10 Health Care Rules We Desperately Need to Break

10 Health Care Rules We Desperately Need to Break

Seriously, there are some things that we do in health care that are just too prescriptive. Occasionally, we get health care so wrong that we do silly things – like waking patients up to give them sleeping tablets.

Sometimes, breaking the rules is exactly what’s needed to improve patients’ experience of their care.

The Leadership Alliance (Alliance), convened by the Institute for Healthcare Improvement, consists of approximately 40 North American hospitals, associations, and other care systems committed to delivering on the promise of the “Triple Aim”

In 2016, organisations forming the Alliance asked this question of patients and staff:

“If you could break or change any rule in service of a better care experience for patients or staff, what would it be?”

Below, Berwick et al list the top 10 most frequent suggestions.

Breaking Health Care Rules to Improve Care https://ja.ma/2OZftzh

Breaking the Rules for Better Care JAMA

Own your care experience.

Own your care experience.

Patient-centred care – what is it?

Patient-centred care is something that all Australians should benefit from.

According to the Australian Commission on Quality and Safety Health Care, patient-centred care is care that is respectful of, and responsive to, the preferences, needs and values of patients. The dimensions of patient-centred care include:

  1. Respect
  2. Emotional support
  3. Physical comfort
  4. Information and communication
  5. Continuity and Transition
  6. Care Coordination
  7. Involvement of Family and Carers
  8. Access to Care

Benefits of patient-centred care

Research shows that patient-centred care improves patients’ experience of their care. When health professionals, managers, patients, families and carers work together, quality and safety of health care increases, costs of health care decrease, health professionals better enjoy their work and patient’s experience of their care improves. (Australian Commission on Safety and Quality in Health Care (2011), Patient-centred care: Improving quality and safety through partnerships with patients and consumers, ACSQHC, Sydney).

How do we get there?

So how does this work in practice? We truly can’t go past Oregon’s core attributes of Patient-Centred Primary Care Homes.

Dr Jaspreet Saini PCMH Principles

I believe that all involved in the delivery of health care should read this on a regular basis. I truly do believe this is the gold standard. This is what my patients demand of me, and anything less is unacceptable – to them and to me.