Lecture notes - Lecture -Quality of care delivery The importance of system changes in care delivery
10 important questions on Lecture notes - Lecture -Quality of care delivery The importance of system changes in care delivery
What is the main shift we need to do in health care systems in order to provide high quality care?
current systems are designed to address acute health problems (fragmented and reactive = care is provided when pt already experience problems)
What is the difference between acute VS chronic care roles for professionals as well as role of patients?
How can we improve quality of care by changing the system? What kind of changes?
Interventions indelen:
- behavior of health care professionals -> continuous medical education (increases providing evidence based medicine during practice)
- patient -> increasing knowledge and self-management
- design of health care practice -> reorganize practices including for example nurses with new responsibilities
- reorganise structure of care -> planed visits or follow-up
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What are the results of changing system interventions (4 delen)
self-management seem to be necessary but not sufficient for improvement outcomes
What is the chronic care model (CCM)
conclusion: all these levels need to change in order to improve quality and pt outcome
GOOD OUTCOMES AT THE BOTTOM RESULT FROM PRODUCTIVE INTERACTIONS BETWEEN HEALTH CARE PROFESSIONALS AND PTS
Why is Self-management support in the chronic care model in between health systems and community?
self-management support = how we help patients live with their conditions
Why is a productive interaction between informed activated patient and prepared practice team essential for good chronic illnesses care?
improved patient outcome -> high quality care
interaction between the 2 = The hart of patient centered care delivery
What characterizes have an informed activated patient?
- Motivation
- information skills
- and confidence
necessary of effectively make decisions about their health and mange it
How can you recognize productive interactions between informed activated patient and prepared proactive practice team?
What is 'decision support'?
what is the best care and how do we make it happen every time >
patients can understand the principles behind care and understand why a certain treatment is advised
Goal: promote clinical care that is consistent with scientific evidence and patient preferences
- EBM guidelines into daily practice
- integrate specialist expertise and primary care
- use proven provider education methods
- share guidelines and info with patients
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