{"title":"SECOND LATIN AMERICAN CONFERENCE ON PERSON CENTERED MEDICINE","authors":"J. Mezzich","doi":"10.5750/IJPCM.V6I3.598","DOIUrl":"https://doi.org/10.5750/IJPCM.V6I3.598","url":null,"abstract":"","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123391056","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}
Coproduction as a participatory and collaborative innovation in public service delivery might be particularly useful as a tool for improving quality, efficiency and patient satisfaction in the course of health services provision. This article reviews the practices of coproduction identified in European health care systems. This aims at exploring if the coproduction has already gained a status of significant trend in health services provision and what are the outcomes of coproductive arrangements implemented. In the first part, drawing from the literature review, major types of coproduction in health care have been identified, including shared decision making, self management and expert patient initiatives, and peer support networks. In the second part the existing evidence on European experience with coproduction in health care has been analysed in terms of scale and outcomes. This review demonstrates that while coproduction might be promising addition to institutional mix in health services delivery, it is still at early stage of development. The number and scope of coproductive arrangements is rather low and most of them could be identified in the UK health care system. Possible reasons for limited dissemination of coproduction in the European health care systems are discussed in the last part of the article.
{"title":"Emergence of Coproduction and Participatory Care in European Clinical Practice","authors":"Dawid Sześciło","doi":"10.5750/IJPCM.V6I3.586","DOIUrl":"https://doi.org/10.5750/IJPCM.V6I3.586","url":null,"abstract":"Coproduction as a participatory and collaborative innovation in public service delivery might be particularly useful as a tool for improving quality, efficiency and patient satisfaction in the course of health services provision. This article reviews the practices of coproduction identified in European health care systems. This aims at exploring if the coproduction has already gained a status of significant trend in health services provision and what are the outcomes of coproductive arrangements implemented. In the first part, drawing from the literature review, major types of coproduction in health care have been identified, including shared decision making, self management and expert patient initiatives, and peer support networks. In the second part the existing evidence on European experience with coproduction in health care has been analysed in terms of scale and outcomes. This review demonstrates that while coproduction might be promising addition to institutional mix in health services delivery, it is still at early stage of development. The number and scope of coproductive arrangements is rather low and most of them could be identified in the UK health care system. Possible reasons for limited dissemination of coproduction in the European health care systems are discussed in the last part of the article.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131493638","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}
Background. Living at home with a physical condition that requires assistance places high emotional burden on older persons that needs to be attended to by nurses. However, nurses in home health care have previously been found to communicate primarily in an instrumental way. This increases the risk that emotional concerns are being overlooked or not responded to in an appropriate way. Aims and Objectives. To enhance emotional interactions with older clients in home health care, an individual feedback intervention was developed for these nurses. The first experiences and results are presented in this paper. Design and Methods. Ten nurses/nurse assistants participated in this exploratory pre-post test study. They were asked to audiotape visits with older persons (65+) before and after an audio-feedback intervention. Older clients’ implicit and explicit expressions of emotional concerns as well as nurses’ responses to these expressions were rated with the Verona Coding Definition of Emotional Sequences (VR-CoDES). The nurses were given feedback based on the audio-recordings and the observations and were asked to reflect on the audio-feedback intervention. Results. The nurses valued the audio-feedback. Overall, 201 cues and 35 concerns were expressed during 58 recorded visits. At post-intervention, 29% of identified cues and concerns were nurse-initiated, at pre-intervention 18.8% (NS). Nurses provided space in 73.7% of their responses. During shorter visits nurses tended to provide less space (p=.06). After the intervention, 20.9% of the cues and concerns were ignored, before the intervention this was 25% (NS). Conclusions. Receiving feedback was taken in very well by the nurses working in home health care and the feedback intervention seems to enhance emotional interactions in home health care with older persons. Although, due to the low power of the study, the differences between pre-and post-intervention measurements were not significant. Studies with larger samples are needed to replicate these findings.
{"title":"Towards enhanced emotional interactions with older persons: findings from a nursing intervention in home health care.","authors":"C. Veenvliet, H. Eide, M. Lange, S. Dulmen","doi":"10.5750/IJPCM.V6I3.574","DOIUrl":"https://doi.org/10.5750/IJPCM.V6I3.574","url":null,"abstract":"Background. Living at home with a physical condition that requires assistance places high emotional burden on older persons that needs to be attended to by nurses. However, nurses in home health care have previously been found to communicate primarily in an instrumental way. This increases the risk that emotional concerns are being overlooked or not responded to in an appropriate way. Aims and Objectives. To enhance emotional interactions with older clients in home health care, an individual feedback intervention was developed for these nurses. The first experiences and results are presented in this paper. Design and Methods. Ten nurses/nurse assistants participated in this exploratory pre-post test study. They were asked to audiotape visits with older persons (65+) before and after an audio-feedback intervention. Older clients’ implicit and explicit expressions of emotional concerns as well as nurses’ responses to these expressions were rated with the Verona Coding Definition of Emotional Sequences (VR-CoDES). The nurses were given feedback based on the audio-recordings and the observations and were asked to reflect on the audio-feedback intervention. Results. The nurses valued the audio-feedback. Overall, 201 cues and 35 concerns were expressed during 58 recorded visits. At post-intervention, 29% of identified cues and concerns were nurse-initiated, at pre-intervention 18.8% (NS). Nurses provided space in 73.7% of their responses. During shorter visits nurses tended to provide less space (p=.06). After the intervention, 20.9% of the cues and concerns were ignored, before the intervention this was 25% (NS). Conclusions. Receiving feedback was taken in very well by the nurses working in home health care and the feedback intervention seems to enhance emotional interactions in home health care with older persons. Although, due to the low power of the study, the differences between pre-and post-intervention measurements were not significant. Studies with larger samples are needed to replicate these findings.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133141353","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}
Background: Depression is a prevalent and severe disorder and a major cause for attempted and completed suicides in Europe. Objectives: The community-based 4-level-intervention concept developed within the “European Alliance against Depression” (EAAD; www.eaad.net ) combines two important objectives: to improve the care and treatment of patients with depression and to prevent suicidal behavior. Methods: The EAAD community-based 4-level intervention comprises training and support of primary care providers (level 1), a professional public awareness campaign (level 2), training of community facilitators (teachers, priests, geriatric care givers, pharmacists, journalists) (level 3), and support for self-help of persons suffering from depression and for their relatives (level 4). Results: Several studies evaluated different aspects of the 4-level community-based intervention concept over the past years and showed a significant reduction in suicidal behavior and various changes in intermediate outcomes (e.g. changes in attitude or knowledge in different populations). Systematic process evaluation was helpful to identify several predictable and unpredictable obstacles to a successful implementation of such community-based programs as well as synergistic and catalytic effects. Conclusions: The EAAD community-based intervention has been shown to be effective concerning the prevention of suicidal behavior and is the most broadly implemented community-based intervention targeting depression and suicidal behavior world-wide. Via the EAAD and partners from currently 22 countries from in- and outside of Europe, the intervention concept and materials (available in many different languages ) are offered to interested regions.
{"title":"European Alliance Against Depression: Person centered care for depression and prevention of suicidal behaviour","authors":"U. Hegerl, E. Arensman, E. Kohls","doi":"10.5750/IJPCM.V6I3.587","DOIUrl":"https://doi.org/10.5750/IJPCM.V6I3.587","url":null,"abstract":"Background: Depression is a prevalent and severe disorder and a major cause for attempted and completed suicides in Europe. Objectives: The community-based 4-level-intervention concept developed within the “European Alliance against Depression” (EAAD; www.eaad.net ) combines two important objectives: to improve the care and treatment of patients with depression and to prevent suicidal behavior. Methods: The EAAD community-based 4-level intervention comprises training and support of primary care providers (level 1), a professional public awareness campaign (level 2), training of community facilitators (teachers, priests, geriatric care givers, pharmacists, journalists) (level 3), and support for self-help of persons suffering from depression and for their relatives (level 4). Results: Several studies evaluated different aspects of the 4-level community-based intervention concept over the past years and showed a significant reduction in suicidal behavior and various changes in intermediate outcomes (e.g. changes in attitude or knowledge in different populations). Systematic process evaluation was helpful to identify several predictable and unpredictable obstacles to a successful implementation of such community-based programs as well as synergistic and catalytic effects. Conclusions: The EAAD community-based intervention has been shown to be effective concerning the prevention of suicidal behavior and is the most broadly implemented community-based intervention targeting depression and suicidal behavior world-wide. Via the EAAD and partners from currently 22 countries from in- and outside of Europe, the intervention concept and materials (available in many different languages ) are offered to interested regions.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134482665","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}
Background Research to date indicates that most nursing homes offer various kinds of activities for their residents, but that these are seldom tailored to each individual person. In respect of activities, it is reasonable to assume that male residents are at particular risk of not receiving person-centred care as they inhabit a largely ‘female domain’, where the majority of personnel and often also of residents are female. Few studies to date have focused on activities for men in nursing homes. Aim The aim of this study was to explore male residents’ experiences of an activity programme in a nursing home in Norway. Design The study had an explorative Grounded Theory (GT) design. Data were collected by means of interviews with nine residents. All of the men were offered an activity at least once a week as part of a project over the preceding year. According to the basic principles of grounded theory sampling, data collection and analysis are carried out simultaneously using constant comparison. Findings The core category showed that there was ‘a change in the men’s everyday lives’ after the special activity programme – for men only – was offered. Their own influence on the content of the conversations and on the activity itself was described as limited. This was not important for them, as the most essential issues were ‘being together’ and ‘getting away’. Conditions relating to the men themselves, the place where the activities were held and the nursing personnel had an impact on how important the activity programme was for them. Conclusions A more person-centred approach in future activity programmes will enhance the residents’ integrity and well-being, and allow them a degree of self-determination even while resident in a nursing home.
{"title":"‘A change in the men’s everyday lives’ – a grounded theory study","authors":"A. Helgesen","doi":"10.5750/IJPCM.V6I3.589","DOIUrl":"https://doi.org/10.5750/IJPCM.V6I3.589","url":null,"abstract":"Background Research to date indicates that most nursing homes offer various kinds of activities for their residents, but that these are seldom tailored to each individual person. In respect of activities, it is reasonable to assume that male residents are at particular risk of not receiving person-centred care as they inhabit a largely ‘female domain’, where the majority of personnel and often also of residents are female. Few studies to date have focused on activities for men in nursing homes. Aim The aim of this study was to explore male residents’ experiences of an activity programme in a nursing home in Norway. Design The study had an explorative Grounded Theory (GT) design. Data were collected by means of interviews with nine residents. All of the men were offered an activity at least once a week as part of a project over the preceding year. According to the basic principles of grounded theory sampling, data collection and analysis are carried out simultaneously using constant comparison. Findings The core category showed that there was ‘a change in the men’s everyday lives’ after the special activity programme – for men only – was offered. Their own influence on the content of the conversations and on the activity itself was described as limited. This was not important for them, as the most essential issues were ‘being together’ and ‘getting away’. Conditions relating to the men themselves, the place where the activities were held and the nursing personnel had an impact on how important the activity programme was for them. Conclusions A more person-centred approach in future activity programmes will enhance the residents’ integrity and well-being, and allow them a degree of self-determination even while resident in a nursing home.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129549799","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}
J. Perkins, Cecilia Capello, A. Maiga, Yanogo Matié, Amélie Eggertswyler, C. Santarelli
Background . As critical household and community gatekeepers in Burkina Faso, men play an important role in ensuring the care of women and newborns during the perinatal period. Enfants du Monde, Fondation pour le Developpement Communautaire/Burkina Faso, the World Health Organisation and the United Nations Population Fund (UNFPA) are supporting the national Ministry of Health to implement the health promotion pillar of the maternal and new born health (MNH) strategy. Objectives . Working with men to help them become active participants in MNH is one of the axes of these efforts. Methods . Interventions aiming at influencing the role of men in MNH have been implemented since 2010. Foremost among these is the implementation of a strategy entitled Pougsid Songo , or “Model Husbands”. Within this strategy, designed by health workers and community members, men who are exhibiting positive behaviours in supporting women are selected by local leaders and trained to educate other men in the community on care for women and newborns, on birth preparedness and complication readiness, on danger signs and postnatal family planning (FP) and on the need to accompany women to health services. Results. Preliminary results suggest that in particular due to the “Model Husbands” strategy, men are participating more actively in MNH. Notably, men are starting to accompany women to health facilities for antenatal care regularly and they are more aware of care practices for women during and after pregnancy and for newborns. In addition, utilization of MNH and FP services is increasing. Conclusions. These results suggest that interventions are successfully influencing men’s roles in MNH which is contributing to improved care of women and newborns within the household and increased utilization of MNH services.
{"title":"The Role of Men in Improving Maternal and Newborn Health in Burkina Faso","authors":"J. Perkins, Cecilia Capello, A. Maiga, Yanogo Matié, Amélie Eggertswyler, C. Santarelli","doi":"10.5750/IJPCM.V6I3.595","DOIUrl":"https://doi.org/10.5750/IJPCM.V6I3.595","url":null,"abstract":"Background . As critical household and community gatekeepers in Burkina Faso, men play an important role in ensuring the care of women and newborns during the perinatal period. Enfants du Monde, Fondation pour le Developpement Communautaire/Burkina Faso, the World Health Organisation and the United Nations Population Fund (UNFPA) are supporting the national Ministry of Health to implement the health promotion pillar of the maternal and new born health (MNH) strategy. Objectives . Working with men to help them become active participants in MNH is one of the axes of these efforts. Methods . Interventions aiming at influencing the role of men in MNH have been implemented since 2010. Foremost among these is the implementation of a strategy entitled Pougsid Songo , or “Model Husbands”. Within this strategy, designed by health workers and community members, men who are exhibiting positive behaviours in supporting women are selected by local leaders and trained to educate other men in the community on care for women and newborns, on birth preparedness and complication readiness, on danger signs and postnatal family planning (FP) and on the need to accompany women to health services. Results. Preliminary results suggest that in particular due to the “Model Husbands” strategy, men are participating more actively in MNH. Notably, men are starting to accompany women to health facilities for antenatal care regularly and they are more aware of care practices for women during and after pregnancy and for newborns. In addition, utilization of MNH and FP services is increasing. Conclusions. These results suggest that interventions are successfully influencing men’s roles in MNH which is contributing to improved care of women and newborns within the household and increased utilization of MNH services.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124823732","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}
Introduction: People in Scottish prisons (PSP) have poorer health than the general population. The promotion of health and wellbeing in prisons is a central aim of Scottish Government policy. Objective: This study was aimed at designing, implementing and evaluating person-centered health coaching (HC) training to improve PSP´s health and related psycho-social skills. Methods: PSP were trained as health coaches, as part of National Health Service (NHS) Scotland’s oral health prison intervention, termed Mouth Matters (MMs). A unit of MM involving HC is named PEPSCOT. Here PSP were trained by a qualified coach over a three-month period to become health coaches; 8, 4 and 4 whole day training took place respectively during the first, second, third month of training. Self-assessment questionnaires and diaries were used before, during and after the HC training to test the extent to which HC works to improve PSP´s health and related psycho-social variables. The outcome measures analyzed in the present study were self-assessed health and behaviors, self-efficacy, self-esteem, depression, and usefulness of the program. Follow-up data will be collected in September 2016 for further assessment of the impact of HC. Results: The baseline data showed that the majority of the participants were from low socio-economic status, and reported a moderate level of health. Data showed later that when compared with baseline levels two of the outcome variables (self-esteem and self-efficacy) improved significantly (p<0.001) at the mid-training point, and that all four outcome variables (also including self-assessed health and depression) improved significantly (at least p<0.05) at the completion of training. Participants’ positive evaluation of the training was significantly correlated with improved health and psychological measures (p<0.05). Conclusions: Health Coaching training represents a new person-centered approach that appears to enhance self-assessed health, mood, self-esteem and self-efficacy among prisoners in Scotland, and also to enable transitions from negative to positive concerning beliefs, values, and self-evaluations. There is however a need for further studies at a larger scale.
{"title":"Person-centered Health Coaching in a Scottish Prison Population: Findings at Training Completion","authors":"A. Cinar","doi":"10.5750/IJPCM.V6I2.579","DOIUrl":"https://doi.org/10.5750/IJPCM.V6I2.579","url":null,"abstract":"Introduction: People in Scottish prisons (PSP) have poorer health than the general population. The promotion of health and wellbeing in prisons is a central aim of Scottish Government policy. Objective: This study was aimed at designing, implementing and evaluating person-centered health coaching (HC) training to improve PSP´s health and related psycho-social skills. Methods: PSP were trained as health coaches, as part of National Health Service (NHS) Scotland’s oral health prison intervention, termed Mouth Matters (MMs). A unit of MM involving HC is named PEPSCOT. Here PSP were trained by a qualified coach over a three-month period to become health coaches; 8, 4 and 4 whole day training took place respectively during the first, second, third month of training. Self-assessment questionnaires and diaries were used before, during and after the HC training to test the extent to which HC works to improve PSP´s health and related psycho-social variables. The outcome measures analyzed in the present study were self-assessed health and behaviors, self-efficacy, self-esteem, depression, and usefulness of the program. Follow-up data will be collected in September 2016 for further assessment of the impact of HC. Results: The baseline data showed that the majority of the participants were from low socio-economic status, and reported a moderate level of health. Data showed later that when compared with baseline levels two of the outcome variables (self-esteem and self-efficacy) improved significantly (p<0.001) at the mid-training point, and that all four outcome variables (also including self-assessed health and depression) improved significantly (at least p<0.05) at the completion of training. Participants’ positive evaluation of the training was significantly correlated with improved health and psychological measures (p<0.05). Conclusions: Health Coaching training represents a new person-centered approach that appears to enhance self-assessed health, mood, self-esteem and self-efficacy among prisoners in Scotland, and also to enable transitions from negative to positive concerning beliefs, values, and self-evaluations. There is however a need for further studies at a larger scale.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128516515","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}
Background: Today most healthcare providers have embraced the principle of per sonal autonomy as central to their strategic aims and objectives. How ever, amongst healthcare providers there exist many different views on what personal autonomy is and how it should be facilitated. Objectives: This study aims to explore how personal autonomy and related concepts such as individual liberty and individualism have been interpreted over the ages, what this means for our current understanding of personal autonomy in healthcare and how this may aid current policy discussions. Methods: Qualitative investigation of historical views related to this topic. Results: Three major traditions can be identified, each of which defines preconditions for autonomous behav ior. These preconditions are: (1) rationality and rational faculties, (2) individual rights and legislation and (3) free property rights, free mar ket and free trade. It was found that the three historical traditions still play a key role in current discussions on personal autonomy in health care. Conclusions: A thorough understanding of these traditions may be quite helpful for health stakeholders in planning health services and policies.
{"title":"Historical analysis of personal autonomy for prospective healthcare","authors":"Dennis Moeke, J. V. Andel","doi":"10.5750/IJPCM.V6I2.542","DOIUrl":"https://doi.org/10.5750/IJPCM.V6I2.542","url":null,"abstract":"Background: Today most healthcare providers have embraced the principle of per sonal autonomy as central to their strategic aims and objectives. How ever, amongst healthcare providers there exist many different views on what personal autonomy is and how it should be facilitated. Objectives: This study aims to explore how personal autonomy and related concepts such as individual liberty and individualism have been interpreted over the ages, what this means for our current understanding of personal autonomy in healthcare and how this may aid current policy discussions. Methods: Qualitative investigation of historical views related to this topic. Results: Three major traditions can be identified, each of which defines preconditions for autonomous behav ior. These preconditions are: (1) rationality and rational faculties, (2) individual rights and legislation and (3) free property rights, free mar ket and free trade. It was found that the three historical traditions still play a key role in current discussions on personal autonomy in health care. Conclusions: A thorough understanding of these traditions may be quite helpful for health stakeholders in planning health services and policies.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130496606","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}
a Editor in Chief, International Journal of Person Centered Medicine; Secretary General, International College of Personcentered Medicine; Professor of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, USA. b President, International College of Person-centered Medicine; Former President, World Medical Association, London, United Kingdom. c Board Director, International College of Person-centered Medicine; Chair, World Psychiatric Association Section on Psychoanalysis in Psychiatry; Professor of Child and Adolescent Psychiatry, University of Western Brittany, Brest, France. d Board Director, International College of Person-centered Medicine; Chair, Section on Classification, Diagnostic Assessment and Nomenclature, World Psychiatric Association; Professor of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA
{"title":"Wholeness and Life Course in Person Centered Medicine","authors":"J. Mezzich, J. Appleyard, M. Botbol, I. Salloum","doi":"10.5750/IJPCM.V6I2.577","DOIUrl":"https://doi.org/10.5750/IJPCM.V6I2.577","url":null,"abstract":"a Editor in Chief, International Journal of Person Centered Medicine; Secretary General, International College of Personcentered Medicine; Professor of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, USA. b President, International College of Person-centered Medicine; Former President, World Medical Association, London, United Kingdom. c Board Director, International College of Person-centered Medicine; Chair, World Psychiatric Association Section on Psychoanalysis in Psychiatry; Professor of Child and Adolescent Psychiatry, University of Western Brittany, Brest, France. d Board Director, International College of Person-centered Medicine; Chair, Section on Classification, Diagnostic Assessment and Nomenclature, World Psychiatric Association; Professor of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130249114","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}
Background: Older people with complex health and social care needs are a growing group of people with high use of NHS and social services. In particular, this group account for a large number of unplanned hospital admissions a year. Aims: To evaluate the evidence base for preventing unplanned hospital admissions in this group, to identify their characteristics and to undertake a focussed local review of their primary care management. Methods: A literature review, a review of the Southwark CCG data risk stratification tool and a review of high risk patients and their management at a Southwark GP practice. Results: High risk patients have multiple comorbidities and are frequent users of healthcare services. Although there was in general good involvement with social care services, there were certain areas that could be improved upon. For instance, the referral of frequent fallers to falls services and provision of an older person’s annual health check both offer opportunities for primary prevention. Conclusions: An older person’s annual health check would ensure holistic assessment of their health and social care needs and could then be acted upon to ensure that there is the required level of support in place, including a personalised anticipatory care plan and attention to key preventative measures such as falls prevention, exercise, smoking cessation, medicines optimisation and sensory impairment.
{"title":"Reducing unplanned hospital admissions in Older people with high needs: a review of local practice in a small sample of primary care patients in an inner London borough.","authors":"H. Sinclair, A. Furey","doi":"10.5750/IJPCM.V6I2.561","DOIUrl":"https://doi.org/10.5750/IJPCM.V6I2.561","url":null,"abstract":"Background: Older people with complex health and social care needs are a growing group of people with high use of NHS and social services. In particular, this group account for a large number of unplanned hospital admissions a year. Aims: To evaluate the evidence base for preventing unplanned hospital admissions in this group, to identify their characteristics and to undertake a focussed local review of their primary care management. Methods: A literature review, a review of the Southwark CCG data risk stratification tool and a review of high risk patients and their management at a Southwark GP practice. Results: High risk patients have multiple comorbidities and are frequent users of healthcare services. Although there was in general good involvement with social care services, there were certain areas that could be improved upon. For instance, the referral of frequent fallers to falls services and provision of an older person’s annual health check both offer opportunities for primary prevention. Conclusions: An older person’s annual health check would ensure holistic assessment of their health and social care needs and could then be acted upon to ensure that there is the required level of support in place, including a personalised anticipatory care plan and attention to key preventative measures such as falls prevention, exercise, smoking cessation, medicines optimisation and sensory impairment.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126551776","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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