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.

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.

scholarly journals An Infusion Model for Including Content on Elders with Chronic Illness in the Curriculum

10.18060/105 ◽  
2000 ◽  
Vol 1 (1) ◽  
pp. 93-105 ◽  
Author(s):  
Sherry M. Cummings ◽  
Nancy P. Knopf
Keyword(s):  
Older Adults ◽  
Mental Illness ◽  
Chronic Illness ◽  
General Population ◽  
Service Delivery ◽  
Older People ◽  
Chronic Mental Illness ◽  
Care Provision

Older people with chronic mental illness (CMI) are experiencing longer life expectancies that parallel those of the general population. Due to their experience of having CMI, these older adults present unique issues that affect service delivery and care provision. Content on this population is often omitted in the curriculum, which leaves students unprepared to practice with these clients. This article proposes an infusion model that can be used in baccalaureate or graduate foundation courses to increase exposure to elders with CMI.

scholarly journals Modifying the PACIC to assess provision of chronic illness care: An exploratory study with primary health care nurses

2010 ◽  
Vol 2 (2) ◽  
pp. 118 ◽  
Author(s):  
Jenny Carryer ◽  
Claire Budge ◽  
Chiquita Hansen ◽  
Katherine Gibbs
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Chronic Illness ◽  
Care Delivery ◽  
Self Management ◽  
Chronic Illness Care ◽  
Management Support ◽  
Primary Health ◽  
Health Practitioners ◽  
Primary Health Care Nurses

INTRODUCTION: In line with Wagner’s Chronic Care Model, the Patient Assessment of Chronic Illness Care (PACIC) has been developed to evaluate chronic illness care delivery from the patient's perspective. Modification of the instrument to assess the same aspects of care delivery from the health practitioner’s perspective would enable individual practitioners to evaluate their own provision of self-management support, and would also enable a more direct comparison between care provided and care received within the chronic illness context. AIM: To explore the potential of a modified PACIC instrument to assess individual health practitioners’ delivery of care to chronic illness patients with a sample of primary health care nurses. METHODS: Seventy-seven primary care nurses completed the modified PACIC, reworded to ask about care provision rather than receipt of care. An additional seven cultural sensitivity items were included, as were questions about the suitability of the types of chronic illness care and who should be providing the care. RESULTS: The modified PACIC items appear to be appropriate for use with health practitioners. Agreement that the types of care described in the PACIC should be provided was almost unanimous, and the predominant view was that self-management support should be provided by both nurses and doctors. Mean scale scores were higher than those generally reported from studies using the PACIC. DISCUSSION: The results of this first evaluation of a modified PACIC suggest that the original items plus the cultural sensitivity items can be used to assess self-management support by individual health practitioners. KEYWORDS: Chronic illness; self-management; primary health care, nurses

Ensuring Services for Persons With Chronic Mental Illness Under National Health Care Reform

1993 ◽  
Vol 44 (6) ◽  
pp. 545-546
Author(s):  
H. Richard Lamb ◽  
Stephen M. Goldfinger ◽  
David Greenfeld ◽  
Kenneth Minkoff ◽  
John C. Nemiah ◽  
...  
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Health Care Reform ◽  
National Health ◽  
Chronic Mental Illness ◽  
National Health Care

Review of Resident's Guide to Treatment of People with Chronic Mental Illness.

1993 ◽  
Vol 38 (12) ◽  
pp. 1337-1337
Author(s):  
Terri Gullickson ◽  
Pamela Ramser
Keyword(s):  
Mental Illness ◽  
Chronic Mental Illness

Social Networks and Chronic Mental Illness: A Test of Four Perspectives

1997 ◽  
Vol 44 (2) ◽  
pp. 200-216 ◽  
Author(s):  
Sarah Rosenfield ◽  
Suzanne Wenzel
Keyword(s):  
Social Networks ◽  
Mental Illness ◽  
Chronic Mental Illness
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