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Shared Care
Shared care involves the establishment of partnerships between professionals and laymen in which they share a common goal. Examples are an improvement in the health of a patient where there is patient empowerment to take a major degree of responsibility care and arrangements in which the life of a disadvantaged person is improved by the joint efforts of a social service and an outside lay provider. In truly shared care, the partnership is a genuinely equal one with neither partner being subservient or superior. ''Shared care'' is a term largely used in health care and social care in Great Britain. In general health care In a more mainstream health-orientated context, the term can be used for the schemes involving patient empowerment that are targeted at medical problems as substance abuse and diabetes. While generally welcomed, shared care approaches can raise concerns about what is expected from different individuals and, for healthcare professionals, the consequent legal impli ...
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Patient Empowerment
Patient participation is a trend that arose in answer to medical paternalism. Informed consent is a process where patients make decisions informed by the advice of medical professionals. In recent years, the term ''patient participation'' has been used in many different contexts. These include, for example, clinical contexts in the form of shared decision-making, or patient-centered care. A nuanced definition of which was proposed in 2009 by the president of the Institute for Healthcare Improvement, Donald Berwick: "The experience (to the extent the informed, individual patient desires it) of transparency, individualization, recognition, respect, dignity, and choice in all matters, without exception, related to one's person, circumstances, and relationships in health care" are concepts closely related to patient participation. Patient participation is also used when referring to collaborations with patients within health systems and organisations, such as in the context of partic ...
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Paternalism
Paternalism is action that limits a person's or group's liberty or autonomy against their will and is intended to promote their own good. It has been defended in a variety of contexts as a means of protecting individuals from significant harm, supporting long-term autonomy, or promoting moral or psychological well-being. Such justifications are commonly found in public health policy, legal theory, medical ethics, and behavioral economics, where limited intervention is viewed as compatible with or even supportive of personal agency. Some, such as John Stuart Mill, think paternalism can be appropriate towards children, saying: Paternalism towards adults is sometimes characterized as treating them as if they were children. Some critics argue that such interventions can infringe upon autonomy and reflect insufficient respect for an individual’s capacity for self-determination. The terms 'paternalism,' 'paternalistic,' and 'paternalist' are sometimes used pejoratively, particula ...
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Medical Paternalism
Medical paternalism is a set of attitudes and practices in medicine in which a physician determines the course of treatment based on the doctor's judgment of what is best for the patient, largely discounting or ignoring the wishes and preferences of the patient under the assumption that the doctor knows what is best for the individual. These practices were current through the early to mid 20th century, and were characterised by a paternalistic attitude, Surrogate decision-maker, surrogate decision-making and a lack of respect for patient autonomy. It is almost exclusively undertaken with the intention of benefiting the patient, although this is not always the case. In the past, paternalism was considered an absolute medical necessity, as there was little to no public understanding of medical procedures and practices. However, in recent years, paternalism has become limited and blind faith in doctors' decisions has come to be frowned upon. By the end of the 20th century and into the 2 ...
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Coproduction (public Services)
Co-production (or coproduction) is an approach in the development and delivery of public services and technology in which citizens and other key stakeholders and concepts in human society are implicitly involved in the process. In many countries, co-production is increasingly perceived as a new public administration paradigm as it involves a whole new thinking about public service delivery and policy development. In co-productive approaches, citizens are not only consulted, but are part of the conception, design, steering, and ongoing management of services. The concept has a long history, arising out of radical theories of knowledge in the 1970s, and can be applied in a range of sectors across society including health research, and science more broadly. Definitions An organisation called the ''Co-production Network for Wales'' describes co-production as "an asset-based approach to public services that enables people providing and people receiving services to share power and respo ...
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Patient And Public Involvement
Public involvement (or public and patient involvement, PPI) in medical research refers to the practice where people with health conditions (patients), carers and members of the public work together with researchers and influence what is researched and how. Involvement is not the same as participation which means taking part in research, for example taking a drug in a clinical trial. Definition Public involvement in medical research can be defined as research being carried out "''with''" or "''by''" members of the public rather than "''to''", "''about''" or "''for''" them. Through PPI patients, carers and people with lived experience work alongside researchers to influence and contribute to how research is designed and conducted. Members of the public involved in research are frequently referred to as public members or public contributors. Terminology Researchers and others use different terms to describe how they interact with the public, and this can vary across organisati ...
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Shared Decision-making In Medicine
Shared decision-making in medicine (SDM) is a process in which both the patient and physician contribute to the medical decision-making process and agree on treatment decisions. Health care providers explain treatments and alternatives to patients and help them choose the treatment option that best aligns with their preferences as well as their unique cultural and personal beliefs. In contrast to SDM, the Biomedical model, traditional biomedical care system placed physicians in a position of authority with patients playing a passive role in care. Physicians instructed patients about what to do, and patients rarely took part in the treatment decision. History One of the first instances where the term ''shared decision-making'' was employed was in a report on Ethics in Medicine, ethics in medicine by Robert Veatch in 1972. It was used again in 1982 in the "President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research". This work ...
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Shared Residency
Shared parenting, shared residence, joint residence, shared custody, joint physical custody, equal parenting time (EPT) is a child custody arrangement after divorce or separation, in which both parents share the responsibility of raising their child(ren), with equal or close to equal parenting time. A regime of shared parenting is based on the idea that children have the right to and benefit from a close relationship with both their parents, and that no child should be separated from a parent. The term ''Shared Parenting'' is applied in cases of divorce, separation or when parents do not live together; in contrast, a shared earning/shared parenting marriage is a marriage where the partners choose to share the work of child-raising, earning money, house chores and recreation time in nearly equal fashion across all four domains. ''Shared parenting'' is different from split custody, where some children live primarily with their mother while one or more of their siblings live primar ...
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Child Support Agency
The Child Support Agency (CSA) was a delivery arm of the Department for Work and Pensions (Child Maintenance Group) in Great Britain and the former Department for Social Development (Northern Ireland), Department for Social Development in Northern Ireland. Launched on 5 April 1993, the CSA was to implement the Child Support Act 1991 (UK), Child Support Act 1991 and arrange payments for parents living with their children.The Law relating to Child Support
- Department for Work and Pensions
The CSA was abolished and replaced in 2012 by its successor, the Child Maintenance Service (CMS).


Functions and involvement

The CSA's function was twofold, encompassing calculation of how much child maintenance is due (based on current legislation and ru ...
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Alexander Technique
The Alexander technique, named after its developer Frederick Matthias Alexander (1869–1955), is an alternative therapy based on the idea that poor posture causes a range of health problems. The American National Center for Complementary and Integrative Health classifies it as a "psychological and physical" complementary approach to health when used "together with" mainstream conventional medicine. Alexander began developing his technique's principles in the 1890s to address his own voice loss during public speaking. He credited his method with allowing him to pursue his passion for performing Shakespearean recitations. Proponents and teachers of the Alexander technique believe the technique can address a variety of health conditions, but there is a lack of research to support the claims. , the UK National Health Service and the National Institute for Health and Care Excellence (NICE) cite evidence that the Alexander technique may be helpful for long-term back pain and ...
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Social Service
Social services are a range of public services intended to provide support and assistance towards particular groups, which commonly include the disadvantaged. Also available amachine-converted HTML They may be provided by individuals, private and independent organizations, or administered by a government agency. Social services are connected with the concept of welfare and the welfare state, as countries with large welfare programs often provide a wide range of social services. Social services are employed to address the wide range of needs of a society. Prior to industrialisation, the provision of social services was largely confined to private organisations and charities, with the extent of its coverage also limited. Social services are now generally regarded globally as a 'necessary function' of society and a mechanism through which governments may address societal issues. The provision of social services by governments is linked to the belief of Human rights, universal human rig ...
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Hypnosis
Hypnosis is a human condition involving focused attention (the selective attention/selective inattention hypothesis, SASI), reduced peripheral awareness, and an enhanced capacity to respond to suggestion.In 2015, the American Psychological Association Division 30 defined hypnosis as a "state of consciousness involving focused attention and reduced peripheral awareness characterized by an enhanced capacity for response to suggestion". For critical commentary on this definition, see: There are competing theories explaining hypnosis and related phenomena. ''Altered state'' theories see hypnosis as an altered state of mind or trance, marked by a level of awareness different from the ordinary state of consciousness. In contrast, ''non-state'' theories see hypnosis as, variously, a type of placebo effect,Kirsch, I., "Clinical Hypnosis as a Nondeceptive Placebo", pp. 211–25 in Kirsch, I., Capafons, A., Cardeña-Buelna, E., Amigó, S. (eds.), ''Clinical Hypnosis and Self-Regul ...
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Complementary Medicine
Alternative medicine refers to practices that aim to achieve the healing effects of conventional medicine, but that typically lack biological plausibility, testability, repeatability, or supporting evidence of effectiveness. Such practices are generally not part of evidence-based medicine. Unlike modern medicine, which employs the scientific method to test plausible therapies by way of responsible and ethical clinical trials, producing repeatable evidence of either effect or of no effect, alternative therapies reside outside of mainstream medicine and do not originate from using the scientific method, but instead rely on testimonials, anecdotes, religion, tradition, superstition, belief in supernatural " energies", pseudoscience, errors in reasoning, propaganda, fraud, or other unscientific sources. Frequently used terms for relevant practices are New Age medicine, pseudo-medicine, unorthodox medicine, holistic medicine, fringe medicine, and unconventional medicine, with litt ...
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