Loading...
Please wait, while we are loading the content...
Similar Documents
A Patient-Centred Medical Home Care Model for Community-Dwelling Older Adults in Singapore: A Mixed-Method Study on Patient's Care Experience
| Content Provider | MDPI |
|---|---|
| Author | Ginting, Mimaika Luluina Wong, Chek Hooi Lim, Zoe Zon Be Choo, Robin Wai Munn Carlsen, Sheena Camilla Hirose Sum, Grace Vrijhoef, Hubertus Johannes Maria |
| Copyright Year | 2022 |
| Description | Patient-Centred Medical Home (PCMH) is a strategy to enhance patient-centredness to improve care experience. We aimed to understand patient experience of an integrated PCMH model for complex community-dwelling older adults in Singapore. We used a mixed-method design with a prospective single-group pre-post quantitative component and a concurrent qualitative component. Participants were administered the validated Consumer Assessment of Health Providers and Systems Clinician & Group Survey (CG-CAHPS) at baseline (N = 184) and 6-month (N = 166) post-enrolment. We conducted focus group discussions (FGDs) on a purposive sample of 24 participants. Both methods suggest better care experience in PCMH relative to usual care. There were improvements in the CG-CAHPS measures on patient–provider communication, care coordination, office staff interactions, support for patients in caring for their own health, and provider rating in PCMH relative to usual care. In the FGDs, participants reported benefits of consolidated appointments and positive experience in sustained patient–provider relationship, shared-decision making, and family/caregiver engagement in PCMH. Participants may not fully comprehend the concept of integrated care, hindering both the effective communication of the intended care model and perceived benefits such as the provision of multidisciplinary team-based care. |
| Starting Page | 4778 |
| e-ISSN | 16604601 |
| DOI | 10.3390/ijerph19084778 |
| Journal | International Journal of Environmental Research and Public Health |
| Issue Number | 8 |
| Volume Number | 19 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2022-04-14 |
| Access Restriction | Open |
| Subject Keyword | International Journal of Environmental Research and Public Health Gerontology Patient-centred Care Patient-centred Medical Home Integrated Care Patient Experience Mixed-method Care Quality |
| Content Type | Text |
| Resource Type | Article |
