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Case management in primary care for frequent users of health care services with chronic diseases: A qualitative study of patient and family experience

Hudon Catherine, Chouinard Maud-Christine, Diadiou Fatoumata, Lambert Mireille et Bouliane Danielle. (2015). Case management in primary care for frequent users of health care services with chronic diseases: A qualitative study of patient and family experience. Annals of Family Medicine, 13, (6), p. 523-528.

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URL officielle: https://doi.org/10.1370/afm.1867

Résumé

PURPOSE: Although case management (CM) is increasingly being implemented to address the complex needs of vulnerable clienteles, few studies have examined the patient experience of CM. This study aimed to examine the experience of patients and their family members with care integration as part of a primary care CM intervention. Patients in the study were frequent users of health care services who had chronic diseases.

METHODS: A descriptive, qualitative approach was conducted involving 25 patients and 8 of their family members. Data were collected through in-depth interviews of the patients and 2 focus groups of family members and were analyzed thematically.

RESULTS: While some participants did not fully understand the CM intervention and a few believed that it involved too many appointments, the CM nurses were patients' preferred contact with primary care. The nurses actively involved the patients in developing and carrying out their individualized services plans (ISPs) with other health care partners. Patients felt that their needs were taken into consideration, especially regarding access to the health care system. The case manager facilitated access to information as well as communication and coordination among health care and community partners. This improved communication comforted the patients and nurtured a relationship of trust. Participants were actively involved in decision-making. Their ISPs helped them know where they were going and improved transitions between services.

CONCLUSIONS: The experience of patients and family members was overall very positive regarding care integration. They reported improved access, communication, coordination, and involvement in decision-making as well as better health care transitions.

Type de document:Article publié dans une revue avec comité d'évaluation
Volume:13
Numéro:6
Pages:p. 523-528
Version évaluée par les pairs:Oui
Date:2015
Sujets:Sciences de la santé
Sciences de la santé > Sciences infirmières
Sciences de la santé > Sciences médicales
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Module des sciences infirmières
Mots-clés:chronic disease, frequent users of health care, nursing, patient care management, patient experience, primary care
Déposé le:24 avr. 2019 21:34
Dernière modification:24 avr. 2019 21:34
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