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"[The most difficult part of making decisions in the health care field on all levels (national, regional, institutional, patient) is linked to the very complexity of the system itself, to the intrinsic uncertainty involved and its dynamic nature. This requires not only the ability to analyze and interpret a large amount of information but also arrange it so that it becomes a cognitive base for appropriate decision-making. Moreover, decisions in the health care field are subjected to many challenges and constraints: fast change and uncertain outcomes, aging population, increasing citizen expectations, equity considerations and limited resources. Operations research, statistical and economic-related quantitative methods supply these decisions making tools and methodology. The contributed book presents a collection of applications to concrete situations detailing the problem area, the methodology employed, the implementation and results. Each topic addressed in the book will be structured in such a way that an interdisciplinary and wide audience will be able to use the materials presented. As an example the book chapters will address health policies issues, planning health services, epidemiology and disease modelling, home-care modelling, logistics in health care, capacity planning, quality and appropriateness., The most difficult part of making decisions in the health care field on all levels (national, regional, institutional, patient) is linked to the very complexity of the system itself, to the intrinsic uncertainty involved and its dynamic nature. This requires not only the ability to analyze and interpret a large amount of information but also arrange it so that it becomes a cognitive base for appropriate decision-making. Moreover, decisions in the health care field are subjected to many challenges and constraints: fast change and uncertain outcomes, aging population, increasing citizen expectations, equity considerations and limited resources. Operations research, statistical and economic-related quantitative methods supply these decisions making tools and methodology. The contributed book presents a collection of applications to concrete situations detailing the problem area, the methodology employed, the implementation and results. Each topic addressed in the book will be structured in such a way that an interdisciplinary and wide audience will be able to use the materials presented. As an example the book chapters will address health policies issues, planning health services, epidemiology and disease modelling, home-care modelling, logistics in health care, capacity planning, quality and appropriateness.]"

"From the Back Cover: The Health Care Leader's Essential Guide to driving quality, value, and performance. Advanced Performance Improvement in Health Care: Principles and Methods provides healthcare educators, leaders, and clinicians with the specific knowledge and tools vital for creating and advocating for quality-centric, next-generation healthcare organizations. This unique compilation of management, analytical, and statistical methods and techniques serves as a comprehensive guide to harnessing today's technology and developing a culture of quality that delivers sustainable, quantifiable value in healthcare organizations. Amidst a deepening crisis in U.S. health care, Advanced Performance Improvement provides a results-oriented approach to rehabilitating an ailing healthcare system. With his innovative, instructive strategies, the author offers a welcome road map to guide meaningful change in the industry and to equip healthcare managers to meet 21st century challenges. Offers a comprehensive methodology for improving quality in healthcare organizations. Details a process analysis toolkit with dozens of proven techniques. Illustrated with easy-to-follow diagrams and flow charts. Provides best practices for measuring value and performance. Includes extensive discussion of medical informatics, Lean, Six-Sigma, and more."

"In the past decade, the relationship between patient choice and clinical decision making has been seen as increasingly significant by healthcare systems around the globe. This 3rd edition of Shared Decision Making in Health Care addresses important developments in this area, including the placing of shared decision making (SDM) at the centre of the US 2009 Affordable Care Act by Obamacare. This resource examines what makes an effective decision-making process from both theoretical and practical viewpoints, and the benefits and obstacles arising in shared patient-clinician decision making. It begins by putting shared decision making in a real-world context, examining its role in customized rather than commercialized healthcare, and in the achievement of allocative efficiency in health systems. It then provides theoretical and practical information for clinicians on the inclusion of patients in decision making and teaching SDM. Research is presented using systematic reviews and case studies to provide an understanding of the theoretical and practical aspects of preparing for, developing, and implementing SDM. The resource then relates SDM to broader issues such as health inequalities and quality improvement, and ends by examining ways in which SDM can be promoted by different population groups."

"Meningkatnya prevalensi kanker terutama yang sudah dalam kondisi terminal membutuhkan penatalaksanaan komprehensif melalui perawatan paliatif yang mana pasien sangat didorong untuk dapat terlibat mengambil keputusaan mandiri. Penelitian ini bertujuan untuk mengeksplorasi esensi atau makna dari pengalaman pasien dalam pengambilan keputusan perawatan paliatif di rumah. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi dengan metode pemilihan partisipan menggunakan teknik puposive sampling. Sampel dalam penelitian ini sebanyak 10 partisipan pasien kanker stadium lanjut advanced cancer. Pengambilan data dengan teknik indepth interview dengan analisa data menggunakan metode Collaizi. Hasil penelitian menunjukkan enam tema yang signifikan mengambarkan dimanika pasien kanker selama proses pengobatan hingga pengambilan keputusan tempat perawatan paliatif. Tema ndash; tema tersebut yaitu : nyeri dan sedih yang berkepanjangan, dampak nyeri terhadap perubahan aspek kehidupan, alasan pemilihan tempat perawatan paliatif, pengambilan keputusan dengan melibatkan keluarga, kebutuhan pasien akan perawat paliatif dalam menjalani perawatan di rumah serta menjalani akhir kehidupan end of life di rumah dengan tenang. Diharapkan penelitian ini menjadi acuan bagi perawat dalam melakukan pendekatan terapeutik dengan memperhatikan karakteristik partisipan, meningkatkan pengetahuan serta kemampuan berkomunikasi untuk mengadvokasi dan menginformasikan program perawatan paliatif di rumah secara jelas sehingga tidak menimbulkan keraguan pada pasien untuk menerima pemulangan dari rumah sakit dan menerima perawatan paliatif di rumah. Selain itu, perlu adanya strategi dari pemerintah untuk mengoptimalkan program paliatif melalui perawatan paliatif berbasis home care diberbagai daerah di wilayah Indonesia.

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Increased cancer prevalence especially in terminal condition needs a comprehensive management approach through a palliative care in which patient is very encouraged to be involved in an independent decision making of, especially, palliative care facility. The study intends to explore in depth the essence of patient's experience in decision making of palliative care at home.

It uses qualitative method with phenomenological approach. The participants were selected by using purposive sampling technique. They are 10 patients with terminal cancer. The data were collected by using in depth interview technique and analyzed by using Collaizi method.

The result shows six themes which significantly describe the dynamic of patients with cancer from medication process to decision making of palliative care facility. The teams are prolonged pain and sadness, painful effects on life changing aspects, palliative care selection reasons, family involvement decisions, palliative care needs in home care and end of life at home quietly.

The study is expected to be a reference for nurses in conducting therapeutic approach by considering participant's characteristics. It is also expected to improve nurse's knowledge and communication skill in advocating and clearly informing palliative care purposes and program at home. Thus, patients do not have doubt to receive discharge from hospital and palliative care at home. In addition, there needs to be a strategy from the government to optimize palliative programs through palliative care based on home care in various regions in Indonesia.Keywords patient with terminal cancer, decision making, palliative care at home"

"Treatment planning for person-centered care, second edition, guides therapists in how to engage clients in building and enacting collaborative treatment plans that result in better outcomes. suitable as a reference tool and a text for training programs, the book provides practical guidance on how to organize and conduct the recovery plan meeting, prepare and engage individuals in the treatment planning process, help with goal setting, use the plan in daily practice, and evaluate and improve the results. case examples throughout help clarify information applied in practice, and sample documents illustrate assessment, objective planning, and program evaluation."

"Treatment planning for person-centered care, second edition, guides therapists in how to engage clients in building and enacting collaborative treatment plans that result in better outcomes. The book provides practical guidance on how to organize and conduct the recovery plan meeting, prepare and engage individuals in the treatment planning process, help with goal setting, use the plan in daily practice, and evaluate and improve the results. Case examples throughout help clarify information applied in practice, and sample documents illustrate assessment, objective planning, and program evaluation"

"Great health care presents successful practice management strategies to deliver dependable, quality health care, at the lowest possible cost. The text focuses on the treatment of chronic diseases such as diabetes, obesity, asthma, osteoporosis, and congestive heart failure. "