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POPLHLTH 724 Quality In Health Care

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POPLHLTH 724 Quality In Health Care Question Discuss the importance of quality improvement in relation to self-management for people living with long term conditions ? Answer Quality Improvement The effect of the multi-morbidity is very intense. People with different long-term conditions have been marked a life that is of poorer quality, poorer clinical results along with longer duration of hospital stays. There is a presence of very little evidences that suggest what actually the high quality care looks like for the individuals who are with many long-term conditions and therefore, very few of the quality measures are present that can be applied (Machintyre, Ellaway & Cummins, 2012). However, it is to note that what these evidences does prevails suggest that these individuals tend to get poorer treatment than the rest others. This paper will elaborate on explaining the importance of quality improvement in relation to self-management for people living with long term conditions. There is a high need for quality management among the individuals who suffer from long term conditions. This is also referred to as chronic disease. It is to state that the long term conditions refer to the conditions that last about a year and even longer (Angulo et al., 2015). It has a great impact of the lifestyle of the people and might also need an ongoing support and care. It could be related to any condition and any age group. The most common examples of the long term conditions are diabetes, epilepsy, chronic pain, inflammatory bowel disease, chronic obstructive pulmonary disease, arthritis and heart disease. These long term conditions get more common with the increase in age in an individual. It is to note that by the age of 65 years, near about two-third of the individuals would have developed any one of the long term conditions. The older an individual is, the more likely he or she is to have more than one long term conditions. Also, about 27 percent of the people belonging from the age range of 75 to 84 years undergo two or more long term conditions. The rapid increase in the prevalence of the long term conditions as well as the rising costs of the health care mean that the health related organisations all around the world is in great need for effective solutions in order to make the future delivery of the services sustainable and effective (Chou et al., 2015). The improvement in the quality of life by means of chronic illness self-management has represented a great opportunity for the advancement of the practice and research of the self-management. It is to mention that the self-management support can be defines as the “rapid increase in the potential, efficacy and the confidence of the individuals”. Due to the fact that most of the long term conditions are related to the lifestyle of an individual, hence, the self-management represents an opportunity for the purpose of direct intervention at the individual level along with the potential for some favourable effects on the health of the individuals and the health behaviours (Hamilton & Yano, 2017). With the same, there is a very clear relation in between the long term conditions, lifestyle factors, deprivation as well as the wider determinants of health. The people with such conditions are more likely to be more disadvantaged over a wide range of social indicators such as education, income, employment opportunities, home ownership etc. Also, the individuals with these conditions are more likely to have an experience of psychological problems as well. As per (Angulo et al., 2015), about one-third of the people who have diabetes and heart failure as well as one-fifth of the people who are with coronary heart disease or pain experiences depression. The intense stress alters their immunity power and hence, make the illness more likely to take place and the recovery, more difficult, particularly for the ones who are not equipped with good quality of life (Rutter & Beintaris, 2016). Hence, Quality improvement is very important in order to provide a better living and psychological style for these people. Hence, from the above discussion it is clear that there is a high need for quality development among the patients with chronic illness. The quality improvements of the people with long term conditions could provide them a way for recovering faster. This approach is currently highly variable and sub optimal and can be significant improved by means of better understanding of the long-term conditions within the professionals. References: Angulo, P., Kleiner, D. E., Dam-Larsen, S., Adams, L. A., Bjornsson, E. S., Charatcharoenwitthaya, P., … & Haflidadottir, S. (2015). Liver fibrosis, but no other histologic features, is associated with long-term outcomes of patients with nonalcoholic fatty liver disease. Gastroenterology, 149(2), 389-397. Chou, R., Turner, J. A., Devine, E. B., Hansen, R. N., Sullivan, S. D., Blazina, I., … & Deyo, R. A. (2015). The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. Annals of internal medicine, 162(4), 276-286. Hamilton, A. B., & Yano, E. M. (2017). The importance of symbolic and engaged participation in evidence-based quality improvement in a complex integrated healthcare system: response to “The science of stakeholder engagement in research”. Translational behavioral medicine, 7(3), 492-494. Macintyre, S., Ellaway, A., & Cummins, S. (2012). Place effects on health: how can we conceptualise, operationalise and measure them?. Social science & medicine, 55(1), 125-139. Rutter, M. D., & Beintaris, I. (2016). Implementing quality improvement programs for colonoscopy: the emerging need for an international, standardized, multidisciplinary approach. Endoscopy international open, 4(02), E134-E135.

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