Transplant Support Services Authority: From 1 Different Sources
In the UK, this NHS authority (UKTSSA) provides a 24-hour service for matching, allocating and distributing organs. It is also responsible for keeping the records of all patients awaiting transplants. Established in 1991, the authority allocates donor organs without favour, following protocols set by advisory groups. It also administers the Human Organ Transplant Act on behalf of the Department of Health. (See TRANSPLANTATION.)
A procedure in which cells – for example, from the pancreas – are taken from an aborted FETUS and then transplanted into the malfunctioning organ (pancreas) of an individual with a disorder of that organ (in this case, diabetes). The cells from the fetus are intended to take over the function of the host’s diseased or damaged cells. Fetal brain cells have also been transplanted into brains of people suffering from PARKINSONISM. These treatments are at an experimental stage.... fetal transplant
See DENTAL SURGEON.... general dental services
Services provided by government to improve the social welfare of those who need them.... social services
The insertion of a piece of bone from another site or from another person to ?ll a defect, provide supporting tissue, or encourage the growth of new bone.... bone transplant
Usually managed by NHS trusts, these are a complex variety of services provided to people outside hospital settings. The key parts are the services delivered by district nurses, health visitors and therapists – for example, physiotherapists and speech therapists.... community health services
The blend of health and social services provided to an individual or family in his/her place of residence for the purpose of promoting, maintaining or restoring health or minimizing the effects of illness and disability. These services are usually designed to help older people remain independent and in their own homes. They can include senior centres, transportation, delivered meals or congregate meals sites, visiting nurses or home health aides, adult day care and homemaker services.... community-based care / community-based services / programmes
See “decision analysis”.... decision support system
Willingness and/or ability to seek, use and, in some settings, pay for services. Sometimes further subdivided into expressed demand (equated with use) and potential demand or need.... demand (for health services)
Transportation for older adults to services and appointments. May use buses, taxis, volunteer drivers, or van services that can accommodate wheelchairs and persons with other special needs.... escort services
The multidisciplinary field of scientific investigation that studies how social factors, financing systems, organizational structures and processes, health technologies, and personal behaviours affect access to health care, the quality and cost of health care, and ultimately health and well-being. Its research domains are individuals, families, organizations, institutions, communities and populations.... health services research
An operation in which a patient’s diseased lungs and heart are removed and replaced with donor organs from someone who has been certi?ed as ‘brain dead’ (see BRAIN-STEM DEATH). As well as the technical diffculties of such an operation, rejection by the recipient’s tissues of donated heart and lungs has proved hard to overcome. Since the early 1990s, however, immunosuppressant drug therapy (see CICLOSPORIN; TRANSPLANTATION) has facilitated the regular use of this type of surgery. Even so, patients receiving transplanted hearts and lungs face substantial risks such as lung infection and airway obstruction as well as the long-term problems of transplant rejection.... heart-lung transplant
See “community-based care”.... home and community-based services; home and community care programme
See ASSISTED CONCEPTION.... human fertilisation & embryology authority (hfea)
Health services delivered on an inpatient basis in hospitals, nursing homes or other inpatient institutions. The term may also refer to services delivered on an outpatient basis by departments or other organizational units of such institutions, or sponsored by them.... institutional (care) health services
A network of organizations, usually including hospitals and medical practitioner groups, that provides or arranges to provide a coordinated continuum of services to a defined population and is held both clinically and financially accountable for the outcomes in the populations served.... integrated delivery system / integrated services network (isn)
The provision of assistance with laundry tasks for someone in his or her own home, either through a central facility or by a home help in the home.... laundry services
Comprehensive mental health services, as generally defined under some national (or state) laws and statutes, include: inpatient care, outpatient care, day care and other partial hospitalization and emergency services; specialized services for the mental health of the elderly; consultation and education services and specialized programmes for the prevention, treatment and rehabilitation of alcohol and drug abusers. They generally include a variety of services provided to people of all ages, including counselling, psychotherapy, psychiatric services, crisis intervention and support groups. Issues addressed include depression, grief, anxiety and stress, as well as severe mental illnesses.... mental health services
This body manages regional TRANSFUSION centres. Among its aims are the maintenance and promotion of blood and blood products based on a system of voluntary donors; implementing a cost-e?ective national strategy for ensuring adequate supplies of blood and its products to meet national needs; and ensuring high standards of safety and quality.... national blood authority
See MEDICAL LITIGATION.... nhs litigation authority
Health services concerned with the physical, mental and social well-being of an individual in relation to his/her working environment and with the adjustment of individuals to their work. The term applies to more than the safety of the workplace and includes health and job satisfaction.... occupational health services
See “ambulatory care”.... outpatient services
Health services targeted at populations with specific diseases or disorders.... population-based services
Health services re-orientation is characterized by a more explicit concern for the achievement of population health outcomes in the ways in which the health system is organized and funded.... re-orienting health services
Accommodation and support for people who can no longer live at home.... residential care services
The coordinated, or otherwise explicitly agreed upon, sharing of responsibility for provision of medical or nonmedical services on the part of two or more otherwise independent hospitals or health programmes.... shared services
Emotional, instrumental and financial assistance obtained from an individual’s social network. Social support provided by family, friends and neighbours is referred to as ‘informal support’, whereas social support provided by formal service agencies is called ‘formal support’.... social support
A group of people who share a common bond (e.g. caregivers, patients, families of patients) who come together on a regular basis to share problems and experiences or keep in contact in other ways (e.g. the Internet).... support group
See corneal graft.... corneal transplant
Another term for kidney transplant.... renal transplant
(ALS) a structured and algorithm-driven method of life support for use in the severest of medical emergencies, especially cardiac arrest. Doctors, nurses, and paramedic personnel involved in ALS receive special training in the use of equipment (e.g. defibrillators and appropriate drugs). Paediatric advanced life support (PALS) is ALS for use in severe medical emergencies in children, while advanced trauma life support(ATLS) is specifically for patients who have been subjected to major trauma, such as a serious road accident. Compare basic life support.... advanced life support
the provision of treatment designed to maintain adequate circulation and ventilation to a patient in *cardiac arrest, without the use of drugs or specialist equipment. Compare advanced life support.... basic life support
see domiciliary services.... community services
(HHS) the major US government agency providing health care. The department was created in 1953 and assumed its current name in 1980. HHS administers more than 300 health and health-related programmes and services, including *Medicare and *Medicaid. Other activities include research, immunization services, and providing financial assistance for low-income families. Almost a quarter of federal spending occurs through HHS.... department of health and human services
(in Britain) health and social services that are available in the home and are distinguished from hospital-based services. They include the services of such personnel as community nurses employed by care trusts (see district nurse; community midwife; health visitor) and social workers and care assistants employed by social service departments of local authorities. The term community services is applied to these services.... domiciliary services
(in Britain) an allowance payable to people under state retirement age who are unable to work because of illness or disability. Entitlement depends on either an adequate record of National Insurance contributions or satisfying income-related criteria. An assessment-phase allowance is paid during the first 13 weeks of a claim, and eligible claimants are paid the main-phase rate following a work capability assessment. The part of this allowance based on income is currently being replaced by a component of *universal credit; the part based on National Insurance contributions will remain in place.... employment and support allowance
see National Health Service.... health authority
a *special health authority of the NHS established following the Health and Social Care Act 2012 to promote and protect the interests of patients in health research and to simplify the regulation of research. The Health Research Authority inherited the functions of the National Research Ethics Service, which closed in 2012.... health research authority
see HEMS.... helicopter-based emergency medical services
the UK government agency, established by the Human Tissue Act 2004, that regulates the removal, use, and storage of human organs and tissue from both the living and the deceased for certain purposes as defined by the statute. These purposes include clinical research, clinical audit, and medical education. Anyone handling such material for those purposes should have a licence issued by the authority. Membership of the authority comprises clinical, scientific, academic, and lay representatives.... human tissue authority
an income-related benefit payable to those whose income and savings do not exceed a specified maximum level and who do not work full-time. It is currently being replaced by *universal credit.... income support
(NHSPSA) see NHS Business Services Authority.... nhs prescription services authority
formerly, a *special health authority of the NHS established under the Health and Social Care Act 2012 to oversee NHS trusts without *foundation trust status and to support their transition to such status. The Authority closed in 2016, when its functions were transferred to the newly established *NHS Improvement.... nhs trust development authority
see Parliamentary and Health Service Ombudsman.... public services ombudsman
a type of NHS trust that provides services across the NHS in England, rather than in a single defined geographical area. There are four special health authorities, which exist as arms-length bodies of the Department of Health and Social Care, independent of government: *NHS Blood and Transplant, *NHS Business Services Authority, *NHS Resolution and *NHS Counter Fraud Authority.... special health authority
(SHA) formerly a statutory organization in England that was responsible for strategic leadership, building capacity, organizational development, and performance management in the local National Health Service. SHAs were abolished by the Health and Social Care Act 2012; their responsibilities passed to *NHS England, *clinical commissioning groups, and *Public Health England.... strategic health authority
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