Cultural determinants of Health The Quality Improvement Perspective

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Cultural determinants of HealthThe Quality
Improvement Perspective

• Pr. Marianne Samuelson
• Kos
• September 2005

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Cultural determinants of Health The QI
perspective 2 aspects

• 1- Cultural determinants and Quality in the
  Patient-Physician encounter
• 2- Cultural determinants in implementation of
  Quality improvement methods in the different
  European countries

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1-Cultural determinants and Quality in the
Physician-Patient contact

• Story
• The Tree-man

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The Tree-man
After Noelle Lasne
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1-Cultural determinants and Quality in the
Physician-Patient contact

• What is the main idea that you take out for
  this story?
• One main idea per table , Phrased in one sentence

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Cultural determinants and Quality in the
Physician-Patient contactCan Primary Care
Physician respond to the needs of cultural
diverse populations?

• Predominant medical model pathophysiological
  basis and patient explanatory model of illness
• Self awareness and reflection on one's own
  values, and beliefs and genuine curiosity and and
  humility
• Cultural practices and norms / towards individual
  behaviour
• Negotiate differences in language, wording and
  ways of addressing clinical problems
• Being knowledgeable, skill full
• Lifelong contacts and interactive learning
  processes
• Culture is neither seamless nor static

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2-Cultural determinants of Quality Improvement
methods in the different European countries

• The approach to reflection and implementation of
  QI methods in Europe may vary according to the
  cultural background

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From Jan de Maeseneer
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Cultural determinants of Quality Improvement
methods in the different European
countriesDifferences in performance?

• Approach to change
• Implementation of change
• Acceptance of measuring
• How knowledge is produced and used
• Orientation toward PHC of the Health care system
• Culture of the organisation or the system
• Type and use of guidelines
• .
• .

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There are differences in the way QI is undertaken
in different European countries

• What might the cultural influences be behind
  these differences?
• Theses are some of my thoughts..could could
  think about some others? One idea per table, one
  sentence.

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What is EQuiP contribution..

• Research or statement papers connected to
  Cultural determinants and Quality in the
  Physician-Patient encounter
• Europep on patient satisfaction
• Improve on involvement of aging people in the
  decision making process
• Dealing with Uncertainty..
• Research connected to Cultural determinants to
  implementation of Quality improvement methods in
  the different European countries
• EPA tools to assess differences in
  organisational aspects in Europe
• Projects Research on Cultural explanation to
  variation of performance in the different
  European countries.

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Merci