Understanding the impacts of the COVID-19 pandemic on the care experiences of people with mental-physical multimorbidity: protocol for a mixed methods study.

Autor: Menear M; Department of Family Medicine and Emergency Medicine, Université Laval, Quebec City, Canada. matthew.menear.1@ulaval.ca.; VITAM Centre de recherche en santé durable, Quebec City, Canada. matthew.menear.1@ulaval.ca., Duhoux A; Faculty of Nursing, Université de Montréal, Montreal, Canada.; Centre de Recherche Charles-Le Moyne, Montreal, Canada., Bédard M; Person With Lived Experience (Patient Partner), Montreal, Canada., Paquette JS; Department of Family Medicine and Emergency Medicine, Université Laval, Quebec City, Canada.; VITAM Centre de recherche en santé durable, Quebec City, Canada., Baron M; VITAM Centre de recherche en santé durable, Quebec City, Canada., Breton M; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Canada., Courtemanche S; Person With Lived Experience (Patient Partner), Montreal, Canada., Dubé S; VITAM Centre de recherche en santé durable, Quebec City, Canada., Dufour S; VITAM Centre de recherche en santé durable, Quebec City, Canada., Fortin M; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Canada., Girard A; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Canada., Larouche-Côté É; Person with Lived Experience (Patient Partner), Quebec City, Canada., L'Espérance A; École Nationale d'administration Publique, Montreal, Canada., LeBlanc A; Department of Family Medicine and Emergency Medicine, Université Laval, Quebec City, Canada.; VITAM Centre de recherche en santé durable, Quebec City, Canada., Poitras ME; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Canada., Rivet S; VITAM Centre de recherche en santé durable, Quebec City, Canada., Sasseville M; VITAM Centre de recherche en santé durable, Quebec City, Canada.; Faculty of Nursing, Université Laval, Quebec, Canada., Achim A; VITAM Centre de recherche en santé durable, Quebec City, Canada.; Department of Psychiatry, Université Laval, Quebec, Canada., Archambault P; Department of Family Medicine and Emergency Medicine, Université Laval, Quebec City, Canada.; VITAM Centre de recherche en santé durable, Quebec City, Canada., Bajurny V; Person with Lived Experience (Patient Partner), Toronto, Canada., Brown JB; Department of Family Medicine, Western University, London, Canada., Carrier JD; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Canada., Côté N; VITAM Centre de recherche en santé durable, Quebec City, Canada.; Faculty of Social Sciences, Université Laval, Quebec, Canada., Couturier Y; School of Social Work, Université de Sherbrooke, Sherbrooke, Canada., Dogba MJ; Department of Family Medicine and Emergency Medicine, Université Laval, Quebec City, Canada.; VITAM Centre de recherche en santé durable, Quebec City, Canada., Gagnon MP; VITAM Centre de recherche en santé durable, Quebec City, Canada.; Faculty of Nursing, Université Laval, Quebec, Canada., Ghio SC; VITAM Centre de recherche en santé durable, Quebec City, Canada., Marshall EG; Department of Family Medicine, Dalhousie University, Halifax, Canada., Kothari A; Department of Health Studies, Western University, London, Canada., Lussier MT; Department of Family Medicine and Emergency Medicine, Université de Montréal, Montreal, Canada., Mair FS; School of Health and Wellbeing, University of Glasgow, Glasgow, UK., Smith S; Department of General Practice, Royal College of Surgeons in Ireland, Dublin, UK., Vachon B; School of Rehabilitation, Université de Montréal, Montreal, Canada., Wong S; Faculty of Applied Science, University of British Colombia, Vancouver, Canada.
Jazyk: angličtina
Zdroj: BMC primary care [BMC Prim Care] 2023 Jul 24; Vol. 24 (1), pp. 154. Date of Electronic Publication: 2023 Jul 24.
DOI: 10.1186/s12875-023-02106-5
Abstrakt: Background: Primary care and other health services have been disrupted during the COVID-19 pandemic, yet the consequences of these service disruptions on patients' care experiences remain largely unstudied. People with mental-physical multimorbidity are vulnerable to the effects of the pandemic, and to sudden service disruptions. It is thus essential to better understand how their care experiences have been impacted by the current pandemic. This study aims to improve understanding of the care experiences of people with mental-physical multimorbidity during the pandemic and identify strategies to enhance these experiences.
Methods: We will conduct a mixed-methods study with multi-phase approach involving four distinct phases. Phase 1 will be a qualitative descriptive study in which we interview individuals with mental-physical multimorbidity and health professionals in order to explore the impacts of the pandemic on care experiences, as well as their perspectives on how care can be improved. The results of this phase will inform the design of study phases 2 and 3. Phase 2 will involve journey mapping exercises with a sub-group of participants with mental-physical multimorbidity to visually map out their care interactions and experiences over time and the critical moments that shaped their experiences. Phase 3 will involve an online, cross-sectional survey of care experiences administered to a larger group of people with mental disorders and/or chronic physical conditions. In phase 4, deliberative dialogues will be held with key partners to discuss and plan strategies for improving the delivery of care to people with mental-physical multimorbidity. Pre-dialogue workshops will enable us to synthesize an prepare the results from the previous three study phases.
Discussion: Our study results will generate much needed evidence of the positive and negative impacts of the COVID-19 pandemic on the care experiences of people with mental-physical multimorbidity and shed light on strategies that could improve care quality and experiences.
(© 2023. The Author(s).)
Databáze: MEDLINE
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