This document summarizes a study that investigated health professionals', service users', and carers' opinions about having separate consultants for inpatient and community mental health settings. The study found mixed opinions, with some concerns that the functional model could negatively impact continuity of care, therapeutic relationships, and training of professionals. While it may improve efficiency, respondents felt it could undermine patient trust and care. The study highlights the need for further research on the long-term impacts of this model.
IN THIS PRESENTATION I HAVE DESCRIBED ABOUT DOCTORS AND PATIENTS RELATIONSHIP . History of doctor-patient relationship. Models of doctor-patient relationship. Psychological types of doctors. Basic characters and skills of physician. Communication of doctors. Problems of contemporary healthcare system
IN THIS PRESENTATION I HAVE DESCRIBED ABOUT DOCTORS AND PATIENTS RELATIONSHIP . History of doctor-patient relationship. Models of doctor-patient relationship. Psychological types of doctors. Basic characters and skills of physician. Communication of doctors. Problems of contemporary healthcare system
Satisfactions Among Admitted Patient of Tertiary Level Hospital in Dhaka City.DR. S A HAMIDI
I am Dr. Saleh Ahmed Hamidi, successfully Conducted a dissertation & also presented by me (08/01/2016) about patient satisfaction level in tertiary level hospital.
Dentist patient relationship and quality careDr Medical
https://userupload.net/mo2f5z40rv8v
Although quality is a genuine concern for dentistry, nowadays more emphasis is placed on quality issues. As dentist-patient interaction is involved in many aspects of care and it is more crucial for dentistry when compared to many other professions, a good dentist-patient relationship is an integral element of quality care. This series of 'practice articles' examines various important dimensions of this interaction. The first and second papers examine the value of trust and communication, the third paper focuses on informed consent and the fourth paper evaluates the relatively broadened role of dentists in behavioural modification.
Definition of DPR
Why does DPR matter?
Parson's Ideal Doctor & Patient
Types of DPR
Importance of DPR
Elements of DPR
Key components of DPR
Communication between Doctor & Patient
Barriers in communication
Factors influencing DPR
How to improve DPR
Patient Education
Hippocrates viewed the physician as 'captain of the ship' and the patient as someone to take orders. Relationship between patients and doctors are often unstated, and thy are dynamic
As conditions change, the kind of relationship that works best for a patient may change. Doctors and patients should choose a “relationship fit” . Effectiveness of the patient-physician relationship directly relates to health outcomes.
Communication And Skills Workshops For Oncologists In Jordan1safa_yara
In recent years, our ethics committee received many reports
related to conflicts between oncologists and their patients or
patient’s families over breaking bad news
reflection on a conflict situation
critical thinker
critical care
decision maker
analyzing and reflecting on a conflict or any situation being an advocate of a patient how to protect the patients right of right and fair care.
Satisfactions Among Admitted Patient of Tertiary Level Hospital in Dhaka City.DR. S A HAMIDI
I am Dr. Saleh Ahmed Hamidi, successfully Conducted a dissertation & also presented by me (08/01/2016) about patient satisfaction level in tertiary level hospital.
Dentist patient relationship and quality careDr Medical
https://userupload.net/mo2f5z40rv8v
Although quality is a genuine concern for dentistry, nowadays more emphasis is placed on quality issues. As dentist-patient interaction is involved in many aspects of care and it is more crucial for dentistry when compared to many other professions, a good dentist-patient relationship is an integral element of quality care. This series of 'practice articles' examines various important dimensions of this interaction. The first and second papers examine the value of trust and communication, the third paper focuses on informed consent and the fourth paper evaluates the relatively broadened role of dentists in behavioural modification.
Definition of DPR
Why does DPR matter?
Parson's Ideal Doctor & Patient
Types of DPR
Importance of DPR
Elements of DPR
Key components of DPR
Communication between Doctor & Patient
Barriers in communication
Factors influencing DPR
How to improve DPR
Patient Education
Hippocrates viewed the physician as 'captain of the ship' and the patient as someone to take orders. Relationship between patients and doctors are often unstated, and thy are dynamic
As conditions change, the kind of relationship that works best for a patient may change. Doctors and patients should choose a “relationship fit” . Effectiveness of the patient-physician relationship directly relates to health outcomes.
Communication And Skills Workshops For Oncologists In Jordan1safa_yara
In recent years, our ethics committee received many reports
related to conflicts between oncologists and their patients or
patient’s families over breaking bad news
reflection on a conflict situation
critical thinker
critical care
decision maker
analyzing and reflecting on a conflict or any situation being an advocate of a patient how to protect the patients right of right and fair care.
How to make care and support planning a two-way dynamic - presentation from webinar held on 1 October 2014
This relates to the first NHS IQ Long Term Conditions Improvement Programmes Wednesday Lunch & Learn Webinar Series. How to make care and support planning a 2 way dynamic hosted by Dr Alan Nye & Brook Howells from AQuA. This webinar discussed how to encourage patients, carers and the public to work alongside (in equal partnership) with clinicians and managers
Engaging service users and healthcare staff in quality improvement: a practic...MS Trust
This presentation by Glenn Robert from the National Nursing Research Unit and King's College London looks at what experience based co-design is, and why do it.
It was presented at the MS Trust Annual Conference in November 2014.
The Interprofessional Team Immersion (IPTI) offers students across 13 health professions opportunities to apply their skills in cross-professional communication, teamness, and patient-centered engagement. The experience is characterized by high stakes cases carefully designed to cultivate an atmosphere conducive to rapid teambuilding and compassionate patient care. Within a safe learning environment, faculty and students acquire understanding of roles and responsibilities as well as skills to manage complex cases. This presentation will describe and demonstrate the rationale, design, and implementation of IPTI over a three-year period. Findings suggest significant increase in IPTI students’ perceptions of cooperation, resource sharing and communication skills for team-based practice. Programmatic evaluation substantiates the value students place on practicing interprofessional clinical skills before and while in their clinical-community rotations. Debriefing sessions with standardized patients enhanced students’ knowledge and appreciation for patient engagement and shared decision-making culminating for some in scholarly products. In total, findings provide beneficial insight for other interprofessional educational and collaborative practice initiatives taking place at the University and in the community. Learn more about IPEC at University of New England ipec(at)une(dot)edu or follow us on Twitter @UNEIPE
Retaining Patients in HIV Care - Interdisciplinary Team Practice Manual - Mu...Eunsook Hong
Retaining Patients in HIV Care - Interdisciplinary Team Practice Manual by Nancy Murphy, NP, PhD (Principal Investigator) & Erin Athey, DNP, FNP-BC, RN (Co-Investigator)
Acute hospitals end of life care best practiceNHSRobBenson
Delivering reliable best practice in an acute hospital setting for patients whose recovery is uncertain. Including details of the AMBER care bundle. Presentation from Anita Hayes and colleagues from England's National End of Life Care Programme as part of the Department of Health's QIPP end of life care workstream seminar series at Healthcare Innovation Expo 2011
Consumer Participation in Drug Treatment Services: Overview of Australian Res...Uniting ReGen
Keynote #iAOD16 presentation by Prof Carla Treloar. For more event information, see http://www.regen.org.au/more-events/724-2016-innovation-seminar-11-may.
A synopsis of the book "Collaborative Therapeutic Neuropsychological Assessment". See website http://www.amazon.com/Collaborative-Therapeutic-Neuropsychological-Assessment-Gorske/dp/0387754253
Tim Kendall: NICE patients' experience standardsThe King's Fund
Professor Tim Kendall, Director, National Collaborating Centre for Mental Health, introduces the new NICE quality standards for mental health service user experience.
Similar to Functional Model : Mind the Gap - Prize Presentation (20)
Functional Model : Mind the Gap - Prize Presentation
1. Functional model: Mind the Gap Dr AnkushSinghal MBBS, MD (AIIMS), MRCPsych ST6 (General adult psychiatry) BIPA Annual Conference 2010
2.
3. My Contribution Conceived the idea and led the study. Literature review, the protocol and ethics approval. Collected the data. Co-ordinated. Merged the data & analysed it. Prepared the manuscript and sent for publication. Revisions as first & corresponding author. Presented in RCPsych AGM, Liverpool and in my Trust.
4. Background NWW: enabling consultant psychiatrists, among others, to deliver effective and person-centred care. Acute care pathway – CRHT + In-patient. Functional model. Acute in-patient psychiatry – a subspecialty? Mind the gap Community consultant In-patient consultant Service user
5. Aim To investigate health professionals’, service users’ and carers’ opinions about the provision of separate consultants for in-patient settings and the community
6. Design Multicentre study : North Hertfordshire; the south lakes region of Cumbria; and Winchester. Tool semi-structured semi-qualitativequestionnaire (paper and online version) An information leaflet (without introducing any bias).
7. Data Collection Personally, by post and online. Through CMHTs, out-patient clinics, mental health wards and other places (e.g. the local centre of MIND). Admitted patients were not invited. Reminder - after a month.
8. Analysis Quantitative data – descriptive statistics. Qualitative data – framework analysis. Carers: too few to be included in the analysis.
10. Quantitative: Service providers 170/330 responded - response rate about 50%. 56 participants left after introductory questions. 72% participants having > 6 years experience in mental health.
15. Quantitative: Service users 20/43 respondents had a history of admission. Duration of contact with mental health: 2-10 years. Awareness: 16/43 (36%) aware
18. Qualitative results Need of functional model: Unaware; divided opinions. to save money and/or time to reduce workload on consultants to improve patient care. Service need, no clinical need. Long-term future: driven by financial issues, so will stay (2/3) would be reversed (1/3)
19. Qualitative results Advantages 1/3 : no advantages of this change Disadvantages In-patient psychiatry – NOT a separate sub-specialty. Skills Training
32. In their own words... Assessment tools & referral notes - not a substitute for first hand knowledge of a patient and their circumstances. ......... a GP. Smooth running of wards. Likely to improve in-patient and community care individually but discontinuity will offset advantage. .......... Mental health professionals. The old system was on paper and we were seeing a different consultant every 3 months anyway. .......... A service user
33. Discussion Awareness. Driving force for NWW. It would continue despite a high level of dissatisfaction. The most consistent view - continuity of care, the therapeutic alliance, the doctor-patient relationship and trust Ensuring continuity of care was already a challenge
34. Evidence base Pioneering work at Guy’s hospital. East Suffolk (pilot in 2005). A survey of psychiatrists (Dale & Milner, 2009) : Generally negative attitudes, particularly effect on patient care, the erosion of the professional role of the consultant and quality of work life. Malik et al (2008) : the implications on training.
35. Strengths Explorative study Multicentre Both service providers (primary and secondary care, medical and non-medical) as well as service users included Highly relevant and Topical. Solution focussed.
36. Limitations Sample size and response rate. Response bias. Many participants did not experience this model. Admitted service users were not included.
37. Future directions To study that ‘actual’ long term impact of functional model on these issues. Thanks