ArticleBMC health services research2016
Circle of care modelling: an approach to assist in reasoning about healthcare change using a patient-centric system.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Seeing both sides of the story: creating patient/provider persona dyads for use in mental health service co-design.Research involvement and engagement · 2026Article
- A randomized controlled trial comparing visual-based and traditional educational materials in radiotherapy patient education: implications for nursing practice.BMC nursing · 2026Article
- The use of personas to involve consumers in healthcare co-design: a scoping review.BMC health services research · 2025Article
- Optimizing process flow diagrams to guide implementation of a colorectal cancer screening intervention in new settings.Cancer causes & control : CCC · 2023Article
- From design to action: participatory approach to capacity building needs for local overdose response plans.BMC public health · 2023Article
- Paving the Way for Electronic Patient-Centered Measurement in Team-Based Primary Care: Integrated Knowledge Translation Approach.JMIR formative research · 2022Article
- The miscarriage circle of care: towards leveraging online spaces for social support.BMC women's health · 2022Article
- Unmasking legislative constraints: An institutional ethnography of linkage and engagement in HIV healthcare for African, Caribbean, and Black people in Ontario, Canada.PLOS global public health · 2022Article
- Real-World Data and Machine Learning to Predict Cardiac Amyloidosis.International journal of environmental research and public health · 2021Article
- An end to coercion: rights and decision-making in mental health care.Bulletin of the World Health Organization · 2020Article
- Framework for Patient Safety.Innovations in pharmacy · 2019Article
- Telegerontology as a Novel Approach to Address Health and Safety by Supporting Community-Based Rural Dementia Care Triads: Randomized Controlled Trial Protocol.JMIR research protocols · 2018Article
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Abstract
backgroundMany health system and health Information and Communication Technology (ICT) projects do not achieve their expected benefits. This paper presents an approach to exploring changes in the healthcare system to better understand the expected improvements and other changes by using a patient-centric modelling approach. Circle of care modeling (CCM) was designed to assist stakeholders in considering healthcare system changes using a patient centric approach.
methodsThe CCM approach is described. It includes four steps, based on soft systems methodology: finding out, conceptual modelling, structured discussion, and describing potential improvements. There are four visualizations that are used though this process: patient-persona based rich pictures of care flows (as part of finding out), and three models: provider view, communication view, and information repository view (as part of conceptual modelling).
resultsThree case studies are presented where CCM was applied to different real-world healthcare problems: 1. Seeking improvements in continuity of care for end of life patients. 2. Exploring current practices for medication communication for ambulatory patients prior to an update of a jurisdictional drug information system. 3. Deciding how to improve attachment of patients to primary care. The cases illustrate how CCM helped stakeholders reason from a patient centered approach about gaps and improvements in care such as: data fragmentation (in 1), coordination efforts of medication management (in 2), and deciding to support a community health centre for unattached patients (in 3). DISCUSSION: The circle of care modelling approach has proved to be a useful tool in assisting stakeholders explore health system change in a patient centric approach. It is one way to instantiate the important principle of being patient centered into practice when considering health system changes.
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