Journal of Management & Marketing in Healthcare最新文献_第8页

Patient Partnership in Care: A new instrument for measuring patient–professional partnership in the treatment of long-term conditions 护理中的患者伙伴关系:衡量长期条件治疗中患者-专业伙伴关系的新工具

Journal of Management & Marketing in Healthcare Pub Date : 2009-10-01 DOI: 10.1179/mmh.2009.2.4.325

R. Powell, Helen Powell, L. Baker, M. Greco

{"title":"Patient Partnership in Care: A new instrument for measuring patient–professional partnership in the treatment of long-term conditions","authors":"R. Powell, Helen Powell, L. Baker, M. Greco","doi":"10.1179/mmh.2009.2.4.325","DOIUrl":"https://doi.org/10.1179/mmh.2009.2.4.325","url":null,"abstract":"Abstract The Patient Partnership in Care (PPiC) questionnaire was designed to measure the ability of health professionals to work in partnership with patients with long-term conditions (LTCs) to support and motivate self-management. It is a generic, 16-item questionnaire, contained on two sides of A4, incorporating space for two written comments. In a baseline survey, 97 clinicians gathered responses from 1,660 patients with LTCs in eight centres across the UK. The questionnaire was found to have face validity, construct validity, good internal consistency and sensitivity to change. It consists of two, unidimensional subscales covering patient–clinician partnership and the patient's confidence to manage their LTC (Cronbach's alpha 0.977 and 0.877 respectively). Health professionals who participated in three four-hour training sessions focusing on skills that support patients with self-management showed a significantly improved score in both subscales (with moderate effect sizes: –0.56 for both subscales). These health professionals administered the PPiC to their patients before and after the training. Regression analysis showed that patient confidence was strongly predicted by their partnership score. This suggests that the intervention of relevant training and reflection on the initial results of the PPiC can promote clinician skill development and increase the confidence of patients regarding self-management of LTCs.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116307296","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}

引用次数: 17

Lost in translation? Reflections on EU health policy 迷失在翻译中?对欧盟卫生政策的反思

Journal of Management & Marketing in Healthcare Pub Date : 2009-10-01 DOI: 10.1179/mmh.2009.2.4.318

Elisabeth Jelfs

{"title":"Lost in translation? Reflections on EU health policy","authors":"Elisabeth Jelfs","doi":"10.1179/mmh.2009.2.4.318","DOIUrl":"https://doi.org/10.1179/mmh.2009.2.4.318","url":null,"abstract":"There are two common reactions if you say that your work involves looking at EU health policy. For some, the EU is of little importance — a set of distant and irrelevant institutions that barely impact at all on the reality of national health systems. For many others, Brussels and its policy processes are acknowledged to be influential, but are impenetrable; as arcane as they are complex. Both reactions are worth considering. First, can EU health policy claim to be of interest and importance to health professionals and policy makers working beyond the narrow confines of Brussels? Secondly, if it is relevant, is it possible to understand and influence it? Overall, the EU is responsible for a significant proportion of member states’ primary legislation. A recent article puts the figure at 75–80 per cent in the UK, and cites a German candidate in the 2009 European Parliamentary elections as stating that 83 per cent of German legislation originated in the EU.1 Within these overall figures, some policy domains fall more under EU legislative control and command a greater share of the EU budget than others. Primary legislation in the employment, agriculture and environmental protection areas all fall under the EU’s law-making remit, for example. So too does legislation relating to trade and the single market, including industry standards and consumer protection. In this context, health policy and legislation concerning health is a relatively ‘young’ area, where the EU has traditionally had fewer direct, specific, policy initiatives. To understand the extent and constraints on EU health policy, the first step is to consider the legal basis for the European Communities’ (EC’s) competence in health. The key treaty article setting out the EC competence in health policy is Article 152 of the Treaty of Amsterdam (signed in 1997), often referred to simply as Article 152. The text states that:","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131014291","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}

引用次数: 0

Impact of the patient-centred medical home on stakeholders in the care management industry 以病人为中心的医疗之家对护理管理行业利益相关者的影响

Journal of Management & Marketing in Healthcare Pub Date : 2009-10-01 DOI: 10.1179/mmh.2009.2.4.343

H. Wang

{"title":"Impact of the patient-centred medical home on stakeholders in the care management industry","authors":"H. Wang","doi":"10.1179/mmh.2009.2.4.343","DOIUrl":"https://doi.org/10.1179/mmh.2009.2.4.343","url":null,"abstract":"Abstract The patient-centred medical home (PCMH) is a new care management approach that has gained substantial media and market attention in the last two years. Efforts from both the private and the public sectors have resulted in more than two dozen pilot or demonstration projects. These pilot programmes could have a profound impact on the future direction and priorities of US healthcare reform, particularly for care management. The PCMH will transform primary care into a more integrated and coordinated service addressing patients' comprehensive care needs, but its success hinges on rallying the interest of small to medium-sized physician practices and alleviating their concerns over the required changes to processes and personnel, the costs in technology adoption, and the adequacy of financial payout. These pilots are designed to address these concerns and also to help payers decide how to allocate their future care management budget and change their focus from disease-specific programmes to population-centric approaches. Finally, the PCMH will help train physicians to compete with the disease management industry and could replace the disease management model as the preferred choice of care management in the next decade.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134599843","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}

引用次数: 2

Deploying a spreadsheet tool for early economic value assessment of medical device innovations with healthcare decision makers 部署电子表格工具，与医疗保健决策者一起对医疗设备创新进行早期经济价值评估

Journal of Management & Marketing in Healthcare Pub Date : 2009-08-01 DOI: 10.1179/mmh.2009.2.3.278

M. Craven, Steven Morgan, J. Crowe, Bo Lu

{"title":"Deploying a spreadsheet tool for early economic value assessment of medical device innovations with healthcare decision makers","authors":"M. Craven, Steven Morgan, J. Crowe, Bo Lu","doi":"10.1179/mmh.2009.2.3.278","DOIUrl":"https://doi.org/10.1179/mmh.2009.2.3.278","url":null,"abstract":"Abstract Early-stage evaluation of medical device innovations is important for both healthcare decision makers and manufacturers. Basic cost-effectiveness analysis is therefore becoming increasingly necessary outside the usual base of health technology assessment specialists. This paper describes a spreadsheet tool for both healthcare delivery professionals and healthcare technology innovators who are non-experts in health economics. Via a simplified decision-tree model, the tool can be used to compare costs and patient benefit for a new device-related procedure versus standard care with an incumbent device or other alternative. To be broadly comparable across treatments, the tool uses the standard quality-adjusted life-year (QALY) measure of clinical outcome. The tool helps the innovator/manufacturer focus on development needs in order to fill gaps in the input data and so further strengthen their case from a health economics perspective. The results show that mapping device-related innovations to the tool is achievable using expected costs, outcomes data from the literature and estimated ranges for unknown input data. While the result of a simplified analysis is not expected to be definitive, the process of reasoning is illuminating for the parties involved, enabling innovators to articulate the benefits of their innovations and for all parties to highlight gaps in the data and evidence required to take the innovation forward.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134639869","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}

引用次数: 13

Remote patient monitoring in home healthcare: Lessons learned from advanced users 家庭医疗保健中的远程患者监控:从高级用户那里吸取的经验教训

Journal of Management & Marketing in Healthcare Pub Date : 2009-08-01 DOI: 10.1179/mmh.2009.2.3.238

A. Darkins, J. Sanders

{"title":"Remote patient monitoring in home healthcare: Lessons learned from advanced users","authors":"A. Darkins, J. Sanders","doi":"10.1179/mmh.2009.2.3.238","DOIUrl":"https://doi.org/10.1179/mmh.2009.2.3.238","url":null,"abstract":"Abstract Most healthcare organisations will face the challenge of having to reengineer their legacy care delivery systems to accept health information technologies (HIT) that will improve their efficiency and effectiveness. Current facility-based healthcare provision that was designed to cope with acute exacerbations of disease and to undertake clinical procedures will need to adapt and restructure to cope with the logistic and economic burden of caring for aging populations with a preponderance of chronic healthcare needs related to conditions such as diabetes, heart failure, chronic obstructive pulmonary disease and high blood pressure. HIT is revolutionising the way in which healthcare is being provided and promises to make the home into the preferred place of care. The advantages of this new paradigm are high levels of patient satisfaction, early intervention for disease progression, support for care-givers, and economic benefits associated with reduced hospitalisation rates. This paper reviews the underlying drivers to adopt home telehealth, an advanced HIT application, and the related clinical, technological and business challenges this presents. It explains why this is an essential strategy that forward-thinking healthcare providers must adopt. Given the associated social and cultural changes the adoption of home telehealth will bring, a vision is outlined of how the routine monitoring of health indices will promote health and not simply stave off disease.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"51 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128871394","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}

引用次数: 8

The financial crisis and health 金融危机和健康

Journal of Management & Marketing in Healthcare Pub Date : 2009-08-01 DOI: 10.1179/mmh.2009.2.3.217

B. Baer

引用次数: 2

The Commissioning Wiki: An Online Handbook 调试维基:在线手册

Journal of Management & Marketing in Healthcare Pub Date : 2009-08-01 DOI: 10.1179/mmh.2009.2.3.305

S. L. Bryant, Tim Judkins, N. Walker

引用次数: 0

Creating patient-centred healthcare practices: Social marketing tools and strategies 创建以患者为中心的医疗保健实践:社会营销工具和策略

Journal of Management & Marketing in Healthcare Pub Date : 2009-08-01 DOI: 10.1179/mmh.2009.2.3.221

G. Quinn, J. Ellery, Linda A. Detman, D. Jeffers, P. Gorski, L. Singer, Charles Mahan

引用次数: 3

Rethinking Professional Governance: International Directions in Healthcare 重新思考专业治理:医疗保健的国际方向

Journal of Management & Marketing in Healthcare Pub Date : 2009-08-01 DOI: 10.1179/MMH.2009.2.3.308

K. Staniland

引用次数: 11

The changing face of service quality in the New Zealand public health sector 新西兰公共卫生部门服务质量的变化

Journal of Management & Marketing in Healthcare Pub Date : 2009-08-01 DOI: 10.1179/mmh.2009.2.3.260

M. Brunton

引用次数: 3