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What do consumer and providers view as important for integrated care? A qualitative study

BACKGROUND: Integrated care is a model recognised internationally, however, there is limited evidence about its usability in the community. This study aimed to elicit community and provider views about integrated care and how implementation could meet their healthcare needs in a new hospital. METHOD...

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Autores principales: Carrigan, Ann, Roberts, Natalie, Clay-Williams, Robyn, Hibbert, Peter, Austin, Elizabeth, Pulido, Diana Fajardo, Meulenbroeks, Isabelle, Nguyen, Hoa Mi, Sarkies, Mitchell, Hatem, Sarah, Maka, Katherine, Loy, Graeme, Braithwaite, Jeffrey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9811795/
https://www.ncbi.nlm.nih.gov/pubmed/36600235
http://dx.doi.org/10.1186/s12913-022-08997-x
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author Carrigan, Ann
Roberts, Natalie
Clay-Williams, Robyn
Hibbert, Peter
Austin, Elizabeth
Pulido, Diana Fajardo
Meulenbroeks, Isabelle
Nguyen, Hoa Mi
Sarkies, Mitchell
Hatem, Sarah
Maka, Katherine
Loy, Graeme
Braithwaite, Jeffrey
author_facet Carrigan, Ann
Roberts, Natalie
Clay-Williams, Robyn
Hibbert, Peter
Austin, Elizabeth
Pulido, Diana Fajardo
Meulenbroeks, Isabelle
Nguyen, Hoa Mi
Sarkies, Mitchell
Hatem, Sarah
Maka, Katherine
Loy, Graeme
Braithwaite, Jeffrey
author_sort Carrigan, Ann
collection PubMed
description BACKGROUND: Integrated care is a model recognised internationally, however, there is limited evidence about its usability in the community. This study aimed to elicit community and provider views about integrated care and how implementation could meet their healthcare needs in a new hospital. METHODS: Using a qualitative approach, consumer and provider views on the strengths, barriers and enablers for integrated care were collected via a series of online workshops and supplementary interviews. RESULTS: A total of 22 consumers and 49 providers participated in 11 focus groups; all perceived integrated care to be an accessible and efficient model that offers a high level of care which enhanced staff and patient well-being. Providers expressed concerns about longer waiting times and safety risks associated with communication gaps and insufficient staff. Enablers include supporting consumers in navigating the integrated care process, co-ordinating and integrating primary care into the model as well as centralising patient electronic medical records. DISCUSSION: Primary, tertiary and community linkages are key for integrated care. Successful interoperability of services and networks requires an investment in resources and infrastructure to build the capability for providers to seamlessly access information at all points along the patient pathway. CONCLUSION: Integrated care is perceived by consumers and providers to be a flexible and patient-focused model of healthcare that offers benefits for a hospital of the future. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08997-x.
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spelling pubmed-98117952023-01-04 What do consumer and providers view as important for integrated care? A qualitative study Carrigan, Ann Roberts, Natalie Clay-Williams, Robyn Hibbert, Peter Austin, Elizabeth Pulido, Diana Fajardo Meulenbroeks, Isabelle Nguyen, Hoa Mi Sarkies, Mitchell Hatem, Sarah Maka, Katherine Loy, Graeme Braithwaite, Jeffrey BMC Health Serv Res Research BACKGROUND: Integrated care is a model recognised internationally, however, there is limited evidence about its usability in the community. This study aimed to elicit community and provider views about integrated care and how implementation could meet their healthcare needs in a new hospital. METHODS: Using a qualitative approach, consumer and provider views on the strengths, barriers and enablers for integrated care were collected via a series of online workshops and supplementary interviews. RESULTS: A total of 22 consumers and 49 providers participated in 11 focus groups; all perceived integrated care to be an accessible and efficient model that offers a high level of care which enhanced staff and patient well-being. Providers expressed concerns about longer waiting times and safety risks associated with communication gaps and insufficient staff. Enablers include supporting consumers in navigating the integrated care process, co-ordinating and integrating primary care into the model as well as centralising patient electronic medical records. DISCUSSION: Primary, tertiary and community linkages are key for integrated care. Successful interoperability of services and networks requires an investment in resources and infrastructure to build the capability for providers to seamlessly access information at all points along the patient pathway. CONCLUSION: Integrated care is perceived by consumers and providers to be a flexible and patient-focused model of healthcare that offers benefits for a hospital of the future. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08997-x. BioMed Central 2023-01-04 /pmc/articles/PMC9811795/ /pubmed/36600235 http://dx.doi.org/10.1186/s12913-022-08997-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Carrigan, Ann
Roberts, Natalie
Clay-Williams, Robyn
Hibbert, Peter
Austin, Elizabeth
Pulido, Diana Fajardo
Meulenbroeks, Isabelle
Nguyen, Hoa Mi
Sarkies, Mitchell
Hatem, Sarah
Maka, Katherine
Loy, Graeme
Braithwaite, Jeffrey
What do consumer and providers view as important for integrated care? A qualitative study
title What do consumer and providers view as important for integrated care? A qualitative study
title_full What do consumer and providers view as important for integrated care? A qualitative study
title_fullStr What do consumer and providers view as important for integrated care? A qualitative study
title_full_unstemmed What do consumer and providers view as important for integrated care? A qualitative study
title_short What do consumer and providers view as important for integrated care? A qualitative study
title_sort what do consumer and providers view as important for integrated care? a qualitative study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9811795/
https://www.ncbi.nlm.nih.gov/pubmed/36600235
http://dx.doi.org/10.1186/s12913-022-08997-x
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