Implementing a person centred collaborative health care model – A qualitative study on patient experiences

• Published in: International emergency nursing Vol. 59; p. 101068
• Main Authors: Hallgren, Jenny, Bergman, Karin, Klingberg, Maria, Gillsjö, Catharina
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.11.2021; Elsevier Science Ltd
• Subjects: Access; adult; ambulance; Ambulance services; Assistance-missions; clinical article; Collaboration; Collaborative health care model; community dwelling person; Community living; content analysis; Coordination; Delivery of Health Care; Emergency medical care; female; Health care; Home Care Services; Home health care; human; Humans; Integrated care; male; Patient Outcome Assessment; Patient-centered care; Qualitative content analysis; Qualitative Research; Sweden; Swedish health care direct (SHD1177); telephone interview; Välbefinnande vid långvariga hälsoproblem (WeLHP); Wellbeing in long-term health problems (WeLHP); While waiting for ambulance; Working hours; Sweden; Assistance-missions; While waiting for ambulance; PCC; Swedish health care direct (SHD1177); WWFA; Qualitative content analysis; Collaborative health care model; SHD1177; ACSC; CHC
• ISSN: 1755-599X; 1878-013X; 1532-9267; 1878-013X
• DOI: 10.1016/j.ienj.2021.101068

•Community dwelling persons find health care models as CHC are time saving.•Continuity less important in acute health care situations.•CHC offering home visits are highly appreciated by community dwelling persons.•Innovative integrated health care models as CHC can be used to increase PCC. Collaborative Health Care (CHC) is a unique model in which ambulance services, home health care, hospital care and the national telephone helpline for healthcare in Sweden – Swedish health care direct (SHD1177) collaborate to provide the fastest possible health care for inhabitants living in eleven municipalities in western region of Sweden. To explore how patients experience and perceive health care received in the CHC. Qualitative descriptive study using open-ended individual telephone interviews with fifteen community dwelling persons with experiences of care throughthe model CHC were conducted. Two main categories and six subcategories were identified. The category “Thoughts of time in regard to acute health care” include “CHC leads to shorter waiting time for health care”, “Knowledge about the staff working hours” and “To alert or not alert”. The category “Thoughts on unplanned health care from CHC” involved “Receiving health care in my home”, ”Coordination from SHD1177 surprises” and “Accessibility of health care values higher than continuity”. Integrated health care models such as CHC are time saving and highly appreciated by community dwelling persons. The benefits of provision of coherent health care like in CHC, addresses the need to implement innovative integrated healthcare models in today’s health care.