Decision aids for people facing health treatment or screening decisions: What...Health Evidence™
Dr. Dawn Stacey, University Research Chair in Knowledge Translation to Patients, and Director, Patient Decision Aids Research Group, Ottawa Hospital Research Institute, University of Ottawa, provides an overview of findings from her recent Cochrane review examining use of decision aids for identifying and making decisions about health treatment or screening options:
Stacey D, Legare F, Col NF, Bennett CL, Barry MJ, Eden KB, et al. (2014). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, 2014(1), CD001431.
School and community social influence programming for preventing tobacco and ...Health Evidence™
Health Evidence hosted a 90 minute webinar on substance use prevention and treatment interventions in children and adolescents, funded by the Canadian Centre on Substance Abuse. This webinar presented key messages and implications for practice.
This webinar focussed on interpreting the evidence in the following review, which synthesizes evidence related to social influence programming:
Skara, S. & Sussman, S. (2003). A review of 25 long-term adolescent tobacco and other drug use prevention program evaluations. Preventive Medicine (37) 451-474.
Dr. Cornelia Van Uden Kraan
Project manager OncoCompass
Senior researcher “Living together with cancer”
VU University Medical Center
Amsterdam, The Netherlands
iWantGreatCare's 7th National Symposium - Building fantastic staff morale, improving quality and reducing costs - took place on Tuesday 21st June at The King's Fund, London.
NHS leaders share their experiences of how they are building excellence in their Trust, reducing costs and growing staff morale by listening to the voice of the patient.
View the slides from these well-regarded delegates:
Alwen Williams, Chief Exective, Barts Health NHS Trust
David Behan, Chief Executive, Care Quality Commission
Dr Nadeem Moghal, Medical Director, Barking, Havering and Redbridge University Hospitals NHS Trust
Liz Mouland, Chief Nurse, First Community Health and Care
Jeremy Howick, clinical epidemiologist and philosopher
Patient leakage - What to know and how to avoid itChiron Health
Patient leakage to urgent care centers is a well known and costly issue for many practices. However, with the rise of telemedicine, there is a new aspect of patient leakage that practices need to be aware of: leakage to on-demand telemedicine companies.
Decision aids for people facing health treatment or screening decisions: What...Health Evidence™
Dr. Dawn Stacey, University Research Chair in Knowledge Translation to Patients, and Director, Patient Decision Aids Research Group, Ottawa Hospital Research Institute, University of Ottawa, provides an overview of findings from her recent Cochrane review examining use of decision aids for identifying and making decisions about health treatment or screening options:
Stacey D, Legare F, Col NF, Bennett CL, Barry MJ, Eden KB, et al. (2014). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, 2014(1), CD001431.
School and community social influence programming for preventing tobacco and ...Health Evidence™
Health Evidence hosted a 90 minute webinar on substance use prevention and treatment interventions in children and adolescents, funded by the Canadian Centre on Substance Abuse. This webinar presented key messages and implications for practice.
This webinar focussed on interpreting the evidence in the following review, which synthesizes evidence related to social influence programming:
Skara, S. & Sussman, S. (2003). A review of 25 long-term adolescent tobacco and other drug use prevention program evaluations. Preventive Medicine (37) 451-474.
Dr. Cornelia Van Uden Kraan
Project manager OncoCompass
Senior researcher “Living together with cancer”
VU University Medical Center
Amsterdam, The Netherlands
iWantGreatCare's 7th National Symposium - Building fantastic staff morale, improving quality and reducing costs - took place on Tuesday 21st June at The King's Fund, London.
NHS leaders share their experiences of how they are building excellence in their Trust, reducing costs and growing staff morale by listening to the voice of the patient.
View the slides from these well-regarded delegates:
Alwen Williams, Chief Exective, Barts Health NHS Trust
David Behan, Chief Executive, Care Quality Commission
Dr Nadeem Moghal, Medical Director, Barking, Havering and Redbridge University Hospitals NHS Trust
Liz Mouland, Chief Nurse, First Community Health and Care
Jeremy Howick, clinical epidemiologist and philosopher
Patient leakage - What to know and how to avoid itChiron Health
Patient leakage to urgent care centers is a well known and costly issue for many practices. However, with the rise of telemedicine, there is a new aspect of patient leakage that practices need to be aware of: leakage to on-demand telemedicine companies.
Objective
Introduce principles and review strategies for supporting healthcare professionals impacted by adverse patient safety events. By the end of the session the participant will be able to:
1.Relate to the impact of a patient safety adverse event on the provider, based on a personal story provided by a healthcare professional.
2.Describe the potential impact of traumatic experiences on the health and well-being of healthcare professionals.
3.Identify key elements of an effective program for supporting caregiver coping with adverse patient safety events.
4.Explain how a just culture promotes peer to peer support of the second victim.
WATCH: http://bit.ly/1HxceIf
Pharma challenges - Patient Centricity and Digital CapabilitiesJoana Santos Silva
Today pharma's business model is being challenged. The industry needs to rethink how it creates value. In particular, it needs to connect to patients and caregivers in a meaningful way. It many cases this connection can be guaranteed through digital tools and strategies. This presentation focuses on these challenges and showcases some best practices that are already available in the marketplace.
Peer Mentoring: Transition from Adolescent to Adult Care
Cathy Evanochko, Co-Chair, CORD Chair, TS Canada ST
Rare Disease Day Conference 2020 March 9-10
Family experiences with pediatric rare disease care: findings from the Canadian Inherited Metabolic Diseases Research Network Beth Potter, University of Ottawa
Rare Disease Day Conference 2020 March 9-10
Aligning Incentives for Patient Engagement: Enabling Widespread Implementation of Shared Decision Making
May 24, 2013
Jeff Thompson, Washington State Health Care Authority
David Downs, Engaged Public
David Swieskowski, Mercy ACO Mercy Clinics, Inc.
Lisa Weiss, High Value Healthcare Collaborative
Kate Chenok, Pacific Business Group on Health
Canadian healthcare organizations are taking patient and family engagement to new heights and the best of the best want to share the secrets of their success with you!
At the end of this 90 minute session patient/ family/ advisors/ champions as well as health providers/ leaders/ authorities will leave with at least one practical idea to apply to patient advisor training as a result of their increased understanding of:
Current training programs and models in use across Canada
Training needs of patient advisors at different system levels
Gaps in training needs and ideas on how to fill them
Available supporting resources and leading practices
Business Experience in Implementing an Advanced Telemonitoring Service. Valdivieso Martinez B. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
Aligning Incentives for Patient Engagement: Enabling Widespread Implementation of Shared Decision Making
May 24, 2013
John E. Wennberg, The Dartmouth Institute
As patient engagement (aka consumer engagement) earns attention, the question increasingly arises: “Where do we start? What can we do?” More specifically, “What do we mean when we say ‘patient engagement’?” The Patient Activation Measure is a powerful tool for understanding where someone's at and how to interact with them differently.
Learn about the new MedRec rebranding strategy and what it means for patients/consumers, and healthcare professionals
2.What’s new with ‘5 Questions to Ask About Your Medications’
3.Hear how organizations are using ‘5 Questions to Ask About Your Medications’ to engage patients and consumers
Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...mPulse Mobile
Leading patient activation researcher, Dr. Judith HIbbard, delves deep into the research findings of countless studies to reveal the definition, value and outcomes of patient activation during Activate 2017.
Ranse J. (2017). Trends in mass gathering health; presentation and guest panel member to volunteer members of the St John Ambulance, South Australia, Adelaide, SA, 16th March.
Objective
Introduce principles and review strategies for supporting healthcare professionals impacted by adverse patient safety events. By the end of the session the participant will be able to:
1.Relate to the impact of a patient safety adverse event on the provider, based on a personal story provided by a healthcare professional.
2.Describe the potential impact of traumatic experiences on the health and well-being of healthcare professionals.
3.Identify key elements of an effective program for supporting caregiver coping with adverse patient safety events.
4.Explain how a just culture promotes peer to peer support of the second victim.
WATCH: http://bit.ly/1HxceIf
Pharma challenges - Patient Centricity and Digital CapabilitiesJoana Santos Silva
Today pharma's business model is being challenged. The industry needs to rethink how it creates value. In particular, it needs to connect to patients and caregivers in a meaningful way. It many cases this connection can be guaranteed through digital tools and strategies. This presentation focuses on these challenges and showcases some best practices that are already available in the marketplace.
Peer Mentoring: Transition from Adolescent to Adult Care
Cathy Evanochko, Co-Chair, CORD Chair, TS Canada ST
Rare Disease Day Conference 2020 March 9-10
Family experiences with pediatric rare disease care: findings from the Canadian Inherited Metabolic Diseases Research Network Beth Potter, University of Ottawa
Rare Disease Day Conference 2020 March 9-10
Aligning Incentives for Patient Engagement: Enabling Widespread Implementation of Shared Decision Making
May 24, 2013
Jeff Thompson, Washington State Health Care Authority
David Downs, Engaged Public
David Swieskowski, Mercy ACO Mercy Clinics, Inc.
Lisa Weiss, High Value Healthcare Collaborative
Kate Chenok, Pacific Business Group on Health
Canadian healthcare organizations are taking patient and family engagement to new heights and the best of the best want to share the secrets of their success with you!
At the end of this 90 minute session patient/ family/ advisors/ champions as well as health providers/ leaders/ authorities will leave with at least one practical idea to apply to patient advisor training as a result of their increased understanding of:
Current training programs and models in use across Canada
Training needs of patient advisors at different system levels
Gaps in training needs and ideas on how to fill them
Available supporting resources and leading practices
Business Experience in Implementing an Advanced Telemonitoring Service. Valdivieso Martinez B. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
Aligning Incentives for Patient Engagement: Enabling Widespread Implementation of Shared Decision Making
May 24, 2013
John E. Wennberg, The Dartmouth Institute
As patient engagement (aka consumer engagement) earns attention, the question increasingly arises: “Where do we start? What can we do?” More specifically, “What do we mean when we say ‘patient engagement’?” The Patient Activation Measure is a powerful tool for understanding where someone's at and how to interact with them differently.
Learn about the new MedRec rebranding strategy and what it means for patients/consumers, and healthcare professionals
2.What’s new with ‘5 Questions to Ask About Your Medications’
3.Hear how organizations are using ‘5 Questions to Ask About Your Medications’ to engage patients and consumers
Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...mPulse Mobile
Leading patient activation researcher, Dr. Judith HIbbard, delves deep into the research findings of countless studies to reveal the definition, value and outcomes of patient activation during Activate 2017.
Ranse J. (2017). Trends in mass gathering health; presentation and guest panel member to volunteer members of the St John Ambulance, South Australia, Adelaide, SA, 16th March.
المنظور الاسلامي للصحة والمرض وأحكام التداوي بالمحرمات أعدقها وقدمها البروفيسور محمد الركبان وأعاد تقديمها د. غياث محمد عباس في 20-3-2017م لطلاب الطب بكلية الفارابي بالرياض
Darcy Wooten, MD
Assistant Professor of Medicine
Associate Program Director, Infectious Diseases Fellowship
Division of Infectious Diseases & Global Public Health
Department of Medicine
University of California, San Diego
MIE Medical Informatics in Europe: European Federation for Medical Informatics (EFMI) annual meeting
Worklshop: Addressing Patient Adherence Issues by Engaging Enabling Technologies
Chair: Pei-Yun Sabrina Hsueh (IBM T.J. Watson Research Center)
Pei-Yun Sabrina HSUEHa, , Marion BALL b,a, Michael MARSCHOLLEKc, Fernando J. MARTIN-SANCHEZd , Chohreh PARTOVIANa, and Vimla PATELe
aIBM T.J. Watson Research Center, NY, USA
b John Hopkins University, MD, USA
c Hannover Medical School, Germany
d Melbourne Medical School, Australia
e Center for Cognitive Studies in Medicine and Public Health, The New York Academy, USA
Abstract One of the well known issues providers have contended with for many years is the issue of patients’ adherence to their care plans and medications outside clinical encounters. In this workshop, we review proof of concept studies using technology at the point of care to assess patient literacy and self-efficacy to provide timely intervention, remedy, and improvements in cost and quality. We focus on patient-generated information, including patient reported data and measurements from devices and sensors, as key to improving patient safety, gaining “meaningful use” data, improving patient centric care, and assisting providers in learning more about their patient needs to improve outcomes. We look into barriers to adherence, basic understanding of the patients and providers roles in improving adherence, and the use of technology to assist patients in staying on track. The participants will address their findings in the integration of patient-generated information into everyday life and clinical practice and share lessons learned from implementing these designs in practice. This workshop aims to share requirements for the next-generation healthcare systems, especially in areas where the explosive availability of patient-generated data is expected to make impacts.
The “German HPU Network” and the Role of Networkshealthycampuses
Christiane Stock, PhD, Head of Studies, Public Health, Unit for Health Promotion Research, Associate Professor, University of Southern Denmark, Esbjerg, Denmark presented at the 2015 International Conference for Health Promoting Universities and Colleges.
Founded in 1995 with initially five network members, the German HPU network has since defined its goals and ways to support member organisations in their processes towards becoming a Health Promoting University. During the last 20 years the network has grown to more than 80 member universities and is now representing the largest network of Health Promoting Universities world-wide, and thus healthy working, living and learning environments for students and staff. Only a few studies have focused on evaluating the structures, processes and outcomes of health promotion networks, important for measuring goal attainment as well as analysing reasons for success and failure. The importance of evaluation was discussed and suggestions were made on ways to expand and enhance this network into the future of Health Promoting Universities in Europe.
Walden University
NURS 6050 Policy and Advocacy for Improving Population Health
Module 3
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IntroductionResourcesDiscussionAssignment☰Menu× NURS 6050 Policy and Advocacy for Improving Population Health Back to Course Home Course Calendar Syllabus Course Information Resource List Support, Guidelines, and Policies Module 1 Module 2 Module 3 Module 4 Module 5 Module 6
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Photo Credit: Getty Images/iStockphotoModule 3: Regulation (Weeks 5-6)
Laureate Education (Producer). (2018). Regulation [Video file]. Baltimore, MD: Author.
Rubic_Print_FormatCourse CodeClass CodeAssignment TitleTotal PointsLDR-463LDR-463-O501Topic 5 Journal Entry30.0CriteriaPercentageUnsatisfactory (0.00%)Less Than Satisfactory (65.00%)Satisfactory (75.00%)Good (85.00%)Excellent (100.00%)CommentsPoints EarnedContent100.0%Response to Journal Entry Prompt80.0%Response to the journal entry prompt is not present.Response to the journal entry prompt is incomplete or incorrect.Response to the journal entry prompt is complete but lacks relevant detail.Response to the journal entry prompt is thorough and contains substantial supporting details.Response to the journal entry prompt is complete and contains relevant supporting details.Mechanics of Writing includes spelling, punctuation, grammar, and language use.20.0%Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.Writer is clearly in command of standard, written, academic English.Total Weightage100%
Walden University
NURS 6050 Policy and Advocacy for Improving Population Health ...
A Study to Assess the Knowledge and Practice of Mensural Hygiene among Adoles...ijtsrd
AIM the present study aims to assess the knowledge and practice of mensural hygiene among adolescent’s girls at school. METHODS AND MATERIALS A quantitative research design was used for the present study. A total 100 samples were collected using non probability purposive sampling technique. The demographic variable and level of knowledge mensural hygiene was assessed using structured questioner followed by that data was gathered and analyzed. RESULTS the results the study revealed that there is a significant association between level of knowledge with selected demographic among adolescents at the level of p 0.01 CONCLUSION Thus, the present despites that factors associated with level of among adolescents. Mrs. M. Kavitha | Ms. Roshna P Sabu | Ms. Sherly Anand "A Study to Assess the Knowledge and Practice of Mensural Hygiene among Adolescents Girls at School" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-7 , December 2022, URL: https://www.ijtsrd.com/papers/ijtsrd52559.pdf Paper URL: https://www.ijtsrd.com/medicine/other/52559/a-study-to-assess-the-knowledge-and-practice-of-mensural-hygiene-among-adolescents-girls-at-school/mrs-m-kavitha
Effectiveness of Basic Life Support Training on Knowledge among Nursing Studentsijtsrd
Background For the professional growth of nursing students as well as their responsibilities as practitioners and educators, it is crucial to provide current knowledge and training in basic life support procedures. Objectives The purpose of the study was to examine the effectiveness of basic life support training on knowledge among nursing students. Methods A non randomized quasi experimental design One group pre test post test was used in this study. The investigation was carried out in a lab at a college for nursing students. The sample consisted of a convenience sample of 3rd semester students enrolled in the undergraduate nursing class. The study sample consisted of 70 nursing students. Basic life support training included both theoretical and practical components. The students knowledge were assessed before basic life support training. Data were collected using the knowledge assessment questionnaire. The pre and post assessment knowledge scores were compared. Results After basic life support training, level of knowledge scores were higher as compared to pre training scores t= 11.06, p=0.000 . Conclusion The study showed that basic life support training improved knowledge and skills related to basic life support practices in nursing students. Periodic basic life support training is very important for competency in this area among nursing students. Pooja Godiyal | Poonam Negi | Jyoti Tiwari "Effectiveness of Basic Life Support Training on Knowledge among Nursing Students" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-4, August 2023, URL: https://www.ijtsrd.com/papers/ijtsrd59836.pdf Paper Url:https://www.ijtsrd.com/medicine/nursing/59836/effectiveness-of-basic-life-support-training-on-knowledge-among-nursing-students/pooja-godiyal
2. Patient-centeredness in Sweden’s
health system – an external
assessment and six steps
for progress
Myndigheten för vårdanalys 7/3/12 Sid 2
3. Elizabeth Docteur
• Independent health policy consultant with 20 years’ experience
• Positions in the U.S. federal government, the international arena,
the private sector and civil society.
• Previous Deputy Head of the Health Division at the Organization for
Economic Cooperation and Development (OECD)
• Previous Vice President and Director of Policy Analysis at the Center
for Studying Health Systems Change
Myndigheten för vårdanalys 7/3/12 Sid 3
4. Angela Coulter
• Director of Global Initiatives at the Foundation for Informed Medical
Decision Making, Boston
• Senior Research Scientist at the Department of Public Health,
University of Oxford
• Previous Chief Executive of Picker Institute Europe
• Previous Director of Policy and Development at the King’s Fund
Professor Coulter has published more than 250 research papers and reports and
several books including Engaging Patients in Healthcare (2011) and The
Autonomous Patient (2002)
In January the Donabedian Foundation at Barcelona University awarded her the
2012 Donabedian International Award in health care quality for her work on patient-
centered care.
Myndigheten för vårdanalys 7/3/12 Sid 4
5. Patient-centeredness in Sweden’s
health system – an external
assessment and six steps
for progress
Myndigheten för vårdanalys 7/3/12 Sid 5
6. What is patient-centered care
and why is it important?
• Patient-centered care anticipates and responds to the needs and
expectations of individual users and potential users of health services.
• Patient-centered care produces better patient experiences and is
associated with better health outcomes. Can also assist in reducing
costs via channels such as better patient compliance with prescribed
treatments and fewer errors, duplication, problems; shorter hospital
stays; quicker return to work.
• Making health systems more patient-centered is increasingly recognized
as a critical performance goal (OECD, WHO), one of six aims for quality
improvement put forward by US Institute of Medicine
Myndigheten för vårdanalys 7/3/12 Sid 6
7. Objectives of this study:
The questions from Vårdanalys
• What framework can be used to assess the extent to which Sweden’s
health care system is patient-centered?
• To what extent is Sweden’s health care system patient-centered?
• What changes in policy could help to strengthen patient-centeredness in
Sweden’s health care system?
Myndigheten för vårdanalys 7/3/12 Sid 7
8. The framework - what we did:
Phase 1 – Select framework for assessment and operational plan
• Review work on patient-centered health care by researchers,
international organizations, patient groups
• Define an appropriate framework for assessing and benchmarking
performance in Sweden and internationally
• Identify indicators and data to use
• Obtain input and feedback from expert advisory group
Myndigheten för vårdanalys 7/3/12 Sid 8
9. The assessment – what we did:
Phase 2 – Conduct assessment of patient-centeredness in
Sweden’s health system
• Interview 34 Swedish experts (patient representatives, government
officials, academic and other experts)
• Analyze data on patient experiences from Sweden’s National Patient
Survey and International Health Policy Survey
• Review academic research and policy literature, government reports
and relevant laws
• Develop policy recommendations driven by main conclusions
• Obtain input and feedback from expert advisory group
Myndigheten för vårdanalys 7/3/12 Sid 9
11. Overall assessment
“Overall, our assessment revealed a number of shortfalls in
terms of achieving patient-centered care in Sweden’s
health system. At the same time, we found evidence of
progress in a number of areas. Also, the system benefits
from a number of strengths that provide a good foundation
on which to build when making needed effort to accelerate
progress. Yet there are barriers that have impeded
progress; tackling these can help to accelerate change.”
Myndigheten för vårdanalys 7/3/12 Sid 11
12. Dimension 1:
Empowering patients through information and education
Sweden has made good recent progress in strengthening
and improving legislation pertaining to patient information
and education. Nevertheless, important gaps in information
and education are evident, in terms of how well those
efforts have paid off in patients’ understanding and
satisfaction with the information and education obtained.
Myndigheten för vårdanalys 7/3/12 Sid 12
13. Dimension 1:
Empowering patients through information and education
100% Percentage of patients
answering the most preferable
90% answer on each question
concerning information and
education (unweighted index).
80%
79% Source: IHP International
77% 77% Survey of Sicker Adults (2011)
70%
72% 71% 70%
69%
60% 65%
60%
58%
50%
53%
40%
30%
20%
10%
0%
ia a s y ce n y
UK nd US an
d al ad nd an an de wa
la al tr n la m Fr we or
er us Ca er er S
itz Ze A eth G N
Sw ew N
N
Myndigheten för vårdanalys 7/3/12 Sid 13
14. Dimension 1:
Empowering patients through information and education
• Legal obligation to provide individually tailored
information about condition and available treatments,
choice of provider and guarantee is often not met.
• Swedish patients more likely than others to say their
doctors do not spend enough time with them, do not
present options for treatment, do not give them
opportunities to ask questions.
• Swedish patients say doctors often fail to tell patients
about the side effects of their medicines and the danger
signals to watch out for.
• Large cross-county variation in psychiatric care, inpatient
specialist care.
Myndigheten för vårdanalys 7/3/12 Sid 14
15. Dimension 1:
Empowering patients through information and education
• Relatively good telephone access
• Information portals (internet and telephone) are
improving, being used.
Myndigheten för vårdanalys 7/3/12 Sid 15
16. Dimension 2:
Respecting patients’ individual needs, preference and values
Sweden’s health care system very often fails to anticipate
and respond to patients as individuals with particular
needs, values and preferences. Failure to meet patient
expectations can have demonstrable costs to patients, the
health system and the public purse.
Myndigheten för vårdanalys 7/3/12 Sid 16
17. Dimension 2:
Respecting patients’ individual needs, preference and values
100% Percentage of patients
answering the most preferable
90% answer on each question
concerning preferences and
needs (unweighted index).
80%
Source: IHP International
70% 74% Survey of Sicker Adults, 2011.
71%
69%
60% 65% 64%
62% 61%
57%
50%
51%
40% 46%
42%
30%
20%
10%
0%
ia a s y ce n
UK nd US d l ad nd an ay de
la an tra n la an w e
er al us Ca er er
m Fr or Sw
i tz Ze A eth G N
Sw ew N
N
Myndigheten för vårdanalys 7/3/12 Sid 17
18. Dimension 2:
Respecting patients’ individual needs, preference and values
• In international comparisons, Swedish patients are least
likely to be engaged by their health care providers in their
care and treatment decisions. The concept of shared-
decision making has yet to take root in Sweden and there
is little use of decision aids.
• Low patient engagement is associated with worse
outcomes, including medical errors.
• Patients are not viewed as a source of expertise and
information regarding their condition and needs.
• Swedish health care is said to be organized for
administrative convenience, rather than convenience of
patients (and providers).
• Psychiatric patients are particularly dissatisfied with their
experience.
Myndigheten för vårdanalys 7/3/12 Sid 18
19. Dimension 2:
Respecting patients’ individual needs, preference and values
Swedish patients report that their health care
providers treat them with respect and
listen to them.
Myndigheten för vårdanalys 7/3/12 Sid 19
20. Dimension 3:
Coordinating care across service providers and
ensuring continuity of care
Inadequate coordination care across health-care providers
is an important weakness in Sweden’s health system. Such
problems are likely to have a negative impact on health
outcomes and costs, in addition to having a negative
impact on patient experienced quality of service.
Myndigheten för vårdanalys 7/3/12 Sid 20
21. Dimension 3:
Coordinating care across service providers and
ensuring continuity of care
100% Percentage of patients
answering the most preferable
answer on each separate
90%
question concerning
coordination and continuity
80% (unweighted index).
SOURCE: IHP International
70% 74% Survey of Sicker Adults (2011).
69%
60% 65% 64%
62%
60%
57%
50% 54%
52%
50% 49%
40%
30%
20%
10%
0%
a ia s ay e en y
UK US nd nd ad al nd nc d n
la al
a an str la or
w
Fr
a
we ma
er Au er er
itz Ze C
eth N S G
Sw ew N
N
Myndigheten för vårdanalys 7/3/12 Sid 21
22. Dimension 3:
Coordinating care across service providers and
ensuring continuity of care
• Poor international performance with respect to
coordination; mediocre performance in terms of poor
outcomes associated with coordination problems
• Inadequate cooperation among health care providers and
between health and social services
• Technical problems in the function of electronic medical
records that impede their full use for coordination
• Problems for vulnerable populations, such as the sickest
elderly, patients with rare conditions.
Myndigheten för vårdanalys 7/3/12 Sid 22
23. Dimension 4:
Taking a holistic approach to patients as people with medical,
social, emotional, psychological and spiritual needs
Some problems in taking a sufficiently holistic approach to
patient care are evident, with relatively little variation in
performance across counties.
Myndigheten för vårdanalys 7/3/12 Sid 23
24. Dimension 4:
Taking a holistic approach to patients as people with medical,
social, emotional, psychological and spiritual needs
• Specialist physicians, hospital staff, and hospital
administrators can do more to take a sufficiently holistic
view of patients, so as to better meet their needs.
• Need to look at how well spiritual needs are met (some
evidence of problems) and how best to meet needs in a
secular, multicultural society.
• Relatively low performance variation across counties
suggests that this may not be an area in which the
administration of health care services by the county
councils has a particular impact.
Myndigheten för vårdanalys 7/3/12 Sid 24
25. Dimension 5:
Involving family and close friends in the health care experience
While evidence regarding patients’ experiences in involving
family and close friends in their health care is relatively
limited in depth and scope, available data suggests that
there is room for improvement in this area. Several types of
potential problems benefiting from further exploration were
identified in the course of the present study.
Myndigheten för vårdanalys 7/3/12 Sid 25
26. Dimension 5:
Involving family and close friends in the health care experience
Myndigheten för vårdanalys 7/3/12 Sid 26
27. Facilitators and barriers
to a more patient-centered health care in Sweden
• Achievements of Sweden’s health care system support a
focus on patients
• Potential to exploit an impressive array of patient data
• Patient-centeredness is a public priority
• Developing efforts to track performance in achieving
patient-centeredness
Myndigheten för vårdanalys 7/3/12 Sid 27
28. Facilitators and barriers
to a more patient-centered health care in Sweden
• Enhanced choice may spur a more patient-centered care,
but will not suffice for all patients
• Existing patient protections and guarantees are valuable,
but need to be strengthened and enforced
• Local administration of health services has both benefits
and disadvantages for patient-centeredness
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29. Facilitators and barriers
to a more patient-centered health care in Sweden
• Evident challenges from cost-containment pressure
(e.g., constraints on time spent with patients)
• Need to accelerate attitudinal changes
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30. Policy recommendations:
Six steps toward a more patient-centered care
1 Ensure compliance with existing “patients’ rights”
2 Establish patients as full partners with their providers with a role in
health and care decisions
3 Engage and involve patients and their representatives in health policy
and administrative decisions
4 Sustain efforts to facilitate coordination and continuity of care (through
remuneration changes, improvement of health ICT, etc…)
5 Define a model of patient-centered health care that reflects the
priorities of Swedish patients
6 Strengthen efforts to assess and track patient centeredness
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