Contents

Contents tagged: self-management

July 23, 2018 Europe Publication

Management of multimorbidity using a patient-centred care model: a pragmatic cluster-randomised trial of the 3D approach

The management of people with multiple chronic conditions challenges health-care systems designed around single conditions. There is international consensus that care for multimorbidity should be patient-centred, focus on quality of life, and promote self-management towards agreed goals. However, there is little evidence about the effectiveness of this approach. The article´s hypothesis was that the patient-centred, so-called 3D approach (based on dimensions of health, depression, and drugs) for patients with multimorbidity would improve their health-related quality of life, which is the ultimate aim of the 3D intervention.

June 6, 2018 South-East Asia Publication

Aspects of Multicomponent Integrated Care Promote Sustained Improvement in Surrogate Clinical Outcomes: A Systematic Review and Meta-analysis

The implementation of the Chronic Care Model (CCM) improves health care quality. This study examined the sustained effectiveness of multicomponent integrated care in type 2 diabetes. Despite the small effect size of multicomponent integrated care team-based care with better information flow may improve patient-provider communication and self-management in patients who are young, with suboptimal control, and in low-resource settings. 

April 25, 2018 Americas Publication

Integrating Community Health Workers Into Medical Homes

Though evidence supports the value of community health workers (CHWs) in chronic disease self-management support, and authorities have called for expanding their roles within patient-centered medical homes (PCMSs), few PCMHs in Minnesota have incorporated these health workers into their care teams. They undertook a qualitative study to (1) identify facilitators and barriers to utilizing a CHW model among PCMHs in Minnesota, and (2) define roles played by this workforce within the PCMH team

Oct. 5, 2017 Global Publication

Integrated care: better and cheaper

Integrated care improves health, increases quality of care and lowers costs. These three goals, this Triple Aim in other words, are achieved in many examples from all over the world: from Alaska to New Zealand, from Western Europe to South Africa. However, disseminating all these good examples is easier said than done, as nationwide implementation means the simultaneous realisation of the following six components of integrated care:

1. Multidisciplinary care pathways and decision trees

2. Patient self-management and shared decision-making by patients and professionals

3. Guaranteeing professional and patient- perceived quality

4. Population-based funding and shared savings

5. An Electronic Health Record and e-health

6. Servant leadership and a strategy for change management.

These are the conclusions Guus Schrijvers draws in his book Integrated Care: better and cheaper. His conclusions are based on more than 500 studies from the 1960s until mid-2016. In addition, he also draws on his own ...

July 11, 2017 Europe Publication

A Digital NHS? An introduction to the digital agenda and plans for implementation

In recent years, the digital agenda in health care has been the subject of an array of promises and plans, ranging from the Secretary of State’s challenge to the NHS to ‘go paperless’ to the commitment set out in the NHS’s Five Year Forward View to ‘harness the information revolution’. But have expectations been set too high? And is there sufficient clarity about the funding available to achieve this vision?

This report looks at the key commitments made and what we know about progress to date, grouped under three broad themes:

  • interoperable electronic health records
  • patient-focused digital technology
  • secondary use of data, transparency and consent.

It identifies barriers to further progress and opportunities for delivering on the digital agenda.

Dec. 12, 2016 Global Publication

From vision to action. Making patient-centred care a reality

The NHS have worked with The King´s Fund to translate their themes into outcomes for patients and set out the most important priorities for action to achieve these outcomes. Under each of their five themes: 

- Co-ordinated care

- Patients engaged decisions about their care

- Supported self-management

- Prevention, early diagnosis and intervention

- Emotional, psychological and practical support

they have described the outcomes that they most want to achieve for patients. In order to achieve these outcomes, they hace then selected the service improvements that, if met, will have a major impact on the quality and cost-effectiveness of care. 

Sept. 14, 2016 Europe, Global Publication

Supporting self-management: A guide to enabling behaviour change for health and wellbeing using person- and community-centred approaches

This guide outlines how the science of behaviour can help people to self-manage their health and wellbeing.

Key findings

  • The guide uses the EAST framework to organise ideas and examples. The core message of EAST is that if you want to encourage a behaviour, you should make it Easy, Attractive, Social and Timely.
  • The guide features a number of low-tech, pragmatic and manageable activities which can increase the spread of person- and community-centred health and wellbeing programmes.

 

This action-focused guide is part of the NHS England-funded Realising the Value programme, which seeks to develop person- and community-centred approaches for health and wellbeing. The programme is doing so by building the evidence base and developing tools, resources and networks to support the spread and impact of these approaches.

This guide offers two things: a framework for understanding and changing behaviour, and real-world examples of how these changes happen in practice

It ...

March 3, 2016 Americas Publication

The patient-as-partner approach in health care: a conceptual framework for a necessary transition.

A new model to enforce the partnership between patients and healthcare professionals has been developed at the University of Montreal’s Faculty of Medicine. Their patient-as-partner approach is rooted in patient-centered perspectives that have inspired previous initiatives like shared decision making, therapeutic education, expert patient and self-management. The main contribution of “Montreal model” is to consider the patient as a caregiver of himself and, as such, a genuine member of the treatment team, endowed with competencies and limitations just like any other member of the team.
This article describes the theoretical basis and summarize the main achievements of this innovative approach, established since 2010. Authors examine the issues of patient partnerships on medical practice and medical education cultures. Two key challenges are identified: 1) Integrate patients in existing professional education structures, instead of separate spaces as patient’s universities and 2) Develop a formal recruitment process for those patients, including ...

Feb. 29, 2016 Global Publication

The Users’ Perspective: What Integrated Care should look like

At the International Conference on Integrated Care 2014, Robert Johnstone, Trustee of the International Alliance of Patients’ Organisations, gave a talk titled "The Users’ Perspective: What Integrated Care should look like". Having had chronic rheumatoid arthritis since the age of three, he shared his personal story of moving away from being “a very passive recipient of care” to becoming "a self-managing patient”. When he was about fourteen years old, he told his rheumatologist that eating acidic food seemed to make his pain worse. The rheumatologist replied that this was not possible, so because he trusted his doctor he kept eating acidic food and feeling pain. Later in his life, he progressively learned to listen to his own body and to work out what was good and what was bad for him. He gradually reduced his use of medications until he stopped taking them completely while using complementary therapies and focusing ...

Feb. 25, 2016 Global Publication

WHO’s global survey on assistive technologies

WHO has launched a global survey to gather views on the most necessary and useful assistive technologies such as hearing aids and wheel chairs. The survey will feed into the first ever WHO mandated list of essential assistive technologies, similar to the WHO Essential Medicines List. These practical tools – some low, some higher technologies – are becoming increasingly necessary to the many people in high- and middle-income countries who are living longer due to better healthcare. Similar devices are used by people with disabilities, allowing them to live more autonomously and participate in their communities. This list will represent a tool for governments to plan and focus efforts to help populations acquire the 50 priority products, thereby improving the everyday lives of the elderly and people with disabilities. The survey may be taken via a link on this WHO page.