parallel session 4.4.2 my pathway, my choice
DESCRIPTION
TRANSCRIPT
Self Management and Health Literacy
Taming the Jungle
Dr Graham Kramer
Time
Poor self-manager
Successful self-managerQuality
of
Life
66.7% Reduction in hospitalisation77.9% Reduction in average length of stay in hospital41.7% reduction in visits to doctor4% reduction in prescription items
WILLING
UNWILLING
ABLE UNABLE
WILLING
UNWILLING
ABLEUNABLE
Fundamental relationship change between person and HCP
“I am the leading partner in themanagement of my health”
Reducing the paternalism of HCPs
Lessening the infantalism of patients Increasing confidence and health literacy
Reducing paternalism
Promoting empowering relationships/avoiding disempowerment. Doctor Patient Partnerships
Consultation skills/ Person centeredness
Care Planning
CARE measure
Teach Back
Time
Increasing confidence and Health Literacy
• Sharing written information• Information prescriptions• Access to medical records • Meaningful information• Community supports for individuals and
their families
YOC commissioning model
Involvement
“Self care works, produces excellent outcomes, improves clinicians’ job satisfaction, reduces workload and savesmoney. Most importantly patients want it.”
Take home
• Shame free encounters• Universal• Simplicity