Many healthcare improvement approaches originated in manufacturing, where end users are framed as consumers. But in healthcare, greater recognition of the complexity of relationships between patients, staff, and services (beyond a provider-consumer exchange) is generating new insights and approaches to healthcare improvement informed directly by patient and staff experience. Co-production sees patients as active contributors to their own health and explores how interactions with staff and services can best be supported. Co-design is a related but distinct creative process, where patients and staff work in partnership to improve services or develop interventions. Both approaches are promoted for their technocratic benefits (better experiences, more effective and safer services) and democratic rationales (enabling inclusivity and equity), but the evidence base remains limited. This Element explores the origins of co-production and co-design, the development of approaches in healthcare, and associated challenges; in reviewing the evidence, it highlights the implications for practice and research. This title is also available as Open Access on Cambridge Core.
When a ghost reveals that he was murdered by Lord Bannatyne and demands that she travel to London to protect his beloved, Jade Nethercott must decide whether to heed the ghost's warning or follow her heart when Lord Bannatyne comes to her rescue. Original.
Nature versus Nurture: Michael quickly summoned me to his offi ce, where his pet spider is housed in an aquarium, feeling strange about the idea of having an arachnida for a pet. As Michael set me on a miniature ottoman in front of the arachnid’s home – the terrestrial environment he provided, my skepticism promptly transformed into fascination. One single spider had reproduced a sac housing hundreds of precious eggs soon to hatch to ‘young ‘uns’, sadly to the demise of its mother upon their births. The gleaming gossamer of spider silk which I had learned in my zoology and biochemistry classes to be the strongest fi ber known, even stronger than steel. One benefi cial lesson we humans can learn from this creature is an allimportant one – recycling. Once the web is destroyed, the spider swallows this delicate lace, and re-uses its protein in re-building the next structure! Nothing should be wasted, even the most despised creature learns from its Creator. The eyes have seen, the ears have heard the wonders of God’s miraculous creation! Yet regrettably some people live to say that there is no God! Given a glimpse of his home I fi nally saw what Michael meant in his expression and sentiment over the difference in our homes. Michael may not see or admit, but, as he spoke of my home I can feel the yearning in his voice, and I also audibly hear the ache. Mr. Kamo Toyatori can rest assured that his legacy passed on to his son will live on. This legacy weighs heavily on his son’s shoulders, but will not give up. His son is simply incapable of doing so; his son aware that it could only lead to his own fi nancial ruin. Michael will labor day and night, he needs to wary not to plant himself in less exalted ground than what he deserves, and that which his father expects.
Sacramento wasn't always so proud of the area now called Land Park. In fact, due to a notorious roadhouse at Sutterville and Riverside roads, the city took great pains to distance itself from here in the early days, calling the roadhouse and environs a "foul plaguespot" and a "sink of iniquity," and purposely excluding it from city borders! But times change, and the 1911 death of hotelier and philanthropist William Land set the stage for Land Park's remarkable renaissance. A bequest in Land's will directed that some monies be used to find "a recreation spot for the children and a pleasure ground for the poor," and so began the pleasant area of homes, parklands and riverfront paths we know today.
Elspeth Braybrooke, trained in the knightly arts, has no defense against her heart when she meets a handsome warrior with dark secrets and a manly, irresistible caress.
Many healthcare improvement approaches originated in manufacturing, where end users are framed as consumers. But in healthcare, greater recognition of the complexity of relationships between patients, staff, and services (beyond a provider-consumer exchange) is generating new insights and approaches to healthcare improvement informed directly by patient and staff experience. Co-production sees patients as active contributors to their own health and explores how interactions with staff and services can best be supported. Co-design is a related but distinct creative process, where patients and staff work in partnership to improve services or develop interventions. Both approaches are promoted for their technocratic benefits (better experiences, more effective and safer services) and democratic rationales (enabling inclusivity and equity), but the evidence base remains limited. This Element explores the origins of co-production and co-design, the development of approaches in healthcare, and associated challenges; in reviewing the evidence, it highlights the implications for practice and research. This title is also available as Open Access on Cambridge Core.
This paper focuses on the experiences of older people with multiple health problems and particularly on their experiences inside hospital. Continuity is fundamental to high-quality care and the authors outline practical models and methods for improving continuity of care and make recommendations for frontline and senior executives.
This report looks at communication with patients, relatives and carers in the acute hospital setting. It considers not only the giving of information, both general and clinical, but also the ways in which information is obtained from patients, either unsolicited (in the form of complaints) or solicited (by techniques such as surveys). In all these areas, patients are experiencing difficulties both with the content of information and with the way that it is given or requested. A common complaint is that there is not enough information. Equally, information often exists, but the quality is poor - it is not clearly written, for example, or it is not what the patients wants. Even when the information is adequate, the way in which it is communicated can diminish its usefulness. Minor changes can lead to improvements in the design and production of information leaflets, and signposting. It is more difficult, but still possible without significant expenditure, to change the way clinical staff work together, and developing guidelines on what to tell patients at each stage in their care, plus rules about recording what they have been told, will improve communication with health professionals.
This will help us customize your experience to showcase the most relevant content to your age group
Please select from below
Login
Not registered?
Sign up
Already registered?
Success – Your message will goes here
We'd love to hear from you!
Thank you for visiting our website. Would you like to provide feedback on how we could improve your experience?
This site does not use any third party cookies with one exception — it uses cookies from Google to deliver its services and to analyze traffic.Learn More.