RESUMEN
This issue of Healthcare Quarterly features the third and final instalment in a three-part series developed by Ontario's The Change Foundation featuring international perspectives on health service delivery models that improve system integration and ensure seamless services and better coordination. Part one featured Chris Ham, chief executive of the London-based King's Fund think tank, and part two featured Geoff Huggins, director for health and social care integration in Scotland. In this issue, Helen Bevan, chief transformation officer of England's National Health Service, discusses the radical shifts she'd like to see in how we approach integration.
Asunto(s)
Prestación Integrada de Atención de Salud/organización & administración , Medicina Estatal/organización & administración , Prestación Integrada de Atención de Salud/métodos , Inglaterra , Humanos , Liderazgo , Atención Primaria de Salud/organización & administración , Medicina Estatal/tendenciasRESUMEN
This issue of Healthcare Quarterly includes the second of a three-part series developed by Ontario's The Change Foundation featuring international perspectives on health service delivery models that improve system integration and ensure seamless services and better coordination. Part 1 featured Chris Ham, chief executive of the London-based King's Fund think tank. In this issue, Geoff Huggins, director for Health and Social Care Integration in Scotland, discusses Scotland's experience and lessons learned after legislating integrated health and social care in 2015.
Asunto(s)
Prestación Integrada de Atención de Salud/organización & administración , Servicio Social/organización & administración , Reforma de la Atención de Salud/métodos , Reforma de la Atención de Salud/organización & administración , Humanos , Programas Nacionales de Salud/organización & administración , Programas Nacionales de Salud/normas , EscociaRESUMEN
This issue of Healthcare Quarterly introduces a three-part series featuring international perspectives on health service delivery models that improve system integration and ensure seamless services and better coordination. The series, developed by Ontario's Change Foundation, will feature Chris Ham, chief executive of the London-based King's Fund think tank; Geoff Huggins, director for health and social care integration in Scotland; and Helen Bevan, chief transformation officer of England's National Health Service.
Asunto(s)
Prestación Integrada de Atención de Salud/métodos , Atención a la Salud/organización & administración , Atención a la Salud/métodos , Prestación Integrada de Atención de Salud/organización & administración , Humanos , Guías de Práctica Clínica como AsuntoRESUMEN
Patient engagement and patient experience have become an important focal point for health policy development in Ontario. Many healthcare delivery and planning organizations are exploring how to use patient experience information and data to improve the quality of their services and processes. Local Health Integration Networks (LHINs) are also beginning to include patient experience as a measure of local health system improvement. This article reviews the role of LHINs in developing patient experience information over their 10 year history and highlights current initiatives.
RESUMEN
Over the past few years, there has been a steady stream of visitors to Canada from the US Veterans Health Administration (VA). Led by the former Under Secretary for Health in the Department of Veterans Affairs, Dr. Ken Kizer, they come to tell the remarkable story of how the VA transformed itself from a hospital-based bureaucracy described as "dangerous, dirty and scandal-ridden" to a healthcare system for veterans recognized for its high-quality, patient-centred care. It is a fascinating story of how a publicly funded healthcare service changed its entire approach to patient care with a quality improvement lens at its core. Fifteen years ago, critics of the VA called for its complete privatization as the only solution to fixing its problems. A team of quality champions set out to prove otherwise. Canada has some lessons to learn. The VA is a compelling role model for Canadian reformers, in large measure, due to its public sector character.
Asunto(s)
Prestación Integrada de Atención de Salud/organización & administración , Hospitales de Veteranos/organización & administración , Modelos Organizacionales , Gestión de la Calidad Total/organización & administración , United States Department of Veterans Affairs , Canadá , Prestación Integrada de Atención de Salud/normas , Hospitales de Veteranos/normas , Liderazgo , Programas Nacionales de Salud/organización & administración , Programas Nacionales de Salud/normas , Innovación Organizacional , Atención Dirigida al Paciente , Estados UnidosRESUMEN
Words are important. They signal an intention behind a thought. So when Ontario's Ministry of Health and Long-Term Care publishes an action plan (Ontario Ministry of Health and Long-Term Care, 2012) that declares itself to be "obsessively patient-centred," curiosity ensues and terms abound. Patient-centred care, patient engagement and patient experience - all seem to be in the mix in Ontario. This paper will propose a set of definitions for these commonly used terms, examine the progress being made in Ontario towards a more patient-centred healthcare system and suggest where we might aim to be by 2020.
Asunto(s)
Programas Nacionales de Salud/organización & administración , Participación del Paciente , Satisfacción del Paciente , Atención Dirigida al Paciente/organización & administración , Reforma de la Atención de Salud , Humanos , Ontario , Dinámica PoblacionalRESUMEN
We are extremely grateful to each of the commentators for their thoughtful responses to "The Patient Experience in Ontario 2020: What is Possible?" It was helpful to hear the perspective and insights of authors from different jurisdictions and to benefit from their knowledge and experience. There are a number of themes that emerged from the commentaries that we would like to highlight.