Consumer and provider perceptions of the specialist unit model of care: A qualitative study.

Autor: Long JC; Australian Institute of Health Innovation, Macquarie University, Sydney, Australia., Carrigan A; Australian Institute of Health Innovation, Macquarie University, Sydney, Australia., Roberts N; Australian Institute of Health Innovation, Macquarie University, Sydney, Australia., Clay-Williams R; Australian Institute of Health Innovation, Macquarie University, Sydney, Australia., Hibbert PD; Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.; IIMPACT in Health, Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia., Zurynski Y; Australian Institute of Health Innovation, Macquarie University, Sydney, Australia., Maka K; Western Sydney Local Health District, Sydney, New South Wales, Australia., Loy G; Western Sydney Local Health District, Sydney, New South Wales, Australia., Braithwaite J; Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Feb 12; Vol. 19 (2), pp. e0293025. Date of Electronic Publication: 2024 Feb 12 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0293025
Abstrakt: Background: Specialist care units cater to targeted cohorts of patients, applying evidence-based practice to people with a specific condition (e.g., dementia) or meeting other specific criteria (e.g., children). This paper aimed to collate perceptions of local consumers and health providers around specialist care units, as a model of care that may be considered for a new local healthcare facility.
Methods: This was a qualitative study using two-hour workshops and interviews to collect data. Participants were consumers and health providers in the planned facility's catchment: 49 suburbs in metropolitan Australia. Consumers and health providers were recruited through advertisements and emails. An initial survey collected demographic details. Consumers and health providers participated in separate two-hour workshops in which a scenario around the specialist unit model was presented and discussion on benefits, barriers and enablers of the model was led by researchers. Detailed notes were taken for analysis.
Results: Five consumer workshops (n = 22 participants) and five health provider workshops (n = 42) were conducted. Participants were representative of this culturally diverse region. Factors identified by participants as relevant to the specialist unit model of care included: accessibility; a perceived narrow scope of practice; coordination with other services; resources and infrastructure; and awareness and expectations of the units. Some factors identified as risks or barriers when absent were identified as strengths and enablers when present by both groups of participants.
Conclusions: Positive views of the model centred on the higher perceived quality of care received in the units. Negative views centred on a perceived narrow scope of care and lack of flexibility. Consumers hinted, and providers stated explicitly, that the model needed to be complemented by an integrated model of care model to enable continuity of care and easy transfer of patients into and out of the specialist unit.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Long et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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