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The Picker Institute 2006 Research Agenda
Picker Institute is supporting the following Projects
and Program(s) throughout 2006:
~ Patient Centered Professionalism Project
~Picker Institute / ACGME Challenge Grants Project
~Study of the Relationship between Patient-Centered Care, Technical Quality
of Care, Other Care Process and Outcomes
~Annual Picker Awards for Excellence
~Leadership Summit ~ 2006
The Patient-Centered Professionalism Project
Visit the PIE website
for an overview of the project.
Patient-centered Professionalism (PCP) is an international project,
led by the Picker Institute and involving partner organizations in the
UK, USA and Canada, which aims to ensure that medical practice, standards,
education and regulation are truly patient-centered.
Meet the Patient-centered Professionalism team:
Sir Donald Irvine, Chairman of the Board of the Picker
Institute and past president of the General Medical Council.
Professor Angela Coulter, Chief Executive of the
Picker Institute and Visiting Professor in Health Services Research
at the University of Oxford, who has researched and written widely on
the patient's experience and expectations.
Professor Janet Askham, Director of Research at the
Picker Institute and scientific adviser to the UK Department of Health's
policy research program on older people.
Alison Chisholm, Research Associate, who leads the
work for the GMC (see below) as well as an examination of standards
and codes of medical practice and tools for assessing doctors' practice.
Dr Jo Ellins, Research Associate, who is currently
working on a series of evidence and policy reviews examining patient-focused
interventions to improve healthcare quality.
Liz Cairncross, Senior Research Associate, who recently
joined the PCP team and part of her role is to edit this newsletter.
Sarah Claridge, Communications Manager, who is developing
the PCP Forum and its pages on the Picker Institute's website.
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Consulting on ‘Good Medical Practice'
On behalf of the UK's General Medical Council we are carrying
out a project to explore the views of patients, members of the
public and doctors on the standards of care and practice they
expect of doctors. The work forms part of the GMC's consultation
on its revised professional code, Good Medical Practice. A series
of discussion groups and interviews is underway to find out more
about what a range of people think are the key duties of doctors
and what is important about the way they practice. The project
will be completed early in 2006.
Further
information on the GMC's consultation >
To view
the booklet in pdf format on the General Medical Council website
>
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A recent article in the BMJ by Charlotte Williamson, board member of
the Picker Institute, highlights the impact that withholding information
on healthcare policies can have on patients' autonomy. Access
‘Withholding policies from patients restricts their autonomy'
New survey shows limits of patients' ability to self-care
The Picker Institute recently published the findings of a national
telephone survey, exploring the extent to which people possess the knowledge,
confidence and skills to self-manage their health problems. A number
of groups reported much greater difficulty in practicing self-management
including elderly people, and those who are socially deprived or with
poorer self-rated health, depression, chronic pain and digestive problems.
While almost all respondents felt comfortable discussing their health
problems with a clinician, less than one in ten said that they would
ask for clarification when their doctor had not explained something
clearly to them. The survey also found support for accessing information
about the quality and safety of care, particularly among younger and
more educated respondents.‘How
engaged are people in their health care' by Jo Ellins and Angela Coulter
was commissioned by The Health Foundation.
Related News and Events
Where's the patient's voice in health professional
education?
Organized by the University of British Columbia's Division of Health
Care Communication, a conference on this theme was held in Vancouver,
Canada in November. Delegates from a variety of patient groups, as well
as researchers, health professional educators and students of many disciplines
gathered to tackle the barriers and challenges to involving patients
in professional education.
A goal of the conference was to share ideas and successful strategies
to make the education of health professionals more responsive to the
needs of those they serve. Specific recommendations were that a review
of the world literature on patient and consumer involvement in health
professional education should be conducted, and that effective local
and international networks for sharing ideas and accomplishments should
be created.
Our Research Associate, Alison Chisholm, gave two presentations. The
first was on the use of patient questionnaires to assess and develop
patient-centered medical professionalism and the second on how doctors
can learn to engage with patients.
Further information
is available here
UK Citizens' Summit
In late October nearly 1,000 people attended a National Citizens'
Summit to discuss the future of community based healthcare and social
care services. This was the biggest public consultation event ever held
in Britain. The preliminary report reveals support for increasing the
availability of healthcare professionals in terms of time and location,
and strong interest in consultation on the design and priorities for
services.
Further
information is available here
Angela Coulter has written an article in the BMJ about what research
tells us that patient and the public want of its health service. In
particular they desire free and fast access to good care that is available
to all and which enables them to have a say in how they are treated.
Access 'What
do patients and the public want from primary care?'
Keep me updated
We want all those committed to the vision and objectives of Patient-Centred
Professionalism to share in our work. You will be kept abreast of our
research findings as they happen and will be invited to participate
in the lively, thought-provoking debate we are confident they will stimulate.
Register
here for access to our research findings, regular Patient-Centered Professionalism
email newsletters and invitations to Picker Institute events and, shortly,
an opportunity to debate issues online with other interested parties.
Paul Cleary/ Veteran's Administration Project
In 2001, Cleary and colleagues published a study that explored the
relationship between scores on the Picker survey and the general self-reported
health status and symptoms of patients who were discharged from hospitals
in New Hampshire after being treated for an AMI. That study included
2.272 patients treated for an AMI at one of the 23 New Hampshire hospitals.
Patients were sent a survey one month, three months, and 12 months after
their discharge. Those surveys included questions form the Picker survey,
questions about general health status and functional status and cardiac
symptoms (angina and shortness of breath). The authors found that Picker
scores were associated with long-term outcomes. One of the major limitations
of that study was that the authors were not able to test for the possibility
that Picker scores were related to outcomes because those with better
Picker scores also received better technical care. Furthermore, the
authors were not able to test whether intervening variables, such as
number of follow-up[ visits, helped explain why patient centered care
was related to outcomes.
Please check back as more information on this study will be available
as the project progresses.
PII/ACGME Challenge Grants Project
Picker Institute / ACGME Challenge Grants
Award Recipients 2006
The Picker Institute is proud to introduce the five recipients of the
2006 Picker Institute / ACGME Challenge Grants
Background:
The Challenge Grant Project is intended to establish an innovative
way to engage graduate medical education programs in the Institute’s
patient-centered health care mission by supporting projects that facilitate
successful patient-centered care initiatives and best practices in the
education of future practicing physicians. The program therefore focuses
on teaching hospitals and residency programs to introduce and maximize
the impact of patient-centered care on the residents and their training
programs. This has the potential of positively influencing the entire
medical education system and health care community in the long-run,
and may elevate the Challenge Grant Project to become an integral part
of the Picker Institute Research Agenda for years to come.
| Pamela J. Boyers, Ph.D
Director of Medical Education
Riverside Methodist Hospital |
William H. Hester, M.D.
Family Medicine Residency Program Director
McLeod Family Medicine Residency Center |
| Kirk Keegan, MD
University of California, Irvine
Obstetrics-Gynecology |
Anthony A. Meyer, M.D., PhD.
Dept of Surgery, Div. of Trauma & Critical Care
University of North Carolina at Chapel Hill |
| John L. Tarpley, M.D.
Dept. of Surgery
Vanderbilt University |
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As part of the Picker Institute’s Research Agenda discussed by
the Picker Board most recently at its last meeting on August 12, 2005,
the Challenge Grant Project is intended to establish an innovative way
to engage graduate medical education programs in the Institute’s
patient-centered health care mission by supporting projects that facilitate
successful patient-centered care initiatives and best practices in the
education of future practicing physicians. The program therefore focuses
on teaching hospitals and residency programs to introduce and maximize
the impact of patient-centered care on the residents and their training
programs. This has the potential of positively influencing the entire
medical education system and health care community in the long-run,
and may elevate the Challenge Grant Project to become an integral part
of the Picker Institute Research Agenda for years to come.
** The Accreditation Council for Graduate Medical Education
(ACGME) is a private, non-profit council that evaluates and accredits
medical residency programs in the United States. The ACGME was established
in 1981 from a consensus in the academic medical community for an independent
accrediting organization. Its forerunner was the Liaison Committee for
Graduate Medical Education, established in 1972. The mission of the
ACGME is to improve the quality of health care in the United States
by ensuring and improving the quality of graduate medical education
for physicians in training. The ACGME's executive director is David
C. Leach, MD.
To view more on the PII/ACGME Challenge
Grants Project, click here >
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