The Journal of Health Design最新文献

{"title":"Breaking barriers: Using evidence from a CommunityTreatment Observatory (CTO) to enhance uptake of HIV services in Sierra Leone","authors":"Martin P Ellie, Pauline W Kibe, Benjamin M Flomo, B. Ngwatu","doi":"10.21853/JHD.2019.70","DOIUrl":"https://doi.org/10.21853/JHD.2019.70","url":null,"abstract":"Copyright: © 2019 The Authors. Published by Archetype Health Pty Ltd. This is an open access article under the CC BY-NC-ND 4.0 license. SUMMARY Sierra Leone has a low HIV prevalence (1.5 per cent) but is faced with low uptake of HIV services, including testing, treatment, and treatment monitoring. The Network of HIV Positives in Sierra Leone (NETHIPS) established a Community Treatment Observatory (CTO) with support from its partners to generate evidence and engage duty bearers in improving service delivery. The CTO provides the unique advantage of galvanising efforts of civil society actors and affected populations on ways to tackle new infections and improve care for selected key populations in Sierra Leone.","PeriodicalId":228302,"journal":{"name":"The Journal of Health Design","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123724492","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}

{"title":"Why staff experience should be part of healthcare design","authors":"J. Goodrich","doi":"10.21853/JHD.2018.66","DOIUrl":"https://doi.org/10.21853/JHD.2018.66","url":null,"abstract":"","PeriodicalId":228302,"journal":{"name":"The Journal of Health Design","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125382480","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}

{"title":"See it my way: Using patient, family/carer and staff stories to inspire and motivate NHS staff","authors":"Thérése Hegarty","doi":"10.21853/JHD.2018.67","DOIUrl":"https://doi.org/10.21853/JHD.2018.67","url":null,"abstract":"© 2018 The Authors. Published by Archetype Health Pty Ltd.. This is an open access article under the CC BY-NC-ND 4.0 license. SUMMARY The See it my way (SIMW) model developed in 2010 is a free, onsite, quarterly storytelling event for patients, carers, and staff that lasts for one hour. Patients share their stories of living with a health condition and their care experiences; carers share their stories as participants in the health journey; and staff share their stories as providers of care. The SIMW model has been used widely in the Royal United Hospitals Bath NHS Foundation Trust since 2010. SIMW events actively promote the voices of people who are not normally heard. The SIMW model increases empathy, compassion, and kindness across all staff roles, and helps staff develop listening skills and reflective practice.","PeriodicalId":228302,"journal":{"name":"The Journal of Health Design","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122053732","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}

{"title":"Patient shadowing as an ethnographic study of staff and patient experience to influence daycase surgery outcomes","authors":"William S. Calvert, G. Hopkins, Carol Platt","doi":"10.21853/JHD.2018.62","DOIUrl":"https://doi.org/10.21853/JHD.2018.62","url":null,"abstract":"Copyright: © 2018 The Authors. Published by Archetype Health Pty Ltd.. This is an open access article under the CC BY-NC-ND 4.0 license. SUMMARY Patient shadowing can be a valid tool in service evaluation and audit. Performed in large numbers it generates qualitative big data that can be used to increase understanding of patient pathways and experience. Increasing understanding of processes allows for focused improvements targeted to recurring issues and allows systemic understanding of patient experience and a new appreciation of how to assess outcomes from observational reports.","PeriodicalId":228302,"journal":{"name":"The Journal of Health Design","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125593882","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}

{"title":"The value of human connection in health care","authors":"M. Jiwa","doi":"10.21853/JHD.2018.68","DOIUrl":"https://doi.org/10.21853/JHD.2018.68","url":null,"abstract":"Copyright: © 2018 The Authors. Published by Archetype Health Pty Ltd.. This is an open access article under the CC BY-NC-ND 4.0 license. SUMMARY The perfect healthcare policy, one which leads to the best possible outcomes in every case, remains elusive. Throwing money at health care has not led to better results. Most people will seek help with a medical problem for which there is no “cure”. The best that can be offered is symptom management and waiting patiently for the body to heal itself. The quality of the interaction between doctor and patient is what has the greatest bearing on the outcome in an individual case. Forging the most effective connection with the patient involves simply asking more questions. Interrupting less. Remaining curious. Maintaining eye contact. Clarifying. Simplifying. Smiling. Examining. Pausing. It’s not sufficient, but it is necessary.","PeriodicalId":228302,"journal":{"name":"The Journal of Health Design","volume":"220 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130153635","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}

{"title":"Establishing Patient Partners: The Health Care Home Model","authors":"H. Parker","doi":"10.21853/JHD.2018.65","DOIUrl":"https://doi.org/10.21853/JHD.2018.65","url":null,"abstract":"INTRODUCTION Development of the Pinnacle Health Care Home (HCH) model for primary care in New Zealand includes design that enables and promotes patients as active partners in their health care rather than passive recipients. A conceptual framework that underpins the model design has been described as “Patients, families, their representatives, and health professionals working in active partnership at various levels across the healthcare system—direct care, organizational design and governance, and policy making—to improve health and healthcare”.","PeriodicalId":228302,"journal":{"name":"The Journal of Health Design","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126560253","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}

{"title":"The challenges of using feedback from patients to inform design","authors":"B. Fitzsimons","doi":"10.21853/JHD.2018.59","DOIUrl":"https://doi.org/10.21853/JHD.2018.59","url":null,"abstract":"Copyright: © 2018 The Authors. Published by Archetype Health Pty Ltd.. This is an open access article under the CC BY-NC-ND 4.0 license. SUMMARY A range of sources of data on patients’ experiences exist. There is greater emphasis on using quantitative data for the purposes of assurance and accountability than there is on using the range of data for improvement. Patients’ legitimacy in commenting on aspects such as communication and coordination of care is accepted. Less so, the potential for patients to contribute to consideration of safety issues. A culture of curiosity is a prerequisite for making best use of patient insight data for improvement. There is also considerable appetite and potential for greater involvement of patients in the co-design of improvements in care.","PeriodicalId":228302,"journal":{"name":"The Journal of Health Design","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121569706","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}

{"title":"Using patient narratives to design an intervention to reduce noise in the intensive care unit","authors":"J. Darbyshire, L. Hinton","doi":"10.21853/JHD.2018.51","DOIUrl":"https://doi.org/10.21853/JHD.2018.51","url":null,"abstract":"INTRODUCTION Including patients and the public in research design is widely referred to as PPI (patient and public involvement). There has been growing acceptance that listening to patients is central to formulating health policy and research projects are encouraged to embrace significant “PPI”, although there is little consensus for exactly how this should be achieved. PPI therefore can take many forms, have varying levels of involvement, and generate mixed opinions of success.","PeriodicalId":228302,"journal":{"name":"The Journal of Health Design","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123720767","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}

{"title":"Photo-ageing for smoking cessation in pregnancy: A pilot study","authors":"D. Iyer, M. Jiwa, Catherine J Krejany, J. V. Dam","doi":"10.21853/JHD.2018.56","DOIUrl":"https://doi.org/10.21853/JHD.2018.56","url":null,"abstract":"Smoking cessation during pregnancy may prevent poor outcomes. In Australia, one in 10 mothers (10 per cent) who gave birth in 2015 admitted to smoking at some stage of their pregnancy. Young pregnant women, particularly those under the age of 20 have a higher rate of smoking than this national average (32 per cent) indicating they may be taking up smoking in increasing numbers relative to other demographics.","PeriodicalId":228302,"journal":{"name":"The Journal of Health Design","volume":"300 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133769570","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}

{"title":"Tools to discover and co-design ideal care experiences","authors":"M. O’Brien, Angela DeVanney, Chandler Caufield, David Vaglia","doi":"10.21853/jhd.2018.52","DOIUrl":"https://doi.org/10.21853/jhd.2018.52","url":null,"abstract":"Shadowing a patient through a care experience can provide perspectives not usually seen in care delivery systems or discrete experiences. Critics of shadowing often point to the time involved to effectively shadow and create reports as a reason not to use the practice. goShadow is a smartphone and web-based app tool that simplifies the collection and aggregation of shadowing data. goShadow provides users with the ability to concurrently time multiple events, tasks, people, and places, record notes with time stamps, and export automated and easily digestible reports. BACKGROUND As healthcare systems evolve, the voice of the patient (and family) is often lost in the pursuit of growth and expansion. Process inefficiencies and gaps in patient care are continually identified; verifying and addressing those issues can be burdensome and time consuming. Providers are siloed in their piece of each experience: they interact with patients in very specific situations without seeing the full episode of care. Despite the U.S.-based Institute of Medicine identifying patient-centredness as one of the six essential components to delivering high-quality care, there is little consensus on how to conceptualize, interpret, or administer patient-centered care. Clinicians, patients, and families need a structured and organised method to capture qualitative and quantitative factors, as well as the more subtle feelings and impressions that comprise the care experience from the patient’s point of view. The lack of understanding of the entire patient experience, from beginning to end, can have an enormous impact on the quality of care that the patient receives and on the quality of experience that is reported by the patient anecdotally through surveys and patient-reported outcomes. Shadowing, or the real-time observation of patients and families through a care experience, is one way to bridge these gaps. Yanes et al assert that observations of patient experiences are informative and cost effective, and so they are an important tool for healthcare improvement. Patient and family observations, along with traditional assessment methods, contribute to a comprehensive understanding of complex care systems. Using the shadowing methodology to map the current state of care from the patient’s perspective is critical to identifying inefficiencies that might not be obvious to care providers and administrators. Using current state mapping coupled with time studies and opportunity reports, hospitals, healthcare organisations, and medical practices","PeriodicalId":228302,"journal":{"name":"The Journal of Health Design","volume":"2016 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127347628","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}