Patient‐Provider Relationships in an All‐Inclusive Specialized Geriatric Program: A Longitudinal Qualitative Study among Older Foreign‐Born Latinos with Multimorbidities

Abstract

Objective: The quality of patient-provider relationships (PPR) is directly related to delivering patient-centered care and improved healthcare outcomes (e.g., adherence to medical treatments) and differs across types of patients to the point of health disparities. PPRs are further complicated when factoring in multiple chronic health conditions, language barriers, and limited time. This qualitative longitudinal study explored the perceived acquiring of high-quality PPR among older foreign-born Latinos over time. Methods: We recruited 13 patients with multi-morbidities from nine Program of All-Inclusive Care for the Elderly (PACE) centers. Researchers conducted three rounds of in-depth interviews in Spanish (N=39 interviews) over 13 months. The first interviews were conducted face-to-face and lasted one hour on average. The second and third were conducted over the phone and ranged from 60 to 90 minutes. Data were analyzed using line-by-line in vivo coding, identifying 倡导者。各层面彼此依赖。第一个层面(好医生)是最表面 的，因为它侧重于医生的技术专长。第二个层面(可信赖的 医生)随时间推移表现出值得信赖的特征。第三个层面(倡 导者)体现了可信赖的人，再加上额外的倡导维度。结论： 独特的研究特征允许探究PPR。研究发现阐明了一系列有助 于发展稳固的PPR的因素(例如，专业知识、信任、倡导) 。为加强PPR，应考虑相关策略来建立信任和倡导患者需 求。 关键词：封闭系统，拉丁裔，老龄化，信任，定性研究，半 结构化访谈，纵向研究，护理的连续性

Living with Multimorbidity through Time: A Meta-Synthesis of Qualitative Longitudinal Evidence

“…Table 1 shows a summary of key information from the included reports. The 10 reports were spread throughout five Western countries including the USA (n = 1) [23], New Zealand (n = 2) [24,25], Sweden (n = 1) [26], Canada (n = 1) [27], and the United Kingdom (n = 5) [28][29][30][31][32]. Together, 335 participants in various settings, reporting experiences regarding multimorbidity, were included in the review.…”

“…The following supporting information can be downloaded at: https:// www.mdpi.com/article/10.3390/healthcare12040446/s1: Table S1: Reporting of database searching; Table S2: Inclusion and exclusion criteria; Table S3: Methodological quality assessment [23][24][25][26][27][28][29][30][31][32]; Figure S1: Meta-synthesis procedure; Figure S2: Coding tree for thematic analysis.…”