Implementing a person centred collaborative health care model – A qualitative study on patient experiences

Hällgren, Jenny; Bergman, Karin; Klingberg, Maria; Gillsjö, Catharina

doi:10.1016/j.ienj.2021.101068

Cited by 6 publications

(5 citation statements)

References 19 publications

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“…In one study the intervention consisted of assertive community treatment (ACT) (50), which is a way to organize all treatments under the same organization instead of a care coordinator and is often used in psychiatry (53). In two of the studies, they found that the intervention improved patient experience (39,50), while the last study could not nd a signi cant difference between patients who had received the intervention, and patients who had not (34).…”

Section: Integrated Carementioning

confidence: 97%

“…Most of the included studies used statistical analysis (33-35, 37, 38, 40-46, 48-50) re ecting their quantitative methods. The studies using qualitative methods had several different theoretical approaches ranging from use of analytical induction, deduction, and negative case comparison (36) and thematic content analysis (47,51), to content analysis (39).…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…Five studies included cancer patients (35,37,40,41,49), ve studies included patients with chronic diseases (36,42,43,45,48), four studies looked at elderly people (33,36,38,47), and three researched patients with mental illnesses (46, 50, 51). Furthermore, one study population consisted of people who needed emergency care (39), another of patients who had a total knee arthroplasty due to osteoarthritis (34), and the last study included kidney transplant recipients (44). 3).…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…In three studies, the interventions in transitions between healthcare settings were some sort of integrated care (34,39,50) de ned as a care model where all treatments were gathered under one organization to ensure better communication between different healthcare providers. In one study the intervention consisted of assertive community treatment (ACT) (50), which is a way to organize all treatments under the same organization instead of a care coordinator and is often used in psychiatry (53).…”

Section: Integrated Carementioning

confidence: 99%

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Interventions can improve patient experienced quality of care in transitions between healthcare settings: A scoping review.

Hindsbak,

Morsø,

Hvidtjørn

et al. 2024

Preprint

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Transitions in healthcare settings can be a challenge for patients and they express a need for guidance and support to cope with these transitions. The aim of this scoping review was to investigate if interventions can improve patients’ experiences when transitioning between healthcare settings. This review was conducted following the Johanna Briggs Institute’s methods and reported according to the PRISMA-ScR Checklist. Included articles were published and peer-reviewed, and reported qualitative and quantitative findings on patient experiences with interventions when transitioning between healthcare settings. The search was conducted in December 2021 in Medline Ovid, Embase Ovid, and Cinahl and 19 studies were included. Factors extracted from the studies were: author(s), year of publication, country of origin, study design, theoretical methods, population description, intervention, phenomena of interest(s), and key findings. There has been an increase in published studies on the subject in the last few years, and most of the included studies originated from Western countries. Most studies were quantitative, primarily RCTs, and the theoretical methods were thus mainly statistical analysis. The study populations were found to be heterogeneous. The interventions were categorized: care coordinator, program, integrated care, coaching, discharge care plan, and miscellaneous interventions. Overall interventions were found to improve the patient experience. Re-centralization of healthcare has increased the number of transitions, and patients express that the coordination of healthcare transitions can be improved. This review’s findings should be used alongside other research on interventions’ effect on factors like hospital readmissions and mortality to determine the optimal intervention to implement.

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Section: Integrated Carementioning

confidence: 97%

Section: Characteristics Of the Studiesmentioning

confidence: 99%

Section: Characteristics Of the Studiesmentioning

confidence: 99%

Section: Integrated Carementioning

confidence: 99%

See 2 more Smart Citations

Interventions can improve patient experienced quality of care in transitions between healthcare settings: A scoping review.

Hindsbak,

Morsø,

Hvidtjørn

et al. 2024

Preprint

View full text Add to dashboard Cite

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“…Integrated care models bring together several professions in different constellations. The integrated care models could be interdepartmental with all the members of the team in the same organization [7], or collaborate across organizational borders [10,13]. They might include municipality nurses working in collaboration with a patient's family physician [12,14] or with a patient's primary care center physician [15].…”

mentioning

confidence: 99%

The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study

et al. 2022

Self Cite

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Background An increasing older population, along with the organizational principle of remaining at home, has moved health care from institutions into the older person’s home, where several health care providers facilitate care. The Mobile Integrated Care Model strives to provide cost-efficient, coherent, person-centered health care in the home. In the integrated care team, where the home health care physician is the medical authority, several health care professions work across organizational borders. Therefore, the aim of this study was to describe Home Health Care Physicians perceptions of working and providing health care in the Mobile Integrated Care Model, as well as perceptions of participating in and forming health care. Methods A phenomenographic qualitative study design, with semi-structured interviews using an interview guide. Results Working within Mobile Integrated Care Model was a different way of working as a physician. The physicians’ role was to support the patient by making safe medical decisions. Physicians described themselves as a piece in the team puzzle, where the professional knowledge of others was crucial to give quality health care. Being in the patients’ homes was expressed as adding a unique dimension in the provision of health care, and the physicians learned more about the patients by meeting them in their homes than at an institution. This aided the physicians in respecting patient autonomy in medical decision making, even though the physicians sometimes disregarded patient autonomy in favor of their own medical experience. There was a divided view on next of kin participation among the home health care physicians, ranging from always including to total absence of involving next of kin in decision making. Conclusions The home health care physicians described the Mobile Integrated Care Model as the best way to work, but there was still a need for additional resources and structure when working in different organizations. The need for full-time employment, additional time or hours, more equipment, access to each other’s medical records, and additional collaboration with other health care providers were expressed, which could contribute to increased work satisfaction and facilitate further development of person-centered care in the Mobile Integrated Care Model.

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The collaborative and professional boundary challenges from a bottom-up perspective: an insider action research study on a hospital ward

Björk,

Eklund,

Skyvell Nilsson

et al. 2024

JHOM

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Purpose The aim of this study was to identify and describe the collaborative and professional boundary challenges at a hospital ward from a bottom-up perspective.Design/methodology/approach The study was conducted as a bottom-up improvement project at a hospital ward in western Sweden. An insider action research (IAR) approach was used during the project. The theoretical framework for this project was based on the Cultural-Historical Activity Theory (CHAT). Data were collected between 2019 and 2021.Findings The findings showed that unclear professional boundaries and limited resources challenged and hindered interprofessional collaboration. The project group had to reorganize its daily work to adjust to the different disciplines’ legal responsibilities in relation to the patients’ recovery process. To safely discharge patients, the professionals needed to talk about each other’s professional responsibilities, professional boundaries and ethical codes.Originality/value The IAR project revealed that revising the daily team-round routine improved the status of assistant nurses and encouraged physicians to consider input from all professions during the patients’ recovery process. However, the new approach faced resistance from clinic leadership, who believed it could prolong patients’ stays in the ward. The findings underscore the challenges of modifying hierarchical structures and social orders within hospital settings.

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Implementing a person centred collaborative health care model – A qualitative study on patient experiences

Cited by 6 publications

References 19 publications

Interventions can improve patient experienced quality of care in transitions between healthcare settings: A scoping review.

Interventions can improve patient experienced quality of care in transitions between healthcare settings: A scoping review.

The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study

The collaborative and professional boundary challenges from a bottom-up perspective: an insider action research study on a hospital ward

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