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Improving Patient Care: The Implementation of Change in Health Care 2nd edition [Pehme köide]

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  • Formaat: Paperback / softback, 392 pages, kõrgus x laius x paksus: 241x185x20 mm, kaal: 590 g
  • Ilmumisaeg: 03-May-2013
  • Kirjastus: Wiley-Blackwell
  • ISBN-10: 0470673389
  • ISBN-13: 9780470673386
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Improving Patient Care: The Implementation of Change in Health Care 2nd editionSuurem pilt
  • Formaat: Paperback / softback, 392 pages, kõrgus x laius x paksus: 241x185x20 mm, kaal: 590 g
  • Ilmumisaeg: 03-May-2013
  • Kirjastus: Wiley-Blackwell
  • ISBN-10: 0470673389
  • ISBN-13: 9780470673386
Teised raamatud teemal:
Püsilink: https://www.kriso.ee/db/9780470673386.html
Märksõnad:

As innovations are constantly being developed within health care, it can be difficult both to select appropriate new practices and technologies and to successfully adopt them within complex organizations. It is necessary to understand the consequences of introducing change, how to best implement new procedures and techniques, how to evaluate success and to improve the quality of patient care. This comprehensive guide allows you to do just that.

Improving Patient Care, 2nd edition provides a structure for professionals and change agents to implement better practices in health care. It helps health professionals, managers, policy makers and researchers to assess new techniques and select and implement change in their organizations. This new edition includes recent evidence and further coverage on patient safety and patient centred strategies for change.

Written by an international expert author team, Improving Patient Care is an established standard text for postgraduate students of health policy, health services and health management. The strong author team are global professors involved in managing research and development in the field of quality improvement, evidence-based practice and guidelines, quality assessment and indicators to improve patient outcomes through receiving appropriate healthcare.

List of Contributors
xi
Introduction xiii
Part I Principles of Implementation of Change
1(76)
1 Implementation of change in healthcare: a complex problem
3(15)
Richard Grol
Michel Wensing
1.1 Introduction
4(1)
1.2 The implementation problem
5(3)
1.3 Various approaches to the implementation of improvements in patient care
8(2)
1.4 What is implementation?
10(3)
1.5 Which improvements are advisable?
13(1)
1.6 A systematic approach to "sustainable change"
14(4)
References
15(3)
2 Theories on implementation of change in healthcare
18(22)
Richard Grol
Michel Wensing
Marije Bosch
Marlies Hulscher
Martin Eccles
2.1 Introduction
19(2)
2.2 Theories on factors related to individual professionals
21(2)
2.3 Theories on factors related to social interaction and context
23(4)
2.4 Theories on factors related to the organizational context
27(6)
2.5 Theories on the influence of economic factors
33(1)
2.6 Conclusions
33(7)
References
36(4)
3 Effective implementation of change in healthcare: a systematic approach
40(24)
Richard Grol
Michel Wensing
3.1 Elements of effective implementation
41(4)
3.2 The "Implementation of Change Model"
45(2)
3.3 Developing a proposal and targets for change
47(1)
3.4 Assessment of performance
48(1)
3.5 Analysis of the target group and setting
48(6)
3.6 Development or selection of improvement strategies
54(1)
3.7 Development, testing, and execution of an implementation plan
55(1)
3.8 Sustainable change: integration of change into practice routines
56(1)
3.9 Evaluation and (possible) adaptations to the plan
57(1)
3.10 Planning of the implementation process
58(1)
3.11 Conclusions
59(5)
References
60(4)
4 Planning and organizing the change process
64(13)
Richard Grol
Marielle Ouwens
Hub Wollersheim
4.1 Introduction
65(1)
4.2 A motivated team comprising all relevant expertise
65(2)
4.3 Creating a context for change
67(4)
4.4 Involving the target group in the plan
71(1)
4.5 Leaders and key figures
72(1)
4.6 Project management: time schedule and responsibilities
73(1)
4.7 Resources and support
74(1)
4.8 Conclusions
74(3)
References
74(3)
Part II Guidelines and Innovations
77(38)
5 Characteristics of successful innovations
79(12)
Richard Grol
Michel Wensing
5.1 Introduction
79(2)
5.2 Various types of improvements require various types of change proposals
81(3)
5.3 Characteristics of innovations that promote implementation
84(3)
5.4 Form and presentation
87(1)
5.5 Involvement of the target group and local adaption
88(1)
5.6 Conclusions
88(3)
References
89(2)
6 Clinical practice guidelines as a tool for improving patient care
91(24)
Jako Burgers
Mirrian Smolders
Trudy van der Weijden
David Davis
Richard Grol
6.1 Introduction
92(1)
6.2 Aims of guidelines
92(1)
6.3 Potential benefits and limitations of guidelines
93(2)
6.4 Development of effective guidelines
95(12)
6.5 Quality of guidelines: criteria for effective guidelines
107(2)
6.6 International collaboration in guideline development
109(1)
6.7 Conclusion
109(6)
References
110(5)
Part III Assessment of Performance
115(22)
7 Quality and safety of care: the role of indicators
117(20)
Joze Braspenning
Rosella Hermens
Hilly Calsbeek
Gert Westert
Stephen Campbell
Richard Grol
7.1 Introduction
118(2)
7.2 Indicators: typology and domains
120(2)
7.3 Method to define a set of indicators
122(1)
7.4 Selecting or developing a preliminary set of indicators
122(1)
7.5 Finding consensus among target users
123(2)
7.6 Testing the indicators empirically
125(3)
7.7 Create a feedback report
128(1)
7.8 Use and effect of quality indicators
129(1)
7.9 Increased focus on outcome indicators
130(1)
7.10 Conclusion
131(6)
References
131(4)
Websites
135(2)
Part IV Problem Analysis
137(28)
8 Determinants of change
139(12)
Michel Wensing
Marije Bosch
Richard Grol
8.1 Introduction
140(1)
8.2 Analysis of stakeholders
140(2)
8.3 Determinants of change
142(5)
8.4 Subgroups in the target population
147(1)
8.5 Conclusions
148(3)
References
148(3)
9 Methods to identify determinants of change in healthcare
151(14)
Michel Wensing
Marije Bosch
Richard Grol
9.1 Introduction
152(1)
9.2 Interviews
152(2)
9.3 Surveys
154(2)
9.4 Observation
156(2)
9.5 Data analysis
158(2)
9.6 Goals for improvement
160(2)
9.7 Conclusions
162(3)
References
162(3)
Part V Strategies for Change
165(124)
10 Development and selection of strategies for improving patient care
167(18)
Richard Grol
Marije Bosch
Michel Wensing
10.1 Introduction
168(1)
10.2 Development of methods to design implementation strategies
169(3)
10.3 Selection of implementation strategies
172(3)
10.4 Facilitating versus controlling methods
175(2)
10.5 Implementation strategies in the different phases of change
177(3)
10.6 Subgroups within the target group
180(1)
10.7 The effectiveness of different strategies and interventions
181(1)
10.8 Conclusions
182(3)
References
183(2)
11 Dissemination of innovations
185(12)
Richard Grol
Michel Wensing
11.1 Introduction
186(1)
11.2 Mass media approach
187(3)
11.3 The "personal" approach
190(4)
11.4 Conclusion
194(3)
References
194(3)
12 Educational strategies
197(13)
Michel Wensing
Cornelia Fluit
Richard Grol
12.1 Introduction
197(1)
12.2 Types of educational strategies
198(2)
12.3 Effectiveness of education
200(4)
12.4 Determinants of the effectiveness of education
204(2)
12.5 Discussion and conclusions
206(4)
References
207(3)
13 Feedback and reminders
210(14)
Trudy van der Weijden
Michel Wensing
Martin Eccles
Richard Grol
13.1 Introduction
211(2)
13.2 Definitions of feedback and reminders
213(3)
13.3 Research into the effects of feedback and reminders
216(1)
13.4 Determinants of the effects of feedback and reminders
216(5)
13.5 Conclusions
221(3)
References
221(3)
14 Patient-focused strategies
224(16)
Marjan Faber
Trudy van der Weijden
Glyn Elwyn
Michel Wensing
Richard Grol
14.1 Introduction
225(1)
14.2 Care seeking behavior
225(3)
14.3 Provider selection
228(1)
14.4 Active participation
229(5)
14.5 Feedback on professional performance and care delivery
234(1)
14.6 Conclusions
235(5)
References
236(4)
15 Organizational implementation strategies for change
240(14)
Michel Wensing
Miranda Laurant
Marielle Ouwens
Hub Wollersheim
15.1 Introduction
240(1)
15.2 Revision of professional roles
241(2)
15.3 Enhanced patient care teams
243(1)
15.4 Knowledge management (use of information technology)
243(2)
15.5 Quality management
245(3)
15.6 Integrated care
248(1)
15.7 Conclusions
248(6)
References
250(4)
16 Patient safety and risk prevention
254(15)
Marieke Zegers
Hub Wollersheim
Michel Wensing
Charles Vincent
Richard Grol
16.1 Introduction
254(2)
16.2 Causes of incidents
256(1)
16.3 Measuring and analyzing incidents
256(4)
16.4 Development and selection of safety interventions
260(1)
16.5 Effective interventions to improve safety
261(4)
16.6 Conclusions
265(4)
References
265(4)
17 Economic and policy strategies for implementation of change
269(9)
Michel Wensing
Martin Eccles
Richard Grol
17.1 Introduction
270(1)
17.2 Financial reimbursement of healthcare providers
270(2)
17.3 Pay for performance
272(1)
17.4 Financial risk for patients
273(1)
17.5 Enhanced transparency of healthcare quality
274(1)
17.6 Enhanced competition
274(1)
17.7 National policies
275(1)
17.8 Conclusions
276(2)
References
276(2)
18 Multifaceted strategies for improvement
278(11)
Marlies Hulscher
Michel Wensing
Richard Grol
18.1 Introduction
279(1)
18.2 What is a multifaceted strategy for improvement?
279(1)
18.3 Multifaceted strategies: what do they combine?
279(1)
18.4 Multifaceted strategies: what works?
279(3)
18.5 Multifaceted strategies: does "tailoring" work better?
282(1)
18.6 Multifaceted strategies: does "more" work better?
283(1)
18.7 Multifaceted strategies: which composition of strategies is effective?
284(2)
18.8 Conclusions
286(3)
References
286(3)
Part VI Organization and Evaluation
289(76)
19 Planning of change implementation
291(13)
Richard Grol
Marielle Ouwens
19.1 Introduction
292(1)
19.2 Development of the plan according to phases in the change process
293(2)
19.3 Planning of activities for different levels of care
295(1)
19.4 Planning of activities over time
296(1)
19.5 Incorporating the implementation plan into existing activities
297(1)
19.6 Testing of the implementation strategies
298(1)
19.7 Setting goals for evaluation
299(1)
19.8 Integration and embedding of new practice into routines and organization
300(1)
19.9 Conclusions
301(3)
References
302(2)
20 Impact of implementation strategies: controlled studies
304(20)
Trudy van der Weijden
Martin Eccles
Jeremy Grimshaw
Marion Campbell
Craig Ramsay
Richard Grol
20.1 Introduction
305(3)
20.2 A framework for evaluating implementation strategies
308(1)
20.3 Randomized designs
309(10)
20.4 Non-randomized designs
319(2)
20.5 Conclusions
321(3)
References
321(3)
21 Observational evaluation of implementation strategies
324(9)
Michel Wensing
Richard Grol
21.1 Introduction
325(1)
21.2 Designs for observational evaluations
325(1)
21.3 Studies with a few large clusters
326(1)
21.4 Cohort studies with reference group
327(1)
21.5 Cohort studies without reference group
327(1)
21.6 Cross-sectional studies
328(1)
21.7 Case studies
329(1)
21.8 Developmental research
330(1)
21.9 Data analysis
331(1)
21.10 Conclusions
331(2)
References
331(2)
22 Process evaluation of implementation strategies
333(17)
Marlies Hulscher
Miranda Laurant
Richard Grol
22.1 Introduction
334(1)
22.2 Strategy fidelity and effectiveness
335(1)
22.3 Process evaluation and implementation strategies
335(3)
22.4 What to measure?
338(6)
22.5 How to measure?
344(4)
22.6 Conclusions
348(2)
References
348(2)
23 Economic evaluation of implementation strategies
350(15)
Johan L. Severens
Ties Hoomans
Eddy Adang
Michel Wensing
23.1 Introduction
351(1)
23.2 The basics of economic evaluation
351(1)
23.3 Types of economic evaluation
352(2)
23.4 Policy cost-effectiveness
354(2)
23.5 Framing economic evaluations
356(1)
23.6 Cost analysis
357(4)
23.7 Sensitivity analysis, modeling, and budget impact
361(1)
23.8 Conclusions
362(3)
References
363(2)
Index 365
Richard Grol, Scientific Institute for Quality of Healthcare, The Netherlands Michel Wensing, Scientific Institute for Quality of Healthcare, The Netherlands Martin Eccles, University of Newcastle upon Tyne, UK David Davis, Association of American Medical Colleges, Washington DC, USA, Washington DC, USA, USA