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Making health care responsive to the needs of older people

Making health care responsive to the needs of older people
Making health care responsive to the needs of older people
This commentary highlights the importance of health system responsiveness to older people living with complex health needs. Age-related changes and associated morbidity can present barriers to identifying an individual’s health needs, expectations, values and preferences, and so sufficient time, skill and resource is required to inform the development of a tailored plan for each individual. A focus on responsiveness moves thinking beyond the responsibilities of the individual clinician in the single encounter, and allows us to identify elements of the wider system that may constrain how well the clinician is able to respond. Setting the goal of responsive health care requires us to assess the suitability of wider health system features and processes for meeting the diverse needs of individual people throughout their journey, and the extent to which the system can adapt dynamically as needs change. Standardised approaches to care prescribed across organisations (such as time-based targets or routinised approaches to inpatient nursing care) are likely to result in low responsiveness as individual complexity grows, disadvantaging patients with needs that do not fit the prescribed approach. Responsiveness is high when individual practitioners and clinical teams have the resources, decentralised authority, flexibility and autonomy to provide the care required. Building a more responsive health system requires a greater understanding of how these conditions can be achieved.
0002-0729
Bridges, Jacqueline
57e80ebe-ee5f-4219-9bbc-43215e8363cd
Pope, Catherine
21ae1290-0838-4245-adcf-6f901a0d4607
Braithwaite, Jeffrey
1a460cca-92db-459d-ba1b-7d0a25ee6546
Bridges, Jacqueline
57e80ebe-ee5f-4219-9bbc-43215e8363cd
Pope, Catherine
21ae1290-0838-4245-adcf-6f901a0d4607
Braithwaite, Jeffrey
1a460cca-92db-459d-ba1b-7d0a25ee6546

Bridges, Jacqueline, Pope, Catherine and Braithwaite, Jeffrey (2019) Making health care responsive to the needs of older people. Age and Ageing. (In Press)

Record type: Article

Abstract

This commentary highlights the importance of health system responsiveness to older people living with complex health needs. Age-related changes and associated morbidity can present barriers to identifying an individual’s health needs, expectations, values and preferences, and so sufficient time, skill and resource is required to inform the development of a tailored plan for each individual. A focus on responsiveness moves thinking beyond the responsibilities of the individual clinician in the single encounter, and allows us to identify elements of the wider system that may constrain how well the clinician is able to respond. Setting the goal of responsive health care requires us to assess the suitability of wider health system features and processes for meeting the diverse needs of individual people throughout their journey, and the extent to which the system can adapt dynamically as needs change. Standardised approaches to care prescribed across organisations (such as time-based targets or routinised approaches to inpatient nursing care) are likely to result in low responsiveness as individual complexity grows, disadvantaging patients with needs that do not fit the prescribed approach. Responsiveness is high when individual practitioners and clinical teams have the resources, decentralised authority, flexibility and autonomy to provide the care required. Building a more responsive health system requires a greater understanding of how these conditions can be achieved.

Text
Making health care responsive to the needs of older people - Accepted Manuscript
Restricted to Repository staff only until 7 June 2020.
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More information

Accepted/In Press date: 7 June 2019

Identifiers

Local EPrints ID: 432740
URI: https://eprints.soton.ac.uk/id/eprint/432740
ISSN: 0002-0729
PURE UUID: a1042178-aa22-4fab-8982-67f73723e5c0
ORCID for Jacqueline Bridges: ORCID iD orcid.org/0000-0001-6776-736X
ORCID for Catherine Pope: ORCID iD orcid.org/0000-0002-8935-6702

Catalogue record

Date deposited: 25 Jul 2019 16:30
Last modified: 26 Jul 2019 00:35

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