Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2-117
Nick Lewis-Barned
Shared decision making and support for self-management are among a range of approaches that have been developed over the last 20 years to fundamentally change the relationship between health professionals and patients. They have strong synergies and address the inequalities of the current relationship. They replace this with a partnership approach in which health professionals and patients work together to identify and enact decisions and plans that are jointly agreed on the basis of both medical evidence and what matters most to individuals. To do this effectively requires the development of new ways of working based on a culture of collaborative working, skills that support patients to think through and articulate preferences, and the development of systems and tools that make it easier to do this. There is already a body of practice that helps to identify what needs to be done and this practice now needs to be extended across the healthcare system.
{"title":"Shared decision making and support for self-management: a rationale for change.","authors":"Nick Lewis-Barned","doi":"10.7861/futurehosp.3-2-117","DOIUrl":"10.7861/futurehosp.3-2-117","url":null,"abstract":"<p><p>Shared decision making and support for self-management are among a range of approaches that have been developed over the last 20 years to fundamentally change the relationship between health professionals and patients. They have strong synergies and address the inequalities of the current relationship. They replace this with a partnership approach in which health professionals and patients work together to identify and enact decisions and plans that are jointly agreed on the basis of both medical evidence and what matters most to individuals. To do this effectively requires the development of new ways of working based on a culture of collaborative working, skills that support patients to think through and articulate preferences, and the development of systems and tools that make it easier to do this. There is already a body of practice that helps to identify what needs to be done and this practice now needs to be extended across the healthcare system.</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 2","pages":"117-120"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465826/pdf/futurehosp-3-2-117.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37246061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2s-s16
Hannah Dunton, Owain Leng, Jamie Catlow, John Hancock, Jane Metcalf
{"title":"Stress and heart rate in high-fidelity training scenarios for undergraduate medical students.","authors":"Hannah Dunton, Owain Leng, Jamie Catlow, John Hancock, Jane Metcalf","doi":"10.7861/futurehosp.3-2s-s16","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s16","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s16"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465930/pdf/futurehosp-3-2s-s16.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2s-s38
Emma Harker, Hannah Hesselgreaves, Brian Wood, Jan Illing
{"title":"The medical registrar's experience of acute medicine on call: an ethnographic study.","authors":"Emma Harker, Hannah Hesselgreaves, Brian Wood, Jan Illing","doi":"10.7861/futurehosp.3-2s-s38","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s38","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s38"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465908/pdf/futurehosp-3-2s-s38.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2s-s6
Wee Ming Peh, Augustine Tee, Yi Kang Ng, Wai Leng Chow
{"title":"Evaluation of a chronic obstructive pulmonary disease (COPD) telehealth programme to reduce healthcare utilisation in a Singapore tertiary healthcare institute.","authors":"Wee Ming Peh, Augustine Tee, Yi Kang Ng, Wai Leng Chow","doi":"10.7861/futurehosp.3-2s-s6","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s6","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s6"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465926/pdf/futurehosp-3-2s-s6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37422200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2-103
James Fisher, James George
A number of recent high-profile reports have described sub-optimal care of older people in UK hospitals. Older people already form the bulk of hospital inpatient work and it is recognised that they often experience adverse events as a result of their hospitalisation. This, coupled with an ageing population, means there is great need to improve the quality of care for older hospitalised patients. In this article, we argue that junior doctors can, and should, play a central role in the process of improving the quality of care for older people in hospital. We describe a series of innovative, trainee-led projects that have sought to improve quality of care for hospitalised older people. Lastly, we explore how senior clinicians can support junior colleagues to make meaningful, sustainable change, with specific reference to induction processes, quality-improvement projects and role modelling.
{"title":"Junior doctors and improving the quality of care for older people in hospital.","authors":"James Fisher, James George","doi":"10.7861/futurehosp.3-2-103","DOIUrl":"10.7861/futurehosp.3-2-103","url":null,"abstract":"<p><p>A number of recent high-profile reports have described sub-optimal care of older people in UK hospitals. Older people already form the bulk of hospital inpatient work and it is recognised that they often experience adverse events as a result of their hospitalisation. This, coupled with an ageing population, means there is great need to improve the quality of care for older hospitalised patients. In this article, we argue that junior doctors can, and should, play a central role in the process of improving the quality of care for older people in hospital. We describe a series of innovative, trainee-led projects that have sought to improve quality of care for hospitalised older people. Lastly, we explore how senior clinicians can support junior colleagues to make meaningful, sustainable change, with specific reference to induction processes, quality-improvement projects and role modelling.</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 2","pages":"103-105"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465824/pdf/futurehosp-3-2-103.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2s-s9
Clare Bannister, Lou Hobin, Michael Hickman
{"title":"The changing face of cardiology in the district general hospital: 'plumbing to electrics'.","authors":"Clare Bannister, Lou Hobin, Michael Hickman","doi":"10.7861/futurehosp.3-2s-s9","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s9","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s9"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465905/pdf/futurehosp-3-2s-s9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37422203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An analysis of ambulatory emergency care (AEC) performance following participation by specialty consultants with general internal medical skills.","authors":"Pradeep Mallisetty, Rayid Abdulqawi, Grainne Clarke, Dee Narga, Govindan Raghuraman, Rahul Mukherjee","doi":"10.7861/futurehosp.3-2s-s25","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s25","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s25"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465897/pdf/futurehosp-3-2s-s25.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2s-s26
Ray Keelan, Sally Briggs, Lauren Wentworth
{"title":"Comprehensive geriatric assessment in emergency Department by OPAL (Older People Assessment and Liaison) can prevent admissions.","authors":"Ray Keelan, Sally Briggs, Lauren Wentworth","doi":"10.7861/futurehosp.3-2s-s26","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s26","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s26"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465892/pdf/futurehosp-3-2s-s26.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}