Patients’ experiences of a multidisciplinary team-led community case management programme: a qualitative study
Compiled by Vari Drennan, professor of healthcare and policy research, Kingston University and St George’s University of London.
Older adults with frailty and multiple co-morbidities are increasing in the UK.
Policies promoting case-finding, multi-disciplinary team case management with joint care plans and regular reviews are being adopted in many areas.
This qualitative study explored the patients and their family carers’ perspective on receiving care from one such programme: the Northumberland High-Risk Patient Programme.
Thematic analysis was undertaken of data from semi-structured interviews conducted with 24 people from a range of socio-demographic backgrounds (16 patients and 7 carers). The first theme reported different levels of understanding of the programme by patients and carers, despite a general agreement it was logical.
High satification rates
The second theme reported a generally high level of satisfaction with care and confidence in the health and social care professionals.
The third theme reported variety in perceptions as to whether home or hospital care was best at times of health crisis or deterioration, particularly for those living alone.
A lack of support in the home at night time was one issue discussed, as was the need for psychological support. This touched on the final theme; the requirement for patients to be active in self-management. While positively received, it also raised issues for some living alone and fearful of sudden deterioration in their condition.
Gowing A, Dickinson C, Gorman T et al (2016) BMJ. 6 (9) e012019. doi: 10.1136/bmjopen-2016-012019