Pub Date : 2015-10-22DOI: 10.1108/CGIJ-03-2015-0010
A. Abuosi
Purpose – The purpose of this paper is to find out whether there are any significant gaps in perceptions of quality of care between patients and healthcare providers in Ghana’s hospitals. Design/methodology/approach – A cross-sectional survey of patients seeking outpatient consultations in 17 general hospitals in Ghana was conducted. A total of 818 patients and 152 hospital managers were interviewed. A 22-item quality of care scale was used in data collection. Data were analysed with the aid SPSS version 20. Summary statistics and t-test were used to analyse the data. Findings – There was a significant difference in the overall perception of quality of care between patients and healthcare providers (Patients: M=89.11, SD=11.457; Providers: M=94.60, SD=10.922; t (845) −4.956, p < 001, two-tailed). Also, 18 items out of the 22-item quality of care scale showed significant difference between patients and providers. However, levels of quality of care is generally rated fairly favourably by both category of respondents. Research limitations/implications – Further study is required to explore the reasons for the perceived quality gaps between patients and healthcare providers. Practical implications – Management of hospitals need to evaluate patients’ perceptions of quality of care to inform measures aimed at improving quality of care, since what they may consider as good quality service may be rated less favourably by patients. Originality/value – Comparing perceptions of quality between patients and healthcare providers is important in order adopt measures to address any differences in perceptions of quality between the two stakeholders. To the best of the author’s knowledge no study has been conducted in Ghana to that effect.
目的-本文的目的是找出是否有任何显著的差距在加纳的医院的病人和医疗服务提供者之间的护理质量的看法。设计/方法/方法——对在加纳17家综合医院寻求门诊会诊的患者进行了横断面调查。共采访了818名患者和152名医院管理人员。数据收集采用22项护理质量量表。数据分析采用SPSS version 20辅助软件。采用汇总统计和t检验对数据进行分析。研究结果-患者和医疗保健提供者对护理质量的总体感知存在显著差异(患者:M=89.11, SD=11.457;供应商:M=94.60, SD=10.922;T (845) - 4.956, p < 001，双尾)。在22个项目的护理质量量表中，有18个项目在患者和提供者之间存在显著差异。然而，两类答复者对护理质量水平的评价一般都相当有利。研究局限性/影响-需要进一步研究以探索患者和医疗保健提供者之间感知到的质量差距的原因。实际影响——医院管理层需要评估患者对护理质量的看法，以便为旨在提高护理质量的措施提供信息，因为他们可能认为优质的服务可能不太受患者的好评。独创性/价值——比较患者和医疗保健提供者对质量的看法非常重要，以便采取措施解决两个利益相关者对质量看法的任何差异。据作者所知，在加纳没有进行过这方面的研究。
{"title":"Patients versus healthcare providers’ perceptions of quality of care: Establishing the gaps for policy action","authors":"A. Abuosi","doi":"10.1108/CGIJ-03-2015-0010","DOIUrl":"https://doi.org/10.1108/CGIJ-03-2015-0010","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000– The purpose of this paper is to find out whether there are any significant gaps in perceptions of quality of care between patients and healthcare providers in Ghana’s hospitals. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000– A cross-sectional survey of patients seeking outpatient consultations in 17 general hospitals in Ghana was conducted. A total of 818 patients and 152 hospital managers were interviewed. A 22-item quality of care scale was used in data collection. Data were analysed with the aid SPSS version 20. Summary statistics and t-test were used to analyse the data. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000– There was a significant difference in the overall perception of quality of care between patients and healthcare providers (Patients: M=89.11, SD=11.457; Providers: M=94.60, SD=10.922; t (845) −4.956, p < 001, two-tailed). Also, 18 items out of the 22-item quality of care scale showed significant difference between patients and providers. However, levels of quality of care is generally rated fairly favourably by both category of respondents. \u0000 \u0000 \u0000 \u0000 \u0000Research limitations/implications \u0000 \u0000 \u0000 \u0000– Further study is required to explore the reasons for the perceived quality gaps between patients and healthcare providers. \u0000 \u0000 \u0000 \u0000 \u0000Practical implications \u0000 \u0000 \u0000 \u0000– Management of hospitals need to evaluate patients’ perceptions of quality of care to inform measures aimed at improving quality of care, since what they may consider as good quality service may be rated less favourably by patients. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000– Comparing perceptions of quality between patients and healthcare providers is important in order adopt measures to address any differences in perceptions of quality between the two stakeholders. To the best of the author’s knowledge no study has been conducted in Ghana to that effect.","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122112758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-10-22DOI: 10.1108/CGIJ-03-2015-0011
A. Sukha, E. Li, T. Sykes, A. Fox, A. Schofield, A. Houghton
Purpose – When a patient unexpectedly has to go back to the operating theatre, there is often a perceived problem with the primary operation. An IRT30 is defined as any patient returning to the operating theatre within 30 days of the index procedure. IRT30 has been suggested to be a useful quality indicator of surgical standards and surgeon performance. The purpose of this paper is to evaluate the usefulness of this validated tool, by assessing all IRT30 over a 12-month period. Learning points for individual surgeons, surgical subspecialty units and the clinical governance leads were reviewed. Design/methodology/approach – Consecutive series of general and vascular surgical patients undergoing elective and emergency procedures between July 2012 and 2013. Prospective data collection of all IRT30s classified as Types 1-5 by a single-rater and in-depth discussion of Types 3-5 cases at the clinical governance meetings. The individual case learning points were recorded and the collective data monitored monthly...
{"title":"Inadvertent returns to theatre within 30 days (IRT30) of surgery: An educational tool to monitor surgical complications and improve our performance as surgeons","authors":"A. Sukha, E. Li, T. Sykes, A. Fox, A. Schofield, A. Houghton","doi":"10.1108/CGIJ-03-2015-0011","DOIUrl":"https://doi.org/10.1108/CGIJ-03-2015-0011","url":null,"abstract":"Purpose – When a patient unexpectedly has to go back to the operating theatre, there is often a perceived problem with the primary operation. An IRT30 is defined as any patient returning to the operating theatre within 30 days of the index procedure. IRT30 has been suggested to be a useful quality indicator of surgical standards and surgeon performance. The purpose of this paper is to evaluate the usefulness of this validated tool, by assessing all IRT30 over a 12-month period. Learning points for individual surgeons, surgical subspecialty units and the clinical governance leads were reviewed. Design/methodology/approach – Consecutive series of general and vascular surgical patients undergoing elective and emergency procedures between July 2012 and 2013. Prospective data collection of all IRT30s classified as Types 1-5 by a single-rater and in-depth discussion of Types 3-5 cases at the clinical governance meetings. The individual case learning points were recorded and the collective data monitored monthly...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"120 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120870839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-10-22DOI: 10.1108/CGIJ-09-2015-0031
F. Phipps
Purpose – The purpose of this paper is to provide a quick overview of the current journal content. Design/methodology/approach – A review of five papers. Findings – The review section brings together the differing aspects of clinical governance discussed in the current journal. Originality/value – The review section enables readers to prioritise articles with the most relevance for their needs or particular fields of healthcare.
{"title":"Clinical Governance Review 20:4","authors":"F. Phipps","doi":"10.1108/CGIJ-09-2015-0031","DOIUrl":"https://doi.org/10.1108/CGIJ-09-2015-0031","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000– The purpose of this paper is to provide a quick overview of the current journal content. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000– A review of five papers. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000– The review section brings together the differing aspects of clinical governance discussed in the current journal. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000– The review section enables readers to prioritise articles with the most relevance for their needs or particular fields of healthcare.","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130494568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-10-22DOI: 10.1108/CGIJ-03-2015-0009
H. Sadeghi-Bazargani, J. Tabrizi, M. Saadati, R. Hassanzadeh, Gisoo Alizadeh
Purpose – Clinical governance (CG) was used as a driver to improve safety and quality of healthcare. CG implementing is a change in health system and all the stakeholders must be participating. The purpose of this paper is to study nurses’ experience about CG movement in Tabriz hospitals. Design/methodology/approach – A qualitative study using Focus Group Discussions (FGD) was done. Purposeful Sampling was used to select the objectives including 65 participants. Actually seven FGD’s were held. Content analysis was used to extract the meaningful themes. Findings – It is revealed that nurses are the focal point in CG implementation in hospitals. Low commitment of managers and lack of physicians’ contribution was experienced by nurses. However, personnel education and development and patient safety have got more attention. Blame culture and increased work stress was reported as challenges. Originality/value – CG as a change in healthcare system, especially in low- and middle-income countries, is faced by several challenges and its implementation would have different experiences. Nursing staff, the major group in hospitals, would be having interesting experiences through CG. Their practical opinions could guide the policy makers to employ proper plans to effectively implement CG. Considering the result of this study in practice would lead to improve CG implementation.
{"title":"Nursing experiences of clinical governance implementation: a qualitative study","authors":"H. Sadeghi-Bazargani, J. Tabrizi, M. Saadati, R. Hassanzadeh, Gisoo Alizadeh","doi":"10.1108/CGIJ-03-2015-0009","DOIUrl":"https://doi.org/10.1108/CGIJ-03-2015-0009","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000– Clinical governance (CG) was used as a driver to improve safety and quality of healthcare. CG implementing is a change in health system and all the stakeholders must be participating. The purpose of this paper is to study nurses’ experience about CG movement in Tabriz hospitals. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000– A qualitative study using Focus Group Discussions (FGD) was done. Purposeful Sampling was used to select the objectives including 65 participants. Actually seven FGD’s were held. Content analysis was used to extract the meaningful themes. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000– It is revealed that nurses are the focal point in CG implementation in hospitals. Low commitment of managers and lack of physicians’ contribution was experienced by nurses. However, personnel education and development and patient safety have got more attention. Blame culture and increased work stress was reported as challenges. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000– CG as a change in healthcare system, especially in low- and middle-income countries, is faced by several challenges and its implementation would have different experiences. Nursing staff, the major group in hospitals, would be having interesting experiences through CG. Their practical opinions could guide the policy makers to employ proper plans to effectively implement CG. Considering the result of this study in practice would lead to improve CG implementation.","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115741407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-10-22DOI: 10.1108/CGIJ-06-2015-0019
J. Phull, Julie E. Hall
Purpose – The purpose of this paper is to explore the experiences and opinions of mental health professionals working in two rehabilitation wards to a clinical dashboard system. Design/methodology/approach – Following the creation of the clinical dashboards, a questionnaire was developed and sent to staff and patients across two clinical wards involved in the clinical dashboard mental health pilot. Findings – The clinical dashboards were viewed as being useful tools for clinicians, supporting engagement. They can offer rapid access to large volumes of clinically useful information, in a palatable format. The pilot suggested that they could be presented in different ways to make them easier to engage with however they could also result in more paperwork for clinicians. Research limitations/implications – The main limitations included the sample size, responder bias and the limited sampling period. It would have been helpful to have obtained further responses to understand why individuals came to their conc...
{"title":"Clinical dashboards and their use in an adult mental health inpatient setting, a pilot study","authors":"J. Phull, Julie E. Hall","doi":"10.1108/CGIJ-06-2015-0019","DOIUrl":"https://doi.org/10.1108/CGIJ-06-2015-0019","url":null,"abstract":"Purpose – The purpose of this paper is to explore the experiences and opinions of mental health professionals working in two rehabilitation wards to a clinical dashboard system. Design/methodology/approach – Following the creation of the clinical dashboards, a questionnaire was developed and sent to staff and patients across two clinical wards involved in the clinical dashboard mental health pilot. Findings – The clinical dashboards were viewed as being useful tools for clinicians, supporting engagement. They can offer rapid access to large volumes of clinically useful information, in a palatable format. The pilot suggested that they could be presented in different ways to make them easier to engage with however they could also result in more paperwork for clinicians. Research limitations/implications – The main limitations included the sample size, responder bias and the limited sampling period. It would have been helpful to have obtained further responses to understand why individuals came to their conc...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"214 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115502210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-10-22DOI: 10.1108/CGIJ-02-2015-0007
C. Johnstone, R. Harwood, A. Gilliam, A. Mitchell
Purpose – Early access to senior decision makers and investigations has improved outcomes for many conditions. A surgical clinical decisions unit (CDU) was created to allow rapid assessment and investigation by on-call senior surgical team members to facilitate decision making and, if appropriate, discharge within a set time frame (less than four hours). The purpose of this paper is to compare outcomes for unscheduled general surgery admissions to the hospital before and after commissioning this unit. Design/methodology/approach – Prospectively collected hospital episode statistics data were compared for all general surgical admissions for one year prior to (July 2010-June 2011) and two years after (July 2011-June 2013) the introduction of the CDU. Statistical analysis using the Mann Whitney U-test was performed. Findings – More patients were discharged within 24 hours (12 per cent vs 20 per cent, p < 0.001) and total hospital stay decreased (4.6 days vs 3.2 days, p < 0.001) following introduction of CDU....
{"title":"A clinical decisions unit improves emergency general surgery care delivery","authors":"C. Johnstone, R. Harwood, A. Gilliam, A. Mitchell","doi":"10.1108/CGIJ-02-2015-0007","DOIUrl":"https://doi.org/10.1108/CGIJ-02-2015-0007","url":null,"abstract":"Purpose – Early access to senior decision makers and investigations has improved outcomes for many conditions. A surgical clinical decisions unit (CDU) was created to allow rapid assessment and investigation by on-call senior surgical team members to facilitate decision making and, if appropriate, discharge within a set time frame (less than four hours). The purpose of this paper is to compare outcomes for unscheduled general surgery admissions to the hospital before and after commissioning this unit. Design/methodology/approach – Prospectively collected hospital episode statistics data were compared for all general surgical admissions for one year prior to (July 2010-June 2011) and two years after (July 2011-June 2013) the introduction of the CDU. Statistical analysis using the Mann Whitney U-test was performed. Findings – More patients were discharged within 24 hours (12 per cent vs 20 per cent, p < 0.001) and total hospital stay decreased (4.6 days vs 3.2 days, p < 0.001) following introduction of CDU....","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114822223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-10-08DOI: 10.1108/CGIJ-08-2015-0029
N. Harrop
{"title":"Digital healthcare: its high priests and orphans","authors":"N. Harrop","doi":"10.1108/CGIJ-08-2015-0029","DOIUrl":"https://doi.org/10.1108/CGIJ-08-2015-0029","url":null,"abstract":"","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116237873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-10-08DOI: 10.1108/CGIJ-07-2015-0022
N. Hex, J. Tuggey, D. Wright, R. Malin
Purpose – The purpose of this paper is to observe and analyse the effects of the use of telemedicine in care homes on the use of acute hospital resources. Design/methodology/approach – The study was an uncontrolled retrospective observational review of data on emergency hospital admissions and Emergency Department (ED) visits for care home residents in Airedale, Wharfedale and Craven. Acute hospital activity for residents was observed before and after the installation of telemedicine in 27 care homes. Data from a further 21 care homes that did not use telemedicine were used as a control group, using the median date of telemedicine installation for the “before and after” period. Patient outcomes were not considered. Findings – Care homes with telemedicine showed a 39 per cent reduction in the costs of emergency admissions and a 45 per cent reduction in ED attendances after telemedicine installation. In the control group reductions were 31 and 31 per cent, respectively. The incremental difference in costs b...
{"title":"Telemedicine in care homes in Airedale, Wharfedale and Craven","authors":"N. Hex, J. Tuggey, D. Wright, R. Malin","doi":"10.1108/CGIJ-07-2015-0022","DOIUrl":"https://doi.org/10.1108/CGIJ-07-2015-0022","url":null,"abstract":"Purpose – The purpose of this paper is to observe and analyse the effects of the use of telemedicine in care homes on the use of acute hospital resources. Design/methodology/approach – The study was an uncontrolled retrospective observational review of data on emergency hospital admissions and Emergency Department (ED) visits for care home residents in Airedale, Wharfedale and Craven. Acute hospital activity for residents was observed before and after the installation of telemedicine in 27 care homes. Data from a further 21 care homes that did not use telemedicine were used as a control group, using the median date of telemedicine installation for the “before and after” period. Patient outcomes were not considered. Findings – Care homes with telemedicine showed a 39 per cent reduction in the costs of emergency admissions and a 45 per cent reduction in ED attendances after telemedicine installation. In the control group reductions were 31 and 31 per cent, respectively. The incremental difference in costs b...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124255852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-10-08DOI: 10.1108/CGIJ-07-2015-0023
S. Wallace
Purpose – The purpose of this paper is to explore the quite extraordinary way the phenomena of mobile communication has gripped our society and the opportunities this provides for healthcare. Design/methodology/approach – It describes the ticking public health time bomb surrounding long term conditions and dementia and the need to radically overhaul how community services are delivered. It dissects the opportunities and challenges of providing a mobile health and social care service in the community and explores what a mobile moment means for these professionals. Findings – It stresses that the answer is NOT to simply provide an organisation’s IT back-office environment in the field and describes the concept of a dedicated organisation app platform tailored to meet this need. Originality/value – The paper concludes by reviewing recent evidence about the benefits and opportunities for health and social care organisations to embrace mobile working.
{"title":"Community care reaches out for the mobile moment","authors":"S. Wallace","doi":"10.1108/CGIJ-07-2015-0023","DOIUrl":"https://doi.org/10.1108/CGIJ-07-2015-0023","url":null,"abstract":"Purpose – The purpose of this paper is to explore the quite extraordinary way the phenomena of mobile communication has gripped our society and the opportunities this provides for healthcare. Design/methodology/approach – It describes the ticking public health time bomb surrounding long term conditions and dementia and the need to radically overhaul how community services are delivered. It dissects the opportunities and challenges of providing a mobile health and social care service in the community and explores what a mobile moment means for these professionals. Findings – It stresses that the answer is NOT to simply provide an organisation’s IT back-office environment in the field and describes the concept of a dedicated organisation app platform tailored to meet this need. Originality/value – The paper concludes by reviewing recent evidence about the benefits and opportunities for health and social care organisations to embrace mobile working.","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134245993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-10-08DOI: 10.1108/CGIJ-08-2015-0025
Tobias Alpsten
Purpose – Putting behavioural insights theory into practice a trial in Southwark using iPLATO Hub to communicate with over 13,000 patients concluded that the right combination of text messaging and letter content increased uptake of NHS Health Checks by 65 per cent. This iPLATO case study, based on a randomised controlled trial with the Department of Health, Public Health England and Southwark Council, reported in July 2015. The purpose of this paper is to spread best practice and help other parts of the country transform uptake to NHS Health Checks. Design/methodology/approach – This research – led by the Department of Health and Southwark Council – was designed to test the impact of certain forms of communication informed by insights from behavioural science. These insights involved small, pragmatic and very low cost or free changes to the invitation process, for example, how messages are framed and the language used. These changes are designed to fit within existing practice, which means they can easily be scaled up across all CCGs. Findings – Results from the trial also indicate that a combination of the deadline commitment letter and just a reminder text message (no primer message) was nearly as effective as two texts, while the new letters on their own (without any text messages) increased uptake to 21 per cent. This suggests that clear and concise text messages from the iPLATO Hub delivered the major impact on uptake. Originality/value – iPLATO is working with the research group to expand the research and improve on the reported findings while helping to spread best practice across the NHS.
{"title":"Saving lives through effective patient engagement around NHS health checks","authors":"Tobias Alpsten","doi":"10.1108/CGIJ-08-2015-0025","DOIUrl":"https://doi.org/10.1108/CGIJ-08-2015-0025","url":null,"abstract":"Purpose \u0000 \u0000 \u0000 \u0000– Putting behavioural insights theory into practice a trial in Southwark using iPLATO Hub to communicate with over 13,000 patients concluded that the right combination of text messaging and letter content increased uptake of NHS Health Checks by 65 per cent. This iPLATO case study, based on a randomised controlled trial with the Department of Health, Public Health England and Southwark Council, reported in July 2015. The purpose of this paper is to spread best practice and help other parts of the country transform uptake to NHS Health Checks. \u0000 \u0000 \u0000 \u0000 \u0000Design/methodology/approach \u0000 \u0000 \u0000 \u0000– This research – led by the Department of Health and Southwark Council – was designed to test the impact of certain forms of communication informed by insights from behavioural science. These insights involved small, pragmatic and very low cost or free changes to the invitation process, for example, how messages are framed and the language used. These changes are designed to fit within existing practice, which means they can easily be scaled up across all CCGs. \u0000 \u0000 \u0000 \u0000 \u0000Findings \u0000 \u0000 \u0000 \u0000– Results from the trial also indicate that a combination of the deadline commitment letter and just a reminder text message (no primer message) was nearly as effective as two texts, while the new letters on their own (without any text messages) increased uptake to 21 per cent. This suggests that clear and concise text messages from the iPLATO Hub delivered the major impact on uptake. \u0000 \u0000 \u0000 \u0000 \u0000Originality/value \u0000 \u0000 \u0000 \u0000– iPLATO is working with the research group to expand the research and improve on the reported findings while helping to spread best practice across the NHS.","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115878550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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