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Patients, caregivers and health‐care professionals’ experience with an interdisciplinary intervention for people with multimorbidity in primary care: a qualitative study

Ngangue Patrice Alain, Forgues Catherine, Nguyen Tu, Sasseville Maxime, Gallagher Frances, Loignon Christine, Stewart Moira, Belle Brown Judith, Chouinard Maud‐Christine et Fortin Martin. (2020). Patients, caregivers and health‐care professionals’ experience with an interdisciplinary intervention for people with multimorbidity in primary care: a qualitative study. Health Expectations, 23, (2), p. 318-327.

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URL officielle: http://dx.doi.org/doi:10.1111/hex.13035

Résumé

Background :

Multimorbidity challenges the health‐care system and requires innovative approaches. In 2015, a 4‐month patient‐centred interdisciplinary pragmatic intervention was implemented in primary care with the aim of supporting self‐management for patients with multimorbidity.

Objective :

To explore the perceptions and experiences of health‐care professionals, patients and their caregivers with a 4‐month patient‐centred interdisciplinary pragmatic intervention in primary care.

Design :

A descriptive, qualitative study using semi‐structured interviews was conducted.

Setting and participants :

A purposive sample of 30 participants was recruited from seven family medicine groups including patients, caregivers and health‐care professionals (HCPs). Interviews were analysed using Thorne's interpretive description approach.

Results :

Findings were grouped into the benefits and challenges of participating in the intervention. The programme allowed patients to adopt realistic and adapted objectives; to customize interventions to the patient's reality; and to help patients gain confidence, improve their knowledge, skills and motivation to manage their condition. Interprofessional collaboration eased the exchange of information via team meetings and electronic medical records. Challenges were related to collaboration, communication, coordination of work and integration of newly relocated HCPs mainly due to part‐time assignments and staff turnover. HCPs part‐time schedules limited their availability and hindered patients’ follow‐up.

Discussion and conclusion :

This intervention was useful and rewarding from the HCPs, patients and caregivers’ perspective. However, to ensure the success of this complex interdisciplinary intervention, implementers and managers should anticipate organizational barriers such as availability and time management of relocated HCPs.

Type de document:Article publié dans une revue avec comité d'évaluation
ISSN:1369-6513
Volume:23
Numéro:2
Pages:p. 318-327
Version évaluée par les pairs:Oui
Date:2020
Identifiant unique:10.1111/hex.13035
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
Mots-clés:chronic disease, multimorbidity, patient care team, patient‐centred care, primary health care, qualitative research, self‐management, maladie chronique, multimorbidité, équipe soignante, soins de santé primaires, soins axés sur le patient, autogestion
Déposé le:11 juin 2020 18:27
Dernière modification:11 juin 2020 18:27
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Creative Commons LicenseSauf indication contraire, les documents archivés dans Constellation sont rendus disponibles selon les termes de la licence Creative Commons "Paternité, pas d'utilisation commerciale, pas de modification" 2.5 Canada.

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