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Defining continuity of care from the perspectives of mental health service users and professionals: an exploratory, comparative study
BACKGROUND: Continuity of care (COC) is central to the organization and delivery of mental health services. Traditional definitions have excluded service users, and this lack of involvement has been linked to poor conceptual clarity surrounding the term. Consequently, very little is known about the...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5006915/ https://www.ncbi.nlm.nih.gov/pubmed/26714263 http://dx.doi.org/10.1111/hex.12435 |
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author | Sweeney, Angela Davies, Jonathon McLaren, Susan Whittock, Margaret Lemma, Ferew Belling, Ruth Clement, Sarah Burns, Tom Catty, Jocelyn Jones, Ian Rees Rose, Diana Wykes, Til |
author_facet | Sweeney, Angela Davies, Jonathon McLaren, Susan Whittock, Margaret Lemma, Ferew Belling, Ruth Clement, Sarah Burns, Tom Catty, Jocelyn Jones, Ian Rees Rose, Diana Wykes, Til |
author_sort | Sweeney, Angela |
collection | PubMed |
description | BACKGROUND: Continuity of care (COC) is central to the organization and delivery of mental health services. Traditional definitions have excluded service users, and this lack of involvement has been linked to poor conceptual clarity surrounding the term. Consequently, very little is known about the differences and similarities in the conceptualization of COC by mental health service users and professionals. OBJECTIVE: To explore and compare mental health service users’ and professionals’ definitions of COC. METHODS: Using an exploratory, qualitative design, five focus groups with 32 service users each met twice. Data were analysed thematically to generate a service user‐defined model of COC. In a cross‐sectional survey, health and social care professionals (n = 184) defined COC; responses were analysed thematically. Service user and professional definitions were conceptually mapped and compared to identify similarities and differences. RESULTS: There was crossover between the service user and professional derived models of COC. Both contained temporal, quality, systemic, staff, hospital and needs‐related elements of COC. Service users prioritized access, information, peer support and avoiding services; health professionals most frequently referred to staff, cross‐sectional and temporal COC. Service users alone identified service avoidance, peer support and day centres as COC elements; professionals alone identified cross‐sectional working. CONCLUSIONS: Important similarities and differences exist in service user and professional conceptualizations of COC. Further research is necessary to explore these differences, prior to integrating service user and professional perspectives in a validated COC framework which could enable the development and evaluation of interventions to improve COC, informing policy and practice. |
format | Online Article Text |
id | pubmed-5006915 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-50069152016-09-16 Defining continuity of care from the perspectives of mental health service users and professionals: an exploratory, comparative study Sweeney, Angela Davies, Jonathon McLaren, Susan Whittock, Margaret Lemma, Ferew Belling, Ruth Clement, Sarah Burns, Tom Catty, Jocelyn Jones, Ian Rees Rose, Diana Wykes, Til Health Expect Original Research Papers BACKGROUND: Continuity of care (COC) is central to the organization and delivery of mental health services. Traditional definitions have excluded service users, and this lack of involvement has been linked to poor conceptual clarity surrounding the term. Consequently, very little is known about the differences and similarities in the conceptualization of COC by mental health service users and professionals. OBJECTIVE: To explore and compare mental health service users’ and professionals’ definitions of COC. METHODS: Using an exploratory, qualitative design, five focus groups with 32 service users each met twice. Data were analysed thematically to generate a service user‐defined model of COC. In a cross‐sectional survey, health and social care professionals (n = 184) defined COC; responses were analysed thematically. Service user and professional definitions were conceptually mapped and compared to identify similarities and differences. RESULTS: There was crossover between the service user and professional derived models of COC. Both contained temporal, quality, systemic, staff, hospital and needs‐related elements of COC. Service users prioritized access, information, peer support and avoiding services; health professionals most frequently referred to staff, cross‐sectional and temporal COC. Service users alone identified service avoidance, peer support and day centres as COC elements; professionals alone identified cross‐sectional working. CONCLUSIONS: Important similarities and differences exist in service user and professional conceptualizations of COC. Further research is necessary to explore these differences, prior to integrating service user and professional perspectives in a validated COC framework which could enable the development and evaluation of interventions to improve COC, informing policy and practice. John Wiley and Sons Inc. 2015-12-29 2016-08 /pmc/articles/PMC5006915/ /pubmed/26714263 http://dx.doi.org/10.1111/hex.12435 Text en © 2015 The Authors. Health Expectations Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Research Papers Sweeney, Angela Davies, Jonathon McLaren, Susan Whittock, Margaret Lemma, Ferew Belling, Ruth Clement, Sarah Burns, Tom Catty, Jocelyn Jones, Ian Rees Rose, Diana Wykes, Til Defining continuity of care from the perspectives of mental health service users and professionals: an exploratory, comparative study |
title | Defining continuity of care from the perspectives of mental health service users and professionals: an exploratory, comparative study |
title_full | Defining continuity of care from the perspectives of mental health service users and professionals: an exploratory, comparative study |
title_fullStr | Defining continuity of care from the perspectives of mental health service users and professionals: an exploratory, comparative study |
title_full_unstemmed | Defining continuity of care from the perspectives of mental health service users and professionals: an exploratory, comparative study |
title_short | Defining continuity of care from the perspectives of mental health service users and professionals: an exploratory, comparative study |
title_sort | defining continuity of care from the perspectives of mental health service users and professionals: an exploratory, comparative study |
topic | Original Research Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5006915/ https://www.ncbi.nlm.nih.gov/pubmed/26714263 http://dx.doi.org/10.1111/hex.12435 |
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