Quality (42) Patient centered NCD care (2)

22 June, 2021

Dear Tineke de Groot,

Thanks for sharing your idea on patient centered care on NCDs. [https://www.hifa.org/dgroups-rss/quality-38-catalyst-group-quality-healt...

I think https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6890192/ would be an input to your request. [*see note 1 below]

However, I would like to know why you are interested in patient centered care only instead of holistically assessing the capacity of health system as well as the experiences of care to improve service delivery & accelerate reduction in morbidity & mortality. [*see note 2 below]



Kind regards, Zewdie Mulissa (MD, MPH, FISQUA)

Senior Performance Monitoring and Improvement AdvisorIntraHealth International, Ethiopia project office, Addis Ababa, Ethiopia.Tele: +251911806969, Email: zmulissa@yahoo.com, skype: zewdie. mulissa

HIFA profile: Zewdie Mulissa is Senior Performance Monitoring & Improvement Advisor at IntraHealth International, Ethiopia. Professional interests: Quality of Care; Monitoring; Evaluation. He is a member of the Catalyst Group for the WHO/HIFA project on Learning for quality health systems. https://www.hifa.org/projects/learning-quality-health-services

Email: zmulissa AT yahoo.com

[*Note from HIFA moderator (Neil PW):

1. For the benefit of those who may not have immediate web access, here is the citation and conclusion of the paper: Diabetes Self-Management Education (DSME) – Effect on Knowledge, Self-Care Behavior, and Self-Efficacy Among Type 2 Diabetes Patients in Ethiopia: A Controlled Clinical Trial. Diabetes Metab Syndr Obes. 2019; 12: 2489–2499. Published online 2019 Nov 29. doi: 10.2147/DMSO.S223123. The paper concludes: Our study found significant improvements in the intervention participants’ diabetes knowledge scores and in their adherence to dietary and footcare recommendations. This demonstrates that our DSME intervention may be of clinical importance in developing countries such as Ethiopia.

2. Tineke emphasises the patient's perspective on quality of care but also refers to training of healthcare professionals and health systems issues. She makes the point that ‘Health systems in LMICs must recognize that the patient journey for NCDs starts long before the onset of symptoms and signs' is 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...']