Caring About Me: a pilot framework to understand patient-centered care experience in integrated care - a qualitative study
Objective The aim of this study is to examine patients experiences in integrated care (IC) settings.Design Qualitative study using semistructured interviews.Settings Two IC sites in Toronto, Canada: (1) a community-based primary healthcare centre, supporting patients with hepatitis C and comorbid me...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2020-07-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/7/e034970.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846119821185384448 |
|---|---|
| author | David Wiljer Maria Mylopoulos Sanjeev Sockalingam Alaa Youssef Robert Maunder |
| author_facet | David Wiljer Maria Mylopoulos Sanjeev Sockalingam Alaa Youssef Robert Maunder |
| author_sort | David Wiljer |
| collection | DOAJ |
| description | Objective The aim of this study is to examine patients experiences in integrated care (IC) settings.Design Qualitative study using semistructured interviews.Settings Two IC sites in Toronto, Canada: (1) a community-based primary healthcare centre, supporting patients with hepatitis C and comorbid mental health and substance use issues; and (2) an integrated bariatric surgery programme, an academic tertiary care centre.Participants The study included patients (n=12) with co-occurring mental and physical health conditions. Seven participants (58%) were female and five (42%) were male.Methods Twelve indepth semistructured interviews were conducted with a purposeful sample of patients (n=12) with comorbid mental and physical conditions at two IC sites in Toronto between 2017 and 2018. Data were collected and analysed using grounded theory approach.Results Four themes emerged in our analysis reflecting patients perspectives on patient-centred care experience in IC: (1) caring about me; (2) collaborating with me; (3) helping me understand and self-manage my care; and (4) personalising care to address my needs. Patients experiences of care were primarily shaped by quality of relational interactions with IC team members. Positive interactions with IC team members led to enhanced patient access to care and fostered personalising care plans to address unique needs.Conclusion This study adds to the literature on creating patient-centredness in IC settings by highlighting the importance of recognising patients unique needs and the context of care for the specific patient population. |
| format | Article |
| id | doaj-art-21ad069ce56e4f3db03a5a359cfec788 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-21ad069ce56e4f3db03a5a359cfec7882024-12-16T17:40:09ZengBMJ Publishing GroupBMJ Open2044-60552020-07-0110710.1136/bmjopen-2019-034970Caring About Me: a pilot framework to understand patient-centered care experience in integrated care - a qualitative studyDavid Wiljer0Maria Mylopoulos1Sanjeev Sockalingam2Alaa Youssef3Robert Maunder4Education, Technology and Innovation, University Health Network, Toronto, Ontario, CanadaWilson Centre, HoPingKong Centre for Excellence in Education and Practice, University Health Network, Toronto, Ontario, CanadaEducation, Centre for Addiction and Mental Health, Toronto, Ontario, CanadaInstitute of Medical Science (IMS), University of Toronto, Toronto, Ontario, CanadaDepartment of Psychiatry, Sinai Health System, Toronto, Ontario, CanadaObjective The aim of this study is to examine patients experiences in integrated care (IC) settings.Design Qualitative study using semistructured interviews.Settings Two IC sites in Toronto, Canada: (1) a community-based primary healthcare centre, supporting patients with hepatitis C and comorbid mental health and substance use issues; and (2) an integrated bariatric surgery programme, an academic tertiary care centre.Participants The study included patients (n=12) with co-occurring mental and physical health conditions. Seven participants (58%) were female and five (42%) were male.Methods Twelve indepth semistructured interviews were conducted with a purposeful sample of patients (n=12) with comorbid mental and physical conditions at two IC sites in Toronto between 2017 and 2018. Data were collected and analysed using grounded theory approach.Results Four themes emerged in our analysis reflecting patients perspectives on patient-centred care experience in IC: (1) caring about me; (2) collaborating with me; (3) helping me understand and self-manage my care; and (4) personalising care to address my needs. Patients experiences of care were primarily shaped by quality of relational interactions with IC team members. Positive interactions with IC team members led to enhanced patient access to care and fostered personalising care plans to address unique needs.Conclusion This study adds to the literature on creating patient-centredness in IC settings by highlighting the importance of recognising patients unique needs and the context of care for the specific patient population.https://bmjopen.bmj.com/content/10/7/e034970.full |
| spellingShingle | David Wiljer Maria Mylopoulos Sanjeev Sockalingam Alaa Youssef Robert Maunder Caring About Me: a pilot framework to understand patient-centered care experience in integrated care - a qualitative study BMJ Open |
| title | Caring About Me: a pilot framework to understand patient-centered care experience in integrated care - a qualitative study |
| title_full | Caring About Me: a pilot framework to understand patient-centered care experience in integrated care - a qualitative study |
| title_fullStr | Caring About Me: a pilot framework to understand patient-centered care experience in integrated care - a qualitative study |
| title_full_unstemmed | Caring About Me: a pilot framework to understand patient-centered care experience in integrated care - a qualitative study |
| title_short | Caring About Me: a pilot framework to understand patient-centered care experience in integrated care - a qualitative study |
| title_sort | caring about me a pilot framework to understand patient centered care experience in integrated care a qualitative study |
| url | https://bmjopen.bmj.com/content/10/7/e034970.full |
| work_keys_str_mv | AT davidwiljer caringaboutmeapilotframeworktounderstandpatientcenteredcareexperienceinintegratedcareaqualitativestudy AT mariamylopoulos caringaboutmeapilotframeworktounderstandpatientcenteredcareexperienceinintegratedcareaqualitativestudy AT sanjeevsockalingam caringaboutmeapilotframeworktounderstandpatientcenteredcareexperienceinintegratedcareaqualitativestudy AT alaayoussef caringaboutmeapilotframeworktounderstandpatientcenteredcareexperienceinintegratedcareaqualitativestudy AT robertmaunder caringaboutmeapilotframeworktounderstandpatientcenteredcareexperienceinintegratedcareaqualitativestudy |