Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts: the MyED project protocol, Stages 1.1-1.3.

Autor:	Cheek C; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Hayba N; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Richardson L; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Austin EE; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Francis Auton E; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Safi M; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Ransolin N; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Vukasovic M; Department of Emergency Medicine, Westmead Hospital, Westmead, New South Wales, Australia., De Los Santos A; Department of Emergency Medicine, Blacktown and Mount Druitt Hospital, Blacktown, New South Wales, Australia., Murphy M; Department of Emergency Medicine, Westmead Hospital, Westmead, New South Wales, Australia.; University of Sydney, Sydney, New South Wales, Australia., Harrison R; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Churruca K; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Long JC; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Hibbert PD; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.; University of South Australia Division of Health Sciences, Adelaide, South Australia, Australia., Carrigan A; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Newman B; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Hutchinson K; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Mitchell R; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Cutler H; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.; Macquarie University Centre for the Health Economy, Macquarie University, Sydney, New South Wales, Australia., Holt L; Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia., Braithwaite J; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Gillies D; NDIS Quality and Safeguards Commission, Penrith, New South Wales, Australia., Salmon PM; Centre for Human Factors and Sociotechnical Systems, University of the Sunshine Coast, Sunshine Coast, Queensland, Australia., Walpola RL; School of Population Health, University of New South Wales, Sydney, New South Wales, Australia., Zurynski Y; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Ellis LA; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia., Smith K; Emergency Care Institute, NSW Agency for Clinical Innovation, St Leonards, New South Wales, Australia., Brown A; Western Sydney University, Penrith, New South Wales, Australia., Ali R; Department of Emergency Medicine, Blacktown and Mount Druitt Hospital, Blacktown, New South Wales, Australia., Gwynne K; Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia., Clay-Williams R; Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia robyn.clay-williams@mq.edu.au.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2023 Jul 05; Vol. 13 (7), pp. e072908. Date of Electronic Publication: 2023 Jul 05.
DOI:	10.1136/bmjopen-2023-072908
Abstrakt:	Introduction: Emergency department (ED) care must adapt to meet current and future demands. In Australia, ED quality measures (eg, prolonged length of stay, re-presentations or patient experience) are worse for older adults with multiple comorbidities, people who have a disability, those who present with a mental health condition, Indigenous Australians, and those with a culturally and linguistically diverse (CALD) background. Strengthened ED performance relies on understanding the social and systemic barriers and preferences for care of these different cohorts, and identifying viable solutions that may result in sustained improvement by service providers. A collaborative 5-year project (MyED) aims to codesign, with ED users and providers, new or adapted models of care that improve ED performance, improve patient outcomes and improve patient experience for these five cohorts. Methods and Analysis: Experience-based codesign using mixed methods, set in three hospitals in one health district in Australia. This protocol introduces the staged and incremental approach to the whole project, and details the first research elements: ethnographic observations at the ED care interface, interviews with providers and interviews with two patient cohorts-older adults and adults with a CALD background. We aim to sample a diverse range of participants, carefully tailoring recruitment and support. Ethics and Dissemination: Ethics approval has been obtained from the Western Sydney Local Health District Human Research Ethics Committee (2022/PID02749-2022/ETH02447). Prior informed written consent will be obtained from all research participants. Findings from each stage of the project will be submitted for peer-reviewed publication. Project outputs will be disseminated for implementation more widely across New South Wales, Australia. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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