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Health Care User Perspectives on Constructing, Contextualizing, and Co-Producing “Quality of Care”

Most of the research on health care user “quality of care” perspectives seeks discrete and measurable indicators to advance quality improvement (QI) goals. This lacks sufficiently grounded query about the meaning of “quality of care” for health users, and how context influences their ideas and exper...

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Detalles Bibliográficos
Autores principales: Baim-Lance, Abigail, Tietz, Daniel, Schlefer, Madeleine, Agins, Bruce
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4702281/
https://www.ncbi.nlm.nih.gov/pubmed/25670664
http://dx.doi.org/10.1177/1049732315569736
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author Baim-Lance, Abigail
Tietz, Daniel
Schlefer, Madeleine
Agins, Bruce
author_facet Baim-Lance, Abigail
Tietz, Daniel
Schlefer, Madeleine
Agins, Bruce
author_sort Baim-Lance, Abigail
collection PubMed
description Most of the research on health care user “quality of care” perspectives seeks discrete and measurable indicators to advance quality improvement (QI) goals. This lacks sufficiently grounded query about the meaning of “quality of care” for health users, and how context influences their ideas and experiences. We studied this between 2010 and 2011, repeatedly interviewing and shadowing 45 individuals in three of New York’s hospital-based outpatient HIV care settings during routine visits. We found participants using common terminology, but across the cohort meaning varied and employed personal narratives. Participants conveyed the impact of historic and current experiences of stigma and discrimination on limiting access to care, and showed its destabilizing effects on quality constructs. Participants also felt they contributed to their health care settings’ delivery of quality care. From our findings, we discuss the applicability and implications of “co-production” to conceptualize health care as jointly delivered by typical “givers” and “receivers” of care.
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spelling pubmed-47022812016-01-25 Health Care User Perspectives on Constructing, Contextualizing, and Co-Producing “Quality of Care” Baim-Lance, Abigail Tietz, Daniel Schlefer, Madeleine Agins, Bruce Qual Health Res Evidence For Practice: Articles Most of the research on health care user “quality of care” perspectives seeks discrete and measurable indicators to advance quality improvement (QI) goals. This lacks sufficiently grounded query about the meaning of “quality of care” for health users, and how context influences their ideas and experiences. We studied this between 2010 and 2011, repeatedly interviewing and shadowing 45 individuals in three of New York’s hospital-based outpatient HIV care settings during routine visits. We found participants using common terminology, but across the cohort meaning varied and employed personal narratives. Participants conveyed the impact of historic and current experiences of stigma and discrimination on limiting access to care, and showed its destabilizing effects on quality constructs. Participants also felt they contributed to their health care settings’ delivery of quality care. From our findings, we discuss the applicability and implications of “co-production” to conceptualize health care as jointly delivered by typical “givers” and “receivers” of care. SAGE Publications 2016-01 /pmc/articles/PMC4702281/ /pubmed/25670664 http://dx.doi.org/10.1177/1049732315569736 Text en © The Author(s) 2015 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Evidence For Practice: Articles
Baim-Lance, Abigail
Tietz, Daniel
Schlefer, Madeleine
Agins, Bruce
Health Care User Perspectives on Constructing, Contextualizing, and Co-Producing “Quality of Care”
title Health Care User Perspectives on Constructing, Contextualizing, and Co-Producing “Quality of Care”
title_full Health Care User Perspectives on Constructing, Contextualizing, and Co-Producing “Quality of Care”
title_fullStr Health Care User Perspectives on Constructing, Contextualizing, and Co-Producing “Quality of Care”
title_full_unstemmed Health Care User Perspectives on Constructing, Contextualizing, and Co-Producing “Quality of Care”
title_short Health Care User Perspectives on Constructing, Contextualizing, and Co-Producing “Quality of Care”
title_sort health care user perspectives on constructing, contextualizing, and co-producing “quality of care”
topic Evidence For Practice: Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4702281/
https://www.ncbi.nlm.nih.gov/pubmed/25670664
http://dx.doi.org/10.1177/1049732315569736
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