Change search
ReferencesLink to record
Permanent link

Direct link
Need for a New Care Model - Getting to Grips with Collaborative Home Care
Karolinska Institutet, Sweden.
Alkit Communications, Sweden.
Karolinska Institutet, Sweden.
Umeå University, Sweden.
Show others and affiliations
2010 (English)In: MEDINFO 2010: Proceedings of the 13th World Congress on Medical Informatics / [ed] C. Safran et al., IOS Press, 2010, 8-12 p.Conference paper (Refereed)
Abstract [en]

In this paper we discuss the fact that more and more patients are treated in their homes by a set of organizations, sometimes with different ownership, and how this fact places new and severe demands on health care and home service staff to communicate and collaborate. We point to the need for managers in different organizations to agree on ways of communicating and collaborating on the operational level and how this aspect needs to be considered during procurement of home care services. Most importantly, by reasoning around a set of problematic areas, we derive a set of related problems and suggest solutions for dealing with them. The solutions are a mix of organizational/administrative measures and IT support for communication and coordination.

Place, publisher, year, edition, pages
IOS Press, 2010. 8-12 p.
Series
, Studies in Health Technology and Informatics, ISSN 0926-9630 ; 160
Keyword [en]
Collaboration, Home care, Home health care, Home service
National Category
Information Systems Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Computer and Systems Sciences
Identifiers
URN: urn:nbn:se:su:diva-132851DOI: 10.3233/978-1-60750-588-4-8ISBN: 978-1-60750-587-7ISBN: 978-1-60750-588-4OAI: oai:DiVA.org:su-132851DiVA: diva2:955405
Conference
13th World Congress on Medical and Health Informatics, 12-15 September, Cape Town, South Africa
Available from: 2016-08-25 Created: 2016-08-25 Last updated: 2016-08-25Bibliographically 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

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Winge, Monica
Information SystemsHealth Care Service and Management, Health Policy and Services and Health Economy

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 4 hits
ReferencesLink to record
Permanent link

Direct link