What is Important to Older People with Multimorbidity and Their Caregivers? Identifying Attributes of Person Centered Care from the User Perspective.

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Abstract

Health systems are striving to design and deliver care that is 'person centred'-aligned with the needs and preferences of those receiving it; however, it is unclear what older people and their caregivers value in their care. This paper captures attributes of care that are important to older people and their caregivers.

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Most cited references 44

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Three approaches to qualitative content analysis.

Hsiu-Fang Hsieh, Sarah Shannon (2016)

Content analysis is a widely used qualitative research technique. Rather than being a single method, current applications of content analysis show three distinct approaches: conventional, directed, or summative. All three approaches are used to interpret meaning from the content of text data and, hence, adhere to the naturalistic paradigm. The major differences among the approaches are coding schemes, origins of codes, and threats to trustworthiness. In conventional content analysis, coding categories are derived directly from the text data. With a directed approach, analysis starts with a theory or relevant research findings as guidance for initial codes. A summative content analysis involves counting and comparisons, usually of keywords or content, followed by the interpretation of the underlying context. The authors delineate analytic procedures specific to each approach and techniques addressing trustworthiness with hypothetical examples drawn from the area of end-of-life care.

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Evidence on the Chronic Care Model in the new millennium.

Katie Coleman, Brian T Austin, Cindy Brach … (2009)

Developed more than a decade ago, the Chronic Care Model (CCM) is a widely adopted approach to improving ambulatory care that has guided clinical quality initiatives in the United States and around the world. We examine the evidence of the CCM's effectiveness by reviewing articles published since 2000 that used one of five key CCM papers as a reference. Accumulated evidence appears to support the CCM as an integrated framework to guide practice redesign. Although work remains to be done in areas such as cost-effectiveness, these studies suggest that redesigning care using the CCM leads to improved patient care and better health outcomes.

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Patient and family engagement: a framework for understanding the elements and developing interventions and policies.

Kristin Carman, Pam Dardess, Maureen Maurer … (2013)

Patient and family engagement offers a promising pathway toward better-quality health care, more-efficient care, and improved population health. Since definitions of patient engagement and conceptions of how it works vary, we propose a framework. We first present the forms engagement can take, ranging from consultation to partnership. We discuss the levels at which patient engagement can occur across the health care system, from the direct care setting to incorporating patient engagement into organizational design, governance, and policy making. We also discuss the factors that influence whether and to what extent engagement occurs. We explore the implications of our multidimensional framework for the development of interventions and policies that support patient and family engagement, and we offer a research agenda to investigate how such engagement leads to improved outcomes.

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Author and article information

Journal

Journal ID (iso-abbrev): Int J Integr Care

Title: International journal of integrated care

Publisher: Ubiquity Press, Ltd.

ISSN: 1568-4156

Publication date (Electronic): Jul 23 2019

Volume: 19

Issue: 3

Affiliations

[1 ] Institute for Better Health, Trillium Health Partners and University of Toronto, CA.

[2 ] Dalla Lana School of Public Health, University of Toronto, CA.

[3 ] Université du Québec en Abitibi Témiscamingue, CA.

[4 ] University of Auckland, NZ.

[5 ] Massey University, NZ.

Article

DOI: 10.5334/ijic.4655

PMC ID: 6659759

PubMed ID: 31367203

SO-VID: 146f6618-5bc3-45da-a676-bb97ccfd807b

History

Keywords: caregiver,patient experience,person centered care,primary health care,qualitative,multimorbidity,New Zealand,Canada

Data availability:

Keywords: caregiver, patient experience, person centered care, primary health care, qualitative, multimorbidity, New Zealand, Canada

What is Important to Older People with Multimorbidity and Their Caregivers? Identifying Attributes of Person Centered Care from the User Perspective.

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Abstract

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The International Journal of Person Centered Medicine

Most cited references 44

Three approaches to qualitative content analysis.

Evidence on the Chronic Care Model in the new millennium.

Patient and family engagement: a framework for understanding the elements and developing interventions and policies.

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