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Needs, Requirements, and e-Services for Collaborative and Patient-Centered Care
Stockholm University, Faculty of Social Sciences, Department of Computer and Systems Sciences.
Stockholm University, Faculty of Social Sciences, Department of Computer and Systems Sciences.
2013 (English)In: BIR 2012. Emerging Topics in Business Informatics Research 2012: Proceedings of the 11th International Conference on perspectives in business informatics research / [ed] Natalia Aseeva, Eduard Babkin, Oleg Kozyrev, 2013, 75-91 p.Conference paper, Published paper (Refereed)
Abstract [en]

This paper discusses the fact that more and more patients are treated in their homes by a whole set of organizations, and how this fact places new and more intense demands on health and social care staff to communicate and collaborate. The aim of the paper is to further explore the detailed needs for collaboration between different care units, individuals and professions, and to outline organizational and/or IT-based solutions. The suggested solutions are based on a patient and process oriented perspective and on an analysis of needs and issues expressed in interviews with key actors in a number of research projects focused on collaboration in care. We point to the need for managers in different organizations to agree on ways of communicating and collaborating on the operational level over sectors and units and how this aspect has to be taken into account already during procurement of care services. Most importantly, by reasoning from a basic set of issues, we derive a set of related problems and suggest solutions for how to deal with these. The solutions include suggestions for various e-services aimed at improving coordination and collaboration among care personnel.

Place, publisher, year, edition, pages
2013. 75-91 p.
Series
CEUR Workshop Proceedings, ISSN 1613-0073 ; 963
Keyword [en]
Multi-sectorial collaboration, home care, home health care, social care
National Category
Information Systems
Research subject
Computer and Systems Sciences
Identifiers
URN: urn:nbn:se:su:diva-97739OAI: oai:DiVA.org:su-97739DiVA: diva2:679969
Conference
BIR 2012, Nizhny Novgorod, Russia, September 24-26, 2012
Available from: 2013-12-17 Created: 2013-12-17 Last updated: 2016-08-22Bibliographically approved
In thesis
1. Collaboration and Coordination Challenges in Patient-Centered Care: Models and Informaion Services
Open this publication in new window or tab >>Collaboration and Coordination Challenges in Patient-Centered Care: Models and Informaion Services
2016 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis reports on research focuses on how to deal with the fact that the organization and processesof today’s health and social care are becoming ever more complex as a consequence of societal trends, including an aging population and an increased reliance on care at home. The overall research goal is to suggest ways in which IT-based solutions can enable and leverage collaboration and coordination insituations where a co-morbid patient is subject to care delivered simultaneously by several different professionals and organizations.

Patient-centered care is defined as quality health and social care achieved through a partnership between informed and respected patients, their families, and coordinated health and social care teams who conduct care activities according to jointly determined care plans.

Against a background of several years of research on patient-centered collaborative care using adesign science approach, using techniques such as focus groups, interviews, and document studies, the author of the thesis has further pursued the work in a project named CoCare. Results show that the care required in aging societies is both a social and a technical challenge. Meeting this challenge will require a redesign of today's health and social care processes in order to focus more clearly on patient needs and values, and poses demands on information services allowing to share knowledge of the patient’s health and social situation among involved care providers. An important aspect of the increased complexity is that a single patient may need care from several autonomous care providers in parallel, particularly patients with co-morbidities. This clearly requires effective coordination of care activities, which poses further demands on information services to support this task.

A set of issues involving patient-centered collaborative care is identified and analyzed. The thesis introduces the notions of the Patient-Centered Care Process (PCCP) and a conglomeration of suchprocesses. A conglomeration comprises a set of PCCPs that concern the same patient, that are overlapping in time, and that share the overall goal of improving and maintaining the health and socialwell-being of the patient. The PCCP is inspired by the well-known PDCA cycle and comprises the four phases of assessing the patient situation (ASSESS), planning care activities (PLAN), performingcare activities (DO) and following up care (CHECK) for the patient. Based on a number of key standards, such as HL7, HISA and CONTsys, the thesis introduces a Patient-Centered Information Model (PCIM). A set of information services, together constituting a Coordination Hub, is proposed. The information services aim to help formal as well as informal carers (including the patient) inconducting care according to the PCCP

The thesis contributes to a deeper understanding of care processes and suggests ways to achieve patient-centered collaborative care that better contributes to creating value for the patient as an individual.

Place, publisher, year, edition, pages
Stockholm: Department of Computer and Systems Sciences, Stockholm University, 2016. 141 p.
Series
Report Series / Department of Computer & Systems Sciences, ISSN 1101-8526 ; 16:010
Keyword
patient-centered care, healthcare, social care, home care, collaboration, coordination, care processes, processes coordination, multi-sectoral collaboration, communication, information models, information services, management
National Category
Computer and Information Science
Research subject
Computer and Systems Sciences
Identifiers
urn:nbn:se:su:diva-132693 (URN)978-91-7649-471-4 (ISBN)
External cooperation:
Public defence
2016-10-07, Lilla hörsalen, NOD-huset, Borgarfjordsgatan 12, Kista, 14:00 (Swedish)
Opponent
Supervisors
Available from: 2016-09-14 Created: 2016-08-18 Last updated: 2016-09-05Bibliographically approved

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