1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS...
-
Upload
barry-osborne -
Category
Documents
-
view
218 -
download
0
description
Transcript of 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS...
![Page 1: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/1.jpg)
1
CHRONIC CONDITION
SELF-MANAGEMENTFLINDERS HUMAN
BEHAVIOUR & HEALTH RESEARCH UNIT
THE FLINDERSMODEL
![Page 2: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/2.jpg)
2
Positive Policy Environment
Community Health Care OrganizationPP
rreeppaarreedd
Patients and Families
Better Outcomes for Chronic Conditions
Links
WHO’s Health Care for Chronic Conditions team (CCH)http://whqlibdoc.who.int/hq/2002/WHO_NMC_CCH_02.01.pdf
![Page 3: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/3.jpg)
3
Positive Policy EnvironmentStrengthen PartnershipsSupport legislative frameworks
Promote consistent financingDevelop and allocate human resourcesIntegrate policies
Provide leadership and advocacy
CommunityRaise Awareness
Encourage better outcomes through leadership and supportMobilize and coordinate
resources Provide complementary
services
Promote continuity and coordinationEncourage quality through
leadership and incentives
Organize and equip health care teams
Use information systems
Support self-management and prevention
Health Care OrganizationPP
rreeppaarreedd
Patients and Families
Better Outcomes for Chronic Conditions
Links
![Page 4: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/4.jpg)
4
National Chronic Disease Strategy (www.coag.gov.au)• Action Areas:
– Prevention– Early intervention– Integration and coordination– Self-management
• Priority recommendations– Clinicians receive education in self-management
support– Self-management support is incorporated into routine
clinical care
![Page 5: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/5.jpg)
5
History of Flinders Model
Flinders Model developed
Coordinated Care TrialsSA Health Plus
1997-1999
Sharing Health Care Initiatives
C’wealth Dept Health & Aging2001 - 2004
Partners In Health scale trialed and
standardised2001
![Page 6: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/6.jpg)
6
History of The Flinders Model
WHO identify chronic conditions as major health impact
2002-2003
SA Chronic Disease Strategy
2004
National Chronic Disease Strategy
From 2005
National Primary Care Collaboratives
From 2004
Australian Better Health Initiative
2006- present
![Page 7: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/7.jpg)
7
Self-Management: Who’s Responsible?
Self-management
Self-management support
![Page 8: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/8.jpg)
8
Characteristics of Successful Self-
Management Support1. Collaborative Problem Definition (between client and health professionals)
2. Targeting, Goal Setting & Planning(target the issues of greatest importance to the client, set realistic
goals and develop a personalised care plan)
(Von Korff et al, 1997)
![Page 9: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/9.jpg)
9
Characteristics of Successful Self-Management Support 3. Self-Management Training and Support Services(include instruction on disease management, behavioural support, & address physical & emotional demands of having a chronic condition)
4. Active and Sustained Follow-up(reliable follow-up leads to better outcomes)
(Von Korff et al, 1997)
![Page 10: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/10.jpg)
10
Principles of Self-Management K
I C
MRIL
KnowledgeInvolvementCare PlanMonitor and RespondImpactLifestyle
![Page 11: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/11.jpg)
11
• Researched & Published outcomes
![Page 12: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/12.jpg)
12
Care PlanAgreed Issues
Agreed Interventions Shared Responsibilities
Review Process
The Flinders Model
Problems and Goals+Assess
Self-Management
PsychosocialSupport
Community / Carer Support
Self-Management
MedicalManagement
![Page 13: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/13.jpg)
13
The Final Product : The Care Plan
An active document that supports:– Communication – Organisation– Partnership– Motivation– Planning and follow-up– Outcome measurement
![Page 14: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/14.jpg)
14
What is new?
![Page 15: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/15.jpg)
15
Summary of The Flinders Model
• 6 Principles of Self-Management• PIH Scale• C&R Interview• P&G Assessment• Care Plan• Systematically supports the patient to achieve
self-management • Provides a process for implementing planned
care for chronic conditions
![Page 16: 1 CHRONIC CONDITION SELF-MANAGEMENT FLINDERS HUMAN BEHAVIOUR HEALTH RESEARCH UNIT THE FLINDERS MODEL.](https://reader036.fdocuments.net/reader036/viewer/2022062413/5a4d1b7f7f8b9ab0599ba9fb/html5/thumbnails/16.jpg)
16
Further InformationFlinders Human Behaviour Health Research Unit
Phone: (08) 8404 2323 Fax: (08) 8404 2101
Email: [email protected]://som.flinders.edu.au/FUSA/CCTU/Home.html
• http://www.improvingchroniccare.org• http://www.health.gov.au/internet/wcms/publishing.nsf/Content/
pq-ncds • http://www.who.int/chp/knowledge/publications/icccreport/en/