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Given the hopeful acronym of Cares (Capital Asset Realignment for Enhanced Services), the plan is the department's most ambitious effort to date in its struggle to put its services where the veterans are and catch up to the shift of medicine to outpatient care.
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During night and weekend shifts, residents of medicine or surgery provide patient care.
Accountable care organizations will increase coordination of patient's care and shift the focus of medicine away from treating sickness and toward keeping people healthy.
Proponents say the nature prescriptions shift the focus of medicine from illness to wellness, leading to the potential for widespread changes in medical care.
Mr Severinsen believes that health monitoring has the potential to shift the focus of medicine more in the direction of preventing illness rather than the current method of treating conditions as they arise, "fighting fires" as he calls it.
Shifting the frontier of medicine from curing diseases and caring for individual persons, towards the public health goals of preventing suffering in future generations, and even to the possibility of enhancing physical and mental capacities, poses major challenges to the concept of human rights.
The system needs to be redesigned to place patient safety and health outcomes as the singular priority, and to embrace the coming paradigm shift of personalized precision medicine.
Leape calls it "a tectonic shift in the practice of medicine".
Clearly, methods exist to shift less studied areas of medicine from hearsay and conjecture to data-established-truth.
The paradigm shift in many areas of medicine towards increased attention to health, the move towards health promotion and the increasing expectations against the background of changing conditions in out patient and clinical care lead to the demand for facilities which are equally dedicated to women's health in care, research and the advancement of health literacy for women.
The shifting dynamics and fortunes of medicine had thus followed those of trade.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com