Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
992
01:11Guidelines for Writing Outcome
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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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01:13Patient-centered Care
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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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01:15Nursing Evaluation
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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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01:26Methods Of Healthcare Delivery System
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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.2K
01:29Self-Evaluation Maintenance Model
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The Self-Evaluation Maintenance (SEM) model offers a psychological framework to understand how individuals’ self-esteem is influenced by the achievements of others, particularly those with whom they share close personal bonds. The SEM model operates when personal rather than social identity guides individuals. Central to this model is the notion that individuals have an inherent desire to preserve a favorable self-image, which is continuously shaped by interpersonal comparisons and...
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Identifying Primary Care Pathways from Quality of Care to Outcomes and Satisfaction Using Structural Equation
Ignacio Ricci-Cabello1, Sarah Stevens1, Andrew R H Dalton2
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Health Services Research
|February 21, 2017
Summary
Primary health care quality is linked to patient satisfaction and outcomes. Access influences patient-centered care, while education impacts clinical management, offering insights for quality improvement initiatives.
Area of Science:
- Health Services Research
- Quality Improvement Science
Background:
- Evaluating health system performance requires understanding primary health care quality domains.
- Policy decisions depend on robust evidence linking quality indicators to outcomes and satisfaction.
Purpose of the Study:
- To investigate the interrelationships between various primary health care quality domains.
- To inform health system performance evaluation and policy development.
Main Methods:
- Utilized a cross-sectional study design with 137 quality indicators from 7,607 English practices (2011-2012).
- Employed structural equation modeling to test a conceptual model of quality domain relationships.
- Indicators were categorized into processes of care, health outcomes, and patient satisfaction.
Main Results:
- Two independent paths were identified: 1) Access strongly predicted patient-centered care, which strongly predicted patient satisfaction.
- 2) Education and training predicted clinical management, which strongly predicted intermediate health outcomes.
- Patient-reported health status showed weak associations with patient-centered care and patient satisfaction, and no association with clinical management or intermediate outcomes.
Conclusions:
- This study presents the first empirical model demonstrating the independence of intermediate health outcomes, patient satisfaction, and health status.
- The identified pathways highlight specific opportunities for quality improvement initiatives focused on clinical management and patient-centeredness.