Pimperl, A. (2018). Re-orienting the Model of Care: Towards Accountable Care Organizations. International Journal of Integrated Care. 2018;18(1):15. Link
The author describes the reality of the implementation of triple-aims and their obstacles different countries are faced with because of their financial and organizational fragmentation of health service delivery. A possible solution is seen in Accountable Care Organizations (ACOs). In this context, Pimperl explains Core Principles of Successful ACO Models and offers them as a first start for the endeavor to re-orient healthcare.
Gröne, O. (2018). Improving the capacity for learning and improvement in health care. International Journal for Quality in Health Care. Editorial, doi: 10.1093/intqhc/mzy064, 159-160. Link
Audit and feedback are key quality improvement strategies. The assumption that professionals will improve their performance when feedback demonstrates deficiencies in processes or outcomes of care has been well researched in more than 100 studies. These studies demonstrate small to moderate, but systematic effects of audit and feedback on improvements of professional practice. Audit and feedback mechanisms may differ with regard to: the format of feedback, source of feedback, frequency of feedback, instructions for improvement, baseline performance, targeted behaviour or the inclusion of measures that make a difference to patients…
Gröne, O. (2017). Through the patient’s eyes: 25 years of quality and safety research and the challenges ahead. International Journal for Quality in Health Care, Volume 29, Issue 7, November 2017, 887-888. Link
Soon it will be 25 years since the publication of the seminal book ‘Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care’. This work was a milestone in many ways. Following extensive qualitative and quantitative assessments, including focus groups, surveys and organizational site visits, the authors described how the organization of hospital systems impact on the quality of care—seen from the perspective of patients and their families. The authors also identified a range of practical solutions for a more patient-centered approach, many of which are now—at least conceptually—addressed in institutional policies and health care reforms.