Article ; Online: Experiences of patients with a disability in receiving primary health care: Using experience-based design for quality improvement.
Canadian family physician Medecin de famille canadien
2021 Volume 67, Issue 7, Page(s) 517–524
Abstract: Objective: To use patient-guided tours to gain insight into the experiences of patients with disabilities receiving primary care, with the goal of suggesting improvements.: Design: A qualitative experience-based design study, using patient-guided ... ...
| Abstract | Objective: To use patient-guided tours to gain insight into the experiences of patients with disabilities receiving primary care, with the goal of suggesting improvements. Design: A qualitative experience-based design study, using patient-guided tours. Setting: Multidisciplinary academic urban primary care practice. Participants: Patients with disabilities identified by their health care providers. Methods: Patients walked through the clinic as they would on a "typical visit" describing their feelings and experiences. The investigator used a semistructured interview guide to prompt the patient. The tour was audiorecorded and transcribed. Thematic content analysis was used. Main findings: Participants included 18 patients with various disabilities (physical disability, sensory disability, chronic illness, mental illness, learning disability, developmental disability). Strong positive relationships, particularly with the team and administrative staff, profoundly affected perceived access and experience of care. Multidirectional, clear, and respectful communication independently improved patients' experiences dramatically. Participants said that many access, coordination, and physical barriers were eased by team relationships and communication. Physical space and building issues were troublesome for those with physical and mental disabilities alike. Each participant's disability itself played a role in their experience but was not described as prominently as their relationship, communication, and spatial challenges. Participants described the patient-guided tour method as valuable to elicit experiences and feelings. Conclusion: Some health care teams are unaware of how relationships and communication affect every aspect of health care for people with disabilities. Highlighting these findings with providers and organizations might prompt a more patient-centred model of care. Our experience-based design consisting of patient-guided tours was effective in assessing how those with disabilities experienced care. |
|---|---|
| MeSH term(s) | Disabled Persons ; Health Personnel ; Humans ; Primary Health Care ; Qualitative Research ; Quality Improvement ; Quality of Health Care |
| Language | English |
| Publishing date | 2021-07-14 |
| Publishing country | Canada |
| Document type | Journal Article |
| ZDB-ID | 603565-6 |
| ISSN | 1715-5258 ; 0008-350X |
| ISSN (online) | 1715-5258 |
| ISSN | 0008-350X |
| DOI | 10.46747/cfp.6707517 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Zs.B 2236: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
|||
| Zs.MG 5: Show issues |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.