Health Care Providers

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A health care provider is defined as any licensed individual, facility, or agency that provides services, treatment, or care to improve or extend the health of an individual. Generally, when people think of health care providers, they think of their doctor or nurse because these are the individuals who most commonly provide health care services to an average patient.

For your Discussion Board assignment, respond to the following items:

Describe a positive or negative experience that you (or someone you know) had with a health care provider. It can be a provider who gave you or a loved one care.
Describe how the interaction went, what you were and were not told, and what the level of trust with the provider is.
Using this experience as an example, identify the characteristics of a quality health care provider. How did this provider demonstrate (or fail to demonstrate) these characteristics?
2:

Explain the importance of performance management in a health care organization. Additionally, choose one method of performance management (e.g., team-based, 360-degree feedback, individual based), and define the concept, and provide 2ñ3 pros and cons of that method.

Sample Solution

The drug release along the GIT can be controlled using pH-sensitive materials, in which the drug is released particularly in the small intestine near the absorption site. PH-dependent materials, which are insoluble in the acidic medium of the stomach, but dissolve in the intestinal fluid, are called enteric materials [94, 95].

These materials have been used to avoid the degradation of labile drugs caused by the acidic medium or gastric enzymes, to lessen irritation of the gastric mucosa, and to deliver drugs selectively to the site of absorption [94, 95]. Enteric coating materials are polymers, which have acid groups. In the acidic medium of the stomach the acid groups are nonionized, and the coating material is insoluble. Fast dissolution and drug release take place in the upper intestine as a function of pH change in the environment. The polymer acid groups are ionized at higher pH and the material dissolves [95].

Cellulose acetate phthalate (CAP) was the first synthetic polymer described in 1937, which gained soon high popularity as a gastric resistant polymer.
Later polyvinyl acetate phthalate (PVAP) and hydroxypropyl methylcellulose phthalate (HPMCP) were preferred, because of their lower permeability in the gastric fluid and improved stability against hydrolysis. Today the methacrylate copolymers Eudragit® L and S are two of the most widely used polymers for this purpose.

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