Patient Centred Care
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The Digital Future of Physician Relations: Ohio Hospital Association …

This is Dan's presentation from the 2014 Annual Meeting of the Ohio Hospital Association.

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Social media and the healthcare establishment: a power struggle

Social media and the healthcare establishment: a power struggle | Patient Centred Care | Scoop.it

You may be already familiar with the controversy that a couple of newspaper articles have generated regarding the tweets of Lisa Adams, a woman who is terminally ill, and who has been openly blogging and tweeting about her journey as a patient diagnosed with an incurable cancer. She is not alone in doing this. Dr Kate Granger is also a young woman diagnosed with a terminal cancer, as well as a doctor. She too has chosen to share her experience online, including very personal feelings and pictures of her ordeal.

 

One could look at this anecdotes phenomenon from many angles, and indeed most have been covered: ethical, public health, medical, social media, patient engagement… To me, the essence of the debate is a very old one: it all boils down to a power struggle, because   the irruption of the Web 2.0 has fostered a paradigm shift within the healthcare landscape.

 

Not many years ago, the healthcare system was dominated by what has been called the biomedical model. In this model, doctors* knew best, and patients did not question what they were told. Patients were passive recipients of the medical knowledge. We could represent this model in a very simple diagram:

 

More recently though, things have changed. The biomedical model is slowly but steadily being replaced by the biopsychosocial model. There are many differences between this model and the traditional, biomedical model. I will only focus on the different doctor-patient interaction. In this model, patients take a proactive role. Instead of being passive, the patient has become an engaged and empowered stakeholder, thus changing the doctor-patient relationship

 

In my opinion, the debate about patients’ tweets is a symptom that shows how the establishment struggles with this new paradigm. I think it’s interesting how so many people are scared of social media, because it gives power to the people. Until now, it was just us (doctors, journalists, politicians, scientists…) who told things the way we thought  they were. Our vision of the world was the right one, and “the lay person” listened. But now, with the Web 2.0 (and this includes social media), everyone and anyone can tell things the way they think they are, and our version of the story is no longer the right one. And we are forced to listen.

 

It is time that the self-appointed experts give some room to the patients, because thanks in part to social media they are going to take the centre stage whether you like it or not. After all, is this not the essence of patient-centred care?

 

* Just to make this post easier to read, I chose to simplify and use the word “doctor”. Of course I mean the medical establishment, including nurses, psychologists, psychiatrists, physiotherapists and so on. I’m sure you understand what I mean when I say “doctor”.

 


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Our shared commitment to integrated care | Enabling integrated care | Monitor

Our shared commitment to integrated care | Enabling integrated care | Monitor | Patient Centred Care | Scoop.it
@LiviBF Surely we've settled what patient-centred coprdinated/integrated care isand are signed up to it. http://t.co/uJHFecgVXn
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Patient Engagement - Miracle Drug or Snake Oil? | Nurture by Steelcase - Healthcare Furniture

Patient Engagement – Miracle Drug or Snake Oil? http://t.co/EMrzkLrtjB What do you think?? #mhealth #digitalhealth
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Patient-Centered Primary Care Collaborative CEO Marci Nielsen To Kick-Off The ... - GlobeNewswire (press release)

Patient-Centered Primary Care Collaborative CEO Marci Nielsen To Kick-Off The ... - GlobeNewswire (press release) | Patient Centred Care | Scoop.it
GlobeNewswire (press release)
Patient-Centered Primary Care Collaborative CEO Marci Nielsen To Kick-Off The ...
GlobeNewswire (press release)
GETTYSBURG, Pa., Oct.
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What does 'Patient Centered Care' mean for people on a journey with cancer?

What does 'Patient Centered Care' mean for people on a journey with cancer? | Patient Centred Care | Scoop.it
Written by Amanda George of HSA USA I've been thinking recently about patient centered care and what does being “patient centered” mean to cancer patients? There is a movement within the health car...
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How to Deliver Patient-Centered Care: Learn from Service Industries ...

How to Deliver Patient-Centered Care: Learn from Service Industries ... | Patient Centred Care | Scoop.it
Over the past decade, patient-centered care has become a mantra for high-quality health care. Policymakers, researchers, physician-leaders, and patients have all cited the need for care to be tailored to patients' unique ...
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WHITE PAPER PRESENTS NEW RESEARCH IN CUSTOMER-CENTERED CARE - GlobeNewswire (press release)

WHITE PAPER PRESENTS NEW RESEARCH IN CUSTOMER-CENTERED CARE - GlobeNewswire (press release) | Patient Centred Care | Scoop.it
WHITE PAPER PRESENTS NEW RESEARCH IN CUSTOMER-CENTERED CARE GlobeNewswire (press release) Author Ryan Donohue, corporate director of program development at National Research, presented the white paper for the first time at the 19th Annual...
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A Day in the Life of a Patient: Why Can’t We Do Better Than This?

A Day in the Life of a Patient: Why Can’t We Do Better Than This? | Patient Centred Care | Scoop.it

Is there a patient who goes through a hospitalization who does not have stories to tell about the obstacles, errors and indignities that they endured?


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Jim Brule's curator insight, September 23, 2013 8:14 AM

A journal of a sadly too-familiar hospital stay. Can't we do better - but also, can't we recognize the good that is done? A real challenge.

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Don Berwick - What Patient Centred Care Really Means

The excellent Don Berwick's plenary speech at the International Forum in Berlin 2009 (Don Berwick - What Patient Centred Care Really Means http://t.co/d9Xop68HrW)...
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Healthcare's Future: Patient-Centered Care And Technology - Healthcare Technology Online (press release)

Healthcare's Future: Patient-Centered Care And Technology Healthcare Technology Online (press release) The eighth annual Future Physicians of America survey, conducted by Epocrates Inc., may serve as a good indication of what direction the...
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Patient-centred healthcare, social media and the internet: the perfect storm? -- Rozenblum and Bates -- BMJ Quality and Safety

Patient-centred healthcare, social media and the internet: the perfect storm? -- Rozenblum and Bates -- BMJ Quality and Safety | Patient Centred Care | Scoop.it

Patients are central to healthcare delivery, yet all too often their perspectives and input have not been considered by providers.1 ,2 This is beginning to change rapidly and is having a major impact across a range of dimensions. Patients are becoming more engaged in their care and patient-centred healthcare has emerged as a major domain of quality.3–6

 

At the same time, social media in particular and the internet more broadly are widely recognised as having produced huge effects across societies. For example, few would have predicted the Arab Spring, yet it was clearly enabled by media such as Facebook and Twitter. Now these technologies are beginning to pervade the healthcare space, just as they have so many others. But what will their effects be?


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Report: 'Crisis' In Cancer Care Requires New, Patient-Centered Approach - WBUR

Report: 'Crisis' In Cancer Care Requires New, Patient-Centered Approach - WBUR | Patient Centred Care | Scoop.it
WWLP 22News Report: 'Crisis' In Cancer Care Requires New, Patient-Centered Approach WBUR However, more than a decade after the Institute of Medicine (IOM) first studied the quality of cancer care, the barriers to achieving excellent care for all...
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Social Media in Medicine and Medical Education with Dr. Djuricich - YouTube


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Truly Patient-Centred Healthcare Systems Require Real Focus | eyeforpharma

Truly Patient-Centred Healthcare Systems Require Real Focus | eyeforpharma | Patient Centred Care | Scoop.it
Model (evidence-based) for patient-centered care via data access #patientengagement #phr #ehr by V.Glover, MD http://t.co/8VQVg2LhNt?
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Physician Communication and Patient-Centered Care | HealthWorks ...

Physician Communication and Patient-Centered Care | HealthWorks ... | Patient Centred Care | Scoop.it
While it has been almost unanimously agreed upon by the health care community that we need to pursue a patient-centered and outcome-based model, reforms for this complex system face significant challenges and may ...
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Patient-Centered Practices Can Save Docs $$$ - MedPage Today

Patient-Centered Practices Can Save Docs $$$ MedPage Today Bachelder -- who used the information from the first quarter to hire a care manager in the second quarter -- calculated that the lack of follow-ups cost his hospital system roughly $999...
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Letters of Note: What do I want in a doctor?

Letters of Note: What do I want in a doctor? | Patient Centred Care | Scoop.it
Fascinating letters. Interesting correspondence.
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Mohamed Haroon's curator insight, September 30, 2013 11:34 PM

What do I want in a doctor? Perhaps more than anything else—a friend with special knowledge -- Steinbeck on what he wants from a doctor

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Improving Outcomes by Empowering Patients: The Empirical Case ...

By Michael Young. As healthcare institutions work to meet the triple aim of reducing healthcare costs while improving quality of care and population-wide health, efforts to expand the role of patient involvement in clinical ...
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NJ HIMSS - Fall Conference 2013 !

NJ HIMSS - Fall Conference 2013 ! | Patient Centred Care | Scoop.it
NJHIMSS - New Jersey Chapter of HIMSS (@njhimss Watch #Kofax demo #BI & #Analytics for healthcare providers at #HIMSS drop by for further info today 10-12pm http://t.co/CLxzhFOgqc)...
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Adherence app MediSafe to boost medication adherence up to 81 percent

Adherence app MediSafe to boost medication adherence up to 81 percent | Patient Centred Care | Scoop.it

MediSafe is a cloud-based app system — the patients get a reminder to take their meds on their Android or Apple smartphone app, and are then prompted to record it if they do. If they don’t indicate that they’ve taken their dose, a graduated series of friends and family is informed and can take action.

“It pushes you a notification when its time to take your meds,” MediSafe CEO Omri “Bob” Shor told MobiHealthNews in January. “The first one is a quiet one, like a text message. The second one is a louder one. The third one you can’t ignore, and the fourth one goes to your wife.”

The company will use the money to build up strategic partnerships with pharma companies, pharmacies, HMOs, employers and hospitals. MediSafe hopes to be valuable to those stakeholders because it not only can increase patients’ medication adherence, but it also collects de-identified aggregate data about patients’ adherence.


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Is Your Patient Dead or Alive? | Family-Centred...

Is Your Patient Dead or Alive? | Family-Centred... | Patient Centred Care | Scoop.it
Is Your Patient Dead or Alive? George D. Lundberg, MD DisclosuresSep 23, 2013 Hello and welcome. I am Dr. George Lundberg, at large for Medscape. Is your patient dead or alive?
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Potential patients guide standards of care at new hospital

Potential patients guide standards of care at new hospital | Patient Centred Care | Scoop.it

The coffee is a Colombian blend, bold, with a strong finish.

 

Should you find yourself occupying a patient bed at the new $1.3-million South Health Campus and in need of a caffeine fix, the Colombian brew is what’s on the menu.

 

The type of coffee was selected with the help of the hospital’s citizen advisory team, and is one of the small touches at the facility that reflect the community group’s input.

 

For the past half decade, as the hospital has risen from the grassy fields on Calgary’s southern edge, the 30 or so members of the citizen advisory team have provided advice and insight of the type that architects, medical professionals and even high-priced consultants can’t necessarily provide: the health-care consumer’s point of view.

 

“They’ve had input into the beds, the food, they got to chose the type of coffee served to in-patient rooms,” said Joanne Ganton, Alberta Health Services manager of patient and family centred care for South Health Campus.

 

“They have contributed quite a bit to the design and the feel of the campus.”

 

Ganton said the community input was part of the new hospital’s focus on wellness, and patient and family centred care.


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Transforming patient experience annual conference 2012 | The King's Fund

Transforming patient experience annual conference 2012 | The King's Fund | Patient Centred Care | Scoop.it

Our transforming patient experience annual conference provided a forum for frontline staff, patients and policy-makers to come together to explore the possibilities for achieving truly patient-centred care in today's NHS.

 

This annual conference, now in its fifth year, highlights excellent work being done in the field of patient experience and provides a unique opportunity for health care professionals to network and discover innovative examples of high-quality, patient-centred care.

 

Havi Carel: hearing the patient voice

Havi Carel, Senior Lecturer in Philosophy at the University of the West of England, talks about her experiences of being a patient and draws on insights, ideas and techniques from philosophy to understand the experience of illness.

http://www.kingsfund.org.uk/audio-video/havi-carel-hearing-patient-voice

 

Leslee Thompson and Anndale McTavish: achieving organisational change in partnership with patients

Leslee Thompson and Anndale McTavish share how the team at Kingston General Hospital have worked in partnership with patients and families to achieve massive organisational change.

http://www.kingsfund.org.uk/audio-video/leslee-thompson-and-anndale-mctavish-achieving-organisational-change-partnership

 

Mike Nolan: how relationship-centred care can improve patient outcomes

Mike Nolan, Professor of Gerontological Nursing at the University of Sheffield, questions the way we think about patient care and looks at how we can get caring right.

http://www.kingsfund.org.uk/audio-video/mike-nolan-how-relationship-centred-care-can-improve-patient-outcomes

 

Theresa Hegarty: using patient, carer and staff stories to improve patient experience

Theresa Hegarty, Head of Patient Experience at Royal United Hospital Bath NHS Trust, explains why storytelling is a powerful method for improving the experience of patients, staff and carers.

http://www.kingsfund.org.uk/audio-video/theresa-hegarty-using-patient-carer-and-staff-stories-improve-patient-experience

 

Panel session: what does real partnership with patients mean in practice?

Juliet Bouverie, Annie Laverty, Havi Carel and Robert Johnstone give their different viewpoints on what matters to patients and how real partnerships with patients can be achieved.

http://www.kingsfund.org.uk/audio-video/panel-session-what-does-real-partnership-patients-mean-practice


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