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Patient centered care and relational co- production in the Netherlands

Addressing the challenges posed by an aging population, chronic diseases, and healthcare costs through relational co-production for improved well-being among patients and professionals. Studies show positive outcomes in various healthcare settings.

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Patient centered care and relational co- production in the Netherlands

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  1. Patientcentered care andrelational co-production in the Netherlands Jane Cramm Associate Professor

  2. The Challenge • An aging population • Chronic disease / multi-morbidity • Spiraling healthcare costs • De-institutionalization • Mental and social well-being are deteriorating

  3. The needs of frail older people and the chronically ill – focus on overall well-being

  4. Relational co-production leads to better improved well-being among patients • Surveys among chronically ill patients • Relational co-production predicted well-being • AND mediated the relationship between quality of care and well-being • Most positive about interactions with GPs and nurses

  5. But not only effective for patients; it is also related to better well-being and satisfaction with care/work among professionals and informal caregivers! • We saw this in several studies: • Community setting (among community nurses) • Primary care setting (GPs and nurses mostly) • Organizations for people with intellectual disabilities

  6. Information based on the following studies: https://www.ncbi.nlm.nih.gov/pubmed/25267102The importance of productive patient-professional interaction for the well-being of chronically ill patients https://www.ncbi.nlm.nih.gov/pubmed/28695703A cross-sectional study investigating patient-centred care, co-creation of care, well-being and job satisfaction among nurses https://www.ncbi.nlm.nih.gov/pubmed/28654162The importance of person-centred care and co-creation of care for the well-being and job satisfaction of professionals working with people with intellectual disabilities https://www.ncbi.nlm.nih.gov/pubmed/27655044Is "disease management" the answer to our problems? No! Population health management and (disease) prevention require "management of overall well-being". https://www.ncbi.nlm.nih.gov/pubmed/26869783The changing nature of chronic care and coproduction of care between primary care professionals and patients with COPD and their informal caregivers https://www.ncbi.nlm.nih.gov/pubmed/26374206Chronically ill patients' self-management abilities to maintain overall well-being: what is needed to take the next step in the primary care setting? https://www.ncbi.nlm.nih.gov/pubmed/25607246Disease Management: The Need for a Focus on Broader Self-Management Abilities and Quality of Life.

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