Wedding Kurat

Every day there are articles, blogs, and speeches proposing a fix for primary care. The latest to cross my desk comes from Health Affairs. Another value based plan is proposed to address the needs of patients with dementia. We can agree that individuals with dementia do have complex health care needs and their caregivers are often overwhelmed. We can agree that primary care is the most appropriate care venue for such patients. But I would argue that primary care is currently not capable of the challenge. Before additional proposals are considered such as those involving innovation, digitalization, reorganization, regulation, integration, coordination, or outreach  – the financial design must be addressed. How Does Innovation Hurt Where Practices, Towns, Health Facilities and Resources are Small Innovation Is a Distraction from Real Primary Care Solutions Innovation Focus Forced on Team Members Contributes to Overload Innovation Is More Likely Where Primary Care Is Better Supported Inno

Blood Bank has a unique importance in a healthcare facility. It provides the life-saving resource, blood and blood components, which is collected from donors and has limited availability. It is of high importance that this precious resource is used rationally and is not wasted. Blood bank is also considered a high risk area for patient safety as any error or infection in blood can be potentially lethal for the patient. Hence policies and procedures in blood bank should be aimed at achieving the highest level of safety, rational use of blood and blood products and reduction of wastage. The checklist given below which takes into account NABH standards for blood bank can be used as a framework to achieve these objectives. This checklist may not be sufficient for a separate accreditation of Blood Bank, under NABH accreditation for Blood Banks’. Legal       1.       The blood bank should possess a license under Drugs and Cosmetics Act. The license should be renewed periodically. For estab

The Reality of Primary Care is quite different than what is presented by various associations, institutions, and foundations. We are not growing primary care. We are shrinking it. AAFP has had its usual promotions of successes in the match as there are incremental increases in the number choosing family medicine. There is nothing to cheer about. FM graduates have had an annual growth rate barely keeping up with the annual population growth rate since 1980 when 3000 graduates were first reached. Given that only half of the 2018 graduates will serve careers in primary care, the actual primary care contributions have decreased much faster. Assumption is not reality. My Standard Primary Care YearPublication never caught on, but is relevant to consider   https://www.rrh.org.au/journal/article/1009  To save time you may want to review this compilation of the primary care delivery capacity estimates over time for 1970 to 2030 graduates. Each source is melting away from primary care contribut