clinical care
THIRD STRATEGIC GOAL
Organizing patient clinical care and personalized follow-up
Reaching your third strategical goal
The patient must be guided in complying with the recommendations and know his/her subsequent follow-up routine. Here, you can see how the guidelines provided to the patient lead your facility to achieve the third strategic goal.
Guidelines Provided to the patient
Here, you will receive a personalized care program. It consists of an integrative assessment involving all medical specialties necessary for your comprehensive healthcare. In general terms, the program covers the attending physician and all designated consulting physicians. The attending physician identifies the extent of your problem and guides the participation of consulting physicians, whose number varies according to your specific needs. Each consultant physician carries out his assessment and returns his recommendation to the attending physician through a medical conference. Clinical data are edited and published in your DHR and discussed on your customized tumor board, involving the attending physician and all your consulting physicians, resulting in consensual recommendations. Subsequently, the attending physician edits and publishes a medical report in your DHR, according evidence-based medicine.
Our dynamics also provides a personalized follow-up program, including all the specialties involved in your care. You will receive an appointment calendar. Your attending physician will complete it. It will indicate the scheduled date for each intervention and the date on which it is actually carried out. Remarks, when checked with an (Yes), must be fully described, pointing out the need for further investigation. Each follow-up intervention will be posted twice under the Progress Note icon of your DHR.
See how you have reached your third strategic goal
The guidelines provided in this section extends proactive patient behavior into his/her care and follow-up programs. The platform induces a cognitive and empathetic approach by the attending physician. It is inclusive in nature, allowing the patient to understand the reasoning used, promoting easy access to his/her clinical data. Additionally, Onco Qaly Platform makes available more information. At patient discretion, he/she can better understand the meaning of clinical solving-problem methodology and multidimensional integrative medicine further exploring cognitive interventions provided below.
Interview (anamnesis) conducted in face-to-face conversation, providing continuous eye contact
Based on a multidimensional approach, we decided to modify the physician's attitude, removing any type of professional shield that prevents free communication with the patient. This includes any physical or emotional barriers placed between the physician, patient, and family that may block spontaneous dialogue.
The interview (anamnesis) is carried out in a face-to-face conversation, providing continuous eye contact and creating a desirable balance in the doctor-patient relationship. It takes place in a living room, where the doctor, patient and family are accommodated in comfortable chairs that assume a circular distribution, creating a relaxed atmosphere. The goal is to exercise empathy, better understanding patient's complaints. The presence of family members is encouraged, as our care model works in the patient-family binomial.
Our doctors do not wear white coats or any type of stereotypical doctor attire. The room does not display physician titles, awards and other professional achievements, as the focus must be on the patient's needs. During the interview, the physician does not use a computer or any other type of device that obscures or diverts direct eye contact with the patient. A free dialogue is initiated, giving the patient all the time necessary to express their problems, doubts, insecurities and expectations. When the patient brings previous exams, the doctor makes time to analyze them later, not taking away the humanized focus of the first interview.
The next step is the physical exam. It is performed in another environment, which provides the necessary privacy for the patient. The patient is assisted in preparing for the physical examination, wearing a disposable gown specially designed to facilitate a thorough examination. Immediately after the physical examination, the patient is instructed to dress and return to the interview room.
The time used in preparing and moving the patient is used by the physician for a preliminary analysis of previous laboratory and imaging tests, eventually provided by the patient.
Upon returning to the interview room, the physician explains the initial impression to the patient and family and outlines a plan for a more accurate diagnosis that will support an evidence-based treatment recommendation. On this occasion, the doctor ensures that the patient and the family understand the disease, providing the opportunity to clarify doubts, which should guide shared decision-making.
Here's the start of a comprehensive assessment, which you're welcome to explore in the care algorithm provided below.