What Does an Effective Consumer-Centred,
Co-Designed Health System Look Like?
The Consumer Advocacy Alliance believes that the ideal provision of health care services, especially those who live with complex health needs and multiple and often interrelated conditions, is through an approach that is interdisciplinary, integrated, interrelated, intergenerational and inclusive. We have developed the Five 'I's Framework, an holistic and integrated approach to health care with ethics at it's heart.
Read our paper What Do Effective Consumer-Centred Health Services Look Like? Providing a positive and beneficial approach to the consumer:health system interface, through the Five ‘I’s Framework
Read our paper What Do Effective Consumer-Centred Health Services Look Like? Providing a positive and beneficial approach to the consumer:health system interface, through the Five ‘I’s Framework
- ABSTRACT
- Recent health reforms in Aotearoa New Zealand have led to an increased focus on the importance of engaging effectively with consumers, including how health care professionals and health consumers should work in partnership for health and well-being. Despite this apparent placement of health consumers/patients at the heart of the health system, the centuries old patriarchal approach to health care, which places health professionals at the heart of the health care model has been difficult to repeal. The experience of many people in our health system is one of discrimination and bias; lack of or poor communication; delayed diagnosis or misdiagnosis; incorrect, inadequate or incompetent treatment; breaches of their rights; and treatment injury and adverse events. What is required is a paradigm shift in the approach to health care, one that focuses on: more collegial relationships among health professionals; the concept of whakawhanaungatanga; interdisciplinary and integrated care guided by integrity, transparency and accountability; and assigning the health and well-being patients/health consumers the utmost importance. This paper provides the background to the modern health care and health system setting in Aotearoa New Zealand, and proposes a new model of health care services provision – the Five ‘I’s Framework; an holistic and integrated approach to health care with ethics at its heart. The Five ‘I’s Framework provides a focus on cohesive integration that is applicable to all health care settings and services. It is a new model that focuses on both consumers and health professionals, and aligns with the principles and philosophies of Māori models of health.
