The Gold Standard, Standards of Care, and Spectrum of Care

Englar, Ryane E.

doi:10.1002/9781119714521.ch1

Cited by 3 publications

(17 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…94 Gold standard care dictates that the patient should be hospitalized after relieving the obstruction, to receive intravenous fluids and to monitor urine output via an indwelling urinary catheter. 84,[94][95][96][97][98] Costs of care vary from clinic to clinic; however, in many hospitals, the cost of treating such a patient may easily approach, if not exceed, US$1000. 94 Clients who cannot afford such care may be offered euthanasia as a viable treatment option; however, the reality is that there are other approaches that span the divide between all or none.…”

Section: Where Gold Falls Shortmentioning

confidence: 99%

“…84 The term did not take on its present-day meaning in human healthcare until 1979, when it appeared in an editorial by Dr Peter Rudd in Archives of Internal Medicine. 84,88 Frustrated by non-compliant patients, Rudd proposed that healthcare develop a gold standard for compliance to facilitate case management. 84,88 Between 1995 and 2005, the term has appeared in over 10,000 medical publications, 89 even though financiers gave up the idea of a gold standard decades ago.…”

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

“…84,88 Frustrated by non-compliant patients, Rudd proposed that healthcare develop a gold standard for compliance to facilitate case management. 84,88 Between 1995 and 2005, the term has appeared in over 10,000 medical publications, 89 even though financiers gave up the idea of a gold standard decades ago. 90 Ironically, just as this antiquated system in economics was being put to rest, it took on new life within human healthcare 'not merely as a standard of exchange but as the definitive exemplar of quality and reliability'.…”

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

“…84 The term 'gold standard' originated as a currency exchange rate system. [84][85][86][87] Countries that subscribed to this system set a fixed price for gold and their currency was assigned a value relative to that price. [84][85][86][87] International trade was facilitated through exchange rates between countries that agreed upon the value of gold.…”

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

“…[84][85][86][87] Countries that subscribed to this system set a fixed price for gold and their currency was assigned a value relative to that price. [84][85][86][87] International trade was facilitated through exchange rates between countries that agreed upon the value of gold. 84 The term 'gold standard' first appeared in a human medical journal, The Lancet, in 1962.…”

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

See 4 more Smart Citations

Recasting the gold standard – part I of II: delineating healthcare options across a continuum of care

Englar

2023

Journal of Feline Medicine and Surgery

View full text Add to dashboard Cite

Aim This is the first part of a two-part series on spectrum of care that encourages practitioners to embrace a non-binary approach to healthcare delivery. When care is not framed as all-or-none, either/or or best versus lesser, the provider and client can agree to diagnostic and/or treatment plans that individualize the practice of veterinary medicine. Care is tailored to the patient along a continuum of acceptable options. Care may also be intentionally incremental, with plans to reassess the patient and revise case management as needed. Relevance Acknowledgment and ultimately acceptance that patient care journeys can be distinct, yet equitably appropriate, offers providers the flexibility to adapt case management competently and confidently to the patient based upon contextualized circumstances including client needs, wants and expectations for healthcare outcomes. Thinking outside the box to recast the historic gold standard with a continuum of care strategically offers feline practitioners a means by which they can overcome barriers to healthcare delivery. Series outline This first article introduces spectrum of care as an appropriate approach to case management and broadens its definition beyond cost of care. Part II explores communication strategies that enhance veterinary professionals’ delivery of spectrum of care through open exchange of relationship-centered dialogue.

show abstract

Section: Where Gold Falls Shortmentioning

confidence: 99%

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

Section: Mining For Ore: the Historic Gold Standardmentioning

confidence: 99%

See 3 more Smart Citations

Recasting the gold standard – part I of II: delineating healthcare options across a continuum of care

Englar

2023

Journal of Feline Medicine and Surgery

View full text Add to dashboard Cite

show abstract

Recasting the gold standard – part II of II: communicating healthcare options along a continuum of care

Englar

2023

Journal of Feline Medicine and Surgery

View full text Add to dashboard Cite

Series outline This is the second part of a two-part series on spectrum of care that encourages practitioners to tailor case management to the patient along a continuum of acceptable options. Part I defined the spectrum of care and broadened its approach beyond initial cost-of-care considerations. This second article introduces strategies for initiating conversations with clients about their needs, wants and expectations specific to healthcare options and case management decisions. It will explore how open inquiry, reflective listening, transparency and unconditional positive regard facilitate dialogue between providers and their clients as they collaborate on decision-making along a spectrum of care. Relevance Contextual case management prioritizes interventions that are appropriate for both the patient and the client. To identify and explore which healthcare options represent the best fit for those impacted most by medical decisions, veterinarians need to make space for clients to feel comfortable sharing their perspectives. Clients are more likely to be engaged in decision-making when their insight is actively solicited. They have much to share with us as experts about their cat’s overall health and wellness needs. Inviting clients to contribute to the consultation and being receptive to hearing what motivates their choices helps us to structure conversations around healthcare options. The ability to communicate healthcare options is as vital as the provision of healthcare, if not more so.

show abstract

Veterinarians’ Self-Reported Behaviors and Attitudes toward Spectrum of Care Practices

Dolan,

Slater

2024

Animals

View full text Add to dashboard Cite

Access to veterinary care for animal owners is an important part of keeping animals healthy and keeping pets and people together whenever that is appropriate. Insufficient financial and other resources to allocate to veterinary care are major barriers for pet owners to receiving preventative, sick, and emergency services. The veterinary community has begun to incorporate offering a range of diagnostic and treatment options more intentionally in response to clients’ inability to pay and to a lesser extent to mitigate other barriers to care. Many veterinarians are nonetheless oriented toward providing specialized and more sophisticated care based on their training. This study sought to identify the self-reported behaviors, knowledge, attitudes, and beliefs of veterinarians about offering a spectrum of care options (SoC) to clients. The finding that many reported offering SoC is encouraging. However, veterinarians who report comfort and confidence in a variety of aspects of clinical care were most likely to offer SoC. Practitioners in the field for 20 or more years were less likely to offer SoC to clients with financial limitations. Rural veterinarians were more likely to offer SoC to any client compared to urban veterinarians. These results provide a point of reference and potential focus for veterinarians who are not currently offering SoC as well as an exploration of veterinarians’ reported knowledge, behaviors, attitudes, perceptions, and concerns about SoC.

show abstract

The Gold Standard, Standards of Care, and Spectrum of Care

Cited by 3 publications

References 11 publications

Recasting the gold standard – part I of II: delineating healthcare options across a continuum of care

Recasting the gold standard – part I of II: delineating healthcare options across a continuum of care

Recasting the gold standard – part II of II: communicating healthcare options along a continuum of care

Veterinarians’ Self-Reported Behaviors and Attitudes toward Spectrum of Care Practices

Contact Info

Product

Resources

About