Future health
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The document discusses the evolving landscape of healthcare, emphasizing the importance of clinician-patient relationships, patient safety, and staff experiences amidst changing demographics and technology. It highlights the need for new healthcare models that foster teamwork, communication, and collaboration to improve patient-centered care and staff satisfaction. Concepts of self-efficacy and quality of education are also explored as essential factors influencing healthcare delivery.
Future health
- 1. Future Health: constants and challenges Professor Steven Boyages AMSA FutureMed Sydney
- 5. Who do you want to be? • Endocrinologist • Researcher • Teacher • Patient Advocate • Public Health Physician • Sonologist • Policy maker • Chief Executive, Area Health Service • Chief Executive, Clinical Education and Training Institute • Medical Director eHealth
- 6. Constants of health • Clinician patient relationship • Clash of cultures Change Drivers • Patient experience and safety • Staff experience and safety • Demography Resilience • Individual, self efficacy, social cognitive theory • Organisational Adaptability and Agility • New models of education and learning • Technology
- 7. Health is a knowledge based profession Impart Knowledge • Research • Care • Development • Education • Prevention • Training Generate Apply Knowledge Knowledge
- 8. Constants of Health TO RECHON him who taught me this Art equally dear to me as my parents, to share my substance with him, and relieve his necessities if required; to look up his offspring in the same footing as my own brothers, and to teach them this art, if they shall wish to learn it, without fee or stipulation; and that by precept, lecture, and every other mode of instruction, I will impart a knowledge of the Art to my own sons, and those of my teachers, and to disciples bound by a stipulation and oath according the law of medicine, but to none others. (Hippocrates 460-370 BC)
- 9. The nature of patient care is a constant
- 10. Health work is a balanced matrix High High Touch Tech Team and Technology Workflow Platform Platform
- 11. Planetary orbits are constant Managers are from Mars and Clinicians are from Venus
- 12. These “language” differences may lead to a clash of cultures
- 14. The Perfect Storm Changing Health Patterns Rising cost of Need for new health care models of care Increasing consumer Technology expectations
- 15. Patient Safety
- 16. Staff Experience The Great Schism?
- 18. Future workforce growth at Feb 2010 Future industry job growth – Australia 5 years from 2009-10 to 2014-15 (‘000) - DEEWR projections
- 19. What are we trying to do? To improve teamwork, communication and collaboration for safer patient-centred care, and better staff experiences Why are we trying to do this? Increased staff motivation, well-being and retention Decrease in staff turnover Increased patient and carer satisfaction Increased patient safety Increase in appropriate use of specialist clinical resources Reductions in patient mortality and critical incidents Increase in access to and coordination of health services 19
- 20. Team Health Foundations – Right Start • Individual • Roles and Responsibilities • Risks and Rewards High Performance Teams • Roles • Reflection • Respect • Resilience Advanced Settings of Care • Advanced Clinical Modules • Simulation
- 22. What Is Self-Efficacy? According to Albert Bandura, self-efficacy is “the belief in one’s capabilities to organize and execute the courses of action required to manage prospective situations” (1995, p. 2). In other words, self-efficacy is a person’s belief in his or her ability to succeed in a particular situation. Bandura described these beliefs as determinants of how people think, behave, and feel (1994).
- 23. Sources of self efficacy 1. Mastery Experiences • "The most effective way of developing a strong sense of efficacy is through mastery experiences," Bandura explained (1994). Performing a task successfully strengthens our sense of self-efficacy. However, failing to adequately deal with a task or challenge can undermine and weaken self-efficacy. 2. Social Modeling • Witnessing other people successfully completing a task is another important source of self-efficacy. According to Bandura, “Seeing people similar to oneself succeed by sustained effort raises observers' beliefs that they too possess the capabilities master comparable activities to succeed” (1994). 3. Social Persuasion • Bandura also asserted that people could be persuaded to belief that they have the skills and capabilities to succeed. Consider a time when someone said something positive and encouraging that helped you achieve a goal. Getting verbal encouragement from others helps people overcome self-doubt and instead focus on giving their best effort to the task at hand. 4. Psychological Responses • Our own responses and emotional reactions to situations also play an important role in self-efficacy. Moods, emotional states, physical reactions, and stress levels can all impact how a person feels about their personal abilities in a particular situation. • Bandura, A. (1995). Self-Efficacy in Changing Societies. Cambridge University Press.
- 25. Review Article American Medical Education 100 Years after the Flexner Report Molly Cooke, M.D., David M. Irby, Ph.D., William Sullivan, Ph.D., and Kenneth M. Ludmerer, M.D. N Engl J Med Volume 355(13):1339-1344 September 28, 2006
- 26. Figure 1 Source: The Lancet (DOI:10.1016/S0140-6736(10)61854-5) Terms and Conditions
- 27. What is the literature saying? 27
- 28. Figure 12 28 Source: The Lancet (DOI:10.1016/S0140-6736(10)61854-5) Terms and Conditions
- 32. We need to embrace social media
- 33. Investment and Risk Strategy
- 34. “Storm Damage” Staff Shortages Poor Economic Competency gaps Development Poor staff Increased Medical utilisation and Error productivity Poor Staff Morale
- 35. Bridging the Gap
- 36. Reflections Constants of health • Clinician patient relationship • Clash of cultures Change Drivers • Demography • Patient experience and safety • Staff experience and safety Resilience • Individual, self efficacy, social cognitive theory • Organisational Adaptability and Agility • New models of education and learning • Technology