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3Background and Objective: To develop a health care value framework for physical therapy primary health care organizations including a definition. Method: A scoping review was performed. First, relevant studies were identified in 4 databases (n = 74). Independent reviewers selected eligible studies. Numerical and thematic analyses were performed to draft a preliminary framework including a definition. Next, the feasibility of the framework and definition was explored by physical therapy primary health care organization experts. Results: Numerical and thematic data on health care quality and context-specific performance resulted in a health care value framework for physical therapy primary health care organizations—including a definition of health care value, namely “to continuously attain physical therapy primary health care organization-centered outcomes in coherence with patient- and stakeholder-centered outcomes, leveraged by an organization’s capacity for change.” Conclusion: Prior literature mainly discussed health care quality and context-specific performance for primary health care organizations separately. The current study met the need for a value-based framework, feasible for physical therapy primary health care organizations, which are for a large part micro or small. It also solves the omissions of incoherent literature and existing frameworks on continuous health care quality and context-specific performance. Future research is recommended on longitudinal exploration of the HV (health care value) framework.
DOCUMENT
Dit artikel beschrijft de opkomst van Value Based Health Care.
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Wetenschappelijke publicatie - Health andamp; Social Care in the Community
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Perceptions and values of care professionals are critical in successfully implementing technology in health care. The aim of this study was threefold: (1) to explore the main values of health care professionals, (2) to investigate the perceived influence of the technologies regarding these values, and (3) the accumulated views of care professionals with respect to the use of technology in the future. In total, 51 professionals were interviewed. Interpretative phenomenological analysis was applied. All care professionals highly valued being able to satisfy the needs of their care recipients. Mutual inter-collegial respect and appreciation of supervisors was also highly cherished. The opportunity to work in a careful manner was another important value. Conditions for the successful implementation of technology involved reliability of the technology at hand, training with team members in the practical use of new technology, and the availability of a help desk. Views regarding the future of health care were mainly related to financial cut backs and with a lower availability of staff. Interestingly, no spontaneous thoughts about the role of new technology were part of these views. It can be concluded that professionals need support in relating technological solutions to care recipients' needs. The role of health care organisations, including technological expertise, can be crucial here.
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Health and social well-being depend on many contextual facets which are interdependent in a complex way and are all but limited to the field of cure and care. Publications of the World Health Organization and the Dutch Ministry of Health show that good health also depends on socioeconomic aspects such as stable living conditions and (pre-emptive) debt counselling. Inspired by these findings, many programs have been launched that aim for an integrated approach of health and social issues.
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De IC-HerstelWijzer en IC-NaastenCoach zijn nieuwe, digitale platforms die Intensive Care-patiënten en hun familie tijdens en na opname ondersteunen. Stichting FCIC (Family and Patient Centered Intensive Care) en patiëntenorganisatie IC-Connect zijn de platforms gestart in samenwerking met Erasmus MC. Bedenkers zijn Assistent Professor Intensive Care dr. Margo van Mol (Erasmus MC) en dr. Lilian Vloet. Wat hen ertoe bracht de platforms te bedenken en wat hun verwachtingen zijn, licht Van Mol toe in ICT&health 6. Jaarlijks belanden ongeveer 65.000 mensen op de Intensive Care (IC) afdeling. Ongeveer 90 procent overleeft deze zware periode. Zij – maar ook hun familie - kunnen nog lang last houden van klachten, zoals lichamelijke, geestelijke en cognitieve problemen: Post Intensive Care Syndroom (PICS). Deze patiënten hebben veel behoefte aan goede informatie, ondersteuning en voortdurende zorg. Het vinden van geschikte hulp en betrouwbare informatie is voor hen en hun familie vaak een moeilijk en eenzaam traject.
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Transitions in health care and the increasing pace at which technological innovations emerge, have led to new professional approach at the crossroads of health care and technology. In order to adequately deal with these transition processes and challenges before future professionals access the labour market, Fontys University of Applied Sciences is in a transition to combining education with interdisciplinary practice-based research. Fontys UAS is launching a new centre of expertise in Health Care and Technology, which is a new approach compared to existing educational structures. The new centre is presented as an example of how new initiatives in the field of education and research at the intersection of care and technology can be shaped.
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The Dutch health care system is a large drain on the Dutch national budget. With the Dutch hospitals costing 20 billion euros yearly. Six billion euros, of the total 20 billion euros are spend on goods and materials. If a part of these goods are wasted within the health care system, the costs of this system could be reduced by reducing this waste. This paper has researched the possible waste reduction possible in health care pathways by researching three health care pathways in Dutch hospitals. This paper answers the research question: How can the possible wasted disposables be reduced in health care pathways in Dutch hospitals?
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Objectives: Successful implementation of preconception and interconception care contributes to optimizing pregnancy outcomes. While interconception care to new mothers could potentially be provided by Preventive Child Health Care services, this care is currently not routinely available in the Netherlands. The purpose of this study was to identify facilitators and barriers for implementation of interconception care in Preventive Child Health Care services. Methods: We organized four focus groups in which Preventive Child Health Care physicians and nurses, related health care professionals and policymakers participated. A semi-structured interview approach was used to guide the discussion. The transcribed discussions were analyzed. Results: All four groups agreed that several facilitators are present, such as the unique position to reach women and the expertise in preventive health care. Identified barriers include unfamiliarity with interconception care among patients and health care providers, as well as lack of consensus about the concept of interconception care and how it should be organized. A broad educational campaign, local adaptation, and general agreement or a guideline for standard procedures were recognized as important for future implementation. Conclusions for practice: This study identifies potentially important facilitators and barriers for the implementation of interconception care in Preventive Child Health Care services or comparable pediatric settings. These factors should be considered and strategies developed to achieve successful implementation of interconception care.
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ABSTRACT Allied health professionals often are not structurally involved in interprofessional collaboration with generalist primary care professionals for geriatric syndromes. Previously identified facilitators and barriers for interprofessional collaboration are predominantly outside the professionals’ sphere of influence. We aimed to identify (in)effective behavioral patterns in interprofessional collaboration between allied health and generalist primary care professionals in older adult care to provide a perspective of action for all professionals to improve the effectiveness of collaboration. We used a combined inductive and deductive approach to thematic analysis on the transcripts of 24 semi-structured individual interviews. To characterize collaborative situations between Dutch allied health and other primary care professionals, we organized open codes into a game theoretical framework. Identified ineffective behavior patterns included using power to overrule allied health expertise, a lack of initiating collaboration, and go-alone behavior in conflicts. Initiating behavior, making expertise more explicit, involving a third-party professional, and compromising were identified as effective behavior. Balancing power and expertise and engaging third-party professionals in situations of conflicting preferences, expertise, or power levels potentially improves generalist-allied health collaboration. The game theoretical framework proved useful in analyzing collaborative interactions and could be an effective strategy to change behavior.
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