Coproduction of healthcare service

"In our efforts to improve healthcare service, we have often inadvertently approached the work as though healthcare was a ‘good’ produced by healthcare professionals. Recognising that healthcare service is a ‘service’ coproduced by patients and health professionals invites four clusters of opportunity for action."

Coproduction of healthcare service
M Batalden, P Batalden, P Margolis, M Seid, G Armstrong, L Opipari-Arrigan, H Hartung
BMJ Qual Saf 2016;25:509-517 doi:10.1136/bmjqs-2015-004315

Read more here.

A practical guide to self-management support

"The guide explains what self-management support is and why it is important. It then looks at various aspects of putting it into practice, including planning and commissioning, building knowledge, skills and confidence, and measurement and evaluation"

A practical guide to self-management support: Key components for successful implementation
A de Iongh, P Fagan, J Fenner, L Kidd
The Health Foundation
December 2015

Read more here.

What do patients say about emergency departments in online reviews?

"Consumer rating websites allow patients to provide rapid and public feedback on their experience of medical care. Web-based platforms may offer a novel strategy for assessing patient-centred quality in emergency care."

What do patients say about emergency departments in online reviews? A qualitative study
AS Kilaru, ZF Meisel, B Paciotti, YP Ha, RJ Smith, BL Ranard, RM Merchant
BMJ Quality and Safety 2016;25:14-24 doi:10.1136/bmjqs-2015-004035

Read more here.

Improving Experience through Regular Shadowing Events

"The ImERSE (improving experience through regular shadowing events) approach could be applied to any area of health care to generate population specific improvement priorities. It can be used to promote patient and family centred care and provide a unique medical education experience."

ImERSE (Improving Experience through Regular Shadowing Events)
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u206748.w2843
W Calvert, J Minford, C Platt, C Chatfield

Read more here.

An ethnographic study of patient perceptions and influence on quality improvement

"When including patient voices in measuring and defining ‘quality’, governments and public health practitioners need to be aware of how neoliberal rationalities at the heart of the policy and services context could prevent patients from seeing themselves as subjects of rights to quality care and as actors “with ‘the right to claim rights” to quality care."

Developing patient-centred care: an ethnographic study of patient perceptions and influence on quality improvement
A Renedo, C Marston
BMC Health Services Research 2015, 15:122  doi:10.1186/s12913-015-0770-y

Read more here.

Developing person-centred analysis of harm in a paediatric hospital

"At Great Ormond Street Hospital, we developed and tested a tool specifically designed for patients and families to report harm, with the aim of raising awareness and opportunities for staff to continually improve and provide safe care."

Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report
P Lachman, L Linkson, T Evans, H Clausen, D Hothi
BMJ Quality and Safety 2015;24:337-344 doi:10.1136/bmjqs-2014-003795

Read more here.

Meeting patients’ health information needs in breast cancer center hospitals

"We found differences in proportions of patients with unmet information needs between hospitals and that hospitals’ structure and process-related attributes of the hospitals were associated with these differences to some extent. Hospitals may contribute to reducing the patients’ information needs by means that are not necessarily resource-intensive."

Meeting patients’ health information needs in breast cancer center hospitals – a multilevel analysis

C Kowalski, SD Lee, L Ansmann, S Wesselmann, H Pfaff
BMC Health Services Research 2014, 14:601  doi:10.1186/s12913-014-0601-6

Read more here.

“No decision about me without me” in the context of cancer multidisciplinary team meetings

"Methods for ensuring that patients are actively integrated into the MDT processes are required to ensure patients have an informed choice regarding engagement, and to ensure recommendations are based on the best available patient-based and clinical evidence."

“No decision about me without me” in the context of cancer multidisciplinary team meetings: a qualitative interview study

C Taylor, J Finnegan-John, JSA Green
BMC Health Services Research 2014, 14:488  doi:10.1186/s12913-014-0488-2

Read more here.

Evidence summaries (decision boxes) to prepare clinicians for shared decision-making with patients

"Decision boxes (Dboxes) provide clinicians with research evidence about management options for medical questions that have no single best answer. Dboxes fulfil a need for rapid clinical training tools to prepare clinicians for clinician-patient communication and shared decision-making. We studied the barriers and facilitators to using the Dbox information in clinical practice"

Evidence summaries (decision boxes) to prepare clinicians for shared decision-making with patients: a mixed methods implementation study
AMC Giguere et al.
Implementation Science 2014, 9:144

Read more here.

Ideas into action: person-centred care in practice

"This report aims to inform health care professionals, commissioners and providers about what to consider when implementing shared decision making and self-management support as part of their drive to make person-centred care a reality."

Ideas into action: person-centred care in practice. What to consider when implementing shared decision making and self-management support
Health Foundation
October 2014

Read more here.

User-generated quality standards for youth mental health in primary care

"The development of patient-generated quality standards may offer a more formal method of incorporating the views of service users into quality improvement initiatives. This method can be adapted for generating quality standards applicable to other patient groups."

User-generated quality standards for youth mental health in primary care: a participatory research design using mixed methods
T Graham, D Rose, J Murray, M Ashworth, A Tylee
BMJ Quality and Safety 2014;23:857-866

Read more here.

Putting quality on the global health agenda

"Although there is no single definition of high-quality care, the Institute of Medicine describes it as having six key features: it is safe, effective, patient-centered, efficient, timely, and equitable. All these features are important, but there is recent evidence of particularly substantial deficiencies in the first three."

Putting quality on the global health agenda
KW Scott, AK Jha
New England Journal of Medicine, 2014; 371: 3-5

Read more here.

Patient and Family-Centred Care toolkit

"Patient and Family-Centred Care (PFCC) is a simple, step-by-step method for understanding what a care experience is like, what needs to change, and which small improvements can make a big difference to patients, families and staff alike. Across the country, teams have implemented the approach to improve services, ranging from paediatric accident and emergency to the care of frail older people, with measurable results." 

Patient and Family-Centred Care toolkit
The King's Fund, The Health Foundation

Find out more and access the toolkit here.

Prioritising person-centred care - the evidence

"In our search for evidence we looked at how patient involvement interventions contribute to four key outcomes:

•   improving people’s knowledge
•   enhancing people’s experience of services
•   impact on service use and cost, and
•   impact on people’s health"

Prioritising person-centred care - the evidence: summarising evidence from systematic reviews
National Voices
2014

Read more and access the summaries/guides here.

Scoping review of patient-centered care approaches in healthcare

"The fact that all identified approaches to patient-centered care incorporated strategies to achieve effective communication, partnership, and health promotion indicates that clinicians can select a patient-centered approach from the literature that best suits their patient’s needs"

Scoping review of patient-centered care approaches in healthcare
MK Constand, JC MacDermid, V Dal Bello-Haas, M Law

BMC Health Services Research 2014, 14:271

Read more here. 

Health Foundation Research Scan June 2014

The Health Foundation have published their latest research scan summarising 60 of June's most interesting studies on healthcare improvement, covering the topics of patient-centred care, patient safety, value for money and approaches to improvement.

Access the scan here.

Towards a coherent measurement system to support person-centred care

"Commissioners who want to encourage providers to develop person-centred systems should be commissioning for high quality person-centred processes as well as high quality person-centred outcomes. Given this, there is an argument for us to redefine value as being not outcomes/cost, but quality/cost."

Measuring what really matters: towards a coherent measurement system to support person-centred care
A Collins
The Health Foundation
April 2014

Read more here.

The NHS England business plan for 2014-15 to 2016-17

"The NHS England business plan sets out how NHS England will support commissioning and drive improvements in patient outcomes."

Putting Patients First: The NHS England business plan for 2014-15 to 2016-17
NHS England
April 2014

Read more here.

Making our health and care systems fit for an ageing population

"Improving services for older people requires us to consider each component of care, since many older people use multiple services, and the quality, capacity and responsiveness of any one component will affect others."

Making our health and care systems fit for an ageing population
D Oliver, C Foot, R Humphries
The King's Fund
March 2014


Read more here.

Incorporating evidence review into quality improvement

"These responsive evidence reviews appear to be a promising approach to integrating evidence review into QI processes."

Incorporating evidence review into quality improvement: meeting the needs of innovators
M Sherwood Danz, S Hempel, YW Lim, R Shanman, A Motala, S Stockdale, P Shekelle, L Rubenstein
BMJ Quality and Safety, 5th July 2013 Online First

Read more here.