Medical Care Provisions

Nobody ever wants to get sick because feeling unwell limits us from performing our tasks. If the illness is minor such as a simple colds. There are many home remedies and over the counter medicines available that are easily accessible and for relief, extra health measures and to speed up the recovery possess. Yet if the health condition worsens or the patient is sickened with a more serious ailment, it is best to seek assistance from a licensed health care professional.

There are different types and categories in the medical care provisions that are administered by various health care professionals and providers in a variety of medical locations. These medical care provisions has four categories, namely: primary, secondary, tertiary and quaternary.

The first point of consultation in all medical processes is called the Primary care, whose key characteristic is continuity of care. This medical service is provided by physicians, nurses and other health workers who are known to have first contact with patients. The ministration of primary care occurs in physician offices, clinics, nursing homes, schools and other places close to patients. Illnesses which are given treatment in primary care are acute and chronic disorders, diabetes mellitus, depression and back pain. Preventive care and health education for patients in all ages, socioeconomic and geographical origins are also part of primary care.

Secondary care refers to the service provided by medical specialists who generally do not have first contact with patients. Patients who need expert care and procedures and previously diagnosed by primary care providers are referred to secondary care providers, such as cardiologists, urologists and dermatologists for further treatment. A local community hospital is mainly where Secondary care is administered to patients. These services include ambulatory care and inpatient services, emergency rooms, intensive care medicine, surgery services, physical therapy, labor and delivery, endoscopy units, diagnostic laboratory and medical imaging services, hospice centers, etc. Caring of hospitalized babies and delivering babies in may also be a function in Secondary care provision. Occupational therapists, orthoptists and other allied health care professions who work and co-manage that facet of healthcare may be considered as an area of Secondary care.

Tertiary health care is specialized consultative care, they are referred to by the primary or secondary medical care specialists. These Tertiary professionals usually administer in a center that has personnel and facilities for necessary diagnostic treatment and investigation such as specialist hospitals, trauma centers, advanced neurology unit services, organ transplants, high-risk pregnancy, radiation oncology, etc. These Tertiary care services also include specialist cancer care, neurosurgery, burns care and plastic surgery.

The extension of tertiary care is called Quaternary Care. It refers to the less common but more specific advanced levels of medicine that are not highly used. The bulk of Quaternary care is composed of experimental medicine, service oriented surgeries and other less common approaches to treatment and diagnostics. Such procedures take place in a medical laboratory or clinical laboratory where clinical specimens are tested in order to gather information about the patient’s health for the diagnosis, treatment and prevention of disease.

Improve Your Aging Parent’s Medical Care

I have logged 19 years in the healthcare industry. While I have occasionally questioned this logic, there’s no doubt my expertise has benefited my aging parents. I can make sure they are getting the highest quality care from their doctors during their hospitalization.

I know what to expect and I know some tricks. This knowledge is NOT necessarily commonplace, and this Paula Span blog about Dr. Mark Lachs’ book, Treat Me, Not My Age, drove that point home. Disclaimer: I haven’t read Dr. Lach’s book but I plan to. Maybe you’ll want to as well. Meanwhile, here are a few pointers from me on how to improve Mom or Dad’s comfort level during their hospitalization:

I agree with what Dr. Lachs says: visit Mom or Dad during mealtime. I’d heard this and tried it when my Mom was hospitalized. She was stable but having a hard time sitting up, and her (by then cold) breakfast had been plopped on her tray, but out of her reach.

Bring and leave a package of hand wipes. I bring baby wipes because I have little ones and I basically bring baby wipes everywhere. They are perfect in the hospital, because your aging parent can keep their hands cleaner without having to get up to go to the bathroom every time they want to wash their hands. Even more essential if their mobility is limited and/or they are considered a fall risk. (Baby wipes: also good for general perineal care when one has diarrhea, is bedridden or is unable to bathe/shower daily in the hospital.)

Bring disinfectant wipes and wipe off the bed tray and side rails including call buttons and television controls. Your aging parent’s hospital room is never, ever going to be too clean. Don’t leave these wipes, because there is always a chance someone will mistake them for hand wipes.

Tack or tape a family picture where Mom can see it. Have your kids make a cheery card or picture for Grandma or Grandpa and hang this as well.

And as a final way to get your parents the best care, seek out the nurses and aides and make friends. Wait until they have a moment and introduce yourself. Make sure you find out the most direct way to call the nurse’s station when you can’t visit and have a concern or important question (getting through is harder than you think). Leaving a goody or flowers at the nurse’s station is optional; I find courtesy and polite persistence sufficient. Less optional: sending a thank-you note after discharge when care is exceptional. This is a tough job when done right.

A Brief Overview of State and Private Medical Care in the UK

Some kind of medical services is can be sought in every nation in the world. The standard of care essentially depends on what location you find yourself in. This care can range from the very best to very simple. This piece looks at both private medical care and state-funded provision in Great Britain. Overwhelmingly, the NHS is the main care provider.

The majority of medical services in Britain are provided by the NHS. This service is paid for through taxation and is cost free at delivery point. While this medical care is widely thought of as good, waiting times can at times be significant for some operations and procedures.

One criticism of the state NHS is that some medications are not cost effective because to their pricing. Those who would benefit from private medical care might not to have this issue. They also get to enjoy faster service and more private surroundings or rooms.

Having said that, the NHS still remains extremely widely used – and it is considered generally that private medical care is only utilised as a ‘top up’ to what many people see as a dependable, and egalitarian system of medical care. A & E (or Accident and Emergency) and hospital care is free at the point of delivery, but some citizens (for the main part working people) are required to pay for prescriptions. People who are in full time education, and those of retirement age and other ones on benefits relating to incapacity get prescriptions for free.

The majority of the Britain’s private medical care is offered to the general population by BUPA (British United Provident Association). In 2008 the group acquired the Cromwell Hospital in the middle of London – creating its principle medical facility in the country’s capital city, which many say is indicative of their aspirations.

There are also various other private medical care hospitals available across the nation, be it in Leicester, Glasgow, London or Birmingham. This sort of care is frequently thought to need medical insurance, but in reality lots of hospitals provide the possibility of one-off payments for single procedure. As has been well documented, private health care can lower or indeed get rid of the need to wait for operations.

In situations where individual people are waiting for procedures which have a substantial waiting list on the National Health Service, private health care can be an option – the big reason for selecting it is frequently the pain involved in the ailment remaining without treatment.

Whatever the kind of health insurance a patient has – medical services in Britain are good, catering for all pockets and all needs. Whether you are in the ninety-two percent of people who use the always-present NHS, or 1 of the eight percent who decide to top up their options with a faster private scheme, quality medical care is available for everyone.

Finding Good Medical Care in Istanbul, Turkey

Istanbul, historically known as Byzantium and Constaninople, is the former capital of Turkey and is a unique city as it is a part of both Europe and Asia. With population close to 13 million, the city is also a cultural, economic, and financial center of Turkey. Thus, it is no surprise to find that there are about 60 state hospitals and 100 private hospitals in the city, many of them have high technology equipment. Healthcare in the country is subsidized by the government.

These are some of the best hospitals available in Istanbul, Turkey.

The International Hospital is a private hospital with a 24 hours emergency department and it offers treatment in a wide range of medical branches like internal medicine, gynecology, pediatrics, cardiovascular surgery, neurosurgery, orthopedics and nuclear medicine. The hospital address is Cad. 82, YeÅYilköy. The hospital has a reasonable number of English speaking doctors and some of them even have post graduate experience from America.

Anadolu Medical Centre at Istanbul is a multidisciplinary and modern hospital. The hospital is ISO 9001-2000 certified and has a JCI (Joint Commission International) accreditation. The staff at the hospital is multi lingual and is trained by the John Hopkins faculty with whom the hospital has a strategic partnership. There are 8 operating rooms and an Intensive Care Unit at the hospital. The hospital provides diagnosis and treatment plan for cancer patients, clinical programs on back pain, diabetes, and breast health. A dedicated department is available to take care of international patients. It is located at the far eastern side of Istanbul in Gebze.

The Metropolitan Florence Nightingale Hospital at Istanbul is another hospital in the city that is equipped with the latest technology and is also ISO 9001 certified. The hospital offers therapeutic and diagnostic services along with the treatment in the fields of gynecology, neurosurgery, medical and radiation oncology, urology, ophthalmology, pediatrics, plastic surgery and nuclear medicine. The emergency services, laboratory and radiology services are available round the clock. The doctors at the hospital speak English and have postgraduate experience in either Europe or America.

Acibadem Hospital holds the distinction of being the first hospital in Turkey to achieve world class quality medical care. It is a multidisciplinary private hospital which offers high quality services that are at par with international standards. The hospital is most well known for its treatment in areas of organ transplant, IVF, genetics cardiology and cardiovascular surgery. The emergency services at the hospital are available round the clock. There are 11 operating rooms in the hospital and it also has a state-of-art diagnostic centre which has facilities for ultrasound, angiography and mammography.

Yeditepe University Hospital is amongst the few hospitals in Istanbul that provide reliable medical service around the clock. The hospital is committed to providing high quality services and is equipped with the latest technology. The hospital has an accreditation from JCI and has 8 operating rooms including ICUs dedicated to cardiology, neo-natal care and general surgery. Local and international patients are drawn to the hospital because of the services provided by their well trained staff and the sophisticated technology used by them.

The first hospital in Turkey that was awarded the ISO (quality management system) 9001 in 2000 was the Dogan Hospital. The hospital is privately owned, has state-of-art technology and offers treatment in a wide range of medical branches. The units at the hospital include a Cardiology, Heart and Vascular Surgery Department, Physical Treatment and Rehabilitation Centre, Plastic and Reconstructive Surgery Departments, Sleep Disorders and Neurophysiology Unit. They offer treatment in the areas of internal medicine, ophthalmology, gynecology, urology, psychiatry, general surgery. The hospital is equipped with five surgery rooms, 24 hours ambulance and emergency services, a sophisticated laboratory, 4D ultrasound equipments and a dialysis centre which is supposed to be the best in the region. A separate unit to coordinate with international patients is available; the number for which is 90 212 6243434

Koç American Hospital is a non-profit hospital run by a US based organization. The hospital offers treatment to medical, surgical and maternity patients and also to a few psychiatric and contagious disease patients. The facilities at the hospital include a 24 hours emergency room, an intensive care unit, diagnostic services that include ultrasound angiography, mammography etc. The hospital has general practitioners and specialist on its rolls. The hospital address is Güzelbahçe Sokak, NiÅYantaÅYı, and telephone number is (212) 311-2000.

Retirement in Puerto Vallarta – Afraid of Medical Care South of the Border?

Ten years ago, the fear of needing emergency medical or dental care while south of the border ranked close to the fear of running out of gas while crossing the railroad tracks; both had you calling for spiritual guidance! In 1997, shortly after we moved to Puerto Vallarta, Mexico, referred to as PV or Vallarta by the locals, a friend of ours elected to have a substantial amount of cosmetic surgery done here in PV. At that time, there were a number of small hospitals and clinics in town, however only two that she considered.

One was of the 50´s vintage and the other more like the 60´s because it had window air-conditioners in the three patient rooms. My son, a surgical veterinarian in California, would have been reluctant to practice his specialty in the other hospitals and clinics! The surgical procedure on our friend was satisfactory and although none of the nurses spoke English, the attention and care she received during recuperation were excellent. At that time, good medical care was difficult to find in Vallarta and if anyone needed major medical care, they would need to go to Guadalajara or fly to the States. In 1997 there were a number of dentists in PV, but they were pretty scary looking places, resembling those you saw in the 60´s, although a couple of them did have window air-conditioners. Ten years ago, if you had a broken arm, toothache, etc., you were best off flying back to the good old USA for care.

Now, ten years later, we have two huge, ultra modern, fully equipped hospitals and one smaller, yet still modern hospital in Vallarta. Of course, many of the small dilapidated hospitals still exist, but would not be considered by North Americans. The small AmeriMed Hospital is fully capable of handling most emergencies, conducting most testing, and is adequate for all but the most serious problems. Across the street from AmeriMed is the new San Javier Hospital which was built about five years ago. This ultra modern hospital is capable of handling just about every medical problem imaginable.

They recently performed emergency open heart surgery on a cruise boat passenger. San Javier has an MRI machine, cardiac catheterization, angioresonance, neuroradiologic, mammographic, ecosonographic, etc. equipment. Of course the patient recovery rooms meet the highest standards, equipped with everything you would expect in a fine US hospital. The newest hospital is the Cornerstone Hospital which was built two years ago and meets the same standards as the new Cornerstone Hospitals in Texas. Cornerstone has the only Radiology Clinic in Western Mexico with state-of-the-art CAT scan and MRI equipment. It is the center for dialysis and lithotripsy as well as having emergency pediatric care, full cardiac services, an ophthalmology department, a 24 hour emergency room, an intensive care unit, an on-site pharmacy, recovery room, and beautiful, almost plush, patient rooms.

Between San Javier and Cornerstone, we are fully covered for any matter pertaining to orthopedics, trauma, nephrology, urology, anesthesiology, internal medicine, gastroenterology, obstetrics and gynecology, endocrinology, rheumatology, neurology, cardiology, general surgery, plastic and reconstructive surgery, hematology, dermatology, and just about anything that ails you. These hospitals accept most all international insurance and the majority of the US veteran benefits. In fact, the veterans here indicate that they are receiving better care in PV than the overcrowded VA facilities in the US.

Virtually all the doctors and nurses in these hospitals speak English. Furthermore, the majority of the doctors have received part of their education in the States or Europe. There are two main differences between these hospitals and those in the States; they are price and service! Surgical procedures and hospital services are a third to a half of what they are in the States. The attention, care, and follow-up far exceed that in the US. The doctors and nurses really care and treat each patient as a friend. They seem to be more interested in treating and curing the patient than they are in collecting the money. Most doctors carry cell-phones and are available for consultation 24 hours a day.

Cosmetic and reconstructive surgery has become so popular in PV that many Americans and Canadians come here specifically for a nip and tuck. So many, that a major spa specializing in postoperative care is currently in the planning stage, allowing those in the market to come to Paradise for a week or two and return home looking ten years younger!

Today, there are a few exceptional dentists in Vallarta, each with state-of-the-art offices meeting US standards. Root canals, caps, crowns, and implants are done on a daily basis in beautiful, high-tech, and sterile offices. Again, they are all fluent in English and their prices are a third to a half of what they are in the States. For that reason, many North Americans are also coming here for new caps, crowns, and implants- maybe the same people that come for the cosmetic surgery!
We don’t look forward to needing any of the new medical clinics, state-of-the-art hospitals, or modern dental offices, however if and when the time comes, we’ll certainly not be afraid of medical care south of the border!