Partnering with patients to improve care: essential skills and strategies.

This link provides the contents from the conference organized by the McGill University Health Centre’s Institute for Strategic Analysis and Innovation (MUHC-ISAI), regarding patient centered health care systems.

The opening conference was performed by Angela Coulter, who reviewed the patient engagement history in health care systems and gave a broad overview on how patients could be involved in the entire functioning of the system.

In the website there can also be found the materials corresponding to the following six sessions:

• Patient engagement leadership.
• Patient partnership: recruitment, training, governance and evaluation.
• How does the patient experience drive improvement?
• Building capacity to lead quality improvement with patient partners.
• Engaging patients to improve the clinical encounter.
• Patient engagement in patient safety.

With these materials, the MUHC-ISAI shares an important amount of information and resources in order to improve the role of patients in current health systems.

Partnering with patients to improve care: essential skills and strategies.

This link provides the contents from the conference organized by the McGill University Health Centre’s Institute for Strategic Analysis and Innovation (MUHC-ISAI), regarding patient centered health care systems.

The opening conference was performed by Angela Coulter, who reviewed the patient engagement history in health care systems and gave a broad overview on how patients could be involved in the entire functioning of the system.

In the website there can also be found the materials corresponding to the following six sessions:

• Patient engagement leadership.
• Patient partnership: recruitment, training, governance and evaluation.
• How does the patient experience drive improvement?
• Building capacity to lead quality improvement with patient partners.
• Engaging patients to improve the clinical encounter.
• Patient engagement in patient safety.

With these materials, the MUHC-ISAI shares an important amount of information and resources in order to improve the role of patients in current health systems.

Experiencing Integrated Health: Ontarians’ views of health care coordination and communication

Health Quality Ontario (HQO) has published an analysis using data from the 2014 Commonwealth Fund International Health Policy Survey of Older Adults in order to identify, from a patient perspective, how well different parts of health system are working together.

The HQO extracted a sample with the population from Ontario; Ontarians reported similar results as top-ranking countries in some indicators related to coordination of care; about 80% of Ontarians said they received help from their regular physicians to coordinate their care with other providers.

The sample from Ontario population made able to identify some key points where Canadian Health System can improve in order to get better communication and coordination of care.

Measurement of the Patient Experience: Clarifying Facts, Myths, and Approaches

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is a 32-item tool administered after discharge to a random sample of adult inpatients, creating standardized, publicly reported metrics that allow fair comparisons of patient experience in hospitals across the nation.

The 11 HCAHPS measures derived from the survey reported on the Hospital Compare website assess how well nurses and physicians communicate with patients, how responsive hospital staff are to patients’ needs, how well hospital staff help patients manage pain, how well the staff communicates with patients about new medicines, whether key information is provided at discharge, how smoothly the transition to the posthospital setting is made, how clean and quiet are the patients’ rooms, what is the hospital’s overall rating, and whether the patient would recommend the hospital.

HCAHPS resides in the public domain and accommodates customized supplemental items that are not reviewed or endorsed by the ...

Evolving Concepts of Patient-Centered Care and the Assessment of Patient Care Experiences: Optimism and Opposition

This article summarise, a personal view of the author (Paul D. Cleary dean of the Yale School of Public Health), on the available research, concerning measurement of “patient satisfaction” and “patient care experience”. Author argues that patient experiences measurement efforts are being devoted to providing high-quality patient-centered care. Some indicators and surveys are discussed in terms of their reliability, validity and correlation across individuals and settings with other quality indicators.

Special attention is paid to the Consumer Assessment of Healthcare Providers and Systems (CAHPS), launched in 1995 by the Agency for Healthcare Research and Quality (AHRQ). The CAHPS surveys are nowadays tailored to different care settings, so that results can be used to help identify aspects of care that can be targeted to improve patient experiences.

Some contrasting arguments are also discussed on the ability of patients to evaluate the quality of their care. Author proposes a review of currently ...

The New Care Models for Integrating Health and Social Care through EHCH, PACS & MCP

This conference will look at how health and social care can successfully integrate through multi-speciality community providers (MCP), primary and acute care systems (PACS) and enhanced health in care homes (EHCH) systems, it is aimed at health and social care leaders involved in the planning of population based healthcare, a concept that should underpin services delivered via multi-speciality community providers (MCP), primary and acute care systems (PACS) and accountable care organisations (ACO) and focuses on how organisations can successfully integrate health and social care practices to give better continuity and consistence in care, reduce readmissions, save costs and improve patient experience. Through national updates and learning from vanguard case studies of new care models, delegates will receive practical information on how they can achieve a solid integrated system within their own organisation and workforce in line with the vision of the Five Year Forward View.

Person-centred care in 2017: Evidence from service users

Policy makers have been aspiring to a ‘patient-centred NHS’ in England for at least 20 years. In 2008, patient experience became a key part of the national definition of quality in healthcare; and in 2012 that was codified in law.
Person-centred care has become an increasingly prominent stated ambition both of national policy and local practice. In 2013, the Department of Health and all the system leading bodies across health and social care in England declared a shared commitment to making ‘person-centred coordinated care’ the normiv.

What difference, if any, have these stated ambitions made to the experiences of people who need and use services and support? We wanted to know.

National Voices stands for people being in control of their health and carev. From 2011 we have been at the forefront of making the case for person-centred care. There is a growing body of evidence that person-centred approaches are ...

Family Medicine Clinic: a case study of a hospital–family medicine practice redesign to improve chronic disease care in the community in Singapore

Singapore´s health care system is strained by the health care needs of a rapidly aging population. The unprecedented collaboration between a public hospital and a private family practice to set up the Family Medicine Clinic (FMC) to co-manage patients with chronic desease is an example of efforts to shift care to community. 

The patient perspective in health care networks

Health care organization is entering a new age. Focus is increasingly shifting from individual health care institutions to interorganizational collaboration and health care networks. Much hope is set on such networks which have been argued to improve economic efficiency and quality of care. However, this does not automatically mean they are always ethically justified. A relevant question that remains is what ethical obligations or duties one can ascribe to these networks especially because networks involve many risks. Due to their often amorphous and complex structure, collective responsibility and accountability may increase while individual responsibility goes down

Patient experience of primary care and advance care planning: a multicentre cross-sectional study in Japan.

Advance care planning (ACP) is a process whereby a patient, in consultation with health care providers, family members, and important others, makes decisions about his or her future health care. ACP process includes discussions regarding goals of care, resuscitation and life support, palliative care options, surrogate decision-making and advance directives (AD). Previous studies have shown positive impact of ACP on end-of-life care, including less aggressive medical care and better quality of life; decreased rates of hospital admission, especially of nursing home residents; and increased rates of hospice admission. So the aim of this study was to investigate the relationship between patient experience of primary care and ACP.

Understanding the determinants of public trust in the health care system in China: an analysis of a cross-sectional survey

Despite increasing research attention on public trust in health care systems, empirical evidence on this topic in the developing world is limited and inconclusive. This paper examines the level and determinants of public trust in the health care system in China where the findings suggest that low public trust in China’s health care system is a potential problem. Improving health care experiences may be the most practical and effective way of improving trust in the health care system in China.

Patient centred care for multimorbidity improves patient experience, but quality of life is unchanged

The UK has an ageing population. A 2018 study of multimorbidity in England found that 54% of people over 65 had multimorbidity in 2015. This is expected to rise to 68% by 2035, with 17% of people over 65 expected to have four or more conditions. National guidelines tend to focus on single conditions. People with multimorbidity may have their conditions managed individually without due consideration of the overall burden of their diseases and treatments. Recognition of this prompted the National Institute for Health and Care Excellence (NICE) and other international organisations to develop guidelines on managing multimorbidity. These focus on regular comprehensive review of the person’s health and circumstances. This trial assessed a care model that incorporated all strategies recommended by guidelines.

What is Important to Older People with Multimorbidity and Their Caregivers? Identifying Attributes of Person Centered Care from the User Perspective

Health systems are striving to design and deliver care that is ‘person centered’—aligned with the needs and preferences of those receiving it; however, it is unclear what older people and their caregivers value in their care. This paper captures attributes of care that are important to older people and their caregivers.

Can Organisational Culture of Teams Be a Lever for Integrating Care? An Exploratory Study

Organisational culture is believed to be an important facilitator for better integrated care, yet how organisational culture impacts integrated care remains underspecified. In an exploratory study, we assessed the relationship between organisational culture in primary care centres as perceived by primary care teams and patient-perceived levels of integrated care

Driving and Accelerating a ‘One System’ Response: Why COVID-19 has Shone a Spotlight on Integrated Care

Patient feedback to improve quality of patient-centred care in public hospitals: a systematic review of the evidence

Public health services have been moving towards putting patients at the centre of their care. This paper aimed to review systematically the published literature relating to interventions informed by patient feedback for improvement to quality of care in hospital settings. Multi-component interventions which targeted both individual and organisational levels were more effective than single interventions. Care is truly patient-centred when it is guided by the perspective of the one that matters - the patient.

Understanding Young People and Their Care Providers’ Perceptions and Experiences of Integrated Care Within a Tertiary Paediatric Hospital Setting, Using Interpretive Phenomenological Analysis

Benefits of integrated care include improved health outcomes and more satisfaction with experiences of care for consumers. For children and young people with chronic and complex health conditions, their care may be fragmented due to the multitude of healthcare providers involved. This paper describes the experiences of integrated care in a paediatric tertiary hospital.

Main factors affecting perceived quality in healthcare: a patient perspective approach

Delivering patient-centered healthcare is now seen as one of the basic requirements of good quality care. In this research, the impact of the perceived quality of three experiential dimensions (Physical Environment, Empowerment and Dignity and Patient–Doctor Relationship) on patient´s Experiential Satisfaction is assessed.

The relationship between person-centred care and the intensive care unit experience of critically ill patients: A multicentre cross-sectional survey

Person-centred care has the potential to improve the patient experience in the intensive care unit (ICU). The aim of this study was to investigate the relationship between person-centred care and the ICU experience of critically ill patients. We observed that person-centred care was positively related to most of the ICU experiences of critically ill patients except for recall of experience. 

Perspectives of people with Parkinson's disease and family carers about disease management in community settings: A cross-country qualitative study

The aim of this study was to explore perceptions of people with Parkinson's disease and family carers about the use and impact of health and social care services, community and voluntary sector resources for the management of Parkinson's disease. Resources from outside the formal health care system and collaborations between different levels and sectors could address the unmet needs of people with Parkinson's disease and their family carers and improve the management of Parkinson's disease in the community setting. An integrated and person-and-community-centred approach, which includes the participation of the health, social, voluntary and community sectors, is desired by people with Parkinson's disease and their family carers to improve the management of Parkinson's in the community setting. 

Understanding integrated care through patient journeys

In recent years, considerable investment has been made towards healthcare service redesign and reform in response to an increasingly diverse and ageing patient population. The shift towards person-centred care requires holistic care management approaches and has prompted health services to consider changing the ways they deliver care