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The strategic role of competency based medical education in health care reform: a case report from a small scale, resource limited, Caribbean setting.

Busari JO, Duits AJ - BMC Res Notes (2015)

Bottom Line: We therefore decided to investigate for the requirements needed to build a health care environment that is conducive for change and capable of facilitating the smooth migration of existent services into an effective and sustainable VBHC system.The quality of the educational process needs to be maintained and safeguarded within an integrated health care delivery system that offers support to all care delivery and teaching institutions within the community.Finally, collaborative efforts with international medical institutions are recommended.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Atrium Medical Center, Henri Dunantstraat 5, 6401 CX, Heerlen, Netherlands. j.busari@atriummc.nl.

ABSTRACT

Background: Curaçao is a Dutch Caribbean island with a relatively high aging population, a high prevalence of chronic diseases and a health care system that is driven by cost-containment. In 2009 the development of a new value-based health care (VBHC) system was initiated on the island, and a key role was identified for the St. Elisabeth Hospital as a (model) platform for implementing this initiative. We therefore decided to investigate for the requirements needed to build a health care environment that is conducive for change and capable of facilitating the smooth migration of existent services into an effective and sustainable VBHC system.

Findings: Our findings revealed that our chosen approach was well accepted by the stakeholders. We discovered that in order to achieve a new value based health care system based on a reliable and well-organized system, the competencies of health care providers and the quality of the health care system needs to be assured. For this, extra focus needs to be given to improving service and manpower development both during and after formal training.

Conclusions: In order to achieve a VBHC system in a resource-limited environment, the standard of physicians' competencies and of the health care system need to be guaranteed. The quality of the educational process needs to be maintained and safeguarded within an integrated health care delivery system that offers support to all care delivery and teaching institutions within the community. Finally, collaborative efforts with international medical institutions are recommended.

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Related in: MedlinePlus

The stages of the iterative process used in developing the reference document.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
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Fig1: The stages of the iterative process used in developing the reference document.

Mentions: Seeking the input, approval and support of important stakeholders (i.e. the national health care council, health care providers e.g. physicians and nurses and funders of care i.e. health care insurers) for the proposal (Figure 1).Figure 1


The strategic role of competency based medical education in health care reform: a case report from a small scale, resource limited, Caribbean setting.

Busari JO, Duits AJ - BMC Res Notes (2015)

The stages of the iterative process used in developing the reference document.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4305231&req=5

Fig1: The stages of the iterative process used in developing the reference document.
Mentions: Seeking the input, approval and support of important stakeholders (i.e. the national health care council, health care providers e.g. physicians and nurses and funders of care i.e. health care insurers) for the proposal (Figure 1).Figure 1

Bottom Line: We therefore decided to investigate for the requirements needed to build a health care environment that is conducive for change and capable of facilitating the smooth migration of existent services into an effective and sustainable VBHC system.The quality of the educational process needs to be maintained and safeguarded within an integrated health care delivery system that offers support to all care delivery and teaching institutions within the community.Finally, collaborative efforts with international medical institutions are recommended.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Atrium Medical Center, Henri Dunantstraat 5, 6401 CX, Heerlen, Netherlands. j.busari@atriummc.nl.

ABSTRACT

Background: Curaçao is a Dutch Caribbean island with a relatively high aging population, a high prevalence of chronic diseases and a health care system that is driven by cost-containment. In 2009 the development of a new value-based health care (VBHC) system was initiated on the island, and a key role was identified for the St. Elisabeth Hospital as a (model) platform for implementing this initiative. We therefore decided to investigate for the requirements needed to build a health care environment that is conducive for change and capable of facilitating the smooth migration of existent services into an effective and sustainable VBHC system.

Findings: Our findings revealed that our chosen approach was well accepted by the stakeholders. We discovered that in order to achieve a new value based health care system based on a reliable and well-organized system, the competencies of health care providers and the quality of the health care system needs to be assured. For this, extra focus needs to be given to improving service and manpower development both during and after formal training.

Conclusions: In order to achieve a VBHC system in a resource-limited environment, the standard of physicians' competencies and of the health care system need to be guaranteed. The quality of the educational process needs to be maintained and safeguarded within an integrated health care delivery system that offers support to all care delivery and teaching institutions within the community. Finally, collaborative efforts with international medical institutions are recommended.

Show MeSH
Related in: MedlinePlus