IPCHS. Integrated People-Centred Health Services

Contents

Contents tagged: hospitals

June 15, 2020

Integrated delivery and continuity of care in times of crisis

Ensuring continuity of care in response to the Covid-19 crisis has been a key issue for public health and social care services across Europe. Whilst the implementation of local partnerships for integrated care delivery have been identified as a success factor, in many cases the reality on the ground has been one of a fragmented market. One, where providers of home care, residential care and supported living have been under pressure due to the lack of protective equipment, the fear of infection, and a reduction in the number of professionals.

Still a fragmented un-resourced system

In light of the Covid-19 crisis, care services have been reaping a bitter harvest of years of failure to invest adequately in public health and social care systems. While older people’s care services have been affected across Europe, the situation has been particularly difficult in two countries: the UK and Spain.

In Spain, the ...

May 25, 2020 Europe Publication

Impact Assessment of an Innovative Integrated Care Model for Older Complex Patients with Multimorbidity: The CareWell Project

In aging populations, multimorbidity (two or more chronic diseases in the same person) is very common. Patients with multimorbidity have complex health and social needs, are at risk of being admitted to the hospital or residential care home and require a wide range of interventions.

To satisfy the needs of these patients and their families, new innovative integrated care models are needed. To be effective, they should have primary care as the cornerstone of care, effective integration between care levels, empower patient and carers/families, and should be patient-centered. The use of information and communication technology (ICT) platforms could facilitate and improve communication promoting patient empowerment and home support. This innovative interoperability should increase effectiveness, efficiency, and equity.

The aim of the CareWell project was to implement and to assess the effectiveness of an integrated care program based on the coordination between health providers, home-based care, and patient empowerment, supported ...

March 6, 2020 Europe Publication

Providing person-centred care for people with multiple chronic conditions: protocol for a qualitative study incorporating client and staff perspectives

Chronic conditions are associated with over one-third of potentially avoidable hospitalisations. Integrated care programmes aim to help people with chronic conditions to self-manage their health, thus avoiding hospital admissions. While founded on principles of person-centred care, the experiences of people with multiple chronic conditions in integrated care programmes are not widely known. This study explores how person-centred care is incorporated into an integrated care programme for people with multiple chronic conditions.

Jan. 28, 2020 Europe Publication

Interrupted time series analyses on the effect on integrated care among the older population

Current health and social care systems in most European countries, are highly fragmented into specialist services, and poorly designed to provide health and social care for patients with multiple health problems and social needs. As some groups of patients might have greater difficulties navigating in a fragmented and divided system than others, current system also risks increasing inequalities in access and use of health and social care services. The aim of this study is to investigate if a comprehensive integrated care system perform better than ‘standard care’ in regards to emergency department visits, hospitalization for ambulatory care sensitive conditions (ACSC), costs and re-admissions as well as increase equity in health care among older people.

Nov. 25, 2019 Europe Multimedia

Partnership, Person-Centredness in Health Care

Person-centred care is an emerging concept in health care. Many people ask what is new about it, and as a matter of fact many health care professionals believe that they work in a person-centred way already. But shifting to a person-centred care practice often involves a profound change in culture and structure, and the key is a different approach in seeing the patient as a partner. The main thing is about being able to listen. Being able to listen to the patient and co-create a care plan; to create a partnership in health care.

The University of Gothenburg Centre for Person-centred Care - GPCC, performs research, education and innovation in person-centred care. Many of the centre’s projects are performed in partnership with Sahlgrenska University Hospital, one of the biggest in Europe, which is closely linked to the University via the The Sahlgrenska Academy.

This short film sets the scene by ...

Oct. 31, 2019 Africa Publication

Stakeholder Perceptions and Context of the Implementation of Performance-Based Financing in District Hospitals in Mali

To improve the performance of the healthcare system, Mali’s government implemented a pilot project of performance-based financing (PBF) in the field of reproductive health. It was established in the Koulikoro region. This research analyses the process of implementing PBF at district hospital (DH) level, something which has rarely been done in Africa.

June 27, 2019 Global Publication

The impact of a comprehensive electronic patient portal on the health service use: an interrupted time-series analysis

EPPs hold promise for reducing hospital readmissions. Certain patient populations with chronic conditions may differentially benefit from portal use depending on their needs for communication with their providers.
However, there is little empirical research on the potential benefit that electronic patient portals (EPP) can have on the care quality and health outcomes of diverse multi-ethnic international populations. The purpose of this study is to determine the extent to which an EPP was associated with improvements in health service use.

March 1, 2018 South-East Asia Publication

The effect of community health worker–led education on women’s health and treatment– seeking: A cluster randomised trial and nested process evaluation in Gujarat, India

A community-based health insurance scheme operated by the Self-Employed Women´s Association in Gujarat, India reported that the leading reasons for inpatient hospitalisation claims by its members were diarrhoea, fever and hysterectomy- the latter at the average age of 37. This claims pattern raised concern regarding potentially unnecessary hospitalisation amongst low-income women. 

Jan. 23, 2018 Western Pacific Publication

Does Scale of Public Hospitals Affect Bargaining Power? Evidence From Japan

Many of public hospitals in Japan have had a deficit for a long time. Japanese local governments have been encouraging public hospitals to use group purchasing of drugs to benefit from the economies of scale, and increase their bargaining power for obtaining discounts in drug purchasing, thus improving their financial situation. In this study, they empirically investigate whether or not the scale of public hospitals actually affects their bargaining power. 

Oct. 20, 2017 Global Event

Global Conference on Integrated Care 2018

The Global Conference on Integrated Care (GCIC) 2018 is an international conference that will bring together clinicians, health and social care professionals and practitioners, and policymakers from around the world to share knowledge, experiences, ideas and innovations in integrated care delivery. The conference will be used as a platform to look beyond the immediate horizon, future-proof healthcare delivery, and strengthen relationships between policymakers and public users to enable successful care integration.A world-class programme of keynote lectures, plenary sessions and symposia has been designed to facilitate impactful knowledge exchange and foster fruitful dialogues with internationally renowned experts.

It will cover the three key themes of:
- Care Integration in Practice
- Enabling Care Integration
- Transcending Boundaries in Integrated Care

Who should attend?
- Clinicians, health and social care practitioners
- Healthcare administrators
- Academics and researchers


For more information and registration, please visit: https://gcic2018.sg/ 

Aug. 29, 2017 South-East Asia Publication

Developing accountable care systems: lessons from Canterbury, New Zealand

The health system in Canterbury, New Zealand, has undertaken a significant programme of transformation over the past decade. As a result of the changes, the health system is supporting more people in their homes and communities and has moderated demand for hospital care, particularly among older people. Change was achieved through developing a number of new delivery models, which involve better integration of care across organisational and service boundaries, increased investment in community-based services, and strengthening primary care. The experience in Canterbury offers useful lessons for the NHS in terms of how to redesign care in this way. Key approaches include the development of a clear, unifying vision of ‘one system, one budget’; sustained investment in giving staff skills to support them to innovate and giving them permission to do so; and developing new models of integrated working and new forms of contracting to support this. The transformation has taken ...

July 14, 2017 Europe Publication

Patient perceptions of innovative longitudinal integrated clerkships based in regional, rural and remote primary care: a qualitative study

Medical students at the University of Wollomgong experience continuity of patien care and clinical supervision during an innovative year-long integrated (community and hospital) clinical clerkship. In this model of clinical education, students are base in a general practice "teaching microsystem" and participate in patient care as part of this community of practice (CoP). This study evaluates patient´s preceptions of the clerkship initiative, and their perspectives in this approach to training´much needed´doctors in their community. 

June 21, 2016 Europe, Global Publication

Can hospital services work in primary care settings?

In this post, the author analyzes how recent changes in primary care in the National Health Services could face the purpose of moving some services from hospital to primary care settings.

The author bases her discussion on a report published by RAND corporation (“Outpatient Services and Primary Care”) that identifies five main areas to be considered when moving services from hospital to primary care:

  1. Transfer: The substitution of services delivered by specialists for services delivered by primary care clinicians.
  2. Relocation: Shifting the venue of specialist care from hospitals to primary care settings.
  3. Liaison: Joint working between specialists and primary care clinicians to provide care to individual patients.
  4. Professional behaviour change: Changing the way GPs refer patients to specialists.
  5. Patient behaviour change: Helping patients make informed decisions about their care.

There is not a unique way of moving these services; many studies suggest that patients’ satisfaction usually grows when services are ...

May 26, 2016 Americas Publication

Measurement of the Patient Experience: Clarifying Facts, Myths, and Approaches

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is a 32-item tool administered after discharge to a random sample of adult inpatients, creating standardized, publicly reported metrics that allow fair comparisons of patient experience in hospitals across the nation.

The 11 HCAHPS measures derived from the survey reported on the Hospital Compare website assess how well nurses and physicians communicate with patients, how responsive hospital staff are to patients’ needs, how well hospital staff help patients manage pain, how well the staff communicates with patients about new medicines, whether key information is provided at discharge, how smoothly the transition to the posthospital setting is made, how clean and quiet are the patients’ rooms, what is the hospital’s overall rating, and whether the patient would recommend the hospital.

HCAHPS resides in the public domain and accommodates customized supplemental items that are not reviewed or endorsed by the ...

May 17, 2016 Europe Publication

GPCC Person-centred care research centre web site

This research centre web site contains a range of information, films, presentations, resources and links; from basic information on person-centred care to information on a wide range of individual research projects from health and elderly care and rehabilitation. It also contains news, events, scientific publications and implementation.

The Gothenburg University Centre for Person-centred Care (GPCC) is an interdisciplinary research centre, established in January 2010, with the support of the Swedish government's strategic investment in health and care research. Uniquely GPCC has evaluated the effects of person-centred care in controlled studies. This has established that person-centred care is capable of enhancing the efficiency of the care process. Apart from considerable monetary savings resulting from amongst other things shorter hospital stays, significant positive effects from a patient perspective have been seen, as care is adapted to each individual person and his or her resources are made use of.

(A summary commentary ...

May 17, 2016 Europe Multimedia

GPCC Person-centred care research centre web site

This research centre web site contains a range of information, films, presentations, resources and links; from basic information on person-centred care to information on a wide range of individual research projects from health and elderly care and rehabilitation. It also contains news, events, scientific publications and implementation.

The Gothenburg University Centre for Person-centred Care (GPCC) is an interdisciplinary research centre, established in January 2010, with the support of the Swedish government's strategic investment in health and care research. Uniquely GPCC has evaluated the effects of person-centred care in controlled studies. This has established that person-centred care is capable of enhancing the efficiency of the care process. Apart from considerable monetary savings resulting from amongst other things shorter hospital stays, significant positive effects from a patient perspective have been seen, as care is adapted to each individual person and his or her resources are made use of.

(A summary commentary ...

May 17, 2016 Europe Publication

Partnership, Person-Centredness in Health Care

Person-centred care is an emerging concept in health care. Many people ask what is new about it, and as a matter of fact many health care professionals believe that they work in a person-centred way already. But shifting to a person-centred care practice often involves a profound change in culture and structure, and the key is a different approach in seeing the patient as a partner. The main thing is about being able to listen. Being able to listen to the patient and co-create a care plan; to create a partnership in health care.

The University of Gothenburg Centre for Person-centred Care - GPCC, performs research, education and innovation in person-centred care. Many of the centre’s projects are performed in partnership with Sahlgrenska University Hospital, one of the biggest in Europe, which is closely linked to the University via the The Sahlgrenska Academy.

This short film sets the scene by ...

May 17, 2016 Europe Multimedia

Partnership, Person-Centredness in Health Care

Person-centred care is an emerging concept in health care. Many people ask what is new about it, and as a matter of fact many health care professionals believe that they work in a person-centred way already. But shifting to a person-centred care practice often involves a profound change in culture and structure, and the key is a different approach in seeing the patient as a partner. The main thing is about being able to listen. Being able to listen to the patient and co-create a care plan; to create a partnership in health care.

The University of Gothenburg Centre for Person-centred Care - GPCC, performs research, education and innovation in person-centred care. Many of the centre’s projects are performed in partnership with Sahlgrenska University Hospital, one of the biggest in Europe, which is closely linked to the University via the The Sahlgrenska Academy.

This short film sets the scene by ...

May 16, 2016 Africa, Europe Publication

Voices on person-centred care

What is person-centred care to a patient, a physician, a nurse, a hospital head of department, an industry representative and a researcher? How do these people, who all have experience of receiving or working with person-centred care, see person-centred care from their perspectives? Short film clips from the University of Gothenburg Centre for Person-centred Care - GPCC. GPCC is an in terdisciplinary research centre, established in January 2010, with the support of the Swedish government's strategic investment in health and care research. Uniquely GPCC has evaluated the effects of person-centred care in controlled studies. This has established that person-centred care is capable of enhancing the efficiency of the care process. Apart from considerable monetary savings resulting from amongst other things shorter hospital stays, significant positive effects from a patient perspective have been seen, as care is adapted to each individual person and his or her resources are made use of.

May 16, 2016 Europe Multimedia

Voices on person-centred care

What is person-centred care to a patient, a physician, a nurse, a hospital head of department, an industry representative and a researcher? How do these people, who all have experience of receiving or working with person-centred care, see person-centred care from their perspectives? Short film clips from the University of Gothenburg Centre for Person-centred Care - GPCC. GPCC is an in terdisciplinary research centre, established in January 2010, with the support of the Swedish government's strategic investment in health and care research. Uniquely GPCC has evaluated the effects of person-centred care in controlled studies. This has established that person-centred care is capable of enhancing the efficiency of the care process. Apart from considerable monetary savings resulting from amongst other things shorter hospital stays, significant positive effects from a patient perspective have been seen, as care is adapted to each individual person and his or her resources are made use of.

April 25, 2016 Global Event

Hospitals Turning to Non-medical Home Care as Primary Discharge Preference

The International Hospital Federation is organizing a webinar about "Hositals Turning to Non-medical Home Care as a Primary Discharge Preference". 

Timing: 08:30 California (UTC -7) | 17:30 Geneva (UTC +2)| 23:30 Singapore (UTC +8)

Topic: Payers and providers are turning to non-clinical home care as the preferred option upon discharge from hospital and skilled nursing facilities. Hospitals are realizing that home care is the most cost-effective option for post-acute care and they are hungry for the analytics and patient data generated by technology-enabled home care providers in order to extend the hospital system into the home and reduce avoidable readmissions. Best-selling readmissions author, Josh Luke and home care innovator, Kyle Hill will enter an in-depth discussion on how data analytics can serve as a key tool for helping hospitals and families manage costs outside the hospital walls.

To join, please register at http://bit.ly/WebinarRegApril2016

Presenters:
Josh ...

April 4, 2016 Global Publication

The MDG To SDG Transition: the role of hospitals and integrated primary care.

In 2016, the world will be moving from the Millenium Development Goals (MDG) to the Sustainable Development Goals (SDG). Regarding health-related goals, most of the funding in recent years has been focusing on disease-specific programmes and strengthening primary care; nevertheless, public health, health promotion, prevention, and controlling risk factors through a broad range of policy interventions, both within and outside the health sector, must be an important focus in the era of SDGs.


In this post, integrated health services are seen as a main factor to achieve the health-related topics in the SDGs. The author defends not only strong primary care services to deliver broad quality care, but also that these services should be integrated with essential hospital services. The article emphasizes that this kind of integration would be even more important in countries with a weak health system, in order to build a strong system that could face the ...

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 ...

Jan. 9, 2016 Europe Publication

Acute hospitals and integrated care

In March 2015, the King’s Fund published a report regarding the progress made by five acute hospital providers in England towards developing more integrated models of care. According to the report, becoming more closely integrated with primary care has proved a considerable challenge for these hospitals. This is partly due to the lack of alternatives to building relationships on a practice-by-practice basis. As the report explains, GP provider groups or federations “are still at an early stage of development in many areas of the country, and where they do exist it is not always clear that they are sufficiently cohesive to represent local practices and have leverage over them”. 

However, the report identifies a number of factors which facilitate the coordination between hospitals and primary care. These include strong clinical leadership in general practice; employing people with a primary care background at a senior level within the acute provider ...