What Edmund Wilson can teach us about health system transformation.
نویسنده
چکیده
R ecently, I stumbled on a biography of Edmund Wilson. An American writer, intellect and social critic, Wilson was known for his publications, including Axel’s Castle and Patriotic Gore, as well as his work with Vanity Fair and The New Yorker. Although he came from a completely different era and discipline, I think his saying that “no two persons ever read the same book” provides valuable insight into the challenges that we face in our healthcare system. Transformation is all about perspective. This lesson about perspective struck me while I was doing a student placement in health administration at the Toronto Central Local Health Integration Network (TC-LHIN). As an emergency room nurse by background, I had experienced firsthand the breakdowns in our system and felt the frustrations of patients who fall through the cracks. I had also been educated in a very particular paradigm and had become accustomed to approaching problems through an acute care lens. I may have tried to convince myself otherwise, but I had been hardwired to view “success” as my ability to be accurate and efficient – quickly reacting and treating ailments, while flowing patients quickly through the hospital system. Then I came to the LHIN. As a clinician, I’ve always had an engrained suspicion of system planners. How, I would ask myself, can administrators truly understand and appreciate the challenges in our system if they haven’t cared directly for patients? Yet, in a short period of time, I’ve come to realize that my clinical viewpoint is only a small piece of a very large picture. Take “patient-centred” care, for example. In Ontario, we have been working hard to better understand and embody patientbased planning in our structures and systems. At a LHIN level, work is being done to measure and standardize quality indicators to capture the patient experience. More locally, organizations continue to drive a shift in culture where patients and families are active participants of healthcare teams. However, fundamentally, providers plan for the people they see, while LHINs plan for the population. So, how is it that we can expect one another to understand and approach patient-centredness in the same way?
منابع مشابه
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عنوان ژورنال:
- Healthcare quarterly
دوره 16 2 شماره
صفحات -
تاریخ انتشار 2013