Cargando…

Experiences of older primary care patients with multimorbidity and their caregivers in navigating the healthcare system: A qualitative study protocol

BACKGROUND: Patients with multimorbidity must bear not just the burden of their illness, but also the burden of treatment which is, in part, induced by their interactions with the healthcare system. The need to shuttle between different healthcare institutions and multiple healthcare providers can m...

Descripción completa

Detalles Bibliográficos
Autores principales: Lee, Eng Sing, Muthulingam, Gayathri, Chew, Evelyn Ai Ling, Lee, Poay Sian Sabrina, Koh, Hui Li, Quak, Stephanie Xin En, Ding, Yew Yoong, Subramaniam, Mythily, Vaingankar, Janhavi Ajit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7783878/
https://www.ncbi.nlm.nih.gov/pubmed/33457313
http://dx.doi.org/10.1177/2235042X20984064
_version_ 1783632189838065664
author Lee, Eng Sing
Muthulingam, Gayathri
Chew, Evelyn Ai Ling
Lee, Poay Sian Sabrina
Koh, Hui Li
Quak, Stephanie Xin En
Ding, Yew Yoong
Subramaniam, Mythily
Vaingankar, Janhavi Ajit
author_facet Lee, Eng Sing
Muthulingam, Gayathri
Chew, Evelyn Ai Ling
Lee, Poay Sian Sabrina
Koh, Hui Li
Quak, Stephanie Xin En
Ding, Yew Yoong
Subramaniam, Mythily
Vaingankar, Janhavi Ajit
author_sort Lee, Eng Sing
collection PubMed
description BACKGROUND: Patients with multimorbidity must bear not just the burden of their illness, but also the burden of treatment which is, in part, induced by their interactions with the healthcare system. The need to shuttle between different healthcare institutions and multiple healthcare providers can make navigating the healthcare system challenging, and this may be even more so for older patients with limited resources and support. OBJECTIVES: Few qualitative studies have explored the experiences of patients with multimorbidity in navigating the healthcare system. This study will explore the experiences of older patients with multimorbidity and their caregivers as they navigate through the healthcare system. We aim to arrive at a better understanding of patient experiences of possible gaps in the continuity of care and how the current system can be modified and adapted to better address the needs of older patients with multimorbidity. METHOD: Semi-structured, in-depth interviews will be conducted with purposively sampled older patients with multimorbidity, aged 60 and above seen in primary care, together with their caregivers. Interviews will be transcribed verbatim and analysed by the study team using inductive thematic analysis. CONCLUSIONS: Our study seeks to explore the navigational experiences within the healthcare system for older patients with multimorbidity in an Asian, multi-ethnic society. The findings will be shared with decision-makers in the healthcare setting in order to improve patient care for this population and ultimately maximise their positive health outcomes, and will add to better understanding how the burden of treatment arising from navigational challenges within the healthcare system may be reduced for older patients with multimorbidity.
format Online
Article
Text
id pubmed-7783878
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-77838782021-01-14 Experiences of older primary care patients with multimorbidity and their caregivers in navigating the healthcare system: A qualitative study protocol Lee, Eng Sing Muthulingam, Gayathri Chew, Evelyn Ai Ling Lee, Poay Sian Sabrina Koh, Hui Li Quak, Stephanie Xin En Ding, Yew Yoong Subramaniam, Mythily Vaingankar, Janhavi Ajit J Comorb Study Protocol BACKGROUND: Patients with multimorbidity must bear not just the burden of their illness, but also the burden of treatment which is, in part, induced by their interactions with the healthcare system. The need to shuttle between different healthcare institutions and multiple healthcare providers can make navigating the healthcare system challenging, and this may be even more so for older patients with limited resources and support. OBJECTIVES: Few qualitative studies have explored the experiences of patients with multimorbidity in navigating the healthcare system. This study will explore the experiences of older patients with multimorbidity and their caregivers as they navigate through the healthcare system. We aim to arrive at a better understanding of patient experiences of possible gaps in the continuity of care and how the current system can be modified and adapted to better address the needs of older patients with multimorbidity. METHOD: Semi-structured, in-depth interviews will be conducted with purposively sampled older patients with multimorbidity, aged 60 and above seen in primary care, together with their caregivers. Interviews will be transcribed verbatim and analysed by the study team using inductive thematic analysis. CONCLUSIONS: Our study seeks to explore the navigational experiences within the healthcare system for older patients with multimorbidity in an Asian, multi-ethnic society. The findings will be shared with decision-makers in the healthcare setting in order to improve patient care for this population and ultimately maximise their positive health outcomes, and will add to better understanding how the burden of treatment arising from navigational challenges within the healthcare system may be reduced for older patients with multimorbidity. SAGE Publications 2020-12-29 /pmc/articles/PMC7783878/ /pubmed/33457313 http://dx.doi.org/10.1177/2235042X20984064 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) 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 pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Study Protocol
Lee, Eng Sing
Muthulingam, Gayathri
Chew, Evelyn Ai Ling
Lee, Poay Sian Sabrina
Koh, Hui Li
Quak, Stephanie Xin En
Ding, Yew Yoong
Subramaniam, Mythily
Vaingankar, Janhavi Ajit
Experiences of older primary care patients with multimorbidity and their caregivers in navigating the healthcare system: A qualitative study protocol
title Experiences of older primary care patients with multimorbidity and their caregivers in navigating the healthcare system: A qualitative study protocol
title_full Experiences of older primary care patients with multimorbidity and their caregivers in navigating the healthcare system: A qualitative study protocol
title_fullStr Experiences of older primary care patients with multimorbidity and their caregivers in navigating the healthcare system: A qualitative study protocol
title_full_unstemmed Experiences of older primary care patients with multimorbidity and their caregivers in navigating the healthcare system: A qualitative study protocol
title_short Experiences of older primary care patients with multimorbidity and their caregivers in navigating the healthcare system: A qualitative study protocol
title_sort experiences of older primary care patients with multimorbidity and their caregivers in navigating the healthcare system: a qualitative study protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7783878/
https://www.ncbi.nlm.nih.gov/pubmed/33457313
http://dx.doi.org/10.1177/2235042X20984064
work_keys_str_mv AT leeengsing experiencesofolderprimarycarepatientswithmultimorbidityandtheircaregiversinnavigatingthehealthcaresystemaqualitativestudyprotocol
AT muthulingamgayathri experiencesofolderprimarycarepatientswithmultimorbidityandtheircaregiversinnavigatingthehealthcaresystemaqualitativestudyprotocol
AT chewevelynailing experiencesofolderprimarycarepatientswithmultimorbidityandtheircaregiversinnavigatingthehealthcaresystemaqualitativestudyprotocol
AT leepoaysiansabrina experiencesofolderprimarycarepatientswithmultimorbidityandtheircaregiversinnavigatingthehealthcaresystemaqualitativestudyprotocol
AT kohhuili experiencesofolderprimarycarepatientswithmultimorbidityandtheircaregiversinnavigatingthehealthcaresystemaqualitativestudyprotocol
AT quakstephaniexinen experiencesofolderprimarycarepatientswithmultimorbidityandtheircaregiversinnavigatingthehealthcaresystemaqualitativestudyprotocol
AT dingyewyoong experiencesofolderprimarycarepatientswithmultimorbidityandtheircaregiversinnavigatingthehealthcaresystemaqualitativestudyprotocol
AT subramaniammythily experiencesofolderprimarycarepatientswithmultimorbidityandtheircaregiversinnavigatingthehealthcaresystemaqualitativestudyprotocol
AT vaingankarjanhaviajit experiencesofolderprimarycarepatientswithmultimorbidityandtheircaregiversinnavigatingthehealthcaresystemaqualitativestudyprotocol