Eines d’ajuda a la presa de decisions compartides.CedimCat
Eines d’ajuda a la presa de decisions compartides. X Jornada de reflexió de gestors sanitaris sobre la despesa farmacèutica i el seu impacte en la sostenibilitat del sistema
VIII Jornada de debat sobre eficàcia i seguretat en la utilització de medicaments
Eines d’ajuda a la presa de decisions compartides.CedimCat
Eines d’ajuda a la presa de decisions compartides. X Jornada de reflexió de gestors sanitaris sobre la despesa farmacèutica i el seu impacte en la sostenibilitat del sistema
VIII Jornada de debat sobre eficàcia i seguretat en la utilització de medicaments
The document discusses key points around patient discharge planning from a hospital. It emphasizes that discharge is an important but complex process that requires teamwork. It also notes that patient adaptation must be considered whenever treatment changes occur. The document then outlines various aspects to consider in developing an effective discharge plan, including assessing patient needs, providing education and training, arranging home care and equipment, managing risks, and conducting follow-up after discharge.
1) The document discusses chronic care in Spain, providing background on the country's demographics, health care system structure, and strategies for chronic care. It notes Spain's decentralized health system and regional autonomy over delivery.
2) It then examines chronic care approaches in Catalonia, including case management, integrated home care, and hospital at home programs. Catalonia's use of ICT and shared policies between primary and specialized care are highlighted.
3) In conclusions, the document states there is no single chronic care model in Spain. While pilot programs achieved good results, they had little overall system impact. ICT is not systematically used. Chronic care is considered a "wicked problem" requiring interdisciplinary collaboration and persever
The document discusses the evolution of hospitals from primarily accommodation for sick priests in the 11th-15th centuries to their modern role. It notes hospitals transitioned from 2 buildings with 24 beds to providing specialized services and accommodating more patients. The text advocates for hospitals to have a flexible, innovative and tailored approach focused on population and personalized medicine to improve quality, safety and value. It suggests hospitals should not be confined within walls and emphasizes continuity of care, appropriate medical teams and balancing specialist and generalist care.
Este documento discute los desafíos de atender a pacientes con enfermedades crónicas. Identifica tres grandes retos: 1) las dificultades en identificar prioridades, 2) un modelo asistencial inconsistente, y 3) evidencias limitadas para tomar decisiones. También analiza cómo debe transformarse la organización asistencial para dar mejor respuesta a las necesidades de estos pacientes, enfatizando la colaboración, el aprendizaje iterativo y el liderazgo transformacional.
This document discusses implications for the health care system from personalized and population-based approaches. It contains 3 key points:
1) Balancing population and individual interventions can maximize health benefits, minimize harm, and avoid unnecessary costs. This requires considering predictive, preventive, personalized and participatory (P4) perspectives as well as population perspectives (P5).
2) There is significant variability in clinical practice and resource use across regions, indicating uncertainty around effectiveness. Standardizing rates can help address inequalities.
3) Personalization requires considering individual variability, balancing individual needs with population responsibilities, and rethinking business models to focus on coordinated long-term care through facilitated networks rather than one-size-fits-all
Presentación jornada Estrategia EPOC. Palma, 28-29/09/12
Resumen de las actividades del "Pla Director de les Malalties de l'Aparell Respiratori" PDMAR. Departament de Salut. Generalitat de Catalunya
The document discusses key points around patient discharge planning from a hospital. It emphasizes that discharge is an important but complex process that requires teamwork. It also notes that patient adaptation must be considered whenever treatment changes occur. The document then outlines various aspects to consider in developing an effective discharge plan, including assessing patient needs, providing education and training, arranging home care and equipment, managing risks, and conducting follow-up after discharge.
1) The document discusses chronic care in Spain, providing background on the country's demographics, health care system structure, and strategies for chronic care. It notes Spain's decentralized health system and regional autonomy over delivery.
2) It then examines chronic care approaches in Catalonia, including case management, integrated home care, and hospital at home programs. Catalonia's use of ICT and shared policies between primary and specialized care are highlighted.
3) In conclusions, the document states there is no single chronic care model in Spain. While pilot programs achieved good results, they had little overall system impact. ICT is not systematically used. Chronic care is considered a "wicked problem" requiring interdisciplinary collaboration and persever
The document discusses the evolution of hospitals from primarily accommodation for sick priests in the 11th-15th centuries to their modern role. It notes hospitals transitioned from 2 buildings with 24 beds to providing specialized services and accommodating more patients. The text advocates for hospitals to have a flexible, innovative and tailored approach focused on population and personalized medicine to improve quality, safety and value. It suggests hospitals should not be confined within walls and emphasizes continuity of care, appropriate medical teams and balancing specialist and generalist care.
Este documento discute los desafíos de atender a pacientes con enfermedades crónicas. Identifica tres grandes retos: 1) las dificultades en identificar prioridades, 2) un modelo asistencial inconsistente, y 3) evidencias limitadas para tomar decisiones. También analiza cómo debe transformarse la organización asistencial para dar mejor respuesta a las necesidades de estos pacientes, enfatizando la colaboración, el aprendizaje iterativo y el liderazgo transformacional.
This document discusses implications for the health care system from personalized and population-based approaches. It contains 3 key points:
1) Balancing population and individual interventions can maximize health benefits, minimize harm, and avoid unnecessary costs. This requires considering predictive, preventive, personalized and participatory (P4) perspectives as well as population perspectives (P5).
2) There is significant variability in clinical practice and resource use across regions, indicating uncertainty around effectiveness. Standardizing rates can help address inequalities.
3) Personalization requires considering individual variability, balancing individual needs with population responsibilities, and rethinking business models to focus on coordinated long-term care through facilitated networks rather than one-size-fits-all
Presentación jornada Estrategia EPOC. Palma, 28-29/09/12
Resumen de las actividades del "Pla Director de les Malalties de l'Aparell Respiratori" PDMAR. Departament de Salut. Generalitat de Catalunya
Unitat de Diabetis, Endrocrionologia i Nutrició (UDEN) a la Regió de Girona, ...Societat Gestió Sanitària
Mercè Fernàndez. Servei Endocrinologia. Hospital Josep Trueta de Girona. Presentat en el marc de la Jornada "Com fer efectiva la continuïtat assistencial millorant l'experiència del pacient" organitzada per la Societat Catalana de Gestió Sanitària, Sedisa i Abbvie el 21 de setembre de 2018.
Este documento describe tres aspectos clave: 1) El cambio de paradigma en la medicina hacia una perspectiva centrada en el paciente y en el valor, evaluado a partir de los resultados y el coste desde la perspectiva del paciente; 2) La importancia de evaluar la experiencia del paciente a través de métodos como encuestas, grupos focales y narrativas del paciente; y 3) La participación del paciente en aspectos como la toma de decisiones compartidas, la educación terapéutica y la evaluación y mejora continua de los servicios sanitarios.
This document discusses the importance of considering patient experience in healthcare. It makes the following key points:
1. Patient experience should be the driver of healthcare, not just the doctor's perspective. Outcomes that matter to patients like functional status and quality of life are important.
2. Collecting patient experience data is not enough; it must be used to improve care through service design, patient empowerment, and quality improvement.
3. Involving patients in focus groups provided insights into their experiences with various treatments and recommendations to improve education programs, adapt timelines, and address psychological impacts.
La atención a los pacientes crónicos representa un reto para el futuro debido a que la manera actual de ofrecer cuidados ya no es sostenible. El paciente tendrá un papel más activo en su atención manejando su enfermedad por su cuenta con la ayuda de tecnología. Los sistemas de atención necesitarán innovar y adaptarse para satisfacer las necesidades cambiantes de los pacientes crónicos de manera efectiva.
El documento presenta extractos de diferentes autores que tratan sobre temas como la compasión en el cuidado de pacientes, la importancia de ser amable y agradecido, devolver a la sociedad lo que ha hecho por nosotros, prestar atención a los más vulnerables y la idea de justicia, y la importancia de la confianza, simetría, reciprocidad y sinceridad en las relaciones humanas.
Este documento discute la importancia de ir más allá de la satisfacción del paciente y enfocarse en su experiencia. Propone que la experiencia del paciente se mida a través de encuestas, grupos focales y la participación del paciente en la toma de decisiones. También describe iniciativas en un hospital para mejorar la educación terapéutica de los pacientes a través de la creación de un grupo de trabajo, la elaboración de materiales y un curso de capacitación para el personal.
1) The document discusses the need for increased patient participation and a virtual health practice model to deal with challenges of an aging population, consumer driven models, and economic constraints.
2) It proposes a virtual health practice strategy that promotes consistent use of technology across the care cycle to increase patient contact, reduce face-to-face visits, and maximize health outcomes in a sustainable way.
3) The key features of virtual health practice are that it is personalized, predictive, preventive, participatory, and relies on disruptive innovations using big data and multiple ICT tools in a systemic approach.
1) Home care provides an alternative to hospitalization and can improve outcomes for patients with chronic conditions. It encompasses a range of services from short-term post-discharge care to long-term specialized care.
2) Evaluating home care programs requires assessing a variety of outcomes beyond just utilization measures. It is important to consider patient experiences, clinical outcomes, costs, and sustainability at both the program and population level.
3) While some studies show benefits of home care such as lower costs and mortality, results from pilot programs may not translate directly to real-world settings due to differences in populations and care models. Standardization of interventions and a focus on whole care processes are needed to reliably measure the value of
Este documento discute el futuro de las terapias respiratorias domiciliarias (TRD) desde la perspectiva de la administración. Propone evaluar los servicios TRD basándose en resultados para los pacientes en lugar de procesos o cantidad de prestaciones. También sugiere modelos disruptivos como comprar servicios en lugar de productos y asumir riesgos compartidos entre prescriptores, empresas y la administración para mejorar los resultados en salud. El objetivo final es garantizar tratamientos efectivos de alta calidad a un precio asequible para los pacientes.
3. Punts calents.Dr. Joan Escarrabill Pla Director de les Malalties de l’AparellRespiratori (PDMAR) Institutd’Estudis de la Salut Barcelona Vic, 9 de juny de 2011
9. Orientació a resultats Ens ha interessatmés el procés que elsresultats 1 En parlar de resultats es poden cometre dos errors Creure que elsresultatsdelsestudispilotsón extrapolables automàticament 1 2 Aspirar a aproximar-se a la mitjana
12. N EnglJ Med. 2009;361:109-12 La satisfacció del pacientésmoltimportantperò NO pot ser el resultatmésimportantd’unprojecte
13. Centrat en les necessitats del pacient 2 1 Informació per poder triar Incorporació estructurada de l’opinió del pacient 2 Gestiórespectuosa del temps del pacient 3 Accions per a promourel’autocura i per aprendre del pacient 4
14.
15. Ha de tenir capacitat de prendre les decisions que afecten el seu estat de salut.
16. Els hospitals han de tenir mecanismes per respondre als errors i ho han de dir als pacients.
23. Canvi en el model de finançament Model de finançament
24. Canvi en el model de finançament Model assistencial Model de finançament
25. N Engl J Med. 2011;364:e1 Affiliations of healthcareprovidersthat are held jointly accountable forachievingimprovements in the quality of care and reductions in spending
28. La vida real... 21 Gran fragilitat (¿1%?) Comorbilitat MPOC ICCV Diabetis Càncer Trastorns cognitius (Alzheimer...)
29. Atencióalspacientsambmalaltiescròniques… 22 Activitatspreventives Gestió de poblacions Diagnòsticprecoç Identificació / Estratificació Gestió de la malaltia Oferir el millortractament Problemessocials Healthcoaching Situacionsagudesgreus Transicions Healthliteracy Cuidadors Gestió de la complexitat Co-management Adaptat (moltlliurement) de Bodenheimer T J Gen Intern Med 2010;25:1375–8