDavid Edelman [and six others] 210 1$aWashington, DC :$cDepartment of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service,$d2012. 215 $a1 online resource (iii, 72 pages) $cillustrations 300 $a"Evidence-based synthesis program." 300 $a"July 2012." 320 $aIncludes bibliographical references. 330 3 $aThe most successful health care systems offer ready access to high-quality primary care--an approach that is embedded in the fundamental design of Veterans Affairs (VA) health care and which is consistent with the Institute of Medicine's definition of high-quality care. This definition emphasizes safe, effective, patient-centered, timely, efficient, and equitable health care. Group medical visits are a method to deliver health care that offers the promise of improving these aspects for patients with chronic conditions.^Group visits (or clinics) are a system redesign in which clinicians see multiple patients together in the same clinical setting.^Shared medical appointments (SMAs) are a subset of such clinics and are defined by groups of patients meeting over time for comprehensive care for a defining chronic condition or health care state.^SMAs usually involve both a person trained or skilled in delivering patient education or facilitating patient interaction and a practitioner with prescribing privileges. SMA sessions typically last 60 to 120 minutes, with time set aside for social integration, interactive education, and medication management, in an effort to achieve improved disease outcomes. SMAs have been scientifically tested in an array of primary care settings over the last 10 to 15 years.^However, there has been great variability among these studies in relation to setting; components included in the intervention; and measurement of clinical, cost, and utilization outcomes.^For example, the patient group may stay constant, in an attempt to provide group bonding, or the patients may be allowed to choose sessions from a schedule at their convenience to promote attendance. Like patients, provider teams can be constant or vary over time.^This uncertainty regarding the optimal design and impact of SMAs led the VA to commission this evidence synthesis report. Our objective was to summarize the effects of SMA on staff, patient, and economic outcomes and to evaluate whether the impact varied by clinical condition or specific intervention components. 517 $aShared medical appointments for chronic medical conditions 606 $aGroup medical appointments$zUnited States 606 $aChronic diseases$xTreatment$zUnited States 606 $aChronically ill$zUnited States 606 $aOutcome assessment (Medical care)$zUnited States 606 $aMedical appointments and schedules 606 $aChronic diseases$xTreatment$2fast 606 $aChronically ill$2fast 606 $aGroup medical appointments$2fast 606 $aOutcome assessment (Medical care)$2fast 607 $aUnited States$2fast 608 $aTechnical reports.$2lcgft 615 0$aGroup medical appointments 615 0$aChronic diseases$xTreatment 615 0$aChronically ill 615 0$aOutcome assessment (Medical care) 615 0$aMedical appointments and schedules. 615 7$aChronic diseases$xTreatment. 615 7$aChronically ill. 615 7$aGroup medical appointments. 615 7$aOutcome assessment (Medical care) 700 $aEdelman$b David A.$0320843 712 02$aUnited States.$bDepartment of Veterans Affairs.$bHealth Services Research and Development Service, 712 02$aDurham VA Medical Center.$bEvidence-based Synthesis Program Center. 712 02$aEvidence-based Synthesis Program (U.S.) 801 0$bNLM 801 1$bNLM 801 2$bOCLCQ 801 2$bVT2 801 2$bNLM 801 2$bOCLCO 801 2$bOCLCA 801 2$bGPO 801 2$bOCLCO 801 2$bOCLCF 801 2$bOCLCQ 801 2$bOCLCO 801 2$bCOM 801 2$bOCLCO 801 2$bGPO 906 $aBOOK 912 $a9910716079603321 996 $aShared medical appointments for chronic medical conditions$93470597 997 $aUNINA