Special intervention strategy for creating a culture of empathetic way of patient care and patient...
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Transcript of Special intervention strategy for creating a culture of empathetic way of patient care and patient...
Public Health Institutions (Primary and Secondary)
are under-utilized and have unequally distributed
patient footfall.
One of the main Reason:-
◦ Attitude of the healthcare professionals including
support staff, is more mechanical than
empathetic, towards providing services to the
patients.
Consequences:-
◦ Over-burden of Tertiary care and some selected health
facilities.
◦ Increased footfall in private organized and
unorganized sector.
◦ And the result is, increased Out-of-Pocket
Expenditure by the patients and unequal distribution
of the patients in the healthcare institutions.
Will the behavior and attitude change training
programme for the healthcare professionals
(including support staff) employed in the public
health institutions (5 PHCs in Chaksu- selected by
RCT) of Jaipur district leads to development of an
empathetic way of care rather than a mechanical
approach to create a culture of patient friendly
environment ?
Aim: To increase the retention of patients in the
public health institutions , by creating goodwill of
the concerned institution while improving the
communication and interaction strategies of
healthcare professionals.
Objective(s):
◦ To inculcate a culture of empathy in patient
care, by improving the behavior and attitude of
healthcare professionals including the support staff.
◦ To develop an intervention for providing training to
the healthcare professionals for behavioral and
attitudinal changes in the working environment.
Description of Intervention:◦ Process of intervention:
Base-line study of patient satisfaction with
respect to behavior and attitude of healthcare
professionals.
Target Group Intervention
Pre-testing the Intervention
Final Intervention
End-line study of patient satisfaction with respect
to behavior and attitude of healthcare
professionals.
◦ Modes of Intervention:
Stage 1: Power-point Presentation in all the 5 PHCs of Chaksu to all the healthcare professionals Objective: Importance of intervention, how to
communicate in different situations like emergencies, epidemics, peak hours, etc.
Stage 2: Focused Group Discussions and Coping strategies
Stage 3: Group Activities (Mock activities)
Stage 4: Special Training to understand the psyche of the patient Objective: How to interact with patients to develop trust
and faith
Stage 5: Awarding the best performing healthcare professional at the end of the month.
Phases of Intervention:
◦ Pre-Intervention Phase:
Base-line Study
Stakeholder Analysis
Healthcare Professionals
Government
Patients and patient attendants
◦ Implementation Phase:
Experimental study (RCT)
Training to healthcare professionals with different means
◦ Evaluation Phase:
Indicator: Parameter to judge the change of Behavior and
attitude of healthcare professionals before and after
provision of Trainings.
Monitoring Framework:
Phase 1 Monitoring- Monitor the base-line study
Phase 2 Monitoring- Monitor the stage 1 intervention
Phase 3 Monitoring- Monitor the stage 2 intervention
Phase 4 Monitoring- Monitor the stage 3 intervention
Phase 5 Monitoring- Monitor the stage 4 intervention
Phase 6 Monitoring- Monitor the stage 5 intervention
Phase 7 Monitoring- Monitor the end-line intervention
Mechanical culture of patient care
Patient friendly empathetic culture of patient care
Challenges
Special StrategiesOf Intervention
The training moderators should not blame the health care professionals in any way.
The self esteem of each participating individual should be kept in mind.
Their willingness for undergoing trainings should be considered.
The objectives of the intervention should be clearly conveyed to all the trainees beforehand.
Ethical committee should be there for providing guidance.
Sr. No. Event Duration in days
Immediate predecessor
Phase 1: preparatory
phase
35
1. Selection of the study area 7 -
2. Permission from the higher authority
7 1
3. Preparation of the training material and training the master trainers
7 1
4. Preparation of the questionnaire
7 1
5. Pre test 3 2,3,4
6 Finalized the schedule 4 5
Sr. No. Event Duration in days
Phase 2: Baseline
study(all 5 PHC)
14
7. Data collection 14 6
Phase-3:Intervenation 52
8.Stage-1: Power point presentation at all 5 PHCs
10 5
9.Stage-2: FGD 14 8
10.Stage-3: Group Activities 14 9
11.Stage-3: Special training session 14 10
12. End line evaluation 7 11
13. Analysis and report writing with dissemination
7 12, 7
Activity time Early Start Early Finish Late Start Late Finish Slack
Project 83
1 7 0 7 0 7 0
2 7 7 14 7 14 0
3 7 7 14 7 14 0
4 7 7 14 7 14 0
5 3 14 17 14 17 0
6 4 17 21 58 62 41
7 14 21 35 62 76 41
8 10 17 27 17 27 0
9 14 27 41 27 41 0
10 14 41 55 41 55 0
11 14 55 69 55 69 0
12 7 69 76 69 76 0
13 7 76 83 76 83 0
GANTT CHART
BACKGROUND LITERATURE REVIEW
A Contribution to the Philosophy of medicine The Basic Models
of the Doctor-Patient Relationship ;THOMAS S. SZASZ, M.D.;
MARC H. HOLLENDER, M.D. ; Arch Intern Med. 1956;97(5):585-
592.
GAPS IN DOCTOR-PATIENT COMMUNICATION: Doctor-
Patient Interaction and Patient Satisfaction ; Barbara M.
Korsch, Ethel K. Gozzi, Vida Francisempathy
Patient-Physician Communication: Why and How :John M.
Travaline, MD; Robert Ruchinskas, PsyD; Gilbert E. D'Alonzo Jr,
DO
Effective Patient - Doctor Communications ; Trisha Torrey