scholarly journals Crossing the Patient-Centered Divide: Transforming Health Care Quality Through Enhanced Faculty Development

2011 ◽  
Vol 86 (4) ◽  
pp. 445-452 ◽  
Author(s):  
Richard M. Frankel ◽  
Florence Eddins-Folensbee ◽  
Thomas S. Inui
Keyword(s):  
Health Care ◽  
Faculty Development ◽  
Health Care Quality ◽  
Care Quality ◽  
Patient Centered

Patient-Centered, Integrated Health Care Quality Measures Could Improve Health Literacy, Language Access, and Cultural Competence

2019 ◽  
Author(s):  
Ignatius Bau ◽  
Robert A. Logan ◽  
Christopher Dezii ◽  
Bernard Rosof ◽  
Alicia Fernandez ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Literacy ◽  
Cultural Competence ◽  
Health Care Quality ◽  
Care Quality ◽  
National Committee ◽  
Patient Centered ◽  
Organizational System ◽  
Language Access

The authors of this paper recommend the integration of health care quality improvement measures for health literacy, language access, and cultural competence. The paper also notes the importance of patient-centered and equity-based institutional performance assessments or monitoring systems. The authors support the continued use of specific measures such as assessing organizational system responses to health literacy or the actual availability of needed language access services such as qualified interpreters as part of overall efforts to maintain quality and accountability. Moreover, this paper is informed by previous recommendations from a commissioned paper provided by the National Committee for Quality Assurance (NCQA) to the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine. In the commissioned paper, NCQA explained that health literacy, language access, and cultural competence measures are siloed and need to generate results that enhance patient care improvements. The authors suggest that the integration of health literacy, language access, and cultural competence measures will provide for institutional assessment across multiple dimensions of patient vulnerabilities. With such integration, health care organizations and providers will be able to cultivate the tools needed to identify opportunities for quality improvement as well as adapt care to meet diverse patients’ complex needs. Similarly, this paper reinforces the importance of providing more “measures that matter” within clinical settings.

Impact of the Cincinnati Aligning Forces for Quality Multi-Payer Patient Centered Medical Home Pilot on Health Care Quality, Utilization, and Costs

2016 ◽  
Vol 73 (5) ◽  
pp. 532-545 ◽  
Author(s):  
Meredith B. Rosenthal ◽  
Shehnaz Alidina ◽  
Mark W. Friedberg ◽  
Sara J. Singer ◽  
Diana Eastman ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Home ◽  
Health Care Quality ◽  
Care Quality ◽  
Patient Centered Medical Home ◽  
Patient Centered

scholarly journals More Than Numbers: Discourses of Health Care Quality in Finland

SAGE Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 215824402098001
Author(s):  
Tiina J. Peltola ◽  
Hanna Tiirinki
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Patient Centered Care ◽  
Patient Reported Outcome Measures ◽  
Care Quality ◽  
Structured Interviews ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Patient Reported ◽  
Centered Care

Finnish institute for health and welfare is developing national health care quality registers for the ongoing project in 2018–2020, which covers seven disease pilot registers. This article describes professionals’ and patient associations’ cultural health care quality conceptions at developing process, reflecting to Weick’s sensemaking theory and patient-centered care. Research data ( N = 13) were collected by individual thematic semi-structured interviews from pilot registers’ professionals and patient associations. Data were analyzed using the discursive approach. Six main discourses on the shared sociocultural meanings of health care quality were constructed: confidence and reliability, information and understanding, safety and medical effectiveness, support, benchmarking and utility, and requirement and justice. Health care quality is built-in culture and action to achieve patient-centered care and is complex to define. Patient–clinician interaction, understanding, and support are constructive elements to make sense of quality registers’ necessity and data collection. The importance of Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs) measures is recognized to strengthen the patient-centeredness, which reflects to all health care decision-making, processes, and care. The data publication should be designed clearly and visually versatile. The study can offer new aspects for selecting valid quality indicators to produce comprehensive information for health care quality registers.

Digital Medicine

2017 ◽  
pp. 179-195
Author(s):  
Anastasius Moumtzoglou
Keyword(s):  
Health Care ◽  
Cultural Competence ◽  
Health Care Quality ◽  
Patient Centered Care ◽  
Care Quality ◽  
Patient Centered ◽  
Digital Medicine ◽  
Centered Care ◽  
Quality Dimensions ◽  
Patient Values

Individualizing care must take into account the diversity of patient values and perspectives while attending to the specific needs of people must take into account the multifaceted nature of culture. Digital medicine enables digital proximity and self-care, challenges the traditional paternal model of medicine, reshapes the nature and expectations of health care delivery, emphasizes the active involvement of patients and has an enormous potential to empower patients. Moreover, the concepts of bio-objects, cultural competence, and patient-centered care could be apparently thought on a continuum with one pole representing the bio-objects and the other representing one of the health care quality dimensions, patient-centered care. All-embracing, digital medicine affects the core values of cultural competence, which are shared by patient-centered care, one of the health care quality dimensions.

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