Background:

Patients with multimorbidity often require services across different health care settings, yet team processes among settings are rarely implemented. We explored perceptions of specialists and family physicians collaborating in a telemedicine interprofessional consultation for patients with multimorbidity to better understand the value of bringing physicians together across the boundaries of health care settings.

Methods:

This was a descriptive qualitative, interview-based study. Physicians who had previously participated in the Telemedicine Interprofessional Model of Practice for Aging and Complex Treatments (Telemedicine IMPACT Plus [TIP] Program) were invited to participate and asked to describe their experience of being a member of the program. Interviews were conducted from March to May 2016. We conducted an iterative and interpretive process using both individual and team analysis to identify themes.

Results:

There were 15 participants, 9 specialists and 6 family physicians. Three themes emerged in the analysis: creating new perspectives on care for patients with multimorbidity by sharing knowledge, skills and attitudes; the shift from a consultant model to an interprofessional team model (allowing a window into the community, extending discussions beyond the medical model and focusing on the patient’s health in context); and opportunities for learners, including learning about interprofessional collaboration and gaining exposure to a real-world model for caring for people with multimorbidity in outpatient settings.

Interpretation:

Family physicians and specialists participating in a TIP Program believed the program improved their knowledge and skills, while also serving as an effective care delivery strategy. The findings also support that learners require more exposure to nontraditional consultant models in order to care for patients with multimorbidity effectively.

Warden Chris has left the building, now the inmates are running the asylum. Hear want these irregulars have to say about the news of this...

It’s a special edition of the RPGCast this week. Jon, Alex, Anna Marie, and Chris appreciate loot, bank Pokémon, link between and transfer worlds in...

Chris and Alice lead the charge this week. Blizzard announces a new game, Square Enix announces a plushie, and…wait…Blizzard has a new game? You’re making...

Chris drowns in potions. Anna Marie hits one hundred. Alice shops with e’s. And Manny plays some 360 games now that he finally has an...

Anna Marie hosts this week’s Cat Fancy, as the cast tries to figure out if touching girls is OK (we discover it isn’t OK to...

The stranded people hail from Tamil Nadu and they were working in the United Arab Emirates.

Trapped in lockdown due to the COVID-19 pandemic, over a thousand migrant workers staying in Hyderabad's Tolichowki took to the streets on Sunday demanding to be taken home.

Follow our live coronavirus updates HERE Coronavirus: The symptoms

Read our live updates on coronavirus HERE Coronavirus: The symptoms

A consultant who died after contracting Covid-19 has been described as a "very special human being" and "a real NHS hero".

All mail sent this week in the UK will be stamped with a special postmark to celebrate the 100th birthday of NHS fundraiser Captain Tom Moore.

Comedian takes on air travel, restaurants, ball games and other pastimes of the distant past that was 2019

When celebrating mom this Mother's Day, we are going the (social) distance! Here are five ideas to make Sunday special.

Netflix has capitalized on the huge success of their docuseries Tiger King by releasing an “aftershow” special. Here are 5 things we learned.

Coronavirus pandemic has caused production shutdowns and delays

Comedian is asking for nurses, retail workers and other key workers to record themselves marching to Tony Christie's cheesy hit

Brooker's wry look at the world's events last aired in December 2016

New comedy special coming on 5 May

Episode has been hailed the 'absolute best part' of lockdown

Reunited for a good cause, if separated by the coronavirus lockdown, the Parks & Rec cast provided easy, nostalgic laughs

Comedian said he got 'such s***' for suggesting tiger trader deserves his prison sentence

Kay's original Amarillo video featured an eclectic line-up of celebrity cameos

Brooker says he's coping with the crisis "far better than I would have anticipated"

New parent looking for some health support? Peppy is on hand to help

Merry Christmas, glitterati! It’s a cracker of a lineup, but who will win that most sparkling of festive prizes, the Silver Star? Join us to find out

Afternoon all, hope you’re having a lovely Christmas day.

There’s no official liveblog for today’s Strictly Christmas special, but we’ve opened a blog so you can add your special brand of festive sparkle in the comments below. It’s a Christmas cracker of a lineup, featuring lots of our favourites from previous years – Chizzy Akudolu, Debbie McGee, Gemma Atkinson, Joe Sugg, Mark Wright and Richard Arnold. It’s also very much a couples’ choice – both Gemma and Joe will be dancing with their real-life partners Gorka and Dianne, which is all rather lovely.

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Uefa have opened the door to domestic league seasons being cancelled due to the coronavirus pandemic.

Liverpool have turned their Anfield pitch into a tribute to NHS workers battling the coronavirus pandemic.

Brighton and Hove Albion have designed a special shirt to pay tribute to the NHS and key workers during the coronavirus pandemic.

BT Sport will broadcast a special programme on Saturday to mark David Beckham's 45th birthday, showing some of the Manchester United legend's finest Champions League moments.

Mikel Arteta insists summer signing Kieran Tierney will bring Arsenal "something special" when the Premier League restarts following its suspension due to the coronavirus pandemic.

The Queen was only 19 when her father made his landmark address over seven decades ago.

Have we reached peak pandemic entertainment?

It's called 'Navigating the New Normal: Parents Edition.'

Beyoncé, Serena Williams, Kerry Washington, and more!

UFC 249, to take place Saturday in Jacksonville, Fla., without fans, will be perhaps the most unique pay-per-view event the promotion company has staged.

Characters created by Axel Scheffler from his popular books with Julia Donaldson are on the cover.

“Call Your Mother,” a documentary about moms and their comedian children, has interviews with dozens of comedians, including Awkwafina, Jim Gaffigan, Jimmy Carr, Jo Koy, Bobby Lee, Kristen Schaal, David Spade and Roy Wood Jr.

Reggae king Buju Banton and R&B star John Legend released the easygoing love song “Memories” on Friday.

Holly Willoughby made an extremely generous offer on Friday afternoon – lunch with...

Sarah Ferguson is never one to do things by halves and to mark VE Day on Friday, the...

Adhesives specialist Intertronics has launched a new campaign to highlight the ways that assembly companies can simplify processes, improve output and reduce waste.

The pharmaceutical firm has purchased the company, which specializes in advancing treatments and diagnostics for ocular disorders.

In Drug Channels Institute's list of the top 15 pharmacies of 2019, we show that many of the largest U.S. pharmacies are now central-fill mail and specialty pharmacies operated by PBMs and insurers.

To complement that broader ranking, we present below our exclusive list of the top 15 pharmacies based on specialty drug dispensing revenues. Consistent with our previous analyses, PBMs and insurers have retained their dominance over specialty drug channels, while smaller pharmacies are facing increased competition and profit pressures.

I see upside for specialty pharmacies in the aftermath of the pandemic. This growth will come at the expense of provider-administered drug channels. I expect the top companies’ share will increase in 2020, due to mergers and business transitions among the largest PBMs. However, the increasing role of government payers may create opportunities for smaller pharmacies.

This Friday, I’ll discuss how COVID-19 will affect the specialty pharmacy market during the first of my two live video webinars.

Over the next two weeks, Drug Channels Institute will host two live video webinars: Industry Update and COVID-19 Impact: Retail & Specialty Pharmacies (May 1) and Industry Update and COVID-19 Impact: PBMs & Payers (May 8). CLICK HERE TO LEARN MORE AND SIGN UP. Contact Paula Fein (paula@drugchannelsinstitute.com) for our special promo codes for multiple viewing sites. DCI will donate 20% of all profits from these events to The Center for Disaster Philanthropy’s COVID-19 Response Fund.

Read more »

This week, I’m rerunning some popular posts while I prepare for this Friday’s video webinar: Industry Update and COVID-19 Impact: PBMs & Payers.

Life was very different when I originally published today’s article. 2020 is not turning out to be quite what any of us expected. However, the pandemic has exposed some intriguing pros and cons of vertical consolidation. Click here to see the original post and comments from December 2019.

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The largest insurers, PBMs, and specialty pharmacies have now combined into vertically-integrated organizations. As I explain below, these companies have also been rapidly integrating with healthcare providers.

I also provide an updated look at these companies and highlight strategies that they are using—or could use—to control the channel. I believe that these insurer / PBM / specialty pharmacy / provider organizations are poised to restructure U.S. drug channels by exerting greater control over patient access, sites of care/dispensing, and pricing.

If they can effectively coordinate their sprawling business operations, they will pose a substantial threat of disruption to the existing commercial strategies of pharma companies.

Will they succeed by better managing care and costs, or merely by extracting higher profits from our convoluted system?
Read more »

The Department has reached agreement with New York officials to help ensure that military service members and other U.S. citizens living overseas have the opportunity to vote in the state’s March 31, 2009, special election in the 20th Congressional District.

Today Assistant Attorney General Lanny A. Breuer of the Criminal Division announced the formation of the Human Rights and Special Prosecutions Section (HRSP), the first new section to be formed in the Criminal Division since 2008.