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Leading Management and Organisation Development for the Health Services

Leading Management and Organisation Development for the Health Services. Whose Health Service is it Anyway?.

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Leading Management and Organisation Development for the Health Services

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  1. Leading Managementand Organisation Developmentfor the HealthServices Whose Health Service is it Anyway?

  2. Public and Patient Partnership in Healthcare:Outline of Discussion PaperProfessor Hannah McGeeHealth Services Research CentreDepartment of PsychologyRoyal College of Surgeons in Ireland

  3. Partnership: what is it? • Promoting patient participation in own care • Enabling patients to become informed about • treatment & to make informed choices • Involving patients & carers in improving • service quality • Involving the public as citizens in health • service decision-making processes

  4. Partnership: why? • Crisis intervention • Reforms/restructuring • Safety & complaints systems • Quality in healthcare movement • Increased voice of patients & advocates

  5. Partnership in Ireland • NATIONAL HEALTH STRATEGY (2001) • Goal No. 3: responsive & appropriate • care delivery • Objective 1: The patient is at the centre in • the delivery of care • Participation: one-to-one / care management / • community involvement

  6. Principles of Partnership I • Rights-based approach • Commitment to building trust • Flexible & accessible communication process • Motivation & commitment to partnership • Flexibility & willingness to adapt • Ethos of fairness & accountability

  7. Principles of Partnership II • Mutual co-operation & support • Concern for process as well as outcome • Commitment to delegate power equally • Commitment to embedding partnership • within & across health system structures • Commitment to financial support

  8. Evaluation framework for participation

  9. ENABLERS Intrinsic respect Increased adherence Increased health responsibility Increased staff satisfaction Health Strategy (2002) BARRIERS Paternalism Fear of loss of control Inequity Time/other pressures Lack of staff support Factors enabling/mitigating against participation

  10. Evaluation of partnership: key questions WHY?………aims, clarity of purpose HOW? …….right approach, clear roles, involvement in planning, use of feedback, timescales WHAT?……techniques, expectations met, appropriate information & views sought WHO?……..representatives, support given to participation

  11. Participation: the three ‘Ps’ • Purpose (what to achieve?) • Process (how to do it?) • Personal integrity • (‘keeping your word’)

  12. Information needs for partnership • Strategies for participation • How to be effective as participant • Making links with participants • Integrating feedback into QI • Role of consumer councils • Why public input is important • Patient satisfaction surveys • Working with particularly excluded groups

  13. Partnership Paper: key points • Emphasis on process as much as outcome • Role of quality in healthcare movements • Dedicated structures (legislative, administrative & educational) & coordinating centres • Explicitly identified partners • Staff as partners

  14. Partnership? • Change is inevitable……

  15. Partnership? • Change is inevitable…… • …..….except from • slot machines……

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