Quality (38) Catalyst Group for Quality Health Services: Introduction + patient centered NCD care

21 June, 2021

Dear all,

Good to meet many of the members of the Catalyst Group for Quality Health Service today during the Zoom meeting. My name is Tineke de Groot. As a nurse, international public health professional, lecturer and researcher, I have a passion for Universal Health Coverage. I have worked in a variety of primary healthcare settings in South America, Sub-Saharan Africa and the Netherlands and have a Masters in Public Health from the University of South Africa. I have been a health system advisor on various health projects worldwide. I work in training healthcare professionals at the Christian University of Applied Sciences (Netherlands) to work in low-income settings. I also work for Primary Care International (UK) on developing e-learnings on NCD care for healthcare professionals in LMIC. I am currently writing a proposal for a PhD thesis on patient centered NCD care in LMIC.

Thinking on quality of care, I really would like to emphasise the patient’s perspective on quality of care. Given the fact that 77% of NCD deaths occur in LMIC, I would like to share this article on the NCD patient journey: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7553852/pdf/12325_2020_Arti...

This article states: ‘Health systems in LMICs must recognize that the patient journey for NCDs starts long before the onset of symptoms and signs. Strategies designed to improve the patient journey must incorporate the patient-centered perspective at each touchpoint of their journey in the healthcare system: awareness, screening, diagnosis, treatment, and adherence. Effective communication strategies for improving health literacy, patient activation, and incorporation of narrative medicine in physician education positively impact the awareness of patients. Use of appropriate risk assessment tools to tailor therapies, integrated management of chronic illness in primary healthcare, shared decisionmaking, and decision aids ensure timely and accurate diagnosis. Improved access to NCD treatments, embodying the principles of person-centered care and positive therapeutic alliance, requires commitment at a policy level to deliver safe, affordable, and effective care equitably. Long-term management of NCDs entails substantial self-management of their conditions by patients, which can be augmented by pharmacists and nurse-led interventions. The NCD care continuum pathway needs to move from the traditional acute incident management protocol to a public health approach of prevention and delay of disease onset through early identification and management of risk factors; early diagnosis and appropriate management; and good adherence through effective communication and follow-up. In addition, comprehensive palliative care models must be evaluated and integrated into national health policy and action plans.’

Anybody having examples of best practices of patient centered NCD care in LMIC?

Looking forward to responses.

Met vriendelijke groet/ regards,

Tineke de Groot–de Greef, MPH, RN

Senior Lecturer of Nursing,

Coordinator Postgraduate Course

International Public Health

E adgroot@che.nl

T 0318 696 300

Tw @tinekhealth4all

Christelijke Hogeschool Ede

Christian University of Applied Sciences

Postbus 80, 6710 BB Ede

Oude Kerkweg 100, 6717 JS Ede

I www.che.nl

Tw @dehogeschoolede #CHEde

HIFA profile: Tineke de Groot is Senior Lecturer of Nursing at the Christian University of Applied Sciences in the Netherlands. Professional interests: International Public Health, Child health. She is a member of the HIFA-WHO catalyst group on Learning for quality health services.

https://www.hifa.org/projects/learning-quality-health-services

Email: adgroot AT che.nl