National Health and Hospital Reform Commission final report and patient-centred suggestions for reform

2011 ◽  
Vol 17 (2) ◽  
pp. 162 ◽  
Author(s):  
Tanisha Jowsey ◽  
Laurann Yen ◽  
Robert Wells ◽  
Stephen Leeder
Keyword(s):  
Qualitative Research ◽  
Chronic Illness ◽  
National Health ◽  
Care Coordination ◽  
Health Reform ◽  
Chronic Obstructive ◽  
Final Report ◽  
Family Carers ◽  
Research Project ◽  
Hospital Reform

The final report of the National Health and Hospital Reform Commission (NHHRC) called for a strengthened consumer voice and empowerment. This has salience for the development of health policy concerning chronic illnesses. This paper compares the recommendations for chronic illness care made in the NHHRC final report with suggestions made by people with chronic illness and family carers of people with chronic illness in a recent Australian study. Sixty-six participants were interviewed in a qualitative research project of the Serious and Continuing Illness Policy and Practice Study (SCIPPS). Participants were people with type II diabetes mellitus, chronic obstructive pulmonary disease or chronic heart failure. Family carers were also interviewed. Content analysis was undertaken and participants’ recommendations for improving care were compared with those proposed in the NHHRC final report. Many suggestions from the participants of the SCIPPS qualitative research project appeared in the NHHRC final report, including the need to improve care coordination, health literacy and the experience of Indigenous Australians. The research project also identified important issues of family carers, immigrants and people with multiple illnesses, which were not addressed in the NHHRC final report. More specific attention is needed in health reform to improve the experience of family carers, Indigenous peoples, immigrants to Australia and people with multiple illnesses. To align more closely with their needs, health reform must be explicitly informed by the voices of people with chronic illness and their family carers. The NHHRC recommendations must be supplemented with proposals that address the needs of these people for support and the problems associated with poor care coordination.

Regarding ‘National Health and Hospital Reform Commission final report and patient-centred suggestions for reform’ by T. Jowsey, L. Yen, R. Wells and S. Leeder

2012 ◽  
Vol 18 (1) ◽  
pp. 2 ◽  
Author(s):  
Brett Murphy
Keyword(s):  
Mental Illness ◽  
Chronic Illness ◽  
National Health ◽  
Service Providers ◽  
Professional Experience ◽  
Chronic Illness Care ◽  
Chronic Mental Illness ◽  
Final Report ◽  
Hospital Reform ◽  
Primary Health

The recently published article by Jowsey et al. (2011, Australian Journal of Primary Health 17, 162–168) highlighted key inclusions and omissions from the National Health and Hospital Reform Commission final report with respect to patient-centred care for people with chronic illness. However, the author proposes that this study could have further addressed dimensions of equity and patient-centred practice by including participants with chronic mental illness. The author suggests that interventions to improve chronic illness care typically remain disease specific, which fails to address the realities that face consumers or service providers. References to the literature and professional experience are provided to support the inclusion of mental illness within discussion, services and policy concerning chronic illness.

scholarly journals Efficiency in chronic illness care coordination: public-private collaboration models vs. traditional management

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
José Luis Franco Miguel ◽  
Carmen Fullana Belda ◽  
José Manuel Cordero Ferrera ◽  
Cristina Polo ◽  
Roberto Nuño-Solinís
Keyword(s):  
Chronic Illness ◽  
Care Coordination ◽  
Hospital Management ◽  
Chronic Obstructive ◽  
Chronic Illness Care ◽  
Traditional Management ◽  
Obstructive Pulmonary Disease ◽  
Preventable Hospitalizations ◽  
Dynamic Framework ◽  
Efficiency Measures

Abstract Background The aim of this paper is to analyze the differences in the coordination of chronic illness care between the different public hospital management models coexisting in the Spanish region of Madrid (25 hospitals) during the period 2013–2017. Methods The performance of hospitals might be affected by the characteristics of the population they serve and, therefore, this information should be taken into account when estimating efficiency measures. For this purpose, we apply the nonparametric Data Envelopment Analysis (DEA) conditioned to some contextual variables and adapted to a dynamic framework, so that we can assess hospitals during a five-year period. The outputs considered are preventable hospitalizations, readmissions for heart failure and readmissions for chronic obstructive pulmonary disease, whereas the inputs considered are the number of beds, personnel (physicians and other healthcare professionals) and total expenditure on goods and services. Results The results suggest that the level of efficiency demonstrated by the public-private collaboration models of hospital management is higher than traditionally managed hospitals throughout the analyzed period. Nevertheless, we notice that efficiency differences among hospitals are significantly reduced when contextual factors were taken into account. Conclusions Hospitals managed under public-private collaboration models are more efficient than those under traditional management in terms of chronic illness care coordination, being this difference attributable to more agile and flexible management under the collaborative models.

scholarly journals Impact of comorbidity assessment methods to predict non-cancer mortality risk in cancer patients: a retrospective observational study using the National Health Insurance Service claims-based data in Korea

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sanghee Lee ◽  
Yoon Jung Chang ◽  
Hyunsoon Cho
Keyword(s):  
Risk Assessment ◽  
Health Insurance ◽  
Cancer Patients ◽  
National Health Insurance ◽  
National Health ◽  
Cancer Mortality ◽  
Prediction Models ◽  
Assessment Methods ◽  
Chronic Obstructive ◽  
Mortality Risks

Abstract Background Cancer patients’ prognoses are complicated by comorbidities. Prognostic prediction models with inappropriate comorbidity adjustments yield biased survival estimates. However, an appropriate claims-based comorbidity risk assessment method remains unclear. This study aimed to compare methods used to capture comorbidities from claims data and predict non-cancer mortality risks among cancer patients. Methods Data were obtained from the National Health Insurance Service-National Sample Cohort database in Korea; 2979 cancer patients diagnosed in 2006 were considered. Claims-based Charlson Comorbidity Index was evaluated according to the various assessment methods: different periods in washout window, lookback, and claim types. The prevalence of comorbidities and associated non-cancer mortality risks were compared. The Cox proportional hazards models considering left-truncation were used to estimate the non-cancer mortality risks. Results The prevalence of peptic ulcer, the most common comorbidity, ranged from 1.5 to 31.0%, and the proportion of patients with ≥1 comorbidity ranged from 4.5 to 58.4%, depending on the assessment methods. Outpatient claims captured 96.9% of patients with chronic obstructive pulmonary disease; however, they captured only 65.2% of patients with myocardial infarction. The different assessment methods affected non-cancer mortality risks; for example, the hazard ratios for patients with moderate comorbidity (CCI 3–4) varied from 1.0 (95% CI: 0.6–1.6) to 5.0 (95% CI: 2.7–9.3). Inpatient claims resulted in relatively higher estimates reflective of disease severity. Conclusions The prevalence of comorbidities and associated non-cancer mortality risks varied considerably by the assessment methods. Researchers should understand the complexity of comorbidity assessments in claims-based risk assessment and select an optimal approach.

Systematic review of factors associated with hope in family carers of persons living with chronic illness

2021 ◽  
Author(s):  
Wendy Duggleby ◽  
HeunJung Lee ◽  
Cheryl Nekolaichuk ◽  
Donna Fitzpatrick‐Lewis
Keyword(s):  
Systematic Review ◽  
Chronic Illness ◽  
Family Carers ◽  
Factors Associated

scholarly journals ‘To more than I can be’: A phenomenological meta-ethnography of singing groups for people with chronic obstructive pulmonary disease

2020 ◽  
pp. 136345932097852
Author(s):  
Heather Yoeli ◽  
Jane Macnaughton
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Qualitative Research ◽  
Quantitative Methods ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Quantitative Evidence ◽  
Discrepancy Analysis ◽  
Healing Power ◽  
Artistic Heritage ◽  
Arts In Health

Anecdotal experience and qualitative accounts suggest that singing groups, classes or choirs specifically for people with COPD (henceforth referred to as COPD-SGs) are effective in improving health. However, this is not reflected in the quantitative evidence. This meta-ethnography deployed phenomenological methods to explore this discrepancy. Analysis identified the phenomena of being together, being uplifted and being involved as central benefits of COPD-SGs. When viewed through the phenomenological lens of body-social as distinct from body-subject and body-object, findings demonstrated that the qualitative effectiveness of COPD-SGs is greatest on a collective basis. Qualitative research into the effectiveness of COPD-SGs offers more favourable results because phenomenological approaches can identify collective benefits that quantitative methods cannot. COPD-SGs should seek to maximise these collective benefits by rediscovering their cultural and artistic heritage within the national and global Arts in Health (AiH) movement, which has long emphasised the radical creative and healing power of group activity.

scholarly journals Utilising Mood Boards as an Image Elicitation Tool in Qualitative Research

2021 ◽  
pp. 136078042199348
Author(s):  
Simon Spawforth-Jones
Keyword(s):  
Qualitative Research ◽  
Data Collection ◽  
Critical Appraisal ◽  
Research Projects ◽  
Research Project ◽  
Collection Method ◽  
Visual Method ◽  
Data Collection Method ◽  
Elicitation Methods ◽  
And Gender

The use of image elicitation methods has been recognised in qualitative research for some time; however, the use of mood boards to prompt participant discussion is currently an under-researched area. This article explores the use of mood boards as a data collection method in qualitative research. Used in design disciplines mood boards allow designers to interpret and communicate complex or abstract aspects of a design brief. In this study, I utilise mood boards as being part creative visual method and part image elicitation device. The use of mood boards is explained here in the context of a research project exploring masculinity and men’s reflexivity. In this article, I consider the benefits of utilising this method in researching reflexivity and gender before offering a critical appraisal of this method and inviting others to explore how mood boards might enhance research projects involving elicitation.

scholarly journals Learning Open Science by doing Open Science. A reflection of a qualitative research project-based seminar

2020 ◽  
Vol 36 (3) ◽  
pp. 263-279
Author(s):  
Isabel Steinhardt
Keyword(s):  
Qualitative Research ◽  
Open Source ◽  
Knowledge Society ◽  
Open Data ◽  
Open Science ◽  
Research Project ◽  
Science Practices ◽  
Bachelor's Degrees ◽  
Participatory Technologies ◽  
Digital Knowledge

Openness in science and education is increasing in importance within the digital knowledge society. So far, less attention has been paid to teaching Open Science in bachelor’s degrees or in qualitative methods. Therefore, the aim of this article is to use a seminar example to explore what Open Science practices can be taught in qualitative research and how digital tools can be involved. The seminar focused on the following practices: Open data practices, the practice of using the free and open source tool “Collaborative online Interpretation, the practice of participating, cooperating, collaborating and contributing through participatory technologies and in social (based) networks. To learn Open Science practices, the students were involved in a qualitative research project about “Use of digital technologies for the study and habitus of students”. The study shows the practices of Open Data are easy to teach, whereas the use of free and open source tools and participatory technologies for collaboration, participation, cooperation and contribution is more difficult. In addition, a cultural shift would have to take place within German universities to promote Open Science practices in general.

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