A.6 Care delivery models Flashcards
Explain the nature, importance and decision making process of continuity for care, shared care and other models of healthcare delivery.
What constitutes a ‘model of care’?
A clear description of how health services are delivered for a specific context.
This definition emphasizes context specificity, explicitness, and real-world delivery.
What factors influence the context specificity of a model of care?
Factors include:
* Condition
* Environment
* Culture
* Specific aims of care
What are the essential components of a model of care?
The components include:
* Scope and context
* Aims
* Guiding principles
* Standards and constraints
* Rationale for the model
* Processes and workflows
* Measures
* Resourcing
* Governance
Define continuity of care.
Continuity of care is defined either longitudinally (over time) or across services (seamless experience).
What is the primary health concern in the Australian health system today?
Chronic diseases are the leading cause of illness, disability, and death.
What are the consequences of poor continuity of care?
Consequences include:
* Patient experience nightmares
* Dangerous situations (e.g., medication mismanagement)
* Lack of accountability
What are the benefits of well-managed chronic diseases?
Benefits include:
* Reduced health impacts
* Delayed disease progression
* Improved quality of life
* Positive impact on carers
* Maintained workforce participation
* Reduced downstream health expenditures
What is Wagner’s chronic disease management model focused on?
It emphasizes regular interactions with caregivers, focusing on function and preventing exacerbations and complications.
List the elements a continuity of care model should consider.
Elements include:
* Patient journey
* Multiple service providers
* Scheduled and unscheduled services
* Changing needs
* Patient and carer involvement
* Availability of information
* Good communication
* Funding models
* Provider follow-up
* Overall care plan
What is shared care?
A model where responsibility for the patient is shared between different healthcare professionals.
What principles underpin shared care?
Principles include:
* Single virtual delivery system
* Mutual respect and trust
* Defined roles and functions
* Active patient participation
What is care coordination?
Care coordination involves continuity and shared care, often described as fragmented in the Australian health system.
What levels does coordinated care occur at according to Ehrlich?
Levels include:
* Client/micro level
* Service provision/meso level
* System/macro level
What does participatory health seek to achieve?
Active involvement by patients, professionals, caregivers, and others across the continuum of care.
What are the expected outcomes of participatory health?
Outcomes include:
* Improved results
* Reduced medical errors
* Increased patient satisfaction
* Improved cost of care
Fill in the blank: A continuity of care model should ensure that appropriate information is available to both the patient and care providers at the _______.
[right times and places and in suitable forms]
True or False: Shared care can be delivered by a single provider over time.
False
