Safety and compassion in health and social
care
Prof. Dr. Petrie F. Roodbol, Hanze University of Applied Sciences, University Medical Center,
University of Groningen
Outline
• Historical Context
• Current circumstances healthcare
– Healthcare progress – Healthcare costs – Patient needs – Patient safety
– Professional structure and education
• Paradigma shift healthcare • Sustainable, affordable care • Consequences for Education
3
historical context
medical progress
5
Raise of life expectancy
7
Total expenditure on health as % of Gross domestic
product, 2012
8
Total expenditure on health as % of Gross
domestic product, 2012
9
Healthcare costs 10
11 0 2 4 6 8 10 12 14 16 0 0,5 1 1,5 2 2,5 3 3,5 4 4,5 5 4 RN= 1 MD 3 RN= 1 MD 2 RN= 1 MD 1 RN= 1 MD Ireland Iceland The Netherlands Luxembourg Switserland Sweden Norway Denmark Australia Canada Germany Czech Rep Austria Finland UK USA
Japan Spain France
Slovak Rep Belgium Italy Greece Portugal Hungary Poland Korea Turkey Mexico RN/1000 inhabitants MD/1000 inhabitants Belgium (ex)
Source: OESO 2005 – for Belgium (exact): J.Pacolet, 2006
Variation in the healthcare workforces of different
countries…..
Patients’ need and circumstances
Chronic diseases Developments
• Ageing • Economic crisis • E-health • Participation society • Patient safety • Multidisciplinary treatment Patients’ need 12
Ageing
Patient need
Expendure and ageing
14
(Home) Automation
Patients’ need
E-health
16
Participation society
Patient safety
Aim relation patiënt & professional
Professional Patiënt
inter est
Effect paper world on the relation patiënt &
professional
Professional Patiënt Protocols accreditations procedures, policy cycle formats Money Time IndicatorsEffect systeemwereld op relatie patiënt &
zorgprofessional (2)
Professional Patiënt
d
?
Verdraaide Organisaties, Wouter Hart 2012
inter esse
Educational structure
22
Variety of (new) professionals cure / care
Multidisciplinary Expertise
Professional structure
Professional structure 25
To conclude
• Boundless medical possibilities • Different healthcare systems • Increasing costs
• Ageing population
• Paper en cure oriented healthcare • Safety?
• Monodisciplinary education • Multidisciplinary working
• Overlap in competences of professionals
Paradigma Shift
27
What is health?
WHO definition of Health (1946)
Health is a state of complete physical, mental and social well-being ad not merely the absence of disease or infirmity.
Paradigma shift
What is health?
Health as the ability to adapt and to self manage, in the face of social, physical and emotional challenges (activities and participation)
International Classification of Functioning
30
Admission to healthcare
Nurse Practitioner …..
Sustainable healthcare
Sustainable healthcare & compassion
• Patient centralized & Individualized • Case management
• Based on the aim of the patient (NP) • Participation and functioning
• Multidisciplinary approach
• Task division by competences / relations • Flexible, responsible healthcare workers • Multidisciplinary education
To conclude
• A new definition of health….
• Out of the box thinking • Patients’ need
• No tight professional limits • Use your brains and
heart
• Do it together
conclusion 34
