Cargando…
Satisfaction in Older Persons and General Practitioners during the Implementation of Integrated Care
BACKGROUND: Integrated care for older persons with complex care needs is widely advocated. Particularly professionals and policy makers have positive expectations. Care outcome results are ambiguous. Receiver and provider satisfaction is relevant but still poorly understood. METHODS: During implemen...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5063470/ https://www.ncbi.nlm.nih.gov/pubmed/27737012 http://dx.doi.org/10.1371/journal.pone.0164536 |
_version_ | 1782459984739565568 |
---|---|
author | Poot, Antonius J. Caljouw, Monique A. A. de Waard, Claudia S. Wind, Annet W. Gussekloo, Jacobijn |
author_facet | Poot, Antonius J. Caljouw, Monique A. A. de Waard, Claudia S. Wind, Annet W. Gussekloo, Jacobijn |
author_sort | Poot, Antonius J. |
collection | PubMed |
description | BACKGROUND: Integrated care for older persons with complex care needs is widely advocated. Particularly professionals and policy makers have positive expectations. Care outcome results are ambiguous. Receiver and provider satisfaction is relevant but still poorly understood. METHODS: During implementation of integrated care in residential homes (The MOVIT project), we compared general satisfaction and satisfaction with specific aspects of General Practitioner (GP) care in older persons and GPs before (cohort I) and after at least 12 months of implementation (cohort II). RESULTS: The general satisfaction score for GP care given by older persons does not change (Cohort I (n = 762) mean score 8.0 (IQR:7.0–9.0) vs. Cohort II (n = 505) mean score 8.0 (IQR:7.0–8.0);P = 0.01). Expressions of general satisfaction in GPs do not show consistent change (Cohort I (n = 87) vs Cohort II (n = 66), percentage satisfied about; role as GP, 56% vs 67%;P = 0.194, ability to provide personal care, 60% vs 67%;P = 0.038, quality of care, 54% vs 62%;P = 0.316). Satisfaction in older persons about some specific aspects of care do show change; GP-patient relationship, points 61.6 vs 63.3;P = 0.001, willingness to talk about mistakes, score 3.47 vs 3.73;P = 0.001, information received about drugs, score 2.79 vs 2.46;P = 0.002. GPs also report changes in specific aspects: percentage satisfied about multidisciplinary meetings; occurrence, 21% vs 53%;P = <0.001, GP presence, 12% vs 41%;P = <0.001, and participation, 29% vs.51%;P = 0.046. CONCLUSION: General satisfaction about care received and provided shows no consistent change in older persons and GPs during the implementation of integrated care. Specific changes in satisfaction are found. These show an emphasis on inter-personal aspects in older persons and organizational aspects in GPs. |
format | Online Article Text |
id | pubmed-5063470 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-50634702016-11-04 Satisfaction in Older Persons and General Practitioners during the Implementation of Integrated Care Poot, Antonius J. Caljouw, Monique A. A. de Waard, Claudia S. Wind, Annet W. Gussekloo, Jacobijn PLoS One Research Article BACKGROUND: Integrated care for older persons with complex care needs is widely advocated. Particularly professionals and policy makers have positive expectations. Care outcome results are ambiguous. Receiver and provider satisfaction is relevant but still poorly understood. METHODS: During implementation of integrated care in residential homes (The MOVIT project), we compared general satisfaction and satisfaction with specific aspects of General Practitioner (GP) care in older persons and GPs before (cohort I) and after at least 12 months of implementation (cohort II). RESULTS: The general satisfaction score for GP care given by older persons does not change (Cohort I (n = 762) mean score 8.0 (IQR:7.0–9.0) vs. Cohort II (n = 505) mean score 8.0 (IQR:7.0–8.0);P = 0.01). Expressions of general satisfaction in GPs do not show consistent change (Cohort I (n = 87) vs Cohort II (n = 66), percentage satisfied about; role as GP, 56% vs 67%;P = 0.194, ability to provide personal care, 60% vs 67%;P = 0.038, quality of care, 54% vs 62%;P = 0.316). Satisfaction in older persons about some specific aspects of care do show change; GP-patient relationship, points 61.6 vs 63.3;P = 0.001, willingness to talk about mistakes, score 3.47 vs 3.73;P = 0.001, information received about drugs, score 2.79 vs 2.46;P = 0.002. GPs also report changes in specific aspects: percentage satisfied about multidisciplinary meetings; occurrence, 21% vs 53%;P = <0.001, GP presence, 12% vs 41%;P = <0.001, and participation, 29% vs.51%;P = 0.046. CONCLUSION: General satisfaction about care received and provided shows no consistent change in older persons and GPs during the implementation of integrated care. Specific changes in satisfaction are found. These show an emphasis on inter-personal aspects in older persons and organizational aspects in GPs. Public Library of Science 2016-10-13 /pmc/articles/PMC5063470/ /pubmed/27737012 http://dx.doi.org/10.1371/journal.pone.0164536 Text en © 2016 Poot et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Poot, Antonius J. Caljouw, Monique A. A. de Waard, Claudia S. Wind, Annet W. Gussekloo, Jacobijn Satisfaction in Older Persons and General Practitioners during the Implementation of Integrated Care |
title | Satisfaction in Older Persons and General Practitioners during the Implementation of Integrated Care |
title_full | Satisfaction in Older Persons and General Practitioners during the Implementation of Integrated Care |
title_fullStr | Satisfaction in Older Persons and General Practitioners during the Implementation of Integrated Care |
title_full_unstemmed | Satisfaction in Older Persons and General Practitioners during the Implementation of Integrated Care |
title_short | Satisfaction in Older Persons and General Practitioners during the Implementation of Integrated Care |
title_sort | satisfaction in older persons and general practitioners during the implementation of integrated care |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5063470/ https://www.ncbi.nlm.nih.gov/pubmed/27737012 http://dx.doi.org/10.1371/journal.pone.0164536 |
work_keys_str_mv | AT pootantoniusj satisfactioninolderpersonsandgeneralpractitionersduringtheimplementationofintegratedcare AT caljouwmoniqueaa satisfactioninolderpersonsandgeneralpractitionersduringtheimplementationofintegratedcare AT dewaardclaudias satisfactioninolderpersonsandgeneralpractitionersduringtheimplementationofintegratedcare AT windannetw satisfactioninolderpersonsandgeneralpractitionersduringtheimplementationofintegratedcare AT gussekloojacobijn satisfactioninolderpersonsandgeneralpractitionersduringtheimplementationofintegratedcare |