Talking with Your Doctor &

Other Health Care Providers

Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

Laurie CheungJustin Harder

Context of Patients as PartnersIntroduce the Talking with Your Doctor &

Other Health Care Providers (TWYD) projectPresent the Pilot Project & Evaluation resultsDiscuss future direction

Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

Patients as Partners

BC Definition: Patients, families and caregivers are partners in health care when they are supported and encouraged to

participate in their own health careparticipate in decision-making about that care participate at the level they chooseparticipate in quality improvement and health care

redesign in ongoing and sustainable wayshttp://www.impactbc.ca/sites/default/files/resource/n357_pasp_annualreport_final.pdf

Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

Talking with Your Doctor & Other Health Care Providers is a Ministry of Health, Patients as Partners initiative administered by ImpactBC

and delivered in partnership with UBC’s Division of Health Care Communication.

Project AimEmpower patients to become active

participants in their health care. Based on the principle of Informed Shared

Decision Making (ISDM).

Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

RationaleBoth patients and health care providers have

identified communication as a priority concern that needs improvement.

Research indicates that improved communication between patients and health care providers can improve health outcomes.

Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

The Workshop

Informed Shared Decision-Making

PACE Communication Framework

Video and Discussion

Evaluation and PACE Booklet

The Pilot Project In August 2010, UBC’s Division of Health Care

Communication and Patients as Partners, administered by ImpactBC, agreed to run a 6-month pilot project.

Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

Patient Quotes

Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

“[Before] I would just say to her yeah OK I understand and then walk out of there and say 'now what exactly did she say?' ...I didn't repeat it back to her and say 'Is this what you mean?' ...Now I check with her and say 'Is this what you want me to do?' and 'Is this why you want me to do that?”

“I found she [doctor] was quite willing to talk to me which I hadn't thought she was. So it turned out good.”

Participants Feedback“I did like the idea that the workshop presented as it being a partnership because I think the majority of time, until maybe recent years, when you go to the doctor and the doctor is kind of like ‘big daddy’ and he tells you what to do and if you question it then it's like well, 'what are you coming to me for?' And, we should be able to have some input without them feeling threatened.”

Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

Facilitator Feedback

“What this entire process did is fine tune what I normally did and make it

more streamlined …”

Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

Pilot Project - Recommendations

1. TWYD project should be continued.2. Modify workshop and materials for specific

audiences.3. Gain endorsement of health care

professionals.

Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

The Steering Committee

Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

Future Direction“…in some cultures you cannot like clearly say that this part is I don’t like it or I don’t agree with because assertiveness is not common in our culture. This information is very important for immigrants. This booklet needs to be translated into major languages for refugee , for certain refugee communities they need the information the most…”

Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

Questions?

For more information please contact:

Justin Harderjharder@impactbc.ca

Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE