scholarly journals ‘Spending the day with your Family Health Team’: rapid ethnography of a patient-centred quality improvement event

BJGP Open ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. bjgpopen20X101002
Author(s):  
Katie N Dainty ◽  
Tara Kiran
Keyword(s):  
Quality Improvement ◽  
Public Engagement ◽  
Patient Engagement ◽  
Family Health ◽  
Citizen Engagement ◽  
Patient Role ◽  
Health Team ◽  
Patient And Public Engagement ◽  
Family Health Team ◽  
The Impact

BackgroundPrimary care practices have started to explore different methods of engaging with patients to advance quality improvement. This approach leverages the strengths of citizen engagement; however, there has been a lack of empirical research to understand the impact of such an approach from the patient perspective.AimTo understand how citizen engagement can inform quality improvement in family practice.Design & settingA single-centre, rapid ethnographic evaluation of a patient engagement event.MethodTen thousand email invitations were sent and posters put up in Family Health Team (FHT) waiting rooms, resulting in 350 patient responses and the purposive recruitment of 36 participants. Observation and key informant interviews were used to collect data. The data corpus was analysed according to ethnographically-informed thematic analysis techniques.ResultsAnalysis of the full set of field notes, patient interviews, and informal conversations with the FHT staff revealed three factors that impacted on the success of the patient engagement event: setting the stage, the power of storytelling, and the value of reframing the patient role.ConclusionThe present study highlights three components of patient and public engagement approaches — the importance of setting the proper stage, storytelling as a tool, and reframing the patient role in healthcare delivery — which may provide useful guidance to those considering similar patient and public engagement events.

scholarly journals Evaluation of the McMaster Family Health Team: results and practical implications for quality improvement

2018 ◽  
Vol 7 (4) ◽  
pp. e000259
Author(s):  
Laila Nasser ◽  
Alix Stosic ◽  
David Price
Keyword(s):  
Quality Improvement ◽  
Performance Metrics ◽  
Family Health ◽  
Data Availability ◽  
System Level ◽  
Health Team ◽  
Measurement Framework ◽  
Practice Performance ◽  
Starting Point ◽  
Family Health Team

PurposeTo evaluate the McMaster Family Health Team (MFHT) as part of a Continuous Quality Improvement initiative using a set of provincial performance metrics to demonstrate which measures of assessment are actually clinically meaningful in context and where system-level changes might be implemented to improve operational practice.MethodsMeasures were selected from the Primary Care Performance Measurement Framework based on data availability for the MFHT and provincial comparators. The measures explored in this paper are those that were deemed to have actionable properties. Data were extracted from billing reports, electronic medical records and information collated for the Association of Family Health Teams of Ontario Data to Decisions database. Metrics were then examined to demonstrate the importance of interpretation in clinical context.ConclusionsQuantitative assessment of performance based on standardised measures is a suitable starting point when evaluating a practice, however it is not appropriate as a stand-alone report card of practice performance. Rather, quantitative measures must be of clinical relevance and applicable to the patient populations of interest in order to create conversation and impact change. Thus, the focus of quality improvement should not be to improve numbers relating to efficiency, patient satisfaction and continuity of care, but rather to determine what drives those numbers and how changes might be made at a system or practice level that will optimise clinician buy-in.

scholarly journals Participation and social control: perception of family health workers

2013 ◽  
Vol 22 (1) ◽  
pp. 89-96 ◽  
Author(s):  
Jacks Soratto ◽  
Regina Rigatto Witt
Keyword(s):  
Social Control ◽  
Health Workers ◽  
Family Health ◽  
Disease Monitoring ◽  
Health Team ◽  
The Family ◽  
Local Contribution ◽  
Family Health Team ◽  
Health And Disease ◽  
Health Model

This is a qualitative, exploratory-descriptive study that aimed at analyzing the perceptions of a family health team regarding participation and social control in health. The study was developed with workers of a Family Health Team in southern Santa Catarina. Data were collected using the Sensitive Creative Method and analyzed through the process of thematic content analysis. Regarding participation in health, two empirical categories were identified: passive participant in health; and dialogical process as participation in the Family Health Team. As for social control in health, the categories identified were: institutionalized space as a social control in health; and disease monitoring as social control in health. The results showed perceptions related to the reflections on the health model and others that indicate the possibility of advancements in the discussions with local contribution for participation and social control in health.

scholarly journals MULTIPROFESSIONAL CARE TO MENTAL DISORDER PATIENTS UNDER THE PERSPECTIVE OF THE FAMILY HEALTH TEAM

2013 ◽  
Vol 5 (2) ◽  
pp. 3549-3557 ◽  
Author(s):  
João Andrade ◽  
Carlos Rodrigues ◽  
Adson Carvalho ◽  
Danilo Mendes ◽  
Maísa Leite
Keyword(s):  
Mental Disorder ◽  
Family Health ◽  
Health Team ◽  
The Family ◽  
Family Health Team

scholarly journals The Impact of a Primary Care, Pharmacist-Driven Intervention in Patients with Chronic Non-Cancer Pain—A Pilot Study

Pharmacy ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 113
Author(s):  
Mo Chen ◽  
Tejal Patel ◽  
Feng Chang
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Chronic Pain ◽  
Cancer Pain ◽  
Family Health ◽  
Primary Care Settings ◽  
Pain Intervention ◽  
Family Health Team ◽  
The Impact

Background: Chronic pain is a prevalent condition, experienced by 15.3% to 55% of Canadians, that is difficult to manage. With their broad accessibility and expertise on drugs, primary care pharmacists can help patients optimize their pain management. Methods: The objective of this study is to examine the effectiveness of a primary care, pharmacist-driven chronic pain intervention on pain and quality of life in patients with chronic non-cancer pain. A three-month naturalistic prospective study was conducted in primary care settings (five community pharmacies and one Family Health Team) across Ontario, Canada with a total of six pharmacists and 19 study participants. The primary care, pharmacist-driven chronic pain intervention consisted of patient assessments, medication reviews, care plan recommendations, and patient education. In order to evaluate the effectiveness of the intervention, pain intensity, pain interference, and quality of life were evaluated at baseline and at follow up (week 2 and month 3). Results: Trends towards improvement in pain and quality of life were found, however, these improvements were not statistically significant at follow up (month 3). Conclusions: This study provides the foundational research required to better understand the impact of Ontario pharmacists’ extended role in pain management in non-cancer patients within multiple primary care settings (e.g., Family Health Team, etc.) and has illustrated the importance of modifying and customizing care plans in patients with chronic pain. A larger sample size with tailored outcome measures may be necessary to better highlight significant improvements in pain and quality of life in patients with chronic non-cancer pain using a primary care, pharmacist-driven intervention.

scholarly journals Perception of healthcare professionals regarding primary interventions: preventing domestic violence

2015 ◽  
Vol 24 (2) ◽  
pp. 424-431 ◽  
Author(s):  
Adriane Maria Netto de Oliveira ◽  
Letícia Amico Marques ◽  
Priscila Arruda da Silva ◽  
Rodrigo Cavalli Prestes ◽  
Heitor Silva Biondi ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Violence Prevention ◽  
Primary Healthcare ◽  
Healthcare Professionals ◽  
Family Health ◽  
Structured Interviews ◽  
Health Team ◽  
Family Health Team ◽  
Exploratory Data ◽  
Violence Prevention Program

The purpose of the study was to learn about the perception of Family Health Team professionals from the Violence Prevention Program regarding primary interventions to prevent domestic violence. The study was linked to the research "Primary and secondary intervention in domestic violence from the perspective of primary healthcare professionals". The approach of this research was qualitative and exploratory. Data were collected from semi-structured interviews. The participants were four nurses and four physicians. Three categories emerged in the analysis of the theme: knowledge of primary interventions to prevent violence; execution of primary intervention actions to prevent violence - ease and difficulties; and acknowledgement of the importance of primary interventions and the care provided. The professionals were previously aware of the main primary interventions, and some were already taking place in the multidisciplinary work.

Strategies for Family Health Team Leadership: Lessons Learned by Successful Teams

2010 ◽  
Vol 13 (3) ◽  
pp. 39-43 ◽  
Author(s):  
Nick Ragaz ◽  
Aaron Berk ◽  
David Ford ◽  
Matthew Morgan
Keyword(s):  
Family Health ◽  
Team Leadership ◽  
Lessons Learned ◽  
Health Team ◽  
Family Health Team ◽  
Leadership Lessons

Physical activity as medicine among family health teams: an environmental scan of physical activity services in an interdisciplinary primary care setting

2015 ◽  
Vol 40 (3) ◽  
pp. 302-305 ◽  
Author(s):  
Cameron Moore ◽  
Joseph Lee ◽  
James Milligan ◽  
Lora Giangregorio
Keyword(s):  
Physical Activity ◽  
Care Setting ◽  
Primary Care Setting ◽  
Family Health ◽  
Target Population ◽  
Health Team ◽  
Environmental Scan ◽  
Healthcare Model ◽  
Family Health Team ◽  
The Individual

A Family Health Team (FHT) is a multi-disciplinary primary healthcare model that may be an ideal setting to engage patients in physical activity. An environmental scan was conducted to determine the prevalence and characteristics of physical activity services offered by FHTs in Ontario. Of the 186 FHTs, 102 (55%) completed the survey. Almost 60% of responding FHTs offered a physical activity service; however, the availability, duration, size, and target population of the services varied depending on the individual FHT.

scholarly journals Partnering to develop resilience in health professionals and faculty through mindfulness-based education

2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Andrea Nadine Frolic ◽  
Elaine Principi ◽  
Alan Taniguichi ◽  
Ken Burgess ◽  
Valerie Spironello ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Role Models ◽  
Clinical Care ◽  
Family Health ◽  
Health Sciences ◽  
Term Care ◽  
Health Team ◽  
Ability To Act ◽  
Family Health Team

Given the pressures that exist in our health care system, health care professionals often are under significant stress to provide both quality clinical care to patients and quality teaching to their learners. We present an innovative program to develop faculty and health professional  skills in reflective practice and resilience, which strengthen participants' ability to act as effective clinicians, educators, role models, and leaders. The basis of the curriculum  rests in the neuroscience of mindfulness  and its applications. This program was enabled through a unique partnership between acute care hospitals (Hamilton Health Sciences and St Joseph's Healthcare Hamilton), Family Health Teams (McMaster Family Health Team and Hamilton Family Health Team) and the McMaster Faculty of Health Sciences Program for Faculty Development (PFD), with additional funding support in 2013 from the Ontario Ministry of Health and Long Term Care (MOH-LTC). Data from 2013 course participants (validated measurement  tools and qualitative feedback) was analyzed to evaluate the effectiveness of this initiative. This poster outlines the journey of this work and a summary of the data gathered to inform further education. 

scholarly journals The perception of the family health team concerning their support to breastfeeding

Rev Rene ◽  
2014 ◽  
Vol 15 (4) ◽  
Author(s):  
Monika Wernet ◽  
Márcia Regina Cangiani Fabbro ◽  
Karina Rumi de Moura ◽  
Daniela Aparecida Salgado Targino ◽  
Viviane Pompeu ◽  
...  
Keyword(s):  
Family Health ◽  
Health Team ◽  
The Family ◽  
Family Health Team
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