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A patient-centred approach to health service delivery: improving health outcomes for people with chronic illness

Mirzaei, Masoud; Aspin, Clive; Essue, Beverley; Jeon, Yun-Hee; Dugdale, Paul; Usherwood, Tim; Leeder, Stephen

Description

BACKGROUND The Wagner Model provides a framework that can help to facilitate health system transition towards a chronic care oriented model. Drawing on elements of this framework as well as health policy related to patient centred care, we describe the health needs of patients with chronic illness and compare these with services which should ideally be provided by a patient-centred health system. This paper aims to increase understanding of the challenges faced by chronically ill patients and...[Show more]

dc.contributor.authorMirzaei, Masoud
dc.contributor.authorAspin, Clive
dc.contributor.authorEssue, Beverley
dc.contributor.authorJeon, Yun-Hee
dc.contributor.authorDugdale, Paul
dc.contributor.authorUsherwood, Tim
dc.contributor.authorLeeder, Stephen
dc.date.accessioned2015-12-23T01:26:54Z
dc.date.available2015-12-23T01:26:54Z
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/1885/95183
dc.description.abstractBACKGROUND The Wagner Model provides a framework that can help to facilitate health system transition towards a chronic care oriented model. Drawing on elements of this framework as well as health policy related to patient centred care, we describe the health needs of patients with chronic illness and compare these with services which should ideally be provided by a patient-centred health system. This paper aims to increase understanding of the challenges faced by chronically ill patients and family carers in relation to their experiences with the health care system and health service providers. METHOD We interviewed patients, carers and health care professionals (HCPs) about the challenges faced by people living with complicated diabetes, chronic heart failure or chronic obstructive pulmonary disease. RESULTS Patients indicated that they had a range of concerns related to the quality of health care encounters with health care professionals (HCPs), with these concerns being expressed as needs or wants. These included: 1) the need for improved communication and information delivery on the part of HCPs; 2) well organised health services and reduced waiting times to see HCPs; 3) help with self care; 4) greater recognition among professionals of the need for holistic and continuing care; and 5) inclusion of patients and carers in the decision making processes. CONCLUSIONS In order to address the challenges faced by people with chronic illness, health policy must be more closely aligned with the identified needs and wants of people affected by chronic illness than is currently the case.
dc.description.sponsorshiphe Serious and Continuing Illnesses Policy and Practice Study (SCIPPS) is a National Health and Medical Council of Australia (NHMRC) funded program (no: 402793) conducted at the University of Sydney and The Australian National University and administered by the Menzies Centre for Health Policy.
dc.publisherBioMed Central
dc.rights© Mirzaei et al.; licensee BioMed Central Ltd. 2013 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://​creativecommons.​org/​licenses/​by/​2.​0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.sourceBMC Health Services Research
dc.subjectaged
dc.subjectaged, 80 and over
dc.subjectchronic disease
dc.subjectfemale
dc.subjecthealth personnel
dc.subjecthumans
dc.subjectmale
dc.subjectmiddle aged
dc.subjectmodels, theoretical
dc.subjectpatient satisfaction
dc.subjectqualitative research
dc.subjectquality improvement
dc.subjectquality of health care
dc.subjectoutcome assessment (health care)
dc.subjectpatient-centered care
dc.titleA patient-centred approach to health service delivery: improving health outcomes for people with chronic illness
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume13
dc.date.issued2013-07-03
local.identifier.absfor111700
local.identifier.ariespublicationf5625xPUB3919
local.publisher.urlhttp://www.biomedcentral.com/
local.type.statusPublished Version
local.contributor.affiliationMirzaei, Masoud, University of Sydney, Australia
local.contributor.affiliationAspin, Clive, University of Sydney, Australia
local.contributor.affiliationEssue, Beverley, University of Sydney, Australia
local.contributor.affiliationJeon, Yun-Hee, University of Sydney, Australia
local.contributor.affiliationDugdale, Paul, College of Medicine, Biology and Environment, CMBE ANU Medical School, ANU Medical School, The Australian National University
local.contributor.affiliationUsherwood, Timothy P, University of Sydney, Australia
local.contributor.affiliationLeeder, Stephen, University of Sydney, Australia
dc.relationhttp://purl.org/au-research/grants/nhmrc/402793
local.identifier.essn1472-6963
local.bibliographicCitation.issue1
local.bibliographicCitation.startpage251
local.identifier.doi10.1186/1472-6963-13-251
dc.date.updated2016-02-24T09:18:54Z
local.identifier.scopusID2-s2.0-84879828183
local.identifier.thomsonID000321452900001
CollectionsANU Research Publications

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