Person-Centred Care

Summary

This video highlights a team-based approach to healthcare, where GPs work collaboratively with a network of professionals to provide holistic, patient-centered care. It emphasizes the importance of comprehensive care that focuses not just on treating illness but also on preventative health and wellness. The model includes continuous follow-ups and personalized care coordination, with support from dietitians, psychologists, and other specialists. Patients experience a collaborative, positive environment where they are actively involved in their health goals, receiving support, education, and monitoring to ensure their well-being. The approach promotes long-term health and positive outcomes.

Takeaways

• 😀 Patient-centered care is at the core of the medical home model, focusing on the patient's needs and goals.
• 😀 The medical home approach emphasizes a team-based model, where GPs collaborate with various healthcare professionals to ensure comprehensive care.
• 😀 Preventative care is a major focus, with regular check-ins to monitor patient progress and keep them accountable for their health goals.
• 😀 Patients are not required to be sick to receive care; preventive health is an important aspect of the model.
• 😀 The team provides personalized support, including care management and follow-ups to ensure patients stay on track with their health journey.
• 😀 A collaborative approach is emphasized, with healthcare professionals such as GPs, dietitians, physiotherapists, and psychologists working together.
• 😀 The program involves continuous education and support for GPs and practice staff to enhance the quality of care they deliver.
• 😀 The medical home model values the emotional and psychological needs of patients, ensuring they feel supported and cared for.
• 😀 Follow-ups are a key benefit of this model, helping patients feel reassured and connected with their healthcare team.
• 😀 The use of data and technology is important in improving healthcare practices and ensuring that patient outcomes are tracked effectively.

Q & A

What is the concept behind a certain medical home?

A certain medical home is a team-based approach to healthcare, where the general practitioner (GP) works with a team to focus on the patient's needs and goals to achieve better health outcomes.

How does the approach of a certain medical home combine traditional values with modern demands?

The approach combines traditional core values of medicine, such as patient-centered care, with modern healthcare demands by focusing on understanding the patient's needs and offering comprehensive care that adapts to current health challenges.

What role does the family physician play in this model of care?

The family physician is responsible for offering comprehensive care, working with a team of healthcare professionals to achieve the best possible outcomes for the patient.

Can patients receive care for reasons other than being sick in this model?

Yes, patients can receive care for preventative health measures, not just when they are sick, as the model also focuses on proactive healthcare.

How did the patient in the transcript come to the practice for care?

The patient came to the practice in a state of medical distress, unable to breathe, and was immediately attended to by the team, which included Doctor Merhnoosh and Nurse Kath.

What was the patient's experience with follow-up care after their initial treatment?

The patient was offered a follow-up plan for the next 12 months to monitor their health, which made them feel cared for and reassured, especially as they lived alone.

What kind of support does the Sydney North Health Network provide to local practices?

The Sydney North Health Network provides support through a program that offers education and resources to local practices, helping improve the quality of care, develop leadership skills, and encourage a positive workplace culture.

How does the practice ensure continued patient care and support?

The practice ensures continued patient care by scheduling regular check-ins every three months to keep patients accountable and ensure they are on track with their health goals.

What role do Care Managers play in the practice?

Care Managers are assigned to patients as soon as they walk through the door and are responsible for coordinating the patient's care throughout their time at the clinic.

What are some of the key benefits patients experience in this healthcare model?

Key benefits include personalized care, follow-ups, a wide range of healthcare professionals working together, and continuous support for both complex health situations and general wellness.