Professional Knowledge

Subject, Discipline, and Values

Improvements in health care depend on the subject knowledge (e.g., anatomy, pharmacology, pathology) and discipline (e.g., pediatric rheumatology, pediatric nursing, occupational therapy). In addition, the values of patients, families, and health care professionals need to be considered along with ethical considerations in society that drive improvement. Traditionally these domains have been or seemed sufficient to improve health care. Today, in the very complex health care system they still form the necessary basis for improvement but need to be combined with other knowledge domains

Traditional & continual improvement of health care

Traditional & continual improvement of health care

Figure 2 Knowledge that health care professionals need for improvement. Source: Adapted from Ref. 14.

in order to improve the performance of systems and resultant outcomes of care.

In this book the necessary subject- and discipline-specific areas of adolescent rheumatology are updated and expanded. Subjects covered, such as: adolescents as new users of health services, pharmacokinetics during adolescence; adolescent friendly health care, communication, strategies to facilitate adherence, opportunities for health promotion, peer support, information technology, transition, and training are all necessary components of high-quality care for adolescents with a chronic disease. However, to get all that knowledge in place every day for every patient challenges our current understanding of our particular context—the adolescent rheumatology clinic—and our ability to continuously and systematically improve our processes of care. This is where the knowledge of improvement enters our framework.

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