IPCHS. Integrated People-Centred Health Services

Contents

Contents tagged: communication

March 28, 2016 Europe Publication

Joining Up Care Where We Live

In April 2015 the charity Access Dorset published a video titled “Joining Up Care Where We Live”, in which citizens and patients are interviewed about their experiences with care coordination. Some respondents felt that care coordination still needs to improve. For example, according to a member of the Lypoedema and Lymphoedema Support Group, "the hospitals don't talk to the GPs" . According to a passer-by interviewed on the street, the “most unnerving thing” for a patient going to the hospital is to be asked: “So why are you here?”. On the other hand, one respondent who has a heart defect recalled a good example of care coordination. After an echocardiogram, the hospital informed her GP about the results and the GP called her to explain that her medication needed to be adjusted. With her consent, the GP immediately sent the prescription to the chemist. The video also focuses on two ...

March 28, 2016 Europe Multimedia

Joining Up Care Where We Live

In April 2015 the charity Access Dorset published a video titled “Joining Up Care Where We Live”, in which citizens and patients are interviewed about their experiences with care coordination. Some respondents felt that care coordination still needs to improve. For example, according to a member of the Lypoedema and Lymphoedema Support Group, "the hospitals don't talk to the GPs" . According to a passer-by interviewed on the street, the “most unnerving thing” for a patient going to the hospital is to be asked: “So why are you here?”. On the other hand, one respondent who has a heart defect recalled a good example of care coordination. After an echocardiogram, the hospital informed her GP about the results and the GP called her to explain that her medication needed to be adjusted. With her consent, the GP immediately sent the prescription to the chemist. The video also focuses on two ...

Feb. 13, 2017 Americas Publication

Integrating primary care providers in the care of cancer survivors: gaps in evidence and future opportunities

Since the release of the Institute of Medicine report: From cancer patient to cancer survivor: lost in transition, in 2005, there has been a national call in the USA to provide coordinated, comprehensive care for cancer survivors, with an emphasis on the role of primary care. Several models of care have been described, which focus on primary care providers (PCPs) as receiving cancer survivors who are transferred after successful treatment, and who are given specific types of information from oncology-based care (eg, survivorship care plans), and not as active members of the cancer survivorship team. They provide recommendations for education, clinical practice, research, and policy initiatives that might advance the integration of PCPs in the care of cancer survivors in diverse clinical settings.

Sept. 29, 2017 Europe Publication

Digital Technologies Supporting Person-Centered Integrated Care – A Perspective

Shared electronic health and social care records in some service systems are already showing some of the benefits of digital technology and digital data for integrating health and social care. These records are one example of the beginning "digitalisation" of services that gives a glimpse of the potential of digital technology and systems for building coordinate and individualized care. 

March 7, 2018 Europe Publication

Identification of influencing factors and strategies to improve communication between general practitioners and community nurses: a qualitative focus group study

As the number of patients with complex healthcare needs grows, inter-professionaal collaboration between primary care professionals must be constantly optimized. General practitioners (GPs) and community nurses (CNs) are key professions in primary care; however, poor GP-CN communication is common, and research into the factors influencing its quality is limited. 

Oct. 3, 2018 Western Pacific Publication

Communication Heal? Examining the Role of Patient Satisfaction and Communication Experience in China

China is facing the problem of having health care that is difficult to access. Online patient–provider communication (OPPC) may bring a new option to deliver health services. However, online communication with doctors is still novel to many people in China. Little research has been conducted to examine how OPPC could improve health outcomes. With an integrated model that incorporates social cognitive theory into the three-stage model of health promotion using interactive media, this study tested the social mechanism underlying the impact of OPPC

Oct. 4, 2018 South-East Asia Publication

Health professional-patient communication practices in East Asia: An integrative review of an emerging field of research and practice in Hong Kong, South Korea, Japan, Taiwan, and Mainland China.

There is a need to consider local culture in understanding and interpreting medical encounters in East Asia. So the aim of this study was to provide an integrative review of literature on health communication in East Asia and detail culturally-specific influences wicht highlights the need for a specific culturally-appropriate model of health communication in East Asia which may significantly improve relationships between clinicians and patients.

Oct. 23, 2019 Africa Publication

Community Health Workers Improve Linkage to Hypertension Care in Western Kenya

Elevated blood pressure (BP) is the leading global risk factor for mortality. Delay in seeking hypertension care is associated with increased mortality.

The aim of this study investigated whether community health workers, equipped with behavioral communication strategies and smartphone technology, can increase linkage of individuals with elevated BP to a hypertension care program in western Kenya and significantly reduce BP.

Nov. 21, 2019 Global Publication

Patient-Centered Care: An Examination of Provider–Patient Communication Over Time

The aim was to examine the quality of provider communication over time considering the increasing emphasis on patient-centered care (PCC). Patient-centered care has been shown to have a positive impact on health outcomes, care experiences, quality-of-life, as well as decreased costs. Given this emphasis, it expect that provider–patient communication has improved over time.

Dec. 6, 2019 Americas Publication

Implementation of Off-Site Integrated Care for Children: A Scoping Review.

As an alternative to co-located integrated care, off-site integration (partnerships between primary care and non-embedded specialty mental health providers) can address the growing need for pediatric mental health services. The goal of this study was to review the existing literature on implementing off-site pediatric integrated care

April 17, 2020 Western Pacific Publication

Communication and Coordination Processes Supporting Integrated Transitional Care: Australian Healthcare Practitioners’ Perspectives

Although a large body of research has identified effective models of transitional care, questions remain about the optimal translation of this knowledge into practice. In Australia, the introduction of a model of consumer-directed care uniquely challenges the practice of integrated care transitions for older adults. This study aimed to identify strengths and weaknesses in transitional care for older adults in an Australian setting by describing healthcare practitioners’ experiences of care provision.

June 10, 2020 Americas Publication

Exploring Patient-Reported Barriers to Advance Care Planning in Family Practice

Although patient-centred care has become increasingly important across all medical specialties, when it comes to end of life care, research has shown that treatments ordered are not often concordant with people's expressed preferences. Patient and family engagement in Advance Care Planning (ACP) in the primary care setting could improve the concordance between patients' wishes and the healthcare received when patients cannot speak for themselves. 

July 6, 2020 Europe Event

Care during and beyond the COVID-19 Crisis: Workforce Capacity and Capability

Health and care workers are our greatest asset, working alongside family carers, community partners and local networks of support. However, without reforms, sustaining the workforce is also one of our greatest challenges. Core competencies for integrated care are highly relational: patient advocacy, communication, interdisciplinary working, people-centred care, and continuous learning. Leading and managing transformational change is a collective responsibility and sustainable improvements will only take place if a flexible approach to driving the change is embedded. Enabling individuals and the system to be their own change agents will create an environment that can effectively respond to the continuous evolution of communities and populations alongside being able to harness the potential of innovations and new ways of working. The current pandemic has stretched our workforce beyond what we could have imagined. They have stepped up by extending scope of practice, blurring roles to support each other, and rapidly acquiring new caring ...

Nov. 5, 2020 Europe Multimedia

ValueCare: Cork/Kerry Pilot Site

 
In Ireland, the ValueCare project focuses on co-designing a digital solution to help older people (≥75) experiencing mild to moderate frailty to live independently in their homes. The technology will foster regular communication between older people in the relevant organisations (primary, secondary and social care) with technology enabled data sharing & common data sets can improve flow and information exchange. Older people will access the VALUECARE integrated care pathway via referral from primary care, the emergency department, the acute medical unit or the public health nurse. The care coordinator will develop the following 4 components; case finding; needs assessment; care planning and care co-ordination.
 
For more information on the ValueCare project visit https://projectvaluecare.eu/

Nov. 18, 2020 Europe Publication

“It’s Difficult, There’s No Formula”: Qualitative Study of Stroke Related Communication Between Primary and Secondary Healthcare Professionals

The proportion of people living with stroke is growing. In England, National Institute for Health and Care Excellence (NICE) Guidelines for stroke recommend that a person with suspected or confirmed stroke event is admitted to a specialist stroke unit, in order to receive required treatment promptly. Stroke rehabilitation follows, which involves providing stroke survivors with support and treatment from a multidisciplinary rehabilitation team. Stroke survivors’ transition from acute settings to rehabilitation can take place either in hospital, at home or the community.

One model of care is Early Supported Discharge (ESD), which offers community-based health and social care as an alternative to inpatient care. NICE recommend that transfers of care from hospital to community should include all pertinent health and social care information, given to relevant health and social care professionals and patients promptly.Long-term care led by generalists in the community is recommended and stroke survivors are encouraged to ...

Nov. 23, 2020 Europe Publication

Finding the Person in Electronic Health Records. A Mixed-methods Analysis of Person-centered Content and Language

The co-creation and sharing of documentation of person-centered care is important, but challenging in clinical practice. Online access to health records is considered essential to increase patient participation and empowerment in person-centered care provision.

The aims of this study were (1) to identify the extent of person-centered content in medical inpatient records and discharge letters; (2) to describe the characteristics of the language and rhetoric used in discharge letters.

Established norms for documentation in healthcare are a barrier to person-centered documentation. Patients’ needs and preferences about documentation should be explored to increase understanding of how person-centered documentation can be achieved in clinical practice.

Jan. 28, 2021 Europe Publication

Patient engagement, autonomy, access to mental care services – the case for integrated care in Crete

Access to comprehensive primary care (PC) services is imperative to address the complex biopsychosocial needs of patients with mental illness and their families, while it holds the potential to safeguard mental health and enhance resilience in communities. Integration of mental health and social care services in primary care has not yet been achieved, while access to such services for the mentally ill is still hindered by patient-, provider- and system-oriented barriers. Improving service integration, quality and access requires active engagement of patients and families in the design and planning of services.

Interprofessional collaboration, interdisciplinary approaches and sound deliberative processes are only the start of initiating discussions to establish the needs of local communities. Mapping care paths, involving stakeholders and engaging in practice-based research are impeded by the organisation and design of care provision, including siloed processes and semantic ambiguity in establishing common ground. Academic centres ought to act as hubs ...

April 24, 2021 Europe Publication

Barriers and Facilitators in the Uptake of Integrated Care Pathways for Older Patients by Healthcare Professionals: A Qualitative Analysis of the French National “Health Pathway of Seniors for Preserved Autonomy” Pilot Program

Integrated care is a particularly promising approach in geriatrics – a field in which the medical, psychological and social issues are often complex. The uptake of integrated care by healthcare professionals is essential but varies markedly.

The objective of the present study of healthcare professionals was to identify barriers to and facilitators of commitment to integrated care for seniors.

 

Oct. 28, 2021 Global Publication

Managing clinical uncertainty in older people towards the end of life: a systematic review of person-centred tools

Older people with multi-morbidities commonly experience an uncertain illness trajectory. Clinical uncertainty is challenging to manage, with risk of poor outcomes. Person-centred care is essential to align care and treatment with patient priorities and wishes. Use of evidence-based tools may support person-centred management of clinical uncertainty. We aimed to develop a logic model of person-centred evidence-based tools to manage clinical uncertainty in older people.

Dec. 10, 2021 Europe Publication

Short Communication: Opportunities and Challenges for Early Person-Centered Care for Older Patients in Emergency Settings

The provision of person-centered care (PCC) for older adults in emergency settings is important. This short communication explores the complexity of providing comprehensive PCC for older adults in emergency settings, based on a synthesis of existing literature and empirical data from a small-scale case study on the potential of improving patient engagement in a Danish emergency department (ED). Our findings highlight overall positive attitudes towards PCC, as patient engagement is perceived as important and feasible during the waiting hours that older patients experience.