Patient experience studies in the circumpolar region: a scoping review

Objectives Patient experiences with health systems constitute a crucial pillar of quality care. Across the Arctic, patients’ interactions with the healthcare system are influenced by challenges of access, historical inequities and social determinants. This scoping review sought to describe the range...

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Main Authors: Christine Ingemann, Nathaniel Fox Hansen, Nanna Lund Hansen, Kennedy Jensen, Christina Viskum Lytken Larsen, Susan Chatwood
Format: Article
Language:English
Published: BMJ Publishing Group 2020-10-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/10/e042973.full
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author Christine Ingemann
Nathaniel Fox Hansen
Nanna Lund Hansen
Kennedy Jensen
Christina Viskum Lytken Larsen
Susan Chatwood
author_facet Christine Ingemann
Nathaniel Fox Hansen
Nanna Lund Hansen
Kennedy Jensen
Christina Viskum Lytken Larsen
Susan Chatwood
author_sort Christine Ingemann
collection DOAJ
description Objectives Patient experiences with health systems constitute a crucial pillar of quality care. Across the Arctic, patients’ interactions with the healthcare system are influenced by challenges of access, historical inequities and social determinants. This scoping review sought to describe the range and nature of peer-reviewed literature on patient experience studies conducted within the circumpolar region.Design In a partnership between Danish/Greenlandic, Canadian and American research teams, a scoping review of published research exploring patient experiences in circumpolar regions was undertaken.Data sources Seven electronic databases were queried: MEDLINE, Embase, Scopus, ‘Global Health 1910 to 2019 Week 11’, CINAHL, PsycINFO and SveMed+.Eligibility criteria Articles were eligible for inclusion if they (a) took place in the circumpolar region, (b) reported patients’ perspective and (c) were focussed primarily on patient experiences with care, rather than satisfaction with treatment outcome.Data extraction and synthesis Title and abstract screening, full-text review and data extraction was conducted by four researchers. Bibliometric information such as publication date and country of origin was extracted, as was information regarding study design and whether or not the article contained results relevant to the themes of Indigenous values, rural and remote context, telehealth and climate change. Two researchers then synthesised and characterised results relevant to these themes.Results Of the 2824 articles initially found through systematic searches in seven databases, 96 articles were included for data extraction. Findings from the review included unique features related to Indigenous values, rural and remote health, telehealth and climate change.Conclusions The review findings provide an overview of patient experiences measures used in circumpolar nations. These findings can be used to inform health system improvement based on patient needs in the circumpolar context, as well as in other regions that share common features. This work can be further contextualized through Indigenous methodologies such as sharing circles and community based participatory methods.
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spelling doaj-art-0882365dfd544caf9f343bc9d3317eff2024-11-16T23:25:08ZengBMJ Publishing GroupBMJ Open2044-60552020-10-01101010.1136/bmjopen-2020-042973Patient experience studies in the circumpolar region: a scoping reviewChristine Ingemann0Nathaniel Fox Hansen1Nanna Lund Hansen2Kennedy Jensen3Christina Viskum Lytken Larsen4Susan Chatwood5National Institute of Public Health, University of Southern Denmark Faculty of Health Sciences, Copenhagen, DenmarkTufts University School of Medicine, Boston, Massachusetts, USANational Institute of Public Health, University of Southern Denmark Faculty of Health Sciences, Copenhagen, DenmarkGeisel School of Medicine at Dartmouth, Hanover, New Hampshire, USANational Institute of Public Health, University of Southern Denmark Faculty of Health Sciences, Copenhagen, DenmarkUniversity of Alberta School of Public Health, Edmonton, Alberta, CanadaObjectives Patient experiences with health systems constitute a crucial pillar of quality care. Across the Arctic, patients’ interactions with the healthcare system are influenced by challenges of access, historical inequities and social determinants. This scoping review sought to describe the range and nature of peer-reviewed literature on patient experience studies conducted within the circumpolar region.Design In a partnership between Danish/Greenlandic, Canadian and American research teams, a scoping review of published research exploring patient experiences in circumpolar regions was undertaken.Data sources Seven electronic databases were queried: MEDLINE, Embase, Scopus, ‘Global Health 1910 to 2019 Week 11’, CINAHL, PsycINFO and SveMed+.Eligibility criteria Articles were eligible for inclusion if they (a) took place in the circumpolar region, (b) reported patients’ perspective and (c) were focussed primarily on patient experiences with care, rather than satisfaction with treatment outcome.Data extraction and synthesis Title and abstract screening, full-text review and data extraction was conducted by four researchers. Bibliometric information such as publication date and country of origin was extracted, as was information regarding study design and whether or not the article contained results relevant to the themes of Indigenous values, rural and remote context, telehealth and climate change. Two researchers then synthesised and characterised results relevant to these themes.Results Of the 2824 articles initially found through systematic searches in seven databases, 96 articles were included for data extraction. Findings from the review included unique features related to Indigenous values, rural and remote health, telehealth and climate change.Conclusions The review findings provide an overview of patient experiences measures used in circumpolar nations. These findings can be used to inform health system improvement based on patient needs in the circumpolar context, as well as in other regions that share common features. This work can be further contextualized through Indigenous methodologies such as sharing circles and community based participatory methods.https://bmjopen.bmj.com/content/10/10/e042973.full
spellingShingle Christine Ingemann
Nathaniel Fox Hansen
Nanna Lund Hansen
Kennedy Jensen
Christina Viskum Lytken Larsen
Susan Chatwood
Patient experience studies in the circumpolar region: a scoping review
BMJ Open
title Patient experience studies in the circumpolar region: a scoping review
title_full Patient experience studies in the circumpolar region: a scoping review
title_fullStr Patient experience studies in the circumpolar region: a scoping review
title_full_unstemmed Patient experience studies in the circumpolar region: a scoping review
title_short Patient experience studies in the circumpolar region: a scoping review
title_sort patient experience studies in the circumpolar region a scoping review
url https://bmjopen.bmj.com/content/10/10/e042973.full
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