scholarly journals Let’s not blame the patient: Understanding the benefits and shortcomings of population health in orthopaedic surgery

2018 ◽  
Vol 7 (3) ◽  
pp. 49
Author(s):  
Chad Amato ◽  
Zain Sayeed ◽  
Mark Lane ◽  
Muhammad T. Padela ◽  
Enrique Feria-Arias ◽  
...  
Keyword(s):  
Population Health ◽  
Patient Centered ◽  
Management Guidelines ◽  
Preventative Measures ◽  
Health Initiatives ◽  
Centered Care ◽  
Health Studies ◽  
Large Groups ◽  
Collection Methods ◽  
Proper Balance

Population health is a concept that emerged from the desire of providers to care for patients in a manner that produces the best possible outcomes while minimizing cost. It may be defined as the study of medical data of large groups of people in order to recognize and investigate patterns. This information is then used to create disease management guidelines that streamline care and regulate practice patterns. Whereas population health looks to recognize commonalities in data, the concept of patient-centered care focuses on embracing individualization and increasing the involvement of each patient within their treatment planning. Combining both perspectives creates a challenge for providers and patients to strike the proper balance between adhering to standardized guidelines based on the treatment methods and outcomes recognized in populations and applying it clinically to individual patients. A significant contribution of population health studies is the identification of risk factors associated with increased rates of complications following total joint arthroplasty as well as preventative measures for conditions such as osteoarthritis. However, to employ these findings in a patient-centered manner orthopaedic surgeons must take this a step further and also evaluate a patient’s ability to adhere to the recommendations by exploring factors such as home environment and socioeconomic factors, thus proactively addressing issues that could hinder patient compliance. With focused collection methods of acquiring data, these two practices of care will hopefully begin to see less divergence when it comes to applying data derived from population health initiatives to individual patients in a patient-centered manner.

Patient-Centered Care and Population Health

2016 ◽  
Vol 98 (10) ◽  
pp. e40 ◽  
Author(s):  
Jared L. Harwood ◽  
Craig A. Butler ◽  
Alexandra E. Page
Keyword(s):  
Population Health ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care

Empowering Patients Through Digital Technologies

2022 ◽  
pp. 588-611
Author(s):  
Cristina Trocin ◽  
Enrica Croda
Keyword(s):  
Mobile Health ◽  
Digital Literacy ◽  
Medical Information ◽  
Information Overload ◽  
Patient Empowerment ◽  
Mobile Technologies ◽  
Patient Centered ◽  
Health Initiatives ◽  
Centered Care ◽  
Mobile Health Apps

Mobile health initiatives aim to give patients more medical information and to empower them over their medical treatments. However, information overload and lack of digital literacy may hinder patient empowerment. This chapter investigates opportunities and challenges of patient empowerment and mobile health. The authors analyze the different definitions used in the literature to characterize patient empowerment and mobile health, discussing implications for all the care actors involved. Although the adoption rate of mobile technologies is at its infant stage and challenges still outweigh the benefits of patient empowerment, mobile health apps can foster the progress towards patient-centered care.

scholarly journals Patient-centered care – transforming the healthcare system in Vietnam with support of digital health technology (Preprint)

2020 ◽  
Author(s):  
Thu Ha Dang ◽  
Tuan Anh Nguyen ◽  
Minh Van Hoang ◽  
Olinda Santin ◽  
Oanh Mai Thi Tran ◽  
...  
Keyword(s):  
Healthcare System ◽  
Digital Health ◽  
Patient Centered Care ◽  
Clinical Practices ◽  
Patient Centered ◽  
Term Care ◽  
Integrated Healthcare ◽  
Healthcare Needs ◽  
Health Initiatives ◽  
Centered Care

BACKGROUND Over the last several decades, Vietnam has attained remarkable achievements in all areas of the healthcare system. However, shortcomings including health disparities persist. Besides, the country is undergoing a dramatic demographic transition with a steady growth of the population that is rapidly ageing. This has resulted in a shift in the disease burden from communicable to non-communicable diseases, such as dementia, cancer and diabetes. These medical conditions require long-term care that causes an accelerating crisis for the health sector and society. The current healthcare system in Vietnam is unlikely to cope with these challenges. OBJECTIVE The aim of this paper was to provide an analysis of the current healthcare situation in Vietnam and explore the opportunities and challenges in transforming toward a patient-centered care model to produce better health for people and reduce healthcare costs. METHODS We examine the applicability of a personalised and integrated healthcare system, known as Bespoke healthcare (BHS), for Vietnam using a Strength – Weakness – Opportunity – Threat (SWOT) analysis and examining the successes or failures of digital healthcare innovations in Vietnam. We then make suggestions for successful adoption of the BHS model in Vietnam. RESULTS Patient-centered care of the BHS empowers patients to become active participants in their own healthcare. Vietnam has tremendous potential and favorable policy, social, technological and economic environment for the transition of its healthcare system toward the BHS model. Nevertheless, the country is in an early stage of healthcare digitalisation. The legal and regulatory system to protect patient privacy and information security is still lacking. The readiness to implement electronic medical records – a core element of the BHS, varies across health providers and clinical practices. The scarcity of empirical evidence and evaluation regarding the effectiveness and sustainability of digital health initiatives is an obstacle for Vietnamese government in policymaking, development and implementation of healthcare digitalisation. CONCLUSIONS Implementing personalised and integrated healthcare system may help Vietnam to address healthcare needs, reduce pressure on the healthcare system and society, improve healthcare delivery and promote health equity. However, in order to adopt the patient-centered care system and digitalised healthcare, a whole-system approach in transformation and operation with a co-design in the whole span of digital health initiatives’ developing process are necessary.

Empowering Patients Through Digital Technologies

2020 ◽  
pp. 34-57
Author(s):  
Cristina Trocin ◽  
Enrica Croda
Keyword(s):  
Mobile Health ◽  
Digital Literacy ◽  
Medical Information ◽  
Information Overload ◽  
Patient Empowerment ◽  
Mobile Technologies ◽  
Patient Centered ◽  
Health Initiatives ◽  
Centered Care ◽  
Mobile Health Apps

Mobile health initiatives aim to give patients more medical information and to empower them over their medical treatments. However, information overload and lack of digital literacy may hinder patient empowerment. This chapter investigates opportunities and challenges of patient empowerment and mobile health. The authors analyze the different definitions used in the literature to characterize patient empowerment and mobile health, discussing implications for all the care actors involved. Although the adoption rate of mobile technologies is at its infant stage and challenges still outweigh the benefits of patient empowerment, mobile health apps can foster the progress towards patient-centered care.

The Role of Shared Decision-Making in Audiologic Rehabilitation

2014 ◽  
Vol 21 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Helen Pryce ◽  
Amanda Hall
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Behavior Changes ◽  
Shared Decision ◽  
Patient Centered ◽  
Treatment Information ◽  
Centered Care ◽  
Potential Risks ◽  
Audiologic Rehabilitation

Shared decision-making (SDM), a component of patient-centered care, is the process in which the clinician and patient both participate in decision-making about treatment; information is shared between the parties and both agree with the decision. Shared decision-making is appropriate for health care conditions in which there is more than one evidence-based treatment or management option that have different benefits and risks. The patient's involvement ensures that the decisions regarding treatment are sensitive to the patient's values and preferences. Audiologic rehabilitation requires substantial behavior changes on the part of patients and includes benefits to their communication as well as compromises and potential risks. This article identifies the importance of shared decision-making in audiologic rehabilitation and the changes required to implement it effectively.

Principles of Solution Focused Therapy and Their Application to Audiology

2014 ◽  
Vol 15 (1) ◽  
pp. 27-33
Author(s):  
James C. Blair
Keyword(s):  
Basic Assumption ◽  
Current Practice ◽  
Helping Professions ◽  
Patient Centered ◽  
Therapy Approach ◽  
Agents Of Change ◽  
Centered Care ◽  
Client Centered Therapy ◽  
Solution Focused ◽  
Solution Focused Therapy

The concept of client-centered therapy (Rogers, 1951) has influenced many professions to refocus their treatment of clients from assessment outcomes to the person who uses the information from this assessment. The term adopted for use in the professions of Communication Sciences and Disorders and encouraged by The American Speech-Language-Hearing Association (ASHA) is patient-centered care, with the goal of helping professions, like audiology, focus more centrally on the patient. The purpose of this paper is to examine some of the principles used in a patient-centered therapy approach first described by de Shazer (1985) named Solution-Focused Therapy and how these principles might apply to the practice of audiology. The basic assumption behind this model is that people are the agents of change and the professional is there to help guide and enable clients to make the change the client wants to make. This model then is focused on solutions, not on the problems. It is postulated that by using the assumptions in this model audiologists will be more effective in a shorter time than current practice may allow.

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