Neurosurgical practice and health care reform: moving toward quality-based health care delivery

2013 ◽  
Vol 34 (1) ◽  
pp. E1 ◽  
Author(s):  
Rachel F. Groman ◽  
Koryn Y. Rubin
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Physician Patient Relationship ◽  
Patient Centered ◽  
Patient Protection ◽  
The Us ◽  
Us Government ◽  
Centered Care ◽  
The Cost

In an effort to rein in spending and improve patient outcomes, the US government and the private sector have adopted a number of policies over the last decade that hold health care professionals increasingly accountable for the cost and quality of the care they provide. A major driver of these efforts is the Patient Protection and Affordable Care Act of 2010 (ACA or Pub.L. 111–148), which aims to change the US health care system from one that rewards quantity to one that rewards better value through the use of performance measurement. However, for this strategy to succeed in raising the bar on quality and efficiency, it will require the development of more standardized and accurate methods of data collection and further streamlined federal regulations that encourage enhanced patient-centered care instead of creating additional burdens that interfere with the physician-patient relationship.

scholarly journals Unique Challenges for Otolaryngology Patients During the COVID-19 Pandemic

2020 ◽  
pp. 019459982095483
Author(s):  
Melissa Ghulam-Smith ◽  
Yeyoon Choi ◽  
Heather Edwards ◽  
Jessica R. Levi
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Intimate Contact ◽  
Respiratory Mucosa ◽  
Increased Risk ◽  
Centered Care ◽  
Upper Respiratory

The coronavirus disease 2019 (COVID-19) pandemic has drastically altered health care delivery and utilization. The field of otolaryngology in particular has faced distinct challenges and an increased risk of transmission as day-to-day procedures involve intimate contact with a highly infectious upper respiratory mucosa. While the difficulties for physicians have been thoroughly discussed, the unique challenges of patients have yet to be considered. In this article, we present challenges for patients of otolaryngology that warrant thoughtful consideration and propose solutions to address these challenges to maintain patient-centered care both during and in the aftermath of the COVID-19 pandemic.

scholarly journals Instilling the core concept of inter professional education

1970 ◽  
Vol 9 (3) ◽  
pp. 201-206
Author(s):  
S Bhattacharya ◽  
SK Bhattacharya ◽  
AP Gautam
Keyword(s):  
Health Care ◽  
Health Professional ◽  
Health Care Providers ◽  
Professional Education ◽  
Care Delivery ◽  
Care Providers ◽  
Patient Centered ◽  
Innovative Teaching ◽  
Centered Care ◽  
Teaching Learning

The Inter Professional Education (IPE) is an innovative teaching learning intervention in Health Professions’ Education during which members of more than one health profession learn interactively together to improve collaborative practice and/health of the patients. Thus this approach provides positive outcomes for students enhancing their awareness towards other professional groups, improving knowledge and understanding of how to work in an inter professional team and strengthening their communication and collaboration skills. Within the hierarchical nature of many clinical settings, the aims of IPE courses intersect with socialization of health professional (HP) students into roles of responsibility and authority. The IPE in HP courses emphasizes the practice of frequent high quality communication, strong relationships and partnerships among health care providers to maximize the quality of care thus improving the efficiency of care thereby improving clinical outcomes. Health Professional Schools are this motivated to opt for inter professional education to improve the learning of the students, health care delivery and patient outcomes. Keywords: Inter professional relations; patient centered care; education DOI: http://dx.doi.org/10.3126/hren.v9i3.5591   HR 2011; 9(3): 201-206

An Integrative Approach to Abdominal Pain

2019 ◽  
pp. 339-362
Author(s):  
Marika Alois ◽  
Terry Kit Selfe ◽  
Irene M. Estores
Keyword(s):  
Health Care ◽  
Abdominal Pain ◽  
Health Care Professionals ◽  
Gastrointestinal Disease ◽  
Integrative Approach ◽  
Patient Centered ◽  
Integrative Health ◽  
Bowel Diseases ◽  
Centered Care ◽  
Functional Gastrointestinal Disease

This chapter discusses abdominal pain in the context of functional gastrointestinal disease (FGID) and some chronic inflammatory bowel diseases, recognizing the huge burden it places on the health care system and emotional costs to patients and health care professionals. It presents a review of several modalities that include mind–body medicine practices, natural products, botanicals, manual and movement-based therapies, and pharmaceuticals that can be used as part of an integrative health plan for patients presenting with FGID and abdominal pain. It describes an integrative approach that weaves in concepts of patient-centered care, effective communication, empathic listening, mindfulness, and evidence-informed practice.

scholarly journals Patient-centered care pathways: what does it mean? An integrative conceptual framework to meet the need of an international consensus: a qualitative systematic review protocol

2021 ◽  
Author(s):  
Jean-Baptiste Gartner ◽  
Kassim Said Abasse ◽  
Ghita Ben Zagguou ◽  
Frédéric Bergeron ◽  
Paolo Landa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Care Delivery ◽  
Care Pathway ◽  
Patient Centered Care ◽  
Patient Centered ◽  
International Consensus ◽  
Patient Journey ◽  
Centered Care ◽  
Health Care Delivery Systems

Background: Faced with increased expectations regarding the quality and safety of health care delivery systems, a number of stakeholders are increasingly looking for more qualitative and efficient ways to deliver care. This study is conducted to provide a clear definition of the patient-centered care pathway and its characteristics to meet the need for an international consensus. Methods: This qualitative systematic review aims to perform a systematic synthesis of published evidence concerning (1) the definition of the patient trajectory, patient pathway or patient journey and (2) their characteristics. With a consulting librarian, a comprehensive and systematic search in three databases was conducted (PUBMED, Embase, ABI/Inform), from 1995 to 2020 without language criteria. Eligibility criteria guiding data selection will follow the PICo mnemonic criteria consisting of (1) Population : all types of patients managed by health care delivery systems for an acute or chronic condition regardless of age or condition, (2) Phenomena : studies that contribute to the definition and conceptualization of the concepts of care trajectory, care pathway and patient journey resulting in a theoretical and conceptual contribution, and (3) Context : health care providers include all providers of primary, secondary, tertiary, and quaternary care in any geographic area. Two reviewers will independently screen, select, extract data and make a critical assessment of the methodology used with the JBI Qualitative Assessment and Review Instrument (JBI QARI).Discussion: This systematic review will provide much-needed knowledge regarding patient-centered pathways. The results will benefit clinicians, decision makers, and researchers by giving them a clear and integrated definition and understanding of the patient-centered care pathways and their characteristics to finally meet the need for an international consensus.

Models of Care

2017 ◽  
Author(s):  
Tyson Sawchuk ◽  
Joan K. Austin ◽  
Debbie Terry
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Hospital Setting ◽  
Models Of Care ◽  
Stepped Care ◽  
Patient Centered ◽  
Care Approach ◽  
Centered Care ◽  
Care Models

This chapter addresses common barriers to care delivery in psychogenic nonepileptic seizures (PNES) and limitations of current approaches. Theoretical and practical considerations in delivering PNES care are discussed. These include a stepped-care approach, which offers a strategy for efficiently managing health care resources and has promise in treatment of PNES. Patient-centered care, a general approach to providing health care services in a manner that takes into consideration the patients’ expressed needs, desires, and preferences, is also considered. Examples of care models are presented, including a pediatric model for PNES recently developed and being tested in a Canadian hospital setting. Future directions for the development of care models in PNES are discussed and a list of recommendations is provided.

scholarly journals A Brief Survey on Six Basic and Reduced eHealth Indicators in Seven Countries in 2017

2018 ◽  
Vol 09 (03) ◽  
pp. 704-713 ◽  
Author(s):  
Reinhold Haux ◽  
Elske Ammenwerth ◽  
Sabine Koch ◽  
Christoph Lehmann ◽  
Hyeoun-Ae Park ◽  
...  
Keyword(s):  
Health Care ◽  
Information Processing ◽  
Health Care Professionals ◽  
The United States ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Political Will ◽  
Record Data ◽  
Centered Care ◽  
Future Work

Background Holistic, ubiquitous support of patient-centered health care (eHealth) at all health care institutions and in patients' homes through information processing is increasingly supplementing institution-centered care. While eHealth indicators may measure the transition from institution-centered (e.g., hospital-centered) information processing to patient-centered information processing, collecting relevant and timely data for such indicators has been difficult. Objectives This article aims to design some basic eHealth indicators, which are easily collected and measure how well information processing supports holistic patient-centered health care, and to evaluate penetrance of patient-centered health as measured by the indicators internationally via an expert survey. Methods We identified six basic indicators that measure access of health care professionals, patients, and caregivers to the patient's health record data and the ability of providers, patients, and caregivers to add information in the patient's record. In a survey of international informatics experts, these indicators' penetrance were evaluated for Austria, Finland, Germany, Hong Kong, South Korea, Sweden, and the United States in the summer of 2017. Results The eHealth status measured by the indicators varied significantly between these seven countries. In Finland, most practices measured by the indicators were fully implemented whereas in Germany only one practice was partially realized. Conclusion Progress in the implementation of practices that support patient-centered care could mainly be observed in those countries where the “political will” focused on achieving patient-centered care as opposed to an emphasis on institution-centered care. The six eHealth indicators seem to be useful for measuring national progress in patient-centered care. Future work will extend the number of countries analyzed.

Cultural Health Capital

2016 ◽  
Author(s):  
Janet K. Shim ◽  
Jamie Suki Chang ◽  
Leslie A. Dubbin
Keyword(s):  
Health Care ◽  
Underserved Populations ◽  
Primary Source ◽  
The United States ◽  
Cultural Resources ◽  
Health Capital ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Patient Protection ◽  
Centered Care

The 2010 Patient Protection and Affordable Care Act promulgated a number of fundamental changes to the United States health-care system. Less visible and controversial aspects included the creation of institutions and strategies to reduce health disparities and enhance the quality and patient-centeredness of health care. In this chapter, we offer the concept of cultural health capital (CHC) as a sociological intervention for analyzing these changes aimed at making health care more patient-centered, particularly for historically underserved populations. In particular, we use the notion of CHC to illustrate how patient-centered care is accomplished or undone through complex interpersonal and interactional work that is highly dependent on access to stratified cultural resources that both patients and providers bring to health-care interactions. In so doing, we aim to contest that racism in health care is the primary source of health inequalities. Instead we argue that patients’ and providers’ cultural assets and interactional styles—themselves the product of complex social, cultural, historical, political, and economic contexts—influence their abilities to communicate with and understand one another.

scholarly journals A Review of a Historical Summit on Integrative Medicine

2010 ◽  
Vol 7 (4) ◽  
pp. 511-514 ◽  
Author(s):  
Dana Ullman
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Integrative Medicine ◽  
Health Care Financing ◽  
Scientific Basis ◽  
Patient Centered ◽  
The Public ◽  
Included Patient ◽  
The Us ◽  
Centered Care

The US Institute of Medical sponsors a “Summit on Integrative Medicine and the Health of the Public” on February 25–27, 2009. A prestigious body of speakers and attendees created a dynamic conference in which the content and discussions provided vital information for transforming the US health care system. Topics included: patient-centered care, the scientific basis of integrative medicine, health care financing reform and value-driven care, and mind-body relationships and health.

Re-humanizing Health Care

2016 ◽  
Author(s):  
Cheryl Rathert ◽  
Timothy J. Vogus ◽  
Laura McClelland
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Care Providers ◽  
Patient Centered ◽  
Early 21St Century ◽  
Current Trends ◽  
Individual Care ◽  
Centered Care ◽  
Improve Health Care Delivery ◽  
Review Current

Patient-centered care (PCC) has been a focus of health care management for many years, with emphasis ranging from the policy and health system levels to individual care at the bedside. This chapter examines the state of PCC research and practice in the early 21st Century. We discuss how PCC has been defined by scholars, practitioners, and patients. We then review current trends in the use of patient experience measures, a key focus in efforts to improve health care delivery. Conceptually, we show that an essential component of PCC is a therapeutic relationship between care provider and patient; yet, many PCC measures do not capture this. Next we review research on work environment characteristics that influence PCC. We suggest that work environments that support caring and compassion, for patients as well as for care providers, best provide a foundation upon which high quality PCC can flourish.

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