You can bring a horse to water but you can not let him drink. I'm sure many of you know this old saying, but how can it be about health care. Perhaps you can guess; maybe not. I am thinking of getting patients to follow our care guidelines, whether it's emergency, long-term care or other care. As stated, it may be very difficult to get some patients to follow the instructions.
Getting patients involved in their own care is becoming more important in healthcare today. It has always been necessary, but now and for the foreseeable future, patient involvement will become more important as doctors and healthcare organizations can succeed more closely with patient involvement. For example, patients are in need of healthcare with the patient in many areas, and Medicare and private individuals become paid physicians and institutions in the main area to participate in customer involvement in their own care.
In the Faculty of Medicine, quality trafficking reviews some of the ten recommendations for a modern clinic, which calls for greater patience. For example, according to recommendations based on patient needs and values, IOM recommends that the care system should meet the most common types of needs but have the ability to respond to individual patient groups and wishes. Under a patient as a source of management, it recommends that patients receive the necessary information and opportunity to take advantage of the criteria they choose for healthcare decisions that affect them.
The nursing home, a new concept in elementary schools, which grows from the IOM recommendations, describes the involvement of patients, especially in the field of chronic care. In the Guidance on Becoming a Qualified Patient with NCQA, NCQA makes these recommendations:
• Writing Individual Care Plan
• Writing Individual Treatment Marks
• Review of Self-Monitoring Results and Inclusion in Medical Treatment Listed at Each Visit
Obviously, the patient has a major role in his own care in this model.
If you agree that a patient must be involved in your own care, you may also understand that patient involvement becomes more complicated as the patient becomes more complicated. For example, the involvement of patients with simple broken fingers is not very complicated. A few simple instructions will suffice. The involvement of a patient who is pregnant is much more complicated. Not only is the doctor a direct factor, but there are also classes that the patient needs to apply for better care of herself and the fetus. However, this birth support has a certain beginning and end, successful, we hope. Patient involvement with chronic diseases is much deeper and more complicated. Indeed, because patients with chronic illnesses often need to make significant changes in their lifestyle, planning planning and implementation of the program requires special jurisdiction of activities, including a big part for the patient himself.
Now that I have emphasized that patients need to take part in their own care to ensure positive health effects and also to help doctors meet performance goals, I have to ask again, "How do you get your horse to drink? "The answer can be complicated.
Sometimes we can borrow from examples of other companies or services that are successful to their customers or customers. I do not think a company that supplies physical goods would be widely used, as there is not much direct contact between the company and the customer at all. For example, I do not go for a long time with JC Penny sales representative for a shirt I buy. Or, a model based on the purchase of services generally does not require much communication between business and customer. I definitely do not need a lot of instruction from those who cut my lawn. The best model I can think of is that of a teacher and a student. In both healthcare and school work, there is high trust between those who know a teacher or healthcare professional and the recipient of an application for a knowledge-student or patient. Also, the student and the patient should be a major factor. The best students and patients follow the instructions of teachers and doctors closely. Of course, those who are not as well. For this, chances are not always so good.
What do teachers do if you agree that the model of the teacher and students is good to use to participate in patients? Having been a teacher myself, I think I can rest assured of this. First, be clear what you expect from the patient – that she is following your instructions especially if she is expecting positive results. You as a healthcare professional should put your expectations high and let the patient know. Of course, this means that you are very careful about what happens to the patient. In many trials, patients have been shown to respond better to doctors who show that they are taking care of what happens to them.
Make sure that your patient understands your instructions and can handle them. It is that you should evaluate the patient's understanding and abilities. Teachers do this all the time. Teacher's assessment not only determines what the student knows but also how well the teacher has taught a lesson. I suggest that after the patient has received self-defense guidelines, ask the patient to explain the instructions. For example, if you are giving pregnant instructions about her diet, you might ask her what meals she would schedule for her next week to see if they fit the guidelines.
For patients with complex diseases such as chronic condition, healthcare professionals and patients and sometimes family members need to design a care plan that will fit the needs of the patient, hand and family. For example, if the patient needs physical treatment, the plan should include how often the patient should go to the hospital, how the patient gets the site, how progress is reported to the primary treatment permit and the patient's ability to pay for the service. There may be other issues in this program; It depends on those involved in the process.
I think it's good for patients to be very involved in their own care. The variety of payers will be rewarding providers for greater involvement of patients and health outcomes will be generally better. A recent article in the Grand Rapids, Michigan newspaper showed that this improved diabetes performance was provided by a physician where the office used the patient-weighted model. Adjusting the NCQA guidelines for patient-trained healthcare clinics and lending from the principles of good teaching will help you achieve your goals to be patient.