Exploring the dimensions of patient experience for community-based care programmes in a multi-ethnic Asian context
| Autor: | Ke Xin Eh, Ian Yi Han Ang, Pami Shrestha, Farah Shiraz, Sue-Anne Toh, Chuan De Foo, Yan Lin Tan, Milawaty Nurjono |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Critical Care and Emergency Medicine Economics Health Care Providers Emotions Social Sciences Community Networks Geographical Locations 0302 clinical medicine Cognition Medicine and Health Sciences Ethnicity Psychology Ethnicities 030212 general & internal medicine Medical Personnel Community-based care Qualitative Research Aged 80 and over Singapore Multidisciplinary 030503 health policy & services Middle Aged Professions Medicine Female 0305 other medical science Research Article Adult Asia Patients Science Decision Making Exploratory research Context (language use) Nonprobability sampling 03 medical and health sciences Nursing Asian People Physicians Patient experience Humans Patient participation Aged Cognitive Psychology Biology and Life Sciences Health Care People and Places Cognitive Science Population Groupings Patient Participation Chinese People Delivery of Health Care Finance Patient education Qualitative research Neuroscience |
| Zdroj: | PLoS ONE PLoS ONE, Vol 15, Iss 11, p e0242610 (2020) |
| ISSN: | 1932-6203 |
| Popis: | IntroductionThe aim of this study is to explore patients’ experiences with community-based care programmes (CCPs) and develop dimensions of patient experience salient to community-based care in Singapore. Most countries like Singapore are transforming its healthcare system from a hospital-centric model to a person-centered community-based care model to better manage the increasing chronic disease burden resulting from an ageing population. It is thus critical to understand the impact of hospital to community transitions from the patients’ perspective. The exploration of patient experience will guide the development of an instrument for the evaluation of CCPs for quality improvement purposes.MethodsA qualitative exploratory study was conducted where face-to-face in-depth interviews were conducted using a purposive sampling method with patients enrolled in CCPs. In total, 64 participants aged between 41 to 94 years were recruited. A deductive framework was developed using the Picker Patient Experience instrument to guide our analysis. Inductive coding was also conducted which resulted in emergence of new themes.ResultsOur findings highlighted eight key themes of patient experience: i) ensuring care continuity, ii) involvement of family, iii) access to emotional support, vi) ensuring physical comfort, v) coordination of services between providers, vi) providing patient education, vii) importance of respect for patients, and viii) healthcare financing.ConclusionOur results demonstrated that patient experience is multi-faceted, and dimensions of patient experience vary according to healthcare settings. As most patient experience frameworks were developed based on a single care setting in western populations, our findings can inform the development of a culturally relevant instrument to measure patient experience of community-based care for a multi-ethnic Asian context. |
| Databáze: | OpenAIRE |
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