Download presentation
Presentation is loading. Please wait.
Published byCuthbert Rice Modified over 6 years ago
1
PATIENT PARTNERSHIP IN HEALTH CARE A NECESSARY TRANSITION
CENTRE OF EXCELLENCE ON PARTNERSHIPWITH PATIENTS AND THE PUBLIC PATIENT PARTNERSHIP IN HEALTH CARE A NECESSARY TRANSITION Vincent Dumez, M.Sc., patient, co-director
2
CONFLICTS OF INTEREST NONE TO DECLARE
3
THE EXPERTISE OF LIVING
WITH AN ILLNESS PARTNERSHIP CRISIS ACTIVISM ANALYSIS PREVENTION TRANSFORMATION
4
THE BIRTH OF THE MONTREAL MODEL
IT BEGAN IN 2010 SHARED VISION OF A DEAN OF A FACULTY OF MEDICINE AND AN EXPERIENCED PATIENT CREATION OF THE PATIENT PARTNER OFFICE – FIRST IN THE WORLD DEPLOYMENT IN MEDICAL & HEALTH SCIENCES EDUCATION WITH A SPECIFIC FOCUS ON COLLABORATION DEPLOYMENT IN HEALTH INSTITUTIONS WITH A SPECIFIC FOCUS ON QUALITY IMPROVEMENT DEPLOYMENT IN RESEARCH WITH A SPECIFIC FOCUS ON GOVERNANCE
5
« THE MONTREAL MODEL » AN EMERGING EXPERTISE
CO-LEAD UNIT PARTNERING IN HEALTH EDUCATION + 10 education programs PROGRAM TRANSFORMATIONS (MD- TRAINING OF STUDENTS MENTORING OF STUDENTS EXPERT PATIENTS RESEARCHERS HEALTH PROFESSIONALS HEALTH MANAGERS CENTRE OF EXCELLENCE PARTNERING IN CARE + 25+ health care institutions HEALTH CARE QUALITY IMPROVEMENT HEALTH GOVERNANCE PUBLIC POLICY DEVELOPMENT PARTNERING IN RESEARCH +10 national research networks RESEARCH GOVERNANCE RESEARCH CO-DESIGN RESEARCH TRANSLATION DEDICATED TO CO-BUILDING AND PATIENT PARTNERSHIP
6
BUILDING ON EXPERIENCES An emerging expertise…
PARTNERSHIP PATIENT: BUILDING ON EXPERIENCES A historical trend... An emerging expertise… Participatory Research Science & technology Patient Centered Care Self-Management Knowledge Translation Shared Decision Making
7
ONE QUESTION : A 4-PART STORY
WHY ARE PATIENTS AND FAMILIES UNAVOIDABLE PARTNERS IN CARE ?
8
NOT ONLY CUSTOMERS… PATIENTS AND FAMILIES ARE NOT ONLY CUSTOMERS BUT ALSO PRODUCERS OF CARE 1
9
INADEQUATE CARE SETTINGS
EXPERIENCED PATIENTS INADEQUATE CARE SETTINGS >50% of the population in western countries suffer from at least one chronic disease
10
PATIENTS AS ACTORS OF CARE
INFORMED DECISION MAKING EXPERIENCE-BASED KNOWLEDGE CARE SKILLS DEVELOPMENT FULL MEMBER OF THE CARE TEAM FOCUS ON LIFE PROJECT TO THE PATIENT FOR THE PATIENT WITH THE PATIENT CO-BUILDING CO-LEADERSHIP INFORMING CONSULTING INVOLVEMENT PARTNERSHIP
11
NOT ONLY TAKEN IN CHARGE…
PATIENTS AND FAMILIES ARE NOT ONLY EXPRESSING NEEDS BUT THEY ARE ALSO OWNERS OF A RICH KNOWLEDGE 2
12
LIMITED TIME SPENT WITH PATIENTS
IN CLINICAL SETTINGS 5-10 hours = average annual time spent by patients with chronic diseases with their health care professionals *Engaging Patients in Healthcare by Angela Coulter
13
LOTS OF TIME SPENT BY PATIENTS AND FAMILIES IN SELF-MANAGEMENT
6000+ hours = average annual time spent by patients with chronic diseases and families for their own care *Engaging Patients in Healthcare by Angela Coulter
14
A SPECIFIC EXPERTISE: FOUNDATION OF LEGITIMACY
DISEASE EXPERTS EXPERTS IN LIVING WITH AN ILLNESS SHARED VALUES ACKNOWLEDGED COMPLEMENTARITY HEALTH PROFESSIONALS & RESEARCHERS PATIENTS CO-BUILDING & CO-LEADERSHIP
15
IMPROVEMENT USUALLY PRIORITIZED BY PATIENTS AND FAMILIES
Self-management capacity Patient empowerment in its choices Development of patient care skills Negotiating treatment options depending on the patient's life project Identification and validation of treatment options with the patient Empathy and emotional intelligence Integration of the patient's life context in clinical reasoning Diagnosis announcement EVOLUTION TOWARDS PARTNERSHIP IN CARE FROM PATERNALISM TO PARTNERSHIP LEVEL OF PARTNERSHIP AND PATIENT INTEGRATION IN CARE Information to the patient and validation of his understanding of his health problems Autonomy
16
IMPROVEMENTS ARE A MUST
50 to 70 % of patients with chronic condition don’t properly respect their prescriptions
17
NOT ONLY USERS… PATIENTS AND FAMILIES ARE NOT ONLY SERVICE USERS BUT ALSO EXPERIENCED PLAYERS / OBSERVERS OF OUR HEALTHCARE SYSTEMS 3
18
PATIENTS HAVE A UNIQUE AND ESSENTIAL VIEW OF THE SYSTEM
JOURNEY VIEW I’M HAPPY HOSPITALO CENTRIC VIEW I FEEL BAD…
19
RESEARCH : A HUGE GAP BETWEEN PERSPECTIVES
20
A CULTURAL MOVEMENT ON THE RISE…
PATIENTS AND THEIR FAMILIES ARE MORE AND MORE ‘CONNECTED’ AND ARE DEVELOPING REFLEXIVE CAPACITIES THAT ARE INCREASINGLY IMPORTANT 4
21
ALREADY CONNECTED 70 % of patients search online for health-related information before meeting their healthcare professional
22
It’s just the beginning of a trend that will transform the paradigm
ANOTHER ELEPHANT IN THE ROOM! PRESSURE ON CLINICAL PRACTICES It’s just the beginning of a trend that will transform the paradigm « Dr. Google » Personalized Medicine Blogs, social media, etc. Apple Watch & Co. Sophisticated Monitoring Tools Telehealth
23
HOW TO MOVE FORWARD ?
24
INDISPENSIBLE AGENTS OF
CHANGE AND INNOVATION Partnership Co-leadership Consult Implicate Inform v IN GOVERNANCE Quality Organization Health Policy Statistics Data Perceptions Opinions Experiential Knowledge PARTICIPATION IN CARE/CLINIC Patient Partners IN RESEARCH IN EDUCATION Inspiré de « At the Intersection of Health, Health Care and Policy «, Kristin L. Carman, Pam Dardess, Maureen Maurer, Shoshanna Sofaer, Karen Adams, Christine Bechtel and Jennifer Sweeny, Patient and family, Developing Interventions And Policies Health Affairs, 32, no.2 (2013):
25
IT IS TIME TO IMPLICATE PATIENTS AT THE RIGHT STAGE IN THE RIGHT WAY
ENGAGEMENT DANS LA QUALITÉ DE L’EXPÉRIENCE DE SOINS ET SERVICES : EN AMONT EN CONTINU DÉCISION PARTAGÉE CO-LEADERSHIP CO-CONSTRUCTION PARTENARIAT Participation Patients Professionals Consultation Information Confrontation Boivin, Dumez, Gauvin, Lebel, 2015
26
TWO NECESSARY APPROACHES, ONE ESSENTIAL DISTINCTION
CO-BUILDING ENGAGEMENT ADVOCACY REPRESENTATION PRINCIPAL KNOWLEDGE EXPERIENTIAL Significant experience of healthcare and services SOCIO-POLITIC Organizational and policy knowledge LEGITIMACY EXPERIENCE-BASED KNOWLEDGE REPRESENTATIVE OF A COLLECTIVE OPINION ACTION CO-DESIGNING, CO-CREATION POSITIONNING, ADVOCATING, DEBATING GOAL IMPROVING HEALTHCARE AND SERVICES RECOGNITION OF PATIENT RIGHTS STRATEGY BUILDING FROM INSIDE INFLUENCING FROM OUTSIDE
27
MANAGING A MAJOR CULTURAL CHANGE PROCESS/ PROGRAMMATION
GOVERNANCE DEVELOP A CULTURE OF PARTNERSHIP STRUCTURE PATIENT ENGAGEMENT MANAGEMENT PROCESS/ PROGRAMMATION DEPLOY A VISION OF PARTNERSHIP IN HEALTH HEALTH ORGANIZATION
28
OUR MISSION To support the practice and science of partnership between patients, professionals and the public AN INTERNATIONAL NETWORK IN DEVELOPMENT
29
OUR PARTERS
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.