Hodges' Model: Welcome to the QUAD: PROM

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Showing posts with label PROM. Show all posts
Showing posts with label PROM. Show all posts

Wednesday, July 11, 2018

ERCIM News No. 114 Special Theme "Human-Robot Interaction"

https://ercim-news.ercim.eu/en114/special
ERCIM News 114
Dear ERCIM News Reader,

ERCIM News No. 114 has just been published at https://ercim-news.ercim.eu/

featuring the Special Theme"Human-Robot Interaction", coordinated by Serena Ivaldi (Inria) and Maria Pateraki (ICS-FORTH)

The section "Research and Innovation" reports on news about research activities and innovative developments from European research institutes.

This issue is also available for download in pdf and ePUB

Thank you for your interest in ERCIM News. Feel free to forward this message to anyone who might be interested.

Includes:
"Assistive robots and healthcare applications within the context of HRI are discussed in Cesta et al. (page 18), Hindriks et al. (page 20) and Efthimiou et al. (page 21). Cesta et al. present a cognitive architecture combining human perception and AI techniques to infer knowledge about the status of a user and the environment and plan personalised assistive robot actions for elderly people. Hindriks et al. report on their first experiments on a social robot that supports collection of patient data in a hospital, to reduce the workload of nurses. Efthimiou et al. are developing a multimodal user-centred HRI solution that encourages trust and acceptance of assistive robots for elderly people." p.7.
p. 35 Corpus Conversion Service: A Machine Learning Platform to Ingest Documents at Scale
by Michele Dolfi, Christoph Auer, Peter W J Staar and Costas Bekas (IBM Research Zurich)

Next issue:
No. 115  July 2018
Special Theme: "Digital Twins"



Sunday, August 27, 2017

Paper: "Defining Health in the Era of Value-based Care ..." mapped to Hodges' model

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
Q. What is value?


Demand

(Individual) freedom to lead lives they have reason to value

[Why we need a global generic conceptual framework: 
Self care = 
transformation of Demand into Supply]



Patient
Reported Outcome Measures (PROMs)

'benefit' across Hodges' model?
'harm done' across Hodges' model?

Shared Decision Making - 
patient centred care, 
choice, autonomy, 

Right Care, Right Time, Right Place?*
A's. 

Value = outcomes achieved – money spent (Porter)

1.Allocative value – how to allocate resources equitably in such a way that maximum value for the whole population is obtained
2.Technical value – increased value associated with improvements in quality and safety of healthcare
3.Personalised value – individual patient values, in combination with best evidence and assessments of the person’s condition. (Gray)

Supply - Outcomes
PROMS: hip replacement, knee replacement, groin hernia and varicose veins
Right Care, Right Time, Right Place

Chronic disease
Improving medical technology
Demand

Social determinants of health

"Unlimited healthcare intervention
provision may lead to increased harm."

Friends and Family Test

Person- and community-centred approaches, such as peer support, self-management education, health coaching, group activities and asset-based approaches.

Local - Community - National

Porter recommends classification of outcomes in three tiers [16]. Tier one is ‘Health status achieved or retained’, including measures such as survival at one or five years, or for those with life-limiting conditions, the degree of health or recovery achieved or maintained. Tier two, ‘Process of recovery’, includes the time taken to return to normal activities and disutility of care, such as errors and adverse events in care, incorrect diagnosis, and discomfort. Tier three is ‘Sustainability of health’ and includes recurrence and long-term consequences of treatment.

"The definition proposed by Gray ... defines value in healthcare as ‘the net benefit, that is the difference between the benefit and the harm done by a service, taking into account the amount of resources invested’"

Supply - Outcomes
Health Economics
limited healthcare budgets

Governments - Industries
Relationships
demand - drug costs

Moving FROM: cost-effectiveness and pay for performance
TO: Value-based pricing

Healthcare-associated harm

Value-based healthcare has the potential to be used in local and national priority setting and
policy development.



*This brief paper provides a very good outline of value-based care. 'Mental' in this paper is mentioned early on in a definition of health, thereafter you will find 'mental' in funda-mental, environ-mental plus incre-mental. 'Mental health' and values-based care will no doubt be discussed elsewhere. This brief paper suggests however, that we really do need a generic conceptual framework for health and social care. To be fully-realised value-based care must also reach, encompass and incorporate mental health and public mental health.


Gentry S, Badrinath P (March 06, 2017) Defining Health in the Era of Value-based Care: Lessons from England of Relevance to Other Health Systems. Cureus 9(3): e1079. DOI 10.7759/cureus.1079


Sunday, July 25, 2010

Book: "Outcome Measurement in Mental Health" Cambridge University Press

Outcome Measurement in Mental Health
Theory and Practice
Edited by Tom Trauer
Hardback
Published June 2010

In order to operate in an evidence-based fashion, mental health services rely on accurate, relevant, and systematic information. One important type of information is the nature of the problems experienced by recipients of mental health care, and how these problems change over the course of time. Outcome measurement involves the systematic, repeated assessment of aspects of health and illness, either by service providers, service recipients, or both. From outcome measurement clinicians and service recipients achieve a common language whereby they can plan treatment and track progress, team leaders and managers secure a basis to compare their services with others and to promote quality, while policy makers and funders derive evidence of effectiveness. This book will be an essential and practical resource for all members of the mental health clinical team as well as those responsible for establishing or managing services, and directing policy.

• Presents a global perspective on outcome measurement enabling readers to compare and contrast practices around the world
• Enables readers to identify the specific challenges presented in different groups and settings, the instruments to use, and how to use the results
• Emphasizes the relevance and use of outcome data to clinicians, to help them improve their effectiveness

Contents

Preface; 1. Introduction Tom Trauer; Part I. Outcome Measurement Around the World: 2. Mental health outcome measurement in Australia Jane Pirkis and Tom Callaly; 3. Outcome measures in New Zealand Graham Mellsop and Mark Smith; 4. Outcome measurement in England Mike Slade; 5. Outcome measurement in Ohio and the United States James Healy and Dee Roth; 6. The outcome questionnaire system: a practical application for mental health care settings Michael J. Lambert; 7. Outcome measurement in Italy Mirella Ruggeri; 8. Outcome measurement in Germany Sylke Andreas, Thomas Becker, Holger Schulz and Bernd Puschner; 9. Outcome measurement in mental health services in Norway Torleif Ruud; 10. Outcome measurement in Canada: one province's experience with implementation in community mental health David Smith; Part II. Outcome Measurement in Specific Groups and Settings: 11. Routine outcome measurement in child and adolescent mental health Peter Brann; 12. Outcome measurement in adult mental health services Tom Trauer; 13. Outcome measurement in older persons Rod McKay and Regina McDonald; 14. Outcome measurement with indigenous consumers Tricia Nagel and Tom Trauer; 15. Routine measurement of outcomes by Australian private hospital-based psychiatric services Allen Morris-Yates and Andrew Page; 16. Mental health outcome measurement in Non-Governmental Organizations (NGOs) Glen Tobias; 17. Outcome measurement in drug and alcohol services Maree Teesson and Mark Deady; Part III. Current Issues in Outcome Measurement: 18. Outcome measurement - applications and utility Tom Trauer; 19. Stakeholder perspectives in outcome measurement Tom Trauer; 20. Assessment of change in outcome measurement Tom Trauer; 21. Routine outcome measurement: perspectives on skills and training Tom Trauer and Tim Coombs; 22. A review of instruments in outcome measurement Tom Trauer; 23. Some economic and policy considerations for outcome measurement Rowena Jacobs; 24. Future directions Tom Trauer; Index.

My source:

UK Routine Clinical Outcomes Network Forum