scholarly journals Cooperate, coordinate, communicate or collaborate?

2007 ◽  
Vol 31 (1) ◽  
pp. 5
Author(s):  
Sandra G Leggat
Keyword(s):  
Health Care ◽  
Health Professionals ◽  
Health Care Systems ◽  
Institute Of Medicine ◽  
Theory Analysis ◽  
Individual Outcomes ◽  
System Components ◽  
Care Systems ◽  
Competitive Behaviour ◽  
Improve Health

IN HEALTH CARE we use these ?C? words regularly ? describing what health professionals, patients, consumers, politicians and managers need to do to improve health care systems. A snapshot of each of these is provided below. The Institute of Medicine?s Crossing the Quality Chasm report suggested that cooperation among clinicians was a priority.1 Yet game theorists have long shown that cooperation results in better individual outcomes than competitive behaviour. 2 Driven to achieve the best outcomes, people will choose to cooperate more often than they choose to compete. Most recently, game theory analysis has even been applied to the evolution of cancer, with the resulting conclusion of ?malignancy from cooperation?3 ? tumours grow because it is the nature of cells to cooperate. Given this tremendous innate ?force? for cooperation, why is there the appearance of less cooperation among health system components than we would like?

Full Disclosure When Bad Things Happen

2007 ◽  
Vol 26 (2) ◽  
pp. 131-132 ◽  
Author(s):  
Sherri Lee Simons
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Providers ◽  
Health Care Systems ◽  
Institute Of Medicine ◽  
Care Providers ◽  
Full Disclosure ◽  
Care Systems

SINCE THE RELEASE OF THE Institute of Medicine report “To Err Is Human: Building a Safer Health System,” much attention has been focused on redesigning health care systems and implementing safer practices.1 At the same time, health care providers continue to grapple with the ways in which institutions and caregivers respond when preventable injuries occur.2–5

Health Portals

2011 ◽  
pp. 57-64
Author(s):  
Daniel Carbone
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Professionals ◽  
Health Knowledge ◽  
Health Care Systems ◽  
Efficient Technology ◽  
Technical Content ◽  
Care Systems ◽  
Barriers And Opportunities ◽  
Delivery Of Health Services

A lack of health services has long been the thorn in the side of many communities, especially rural and regional communities. The high costs of treating ever growing chronic and complex conditions in traditional settings, where rural allied health services providers are non-existent and doctors are already overcommitted, are prompting a shift in focus to more efficient technology driven delivery of health services. Moreover, these days it is also increasingly unlikely that health professionals will encounter patients who have not used information technology to influence their health knowledge, health behaviour, perception of symptoms, and illness behaviour. Advances in Internet technologies offer promise towards the development of an e-health care system. This article will postulate whether portal technologies can play a role facilitating the transition to such e-health care systems. This article aims at reviewing the literature to present to the reader the barriers and opportunities out here for effective health portals. However, the article does not intend to provide a one-fits-all technical/content solution, only to make implementers and developers aware of the potential implications.

Staff Competence in Dealing with Traditional Approaches

2008 ◽  
Vol 23 (S1) ◽  
pp. s59-s68 ◽  
Author(s):  
M. Kastrup
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Cultural Context ◽  
Systems Of Care ◽  
Health Care Systems ◽  
Value Systems ◽  
Care Systems ◽  
Traditional Approaches

AbstractHealth care and health care systems should be seen and understood in their socio-cultural context. Modern urbanized societies are likely to exhibit health care pluralism, and different therapeutic approaches are available side-by-side. The various models may take their origin in different cultural traditions, but in most societies one type of care is at a given time considered “above” the others. However health care activities in all societies show a degree of interrelation, reflecting societal changes in which normative practices, value systems and structures change over time. In the current Western health systems evidence-based biomedical care is the prevailing system taught to all professionals.The present paper outlines the prevailing health paradigms, and the advantages and shortcomings of the various approaches and their relation to modern care will be discussed. With increased multicultural backgrounds of patients there is a need for mental health professionals to recognize the existence of traditional approaches and be aware of the parallel systems of care. Competent treatment of such patients requires that mental health professionals are aware of this and exhibit a willingness and ability to bridge between the more traditional and the Western approaches to treatment. The delineations and various aspects of the concept cultural competence and its dimensions will be discussed from a clinical perspective.Comparative studies of the various Western and the traditional approaches respectively will be reviewed.

scholarly journals Leveraging Academic-Service Partnerships: Implications for Implementing the RWJ/IOM's Recommendations to Improve Quality, Access, and Value in Academic Medical Centers

ISRN Nursing ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Lee Anne Xippolitos ◽  
Marie Ann Marino ◽  
Norman H. Edelman
Keyword(s):  
Health Care ◽  
Goal Setting ◽  
Health Care Systems ◽  
Institute Of Medicine ◽  
Academic Medical ◽  
Care Systems ◽  
Academic Service Partnerships ◽  
Future Of Nursing ◽  
Current Health Care System ◽  
Iom Recommendations

Transformation of the current healthcare system is critical to achieve improved quality, safety, value, and access. Patients with multiple, chronic health conditions require integrated care coordination yet the current health care system is fragmented and complex. Nursing must play a key role in constructing a system that is value based and patient focused. The Robert Wood Johnson/Institute of Medicine (RWJ/IOM) report on the future of nursing outlines strategic opportunities for nursing to take a lead role in this transformation. Partnerships across academic institutions and health care systems have the potential to address issues through mutual goal setting, sharing of risks, responsibilities, and accountability, and realignment of resources. The purpose of this paper is to present Stony Brook University Medical Center's (SBUMC) academic-service partnership which implemented several of the RWJ/IOM recommendations. The partnership resulted in several initiatives that improved quality, safety, access, and value. It also characterized mutual goal setting, shared missions and values, and a united vision for health care.

scholarly journals Primary Care Networks and Eritrean Immigrants’ Experiences with Health Care Professionals in Switzerland: A Qualitative Approach

2019 ◽  
Vol 16 (14) ◽  
pp. 2614 ◽  
Author(s):  
Carla Wallimann ◽  
Andreas Balthasar
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Access To Health Care ◽  
Health Care Systems ◽  
European Countries ◽  
Care Providers ◽  
Swiss Health ◽  
Care Systems

Growing migration in European countries has simultaneously increased cultural diversity in health care. Migrants’ equal access to health care systems and migrant friendly health care have therefore become relevant topics. Findings gathered in recent years have mainly focussed on the perspective of care providers, whereas this study includes migrant perspectives. It explores the primary care network of Eritrean immigrants in Switzerland as well as their experiences of interacting with health professionals. Semi-structured face-to-face interviews with intercultural interpreters from Eritrea were conducted. On the basis of a thematic analysis, the study identified the important informal and formal contacts in these Eritrean immigrants’ primary care networks and the specific forms of support each actor provides. In this network, encounters with health professionals were predominately expressed positively. The main barriers reported were language difficulties and intercultural understanding. On the basis of the participants’ statements, six key lessons for practice have been derived. These lessons are specifically important for facilitating Eritrean immigrants’ access to the Swiss health care system. Nevertheless, they are also relevant for other groups of migrants in European countries.

Collaborative Care: Evidence-Based Models that Improve Primary Care Depressive Outcomes

CNS Spectrums ◽  
2009 ◽  
Vol 14 (S14) ◽  
pp. 10-13 ◽  
Author(s):  
Wayne J. Katon
Keyword(s):  
United States ◽  
Primary Care ◽  
Health Care ◽  
Health Professionals ◽  
The United States ◽  
Chronic Illnesses ◽  
Evidence Based ◽  
Institute Of Medicine ◽  
Care Systems ◽  
Summary Statement

The 2001 Institute of Medicine Report “Crossing the Quality Chasm,” summarized the current care of chronic illness in the United States by emphasizing “Between the health care we have and the health care we could have lies not just a gap, but a chasm.” Across multiple chronic illnesses within primary and specialty care systems, this summary statement illustrates that clinicians and other health professionals are not adequately providing patients guideline levels of treatment–levels that can lower the risk for complications of those illnesses.

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