Building a Better Delivery System A New Engineering/Health Care Partnership (2005) / Chapter Skim
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2 A Framework for a Systems Approach to Health Care Delivery
2 A Framework for a Systems Approach to Health Care Delivery
Pages 19-26
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From page 19... ...
and other members of the care team, as well as with the organizations that provide the supporting The Individual Patient infrastructure for the care teams. We begin appropriately with the individual patient, whose For patients to communicate "informed" needs and needs and preferences should be the defining factors in a preferences, participate effectively in decision making, patient-centered health care system.
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Remote (e.g., in-the-home, on-the-go) monitoring, diagnosis, and treatment would make care much more convenient for The Care Team patients, save them time, and conceivably improve compliance with care regimes (see paper by Budinger in this The care team, the second level of the health care system, volume)
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The exponential increase in medical knowledge, the prolifera The Organization tion of medical specialties, and the rising burden of providing chronic care have radically undercut the autonomy of The third level of the health care system is the organizaindividual physicians and required that they learn to work as tion (e.g., hospital, clinic, nursing home) that provides infrapart of care teams, either in a single institution/organization structure and other complementary resources to support the or across institutional settings.
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From page 22... ...
communications technologies and process-management tools. Federal agencies, the primary sources of funding for bio To support patient-centered care delivery by well func- medical research, influence the research and technological tioning clinical care teams or microsystems, health organi- trajectories of health care, and, with them, the education of zations must find ways to bridge the health care professional/ health care professionals and professionals in other areas delivery system management divide and invest in information/ invested in the health care enterprise.
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From page 23... ...
More- high operating performance for each subsystem while taking over, each individual care provider must recognize his or her into account the mutual influence of subsystems on each dependence and influence on other care team members (e.g., other and on the system as a whole can be a daunting task. A specialists in different fields, pharmacists, nurses, social simple pictorial description of interacting elements in a workers, psychologists, physical therapists, etc.)
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All processes must be quantitatively performance data for systems analysis, control and design, described to be included in the model. information/communications technologies can facilitate the Any attempt to optimize the performance of a system use of systems-engineering tools by patient care teams, promust take into account objectives that are difficult to quantify vider organizations, and environmental actors at all levels of and that may, in fact, conflict with each other.
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From page 25... ...
2003. The quality of health care delivered to adults in the Paradigm for Industry.
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