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  • 1.
    Bonnivier, Anna
    Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare.
    Då; DiabetespatientNu; En människa med diabeteserfarenhet: Ett förbättringsarbete och en fallstudie om vård på ändrade villkor när en diabetesmottagning införde samskapad vård.2018Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background

    Enhancement for people with elevated HbA1c. Improvement area was described differently from the patient and the coworkers perspective and perceived the experience of participation and the need of standardized working methods.

     

    Purpose

    Improve patients diabetic related health and their experience of participation and decrease the average of HbA1c > 9%.

     

    Study if coproduction contributes to better diabetes care and outcomes by introducing a new working method based on PROM/PREM.

     

    Method

    Nolan's Improvement Model

    Qualitative case study with content analysis

     

    Results

    Total average of HbA1c fell by 15,2%.

    13 out of 14 patients lowered their HbA1c.

    PROM; two out of three quliaty parameters had a positive shift.

    PREM; one out of three had a positive shift.

    The study indicated that a new working method enhanced both the interaction and the relationship between patient and health care providers and simultaneously created a more valuable balance between shared knowledge and experience of the disease.

     

    Discussion

    The results of this thesis indicates that coproduction creates a better environment for quality and an opportunity for a mutual relationship. Patients' answers to PROM / PREM identified areas that enabled the healthcare provider to respond to patient needs, which strengthened the role of the patient in the meeting.

     

    Conclusion

    Coproduction provides opportunities for a qualitative relationship that creates an enhanced environment for knowledge exchange and development for patients and healthcare providers.

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