The “Handling” of power in the physician-patient encounter

"Based on the insights, the authors suggest that physicians learn to enact ethical patient-centered therapeutic communication through reflective, effective, and professional use of power in clinical encounters."

The “Handling” of power in the physician-patient encounter: perceptions from experienced physicians
L Nimmon, T Stenfors-Hayes
BMC Medical Education, 2016, 16:114

Read more here.

Making time in general practice

"This report was commissioned by NHS England as part of this wider work to deliver the NEW Deal, strengthening primary care and releasing capacity to introduce new care models."

Making time in general practice
H Clay, R Stern
NHS Alliance
October 2015

Read more here.

Communications in health care improvement - a toolkit

This toolkit is for health care professionals working in improvement who want to understand and use communications to better plan, implement and spread their work.

Access the toolkit here.

Coordination of clinical information and management across levels of care

"This set of indicators comprehensively address the different attributes of clinical coordination in main transitions across levels of care."

Development and testing of indicators to measure coordination of clinical information and management across levels of care
MB Aller, et al.
BMC Health Services Research, 2015, 15:323

Read more here.

New organisational models of primary care to meet the future needs of the NHS

"We identified three overlapping categories of models: models that introduce new, or change existing, roles in general practice; models of collaboration among professionals and among sectors (primary care, secondary care and social care); and new organisational forms for general practice."

New organisational models of primary care to meet the future needs of the NHS: a brief overview of recent reports
T Bienkowska-Gibbs, S King, C Saunders, M-L Henham
RAND Europe
June 2015

Read more here.

Learning not blaming

"The three reports that we are building on in developing our policy are distinct in their concerns, and this document addresses points raised in each of the three reports in turn. But there are also some common themes that run through them:

• openness, honesty and candour;
• listening to patients, families and staff;
• finding and facing the truth;
• learning from errors and failures in care;
• people and professionalism;
• the right culture from top to bottom."

Learning not blaming: The government response to the Freedom to Speak Up consultation, the Public Administration Select Committee report 'Investigating Clinical Incidents in the NHS', and the Morecambe Bay Investigation
Department of Health
July 2015

Read more here.

Using communications approaches to spread improvement

"A practical guide to help you effectively communicate and spread your improvement work."

Using communications approaches to spread improvement
S Randall
Health Foundation
March 2015

Read more here.

Scoping review of patient-centered care approaches in healthcare

"The fact that all identified approaches to patient-centered care incorporated strategies to achieve effective communication, partnership, and health promotion indicates that clinicians can select a patient-centered approach from the literature that best suits their patient’s needs, and be confident that it will satisfy the three core elements of patient-centered care provision."

Scoping review of patient-centered care approaches in healthcare
MK Constand, JC MacDermid, V Dal Bello-Haas, M Law
BMC Health Services Research, 2014, 14:271

Read more here.

Closing the Gap through Changing Relationships: evaluation

"The Health Foundation’s Closing the Gap through Changing Relationships programme was launched in 2010. The programme funded seven projects, which aimed to change one or more of three types of relationships:

1. between the individual using a service and those who work in healthcare provision
2. between people using services and the wider healthcare system
3. between communities and the wider healthcare system."

Read the report and supporting material here.

Adaptation of health care for migrants: whose responsibility?

"Health care professionals do not consider it to be their responsibility to adapt to ethnic diversity. If health professionals do not feel a responsibility to adapt, they are less likely to be involved in culturally competent health care."

Adaptation of health care for migrants: whose responsibility?
M Dauvrin, V Lorant
BMC Health Services Research, 2014, 14:294

Read more here.

Social and organizational factors affecting implementation of evidence-informed practice

"Results also implied that the perception of accessibility and trust were significant predictors of expertise recognition."

Social and organizational factors affecting implementation of evidence-informed practice in a public health department in Ontario: a network modelling approach
R Yousefi-Nooraie, M Dobbins, A Marin
Implementation Science, 9:29

Read more here.

Speaking up for patient safety by hospital-based health care professionals

"Hesitancy to speak up can be an important contributing factor to communication errors. Our model helps us to understand how health care professionals think about voicing their concerns."

Speaking up for patient safety by hospital-based health care professionals: a literature review
A Okuyama, C Wagner, B Bijnen
BMC Health Services Research, 2014, 14:61

Read more here.

Sharing health information: toward better, safer care

"Having shared access to patients’ health information means health professionals in primary care – such as GPs, pharmacists and community nurses – can work more closely and effectively in multi-disciplinary teams with doctors, nurses and specialists in hospitals."

Sharing health information: toward better, safer care
Ministry of Health, New Zealand
November 2013

Read more here.

A social network analysis of physicians' professional networks and their attitudes toward EBM

"This paper explores how physicians’ attitudes towards EBM is related to the network position they occupy within healthcare organizations."

"Us and them": a social network analysis of physicians' professional networks and their attitudes toward EBM
D Mascia, A Cicchetti, G Damiani
BMC Health Services Research, 2013, 13:429

Read more here.

Journey into the world of patient experience

"Communication between provider and patient, and between providers, was a significant theme. People wanted to be dealt with directly and clearly, and they wanted to be assured that their multiple providers were talking to each other directly and clearly too."

Journey into the world of patient experience: lessons learned and projects underway
C Fooks
The Change Foundation
September 2013

Read more here.

Implementing shared decision-making

"Normalizing shared decision making requires intensive work to ensure teams have a shared understanding of the purpose of involving patients in decisions, and undergo the attitudinal shifts that many health professionals feel are required when comprehension goes beyond initial interpretations."

Patchy 'coherence': using normalization process theory to evaluate a multi-faceted shared decision making implementation program (MAGIC)
A Lloyd, N Joseph-Williams, A Edwards, A Rix, G Elwyn
Implementation Science, 2013, 8:102

Read more here.

Barriers and facilitators to implement shared decision making in multidisciplinary sciatica care

This paper identified new barriers and facilitators for shared decision-making in the multidisciplinary care of sciatica and proposes that an effective implementation of SDM in a multidisciplinary setting should focus on these.

Barriers and facilitators to implement shared decision making in multidisciplinary sciatica care: a qualitative study
SN Hofstede, PJ de Mheen, MM Wentink, AM Stiggelbout, CLA Vleggeert-Lankamp, TPM Vlieland, L van Bodegom-Vos
Implementation Science, 2013, 8:95

Read more here.

Recommended content of referral letters from GPs to specialised mental health care

"Compared with general guidelines and guidelines for somatic care, the results of this study suggest that the referral letter to specialised mental health care should have a larger emphasis on the overall treatment plan, on the specific role of specialised health care in the continuum of care, and on patient involvement."

Recommended content of referral letters from general practitioners to specialised mental health care: a qualitative multi-perspective study
M Hartveit, O Thorsen, E Biringer, K Vanhaecht, B Carlsen, A Aslaksen
BMC Health Services Research, 2013, 13:329

Read more here.

The Care Process Self-Evaluation Tool

"Patient safety can be increased by improving the organization of care. A tool that evaluates the actual organization of care, as perceived by multidisciplinary teams, is the Care Process Self-Evaluation Tool (CPSET)."

The Care Process Self-Evaluation Tool: a valid and reliable instrument for measuring care process organization of health care teams
D Seys, S Deneckere, W Sermeus, E Van Gerven, M Panella, L Bruyneel, T Mutsvari, R Camacho Bejerano, S Kul, K Vanhaecht
BMC Health Services Research
2013, 13:325

Read more here.

Commissioning care and support for older people with high support needs

"Many models of care and support are based on mutually valued relationships and older people's contributions, but most operate beneath the radar of public sector commissioners."

Commissioning care and support for older people with high support needs
J Carrier
Joseph Rowntree Foundation
July 2013

Read the summary here.