Health Management by Krzysztof Smigorski

By Krzysztof Smigorski

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All physician/patient encounters were extracted, not just office visits. Multiple records with the same medical services insurance, date of service, location, and doctor were considered as a single visit, with the cost of the multiple records summed accordingly. Data for the Nova Scotia population were extracted in a similar fashion. The denominator used to calculate rates for the Nova Scotia population referred to the mid-year population of those eligible for health coverage in the province. Prevalence rates for hospital diagnoses were based on the primary diagnostic field only.

It is still possible to move along the continuum between health and disease, towards health – particularly as concepts of what it means to be healthy shift. In this way the management has become interdisciplinary. 004 Table 4. 2 36 Health Management Fig. 2. Integrating care for complex conditions In working together as a team, each individual brings their unique skills and perspectives to focus on particular problems and treat different aspects. The focus of each clinican may be upon one particular symptom at one time.

We know that with the passage of time, individuals change. This study helps us to identify whether health changes occur with time and the nature and extent of symptom changes. In the future it will be important to look at control populations to determine the effect of passage of time alone on overall health. Furthermore, we need to look more closely at the different aspects of our management approach to determine what is most important. 6. Introduction of multidisciplinary assessment at the start of treatment With the passage of time it became clear that some issues were not addressed until after the patient had been attending the centre for some time, leaving open the possibility that if dealt 30 Health Management with earlier, improvement would have started earlier.

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