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Involving Patients with Multimorbidity in Service Planning: Perspectives on Continuity and Care Coordination.
- Source :
- Journal of Comorbidity; 2016, Vol. 6 Issue 2, p95-102, 8p
- Publication Year :
- 2016
-
Abstract
- Background: The prevalence of multiple comorbid chronic conditions, or multimorbidity, is increasing. Care provided to people with multimorbidity is often fragmented, incomplete, inefficient, and ineffective. As part of a research and development project focusing on improving care, we sought to involve patients with multimorbidity in the planning process. Objective: To identify opportunities for improving care by understanding how patients from a Danish University Hospital experience care coordination. Design: Qualitative semi-structured interviews with 14 patients with multimorbidity. Results: Patients with multimorbidity described important concerns about care that included: (1) disease-centered, rather than patient-centered, care; (2) lack of attention to comorbidities and patient preferences and needs; and (3) involvement of numerous healthcare providers with limited care coordination. Poor continuity of care resulted in lack of treatment for complex problems, such as pain and mental health issues, medication errors, adverse events, and a feeling of being lost in the system. Receiving care from generalists (e.g. general practitioners and healthcare professionals at prevention centers) and having a care coordinator seemed to improve patients' experience of continuity and coordination of care. Suggestions for service improvements when providing care for people with multimorbidity included using care coordinators, longer consultation times, consultations specifically addressing follow-up on prescribed medications, and shifting the focus of care from disease states to patients' overall health status. Conclusions: A need exists for a reorganization of care delivery for people with multimorbidity that focuses on improved care coordination and puts patient preferences at the center of care. [ABSTRACT FROM AUTHOR]
- Subjects :
- ACADEMIC medical centers
PAIN
GLAUCOMA
RESEARCH methodology
PATIENT satisfaction
INTERVIEWING
MEDICATION errors
DIABETES
BACKACHE
MENTAL health
CONTINUUM of care
QUALITATIVE research
PATIENTS' attitudes
KIDNEY diseases
MEDICATION therapy management
QUALITY assurance
OBSTRUCTIVE lung diseases
PARKINSON'S disease
OSTEOARTHRITIS
MENTAL depression
RESEARCH funding
ADVERSE health care events
INTEGRATED health care delivery
CONTENT analysis
DATA analysis software
COMORBIDITY
HEALTH planning
HEART diseases
Subjects
Details
- Language :
- English
- ISSN :
- 2235042X
- Volume :
- 6
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Comorbidity
- Publication Type :
- Academic Journal
- Accession number :
- 159607637
- Full Text :
- https://doi.org/10.15256/joc.2016.6.81