New status report from Norway: Implementation of patient involvement in Norwegian health care

Kasper, Jürgen; Stensdal, Lilli-Ann; Kienlin, Simone; Eiring, Øystein; Neset, Tore; Andersen‐Hollekim, Tone; Heen, Anja Fog

doi:10.1016/j.zefq.2022.04.021

Cited by 6 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…During the COVID-19 pandemic, the focus shifted from patients as sole clients of healthcare organizations to strengthen their role as direct strategic partners in the decisionmaking process [60]. This fits in with the concepts of patient-centered care (PCC) and shared decision making, which are gaining more and more recognition worldwide and, in many countries, are being implemented as standards in medical care [61][62][63][64][65][66][67]. Patient-centered care is defined as care delivery that respects and integrates patients' wants, needs, and preferences into goal setting and treatment [68].…”

Section: The Dimensions Of the Quality Of Health Servicesmentioning

confidence: 94%

A Crisis in the Health System and Quality of Healthcare in Economically Developed Countries

Biel

Grondys

Androniceanu

2022

IJERPH

View full text Add to dashboard Cite

A health crisis caused by a pandemic tested the effectiveness of national healthcare systems by testing both financing and organizational and technical performance of patient care. At that time, the structural flaws in healthcare systems and inequalities in the level of healthcare in its different dimensions and countries due to resource constraints were highlighted. Therefore, the paper concentrates on investigating how the crisis in the health system affects the quality of healthcare services as a result of changes in the availability of financial, material, and human resources belonging to this system. The quantitative data, in terms of healthcare characterizing the OECD countries and selected non-member economies, treated as an example of economically developed regions, were chosen for the analysis. The study included five areas of resources, i.e., demographic, financial, human, technical, and the delivery of basic services in healthcare. T-test method for dependent samples, supplemented with Hedge’s g statistics, was applied to test the differences between the mean values of individual indicators. The results indicate the occurrence of changes in some areas of the healthcare system due to a crisis. Identifying areas that are particularly vulnerable to sudden changes in the healthcare system helps to understand which resource areas need to be strategically managed first, as shifts in levels respond to deteriorating healthcare quality outcomes.

show abstract

Section: The Dimensions Of the Quality Of Health Servicesmentioning

confidence: 94%

A Crisis in the Health System and Quality of Healthcare in Economically Developed Countries

Biel

Grondys

Androniceanu

2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…However, the implementation and scaling up of SDM remain challenging. To our knowledge, no SDM implementation has yet been demonstrated in a rigorous and quantitative evaluation to be successful and sustainable across an entire hospital or healthcare organisation 3 10 17–20…”

Section: Introductionmentioning

confidence: 99%

Patient-reported effects of hospital-wide implementation of shared decision-making at a university medical centre in Germany: a pre–post trial

Scheibler,

Geiger,

Wehkamp

et al. 2023

BMJ EBM

View full text Add to dashboard Cite

ObjectivesTo evaluate the feasibility and effectiveness of the SHARE TO CARE (S2C) programme, a complex intervention designed for hospital-wide implementation of shared decision-making (SDM).DesignPre–post study.SettingUniversity Hospital Schleswig-Holstein (UKSH), Kiel Campus.ParticipantsHealthcare professionals as well as inpatients and outpatients from 22 departments of the Kiel Campus of UKSH.InterventionsThe S2C programme is a comprehensive implementation strategy including four core modules: (1) physician training, (2) SDM support training for and support by nurses as decision coaches, (3) patient activation and (4) evidence-based patient decision aid development and integration into patient pathways. After full implementation, departments received the S2C certificate.Main outcome measuresIn this paper, we report on the feasibility and effectiveness outcomes of the implementation. Feasibility was judged by the degree of implementation of the four modules of the programme. Outcome measures for effectiveness are patient-reported experience measures (PREMs). The primary outcome measure for effectiveness is the Patient Decision Making subscale of the Perceived Involvement in Care Scale (PICSPDM). Pre–post comparisons were done using t-tests.ResultsThe implementation of the four components of the S2C programme was able to be completed in 18 of the 22 included departments within the time frame of the study. After completion of implementation, PICSPDMshowed a statistically significant difference (p<0.01) between the means compared with baseline. This difference corresponds to a small to medium yet clinically meaningful positive effect (Hedges’ g=0.2). Consistent with this, the secondary PREMs (Preparation for Decision Making and collaboRATE) also showed statistically significant, clinically meaningful positive effects.ConclusionsThe hospital-wide implementation of SDM with the S2C-programme proved to be feasible and effective within the time frame of the project. The German Federal Joint Committee has recommended to make the Kiel model of SDM a national standard of care.

show abstract

Empowering Agency: Enhancing Health Literacy Among Migrant Women Through Health Parties: A Case Study

Hedlund,

Zhao,

Gjernes

2024

Towards Sustainable Good Health and Well-Being

View full text Add to dashboard Cite

This chapter explores how agency involvement through Health Parties can generate and promote learning agencies for migrant women to enforce health literacy. The Norwegian healthcare system struggles to provide sufficient responses to the needs of current and potential patients of the migrant population, particularly migrant women. A lack of cultural sensitivity and a more bottom-up approach is needed. Inspired by Tupperware Parties, this chapter explores the model of Health Parties, initiated by the female network of migrant women, called Kvinnenettverket Noor in Norwegian. A Health Party is based on a model where a host invites female friends, family, and acquaintances to a party to share information and learn about a relevant health issue by creating an appropriate space for discussion among experts and participants. This model can be employed when working to fulfil the United Nations Sustainable Development Goals concerning health and equity for migrant women. An explorative qualitative community-based participatory study design was employed. Data were collected by analysing participant observations and semi-structured face-to-face interviews in seven arranged Health Parties from September 2015 to March 2016. Health Parties generate learning agencies by providing space for active participation for migrant women. The healthcare system, which is based on Norwegian norms and culture, created cultural alienation and barriers that migrant women need space and knowledge to overcome. The results show the need for a public healthcare system and its professionals to be more sensitive and better adjusted to cultural diversity. They also provide insights into how migrant women gain agency about health issues by attending a Health Party. New ways of communication are required and found in the model of Health Parties for addressing health literacy among migrant women.

show abstract

New status report from Norway: Implementation of patient involvement in Norwegian health care

Cited by 6 publications

References 18 publications

A Crisis in the Health System and Quality of Healthcare in Economically Developed Countries

A Crisis in the Health System and Quality of Healthcare in Economically Developed Countries

Patient-reported effects of hospital-wide implementation of shared decision-making at a university medical centre in Germany: a pre–post trial

Empowering Agency: Enhancing Health Literacy Among Migrant Women Through Health Parties: A Case Study

Contact Info

Product

Resources

About