Experiences of a Novel Integrated Service for Older Adults at Risk of Frailty: A Qualitative Study.

Autor:	Wilson I; Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK., Ukoha-Kalu BO; Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK., Okoeki M; Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK., Clark J; Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK., Boland JW; Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK., Pask S; Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK., Nwulu U; Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK., Elliott-Button H; Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK., Folwell A; City Health Care Partnership, Hull, UK., Johnson MJ; Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK., Harman D; City Health Care Partnership, Hull, UK., Murtagh FE; Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.
Jazyk:	angličtina
Zdroj:	Journal of patient experience [J Patient Exp] 2023 Sep 05; Vol. 10, pp. 23743735231199827. Date of Electronic Publication: 2023 Sep 05 (Print Publication: 2023).
DOI:	10.1177/23743735231199827
Abstrakt:	The UK has a significant and growing population of older adults with frailty and complex healthcare needs, necessitating innovative care solutions. This study aimed to explore patients' and carers' experiences of a novel integrated service that was set up to address the increasing healthcare needs of older people living with frailty. A qualitative study that combined free-text survey questions with in-depth interviews. This study is part of a larger non-randomized trial of the service, with evaluation of wellbeing and quality of life at baseline, 2 to 4 weeks, and 10 to 14 weeks. Patients (aged 65 and above) with an electronic Frailty Index in the severe range and their informal family carers participated in this study. Data were collected between April 2019 and March 2020. Free text survey responses and interview data were subjected to reflexive thematic analyses. Four themes were generated: the overall experience of the service; interactions within the service; treatment and interventions; and outcomes due to the service. Most participants wanted further follow-up and more extensive integration with other services. Most participants described their overall experience positively, especially the available time to address their full range of concerns, but opportunities to integrate the service more fully and to extend follow-up remain. Competing Interests: The authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Fliss Murtagh is a UK National Institute for Health and Care Research (NIHR) Senior Investigator. The remaining authors declared no potential conflicts of interests (© The Author(s) 2023.)
Databáze:	MEDLINE
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