Enabling people to live well: fresh thinking about collaborative approaches to care for people with long-term conditions – The Health Foundation – May 2013

Posted on May 21, 2013. Filed under: Chronic Disease Mgmt | Tags: , , |

Enabling people to live well: fresh thinking about collaborative approaches to care for people with long-term conditions – The Health Foundation – May 2013

“This is the report of a research project undertaken by Professors Vikki Entwistle and Alan Cribb.

The project:

critically analysed the ways that collaborative approaches are currently described
started to examine what goes on in practice when clinicians and patients work together in ways they appreciate as meaningfully collaborative.

The project used a combination of philosophical analysis and discussions with clinicians and patients experienced in collaborative approaches to managing long-term conditions.

In the report, the authors reflect on clinicians’ and patients’ experiences and draw on ideas from development economics and social justice. They argue that thinking in terms of people’s capabilities, and how they live in relationship with others, may be able to help us understand and overcome some of the barriers to more collaborative working between health professionals and patients with long-term conditions.

The report also makes clear that, while the ways people describe collaborative approaches to healthcare can be helpful in indicating how care could be delivered differently, they can also be counter-productive. Current descriptions are developed within the dominant and traditional way of thinking about the patient-health professional relationship and this could be limiting the uptake and effectiveness of more collaborative ways of working.

Making care truly person-centred requires radically different ways of thinking. The ideas explored in this report suggest fresh ways of thinking about how patients and clinicians can work together in a meaningful partnership. Thinking in terms of capabilities and relational autonomy will not resolve tensions between patient and clinician priorities, but these concepts can help support much-needed discussion.”

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Collaboratives – Report from the Health Foundation (London) July 2009 on the effectiveness of the Quality Improvement Collaborative approach

Posted on July 29, 2009. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , , |

Collaboratives / Marlies Hulscher, Loes Schouten, and Richard Grol Radboud University Nijmegen  Published by The Health Foundation
July 2009    ISBN 978-1-906461-11-9
Download publication [722kb PDF]

“This report aims to describe the effectiveness of the Quality Improvement Collaborative approach by systematically reviewing empirical studies.

Background
Across the globe, healthcare organisations are adopting collaborative approaches. They are used in different clinical areas and organisational contexts. Collaboratives represent substantial investments in time, effort and funding in the healthcare delivery system.

This report
This systematic review describes the determinants of success and failure by getting under the skin of the collaborative approach to find what really works to improve quality. This ‘black box’ analysis enables the authors to detail the determinants for collaborative success.

What is quickly apparent from the review is the paucity of evidence available on the collaborative approach to quality improvement, but what results are available suggest positive benefits from the use of collaboratives. We have reflected on this evidence in light of our own investment and what people we are working with tell us about the lived experience of working in collaboratives.”

…continues on the website

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