Integrating accompanying patients into clinical oncology teams: limiting and facilitating factors.

Autor: Pomey MP; Research Centre of the University of Montreal Hospital Centre, Montréal, QC, Canada. marie-pascale.pomey@umontreal.ca.; Centre d'excellence Sur Le Partenariat Avec Les Patients Et Le Public, Montréal, QC, Canada. marie-pascale.pomey@umontreal.ca.; Department of Health Policy, Management and Evaluation, School of Public Health, University of Montréal, Montréal, QC, CA, Canada. marie-pascale.pomey@umontreal.ca., Paquette J; Research Centre of the University of Montreal Hospital Centre, Montréal, QC, Canada., Nelea MI; Research Centre of the University of Montreal Hospital Centre, Montréal, QC, Canada., Vialaron C; Research Centre of the University of Montreal Hospital Centre, Montréal, QC, Canada., Mourad R; Research Centre of the University of Montreal Hospital Centre, Montréal, QC, Canada., Bouchard K; Centre Hospitalier Universitaire- CHU de Québec-Université Laval, Québec, QC, Canada., Normandin L; Research Centre of the University of Montreal Hospital Centre, Montréal, QC, Canada., Côté MA; Research Centre of the University of Montreal Hospital Centre, Montréal, QC, Canada., Desforges M; Research Centre of the University of Montreal Hospital Centre, Montréal, QC, Canada., Pomey-Carpentier P; Research Centre of the University of Montreal Hospital Centre, Montréal, QC, Canada., Fortin I; Centre Intégré, Universitaire de Santé Et Services Sociaux de L'Est-de-L'Île-de Montréal, Hôpital de Maisonneuve-Rosemont, Montréal, QC, Canada., Ganache I; Institut National d'excellence en Santé Et Services Sociaux (INESSS), Montréal, QC, Canada., Régis C; Université de Montréal - Faculté de droit, Montréal, QC, Canada., Rosberger Z; Gerald Bronfman Department of Oncology, Lady Davis Institute for Medical Research, Jewish General Hospital &, McGill University, Montréal, QC, Canada., Charpentier D; Centre Hospitalier Universitaire de Montréal (CHUM), Montréal, QC, Canada., Vachon MF; Centre Hospitalier Universitaire de Montréal (CHUM), Montréal, QC, Canada., Bélanger L; Centre Hospitalier Universitaire- CHU de Québec-Université Laval, Québec, QC, Canada., Dorval M; Faculté de Pharmacie, Université Laval, Québec, QC, Canada.; Centre de Recherche du CHU de Québec-Université Laval, Québec, QC, Canada.; Centre de Recherche du CISSS Chaudière Appalaches, Lévis, QC, Canada., Ghadiri DP; Department of Management, HEC Montréal, Montréal, QC, Canada., Lavoie-Tremblay M; Faculté Des Sciences Infirmières, Université de Montréal, Montréal, QC, Canada.; Institut Universitaire en Santé Mentale de Montréal, Montréal, QC, Canada., Boivin A; Research Centre of the University of Montreal Hospital Centre, Montréal, QC, Canada.; Centre d'excellence Sur Le Partenariat Avec Les Patients Et Le Public, Montréal, QC, Canada.; Department of Family and Emergency Medicine, Faculté de Médecine, Université de Montréal, Montréal, QC, Canada., Pelletier JF; Centre Intégré de Santé Et de Services Sociaux de La Montérégie-Ouest, St-Hubert, QC, Canada.; Yale Program for Recovery & Community Health, New Haven, CT, USA., Fernandez N; Department of Family and Emergency Medicine, Faculté de Médecine, Université de Montréal, Montréal, QC, Canada., Danino AM; Research Centre of the University of Montreal Hospital Centre, Montréal, QC, Canada.; Centre Hospitalier Universitaire de Montréal (CHUM), Montréal, QC, Canada., de Guise M; Institut National d'excellence en Santé Et Services Sociaux (INESSS), Montréal, QC, Canada.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2024 Jan 30; Vol. 24 (1), pp. 150. Date of Electronic Publication: 2024 Jan 30.
DOI: 10.1186/s12913-024-10624-w
Abstrakt: Objectives: Since 2018, four establishments in Quebec have been instrumental in implementing the PAROLE-Onco program, which introduced accompanying patients (APs) into healthcare teams to improve cancer patients' experience. APs are patient advisors who have acquired specific experiential knowledge related to living with cancer, using services, and interacting with healthcare professionals. They are therefore in a unique and reliable position to be able to provide emotional, informational, cognitive and navigational support to patients who are dealing with cancer. We aimed to explore APs' perspectives regarding the limiting and facilitating factors in terms of how they are integrated into the clinical oncology teams.
Methods: A qualitative study based on semi-structured interviews and focus groups was conducted with 20 APs at the beginning of their intervention (T1) and, two years later, during a second data collection (T2). Limiting and facilitating factors of APs' integration into clinical teams were analyzed in terms of governance, culture, resources and tools.
Results: The limited factors raised by APs to be integrated into clinical teams include the following: confusion about the specific roles played by APs, lifting the egos of certain professionals who feel they are already doing what APs typically do, lack of identification of patient needs, absence of APs in project governance organizational boundaries, and team members' availability. Various communication challenges were also raised, resulting in the program being inadequately promoted among patients. Also mentioned as limiting factors were the lack of time, space and compensation. Creating opportunities for team members to meet with APs, building trust and teaching team members how APs' activities complement theirs were enhancing factors. Other facilitators include APs being involved in decision-making committees, being leaders in promoting the PAROLE-Onco program to patients and clinical team members and creating opportunities to communicate with team members to help enhance their work and provide feedback to improve patient services. Awareness of APs' added value for the team and patients is also a key facilitator. Regarding tools, offering accompanying services by telephone allows both patients and APs to benefit from the flexibility they need.
Conclusion: Over time, APs were able to identify optimal factors for successful implementation. Recommendations include APs and professionals working in co-construction on organization, leadership, resources and status factors. This could help catalyze a change in culture within health establishments and allow people dealing with cancer to benefit from the experiential knowledge of other patients within their clinical team.
(© 2024. The Author(s).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje