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Understanding the care for older people in rural China: The role of primary care providers as "the third sphere" [Global health]

Annals of Family Medicine

To address this crisis, China has launched the National Essential Public Health Services (NEPHS) program in 2009, which includes several elderly care initiatives. Setting: Community Y is a typical rural community in Northern China with a population of around 3,000 (≥ 50% of the population aged 65 and older).

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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

We provide many more services over the phone and virtually and we have a whole division for preventative care. Since we basically don’t have a clue, let alone agreement, about what Quality really is ( see my 2009 post “ Quality or Conformity? We meet people where they are and in many different ways.

Patients 130
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Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath

GeriPal

And I think the question for our field is, is that because the estimates that we have of GFR based on creatinine provide misrepresentation or an inaccurate representation of someone’s kidney function. But you’re right, there has been a shift in policy to incentivize patients and providers to choose home therapies.

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End-of-Life Doulas: A Podcast with Jane Euler, Beth Klint, and John Loughnane

GeriPal

We are delighted to welcome Jane Euler, who is lead doula and co-founder of Present for You, which is a benefit LLC company that provides doula support at the end-of-life. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. Jane: Right.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. We weren’t randomizing providers or patients. This is not why I went into emergency medicine. I went into emergency medicine to act. So it was a cluster randomized trial.