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Future Healthcare Journal
Scopus
ISSN 2514-6645 · Elsevier · 390 articles in the index
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Journal Article
Make diagnostic doubt visible in healthcare
Patients with persistent debilitating symptoms and normal test results can face a diagnostic odyssey that harms both individuals and healthcare systems. Current frameworks use many labels to categorise suffering in these people; one example being ʻpersistent physical symptoms’ (PPS). Though helpful…
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Journal Article
The FHJ debate: There is no evidence for the drive towards virtual wards
Virtual wards and hospital at home are rapidly growing models of care globally and in the UK. Evidence is growing around positive impact of specialist-led hospital at home care for frail, multimorbid patients in comparison to traditional hospital admission for treatment of certain medical…
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Journal Article
Acute medicine and the urgent care crisis: From pressure point to system solution
Acute medicine was established to deliver early specialist assessment and management for patients requiring urgent medical care, typically within the first 72 h of admission. Evidence demonstrates that structured acute medical units (AMUs) and same-day emergency care (SDEC) services are associated…
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Journal Article
Point-of-care diagnostics are central to acute medicine delivery
Point-of-care diagnostics deliver rapid, actionable results to aid in clinical decision making for patients with acute illness. Ranging from in vitro diagnostics, such as high-sensitivity troponin, to point-of-care ultrasound (POCUS), incorporating point-of-care diagnostics into clinical care…
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Journal Article
Digital solutions in acute medicine: Will electronic health records join up the patient journey (soon?)
Acute medicine provides care to patients during the first 72 h of their hospital stay. Clinicians face unique challenges of complexity in having to care simultaneously for groups of patients with multiple medical conditions and often complex needs. Digital innovation is central to modern clinical…
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Journal Article
Improving time to TAVI with a local TAVI clinic: A single-centre quality improvement project
Introduction: Delays to transcatheter aortic valve implantation (TAVI) carry significant morbidity and mortality, with patients referred from non-tertiary centres experiencing significantly longer waiting times. Methods: A local TAVI clinic was established in January 2024. Data were collected from…
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Journal Article
Acute physicians in medical leadership: Essential, or nice to have?
According to Charles Darwin’s theory of natural selection, it is not necessarily the strongest or most intelligent organism that survives, but the one most responsive to change. The ability to adapt has previously been one of the core strengths of the National Health Service (NHS) and the…
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Journal Article
Acute internal medicine as the engine room of the modern hospital: The Midland Metropolitan University Hospital blueprint
Modern hospitals are increasingly defined by their ability to manage undifferentiated, complex acute medical demand rather than elective programmes or specialist services. The Midland Metropolitan University Hospital (MMUH) opened in October 2024, and is one of the first major UK acute hospitals…
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Journal Article
Acute internal medicine in focus: The people, the purpose, the progress
Acute internal medicine (AIM) emerged in the 1990s in response to rising emergency admissions, constrained hospital capacity and fragmented models of care. This article traces the development of the specialty from its early conceptualisation through to its current role within modern urgent and…
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Journal Article
Learning to share nicely: Leveraging the Nobel Prize-winning Shapley value to enhance collaboration and cooperation in healthcare systems
Healthcare systems are facing mounting financial pressures, often intensified by structural fragmentation that fosters ʻself-serving profit centres’, fuels a ʻmedical arms race’, and leads to a ʻtragedy of the commons’. As these systems shift toward more integrated and collaborative models, the…
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Journal Article
Acute medicine 2050: A connected future of care
By 2050, acute medicine will function within a substantially transformed clinical and organisational landscape. Demographic pressures, environmental change and rapid advances in digital and biological technologies will reshape how acute illness is recognised, triaged and treated. Acute care will…
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Journal Article
Transition from routine arterial blood gas testing to indication-based testing in the intensive care unit: A sustainability in quality improvement initiative
Unnecessary routine blood testing is associated with patient harm, increased length of stay, increased cost, increased environmental harm and reduced nursing efficiency. Transition from routine arterial blood gas (ABG) testing to indication-based testing in one intensive care unit in New Zealand…
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Journal Article
The state of specialty training in young adult and adolescent health in medical specialties in the UK: Resident doctors’ and trainers’ perspectives
Study objective: To assess current perceptions of training in adolescent and young adult healthcare among UK resident doctors and educational supervisors (ES), and to identify barriers and opportunities for improvement. Design: Cross-sectional national survey of resident doctors and ES, followed by…
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Journal Article
Improving Clinical Frailty Scale accuracy on a vascular ward for a perioperative medicine for older people undergoing surgery pilot
Geriatricians in Leicester piloted a perioperative medicine for older people undergoing surgery (POPS) service for patients with a lower limb vascular pathology and Clinical Frailty Scale (CFS) score of 5 or more. We aimed to improve CFS accuracy assigned by the vascular team through a structured…
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Journal Article
Clinical scientist in clinical bioinformatics – the under-implemented recommendation of the Topol Review?
One of the recommendations of the Topol Review was the ‘expansion of Higher Specialist Scientist Training (HSST) for clinical bioinformaticians’. Freedom of Information requests show that there has been little uptake of bioinformatics trainees, both into the Scientist Training Programme and the…