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Patient-centred access to health care: A framework analysis of the care interface for frail older adults

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Patient-centred access to health care : A framework analysis of the care interface for frail older adults. / Kurpas, Donata; Gwyther, Holly; Szwamel, Katarzyna; Shaw, Rachel L.; D'Avanzo, Barbara; Holland, Carol A.; Bujnowska-Fedak, Maria Magdalena.

In: BMC Geriatrics, Vol. 18, No. 1, 273, 12.11.2018.

Research output: Contribution to journalJournal article

Harvard

Kurpas, D, Gwyther, H, Szwamel, K, Shaw, RL, D'Avanzo, B, Holland, CA & Bujnowska-Fedak, MM 2018, 'Patient-centred access to health care: A framework analysis of the care interface for frail older adults', BMC Geriatrics, vol. 18, no. 1, 273. https://doi.org/10.1186/s12877-018-0960-7

APA

Kurpas, D., Gwyther, H., Szwamel, K., Shaw, R. L., D'Avanzo, B., Holland, C. A., & Bujnowska-Fedak, M. M. (2018). Patient-centred access to health care: A framework analysis of the care interface for frail older adults. BMC Geriatrics, 18(1), [273]. https://doi.org/10.1186/s12877-018-0960-7

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Author

Kurpas, Donata ; Gwyther, Holly ; Szwamel, Katarzyna ; Shaw, Rachel L. ; D'Avanzo, Barbara ; Holland, Carol A. ; Bujnowska-Fedak, Maria Magdalena. / Patient-centred access to health care : A framework analysis of the care interface for frail older adults. In: BMC Geriatrics. 2018 ; Vol. 18, No. 1.

Bibtex

@article{6bcf46fc2bf840b5b5bfa4a9fe3a4445,
title = "Patient-centred access to health care: A framework analysis of the care interface for frail older adults",
abstract = "Background: The objective of this study was to explore the issues surrounding access to health and social care services for frail older adults with Polish stakeholders, including healthy and frail/pre-frail older adults, health care providers, social care providers, and caregivers, in order to determine their views and perspectives on the current system and to present suggestions for the future development of a more accessible and person-centred health and social care system. Methods: Focus groups were used to gather qualitative data from stakeholders. Data were analysed using framework analysis according to five dimensions of accessibility to care: approachability, acceptability, availability and accommodation, affordability and appropriateness. Results: Generally services were approachable and acceptable, but unavailable. Poor availability related to high staff turnover, staff shortages and a lack of trained personnel. There were problems of long waiting times for specialist care and rehabilitation services, and geographically remote clinics. Critically, there were shortages of long-term inpatient care places, social care workers and caregivers. The cost of treatments created barriers to care and inequities in the system. Participants described a lack of integration between health and social care systems with differing priorities and disconnected budgets. They described an acute medical system that was inappropriate for patients with complex needs, alongside a low functioning social care system, where bureaucratisation caused delays in providing services to the vulnerable. An integrated system with a care coordinator to improve connections between services and patients was suggested. Conclusions: There is an immediate need to improve access to health and social care systems for pre-frail and frail patients, as well as their caregivers. Health and social care services need to be integrated to reduce bureaucracy and increase the timeliness of treatment and care.",
keywords = "Delivery of health care, Frailty, Health resources, Patient acceptance of health care, Patient preference, Patient satisfaction",
author = "Donata Kurpas and Holly Gwyther and Katarzyna Szwamel and Shaw, {Rachel L.} and Barbara D'Avanzo and Holland, {Carol A.} and Bujnowska-Fedak, {Maria Magdalena}",
year = "2018",
month = "11",
day = "12",
doi = "10.1186/s12877-018-0960-7",
language = "English",
volume = "18",
journal = "BMC Geriatrics",
issn = "1471-2318",
publisher = "BioMed Central",
number = "1",

}

RIS

TY - JOUR

T1 - Patient-centred access to health care

T2 - A framework analysis of the care interface for frail older adults

AU - Kurpas, Donata

AU - Gwyther, Holly

AU - Szwamel, Katarzyna

AU - Shaw, Rachel L.

AU - D'Avanzo, Barbara

AU - Holland, Carol A.

AU - Bujnowska-Fedak, Maria Magdalena

PY - 2018/11/12

Y1 - 2018/11/12

N2 - Background: The objective of this study was to explore the issues surrounding access to health and social care services for frail older adults with Polish stakeholders, including healthy and frail/pre-frail older adults, health care providers, social care providers, and caregivers, in order to determine their views and perspectives on the current system and to present suggestions for the future development of a more accessible and person-centred health and social care system. Methods: Focus groups were used to gather qualitative data from stakeholders. Data were analysed using framework analysis according to five dimensions of accessibility to care: approachability, acceptability, availability and accommodation, affordability and appropriateness. Results: Generally services were approachable and acceptable, but unavailable. Poor availability related to high staff turnover, staff shortages and a lack of trained personnel. There were problems of long waiting times for specialist care and rehabilitation services, and geographically remote clinics. Critically, there were shortages of long-term inpatient care places, social care workers and caregivers. The cost of treatments created barriers to care and inequities in the system. Participants described a lack of integration between health and social care systems with differing priorities and disconnected budgets. They described an acute medical system that was inappropriate for patients with complex needs, alongside a low functioning social care system, where bureaucratisation caused delays in providing services to the vulnerable. An integrated system with a care coordinator to improve connections between services and patients was suggested. Conclusions: There is an immediate need to improve access to health and social care systems for pre-frail and frail patients, as well as their caregivers. Health and social care services need to be integrated to reduce bureaucracy and increase the timeliness of treatment and care.

AB - Background: The objective of this study was to explore the issues surrounding access to health and social care services for frail older adults with Polish stakeholders, including healthy and frail/pre-frail older adults, health care providers, social care providers, and caregivers, in order to determine their views and perspectives on the current system and to present suggestions for the future development of a more accessible and person-centred health and social care system. Methods: Focus groups were used to gather qualitative data from stakeholders. Data were analysed using framework analysis according to five dimensions of accessibility to care: approachability, acceptability, availability and accommodation, affordability and appropriateness. Results: Generally services were approachable and acceptable, but unavailable. Poor availability related to high staff turnover, staff shortages and a lack of trained personnel. There were problems of long waiting times for specialist care and rehabilitation services, and geographically remote clinics. Critically, there were shortages of long-term inpatient care places, social care workers and caregivers. The cost of treatments created barriers to care and inequities in the system. Participants described a lack of integration between health and social care systems with differing priorities and disconnected budgets. They described an acute medical system that was inappropriate for patients with complex needs, alongside a low functioning social care system, where bureaucratisation caused delays in providing services to the vulnerable. An integrated system with a care coordinator to improve connections between services and patients was suggested. Conclusions: There is an immediate need to improve access to health and social care systems for pre-frail and frail patients, as well as their caregivers. Health and social care services need to be integrated to reduce bureaucracy and increase the timeliness of treatment and care.

KW - Delivery of health care

KW - Frailty

KW - Health resources

KW - Patient acceptance of health care

KW - Patient preference

KW - Patient satisfaction

U2 - 10.1186/s12877-018-0960-7

DO - 10.1186/s12877-018-0960-7

M3 - Journal article

VL - 18

JO - BMC Geriatrics

JF - BMC Geriatrics

SN - 1471-2318

IS - 1

M1 - 273

ER -