Understanding the impacts of the COVID-19 pandemic on the care experiences of people with mental-physical multimorbidity: protocol for a mixed methods study

被引：1

作者：

Menear, Matthew ^{[1
,2
]}

Duhoux, Arnaud ^{[3
,4
]}

Bedard, Myreille ^{[5
]}

Paquette, Jean-Sebastien ^{[1
,2
]}

Baron, Marie ^{[2
]}

Breton, Mylaine ^{[6
]}

Courtemanche, Simon ^{[5
]}

Dube, Savannah ^{[2
]}

Dufour, Stefany ^{[2
]}

Fortin, Martin ^{[6
]}

Girard, Ariane ^{[6
]}

Larouche-Cote, Emilie ^{[7
]}

L'Esperance, Audrey ^{[8
]}

LeBlanc, Annie ^{[1
,2
]}

Poitras, Marie-Eve ^{[6
]}

Rivet, Sophie ^{[2
]}

Sasseville, Maxime ^{[2
,9
]}

Achim, Amelie ^{[2
,10
]}

Archambault, Patrick ^{[1
,2
]}

Bajurny, Virtue ^{[11
]}

Brown, Judith Belle ^{[12
]}

Carrier, Jean-Daniel ^{[6
]}

Cote, Nancy ^{[2
,13
]}

Couturier, Yves ^{[14
]}

Dogba, Maman Joyce ^{[1
,2
]}

Gagnon, Marie-Pierre ^{[2
,9
]}

Ghio, Sergio Cortez ^{[2
]}

Marshall, Emily Gard ^{[15
]}

Kothari, Anita ^{[16
]}

Lussier, Marie-Therese ^{[17
]}

Mair, Frances S. ^{[18
]}

Smith, Susan ^{[19
]}

Vachon, Brigitte ^{[20
]}

Wong, Sabrina ^{[21
]}

机构：

[1] Univ Laval, Dept Family Med & Emergency Med, Quebec City, PQ, Canada

[2] VITAM Ctr Rech Sante Durable, Quebec City, PQ, Canada

[3] Univ Montreal, Fac Nursing, Montreal, PQ, Canada

[4] Ctr Rech Charles Le Moyne, Montreal, PQ, Canada

[5] Person Lived Experience Patient Partner, Montreal, PQ, Canada

[6] Univ Sherbrooke, Fac Med & Hlth Sci, Sherbrooke, PQ, Canada

[7] Person Lived Experience Patient Partner, Quebec City, PQ, Canada

[8] Ecole Natl Adm Publ, Montreal, PQ, Canada

[9] Univ Laval, Fac Nursing, Quebec City, PQ, Canada

[10] Univ Laval, Dept Psychiat, Quebec City, PQ, Canada

[11] Person Lived Experience Patient Partner, Toronto, ON, Canada

[12] Western Univ, Dept Family Med, London, ON, Canada

[13] Univ Laval, Fac Social Sci, Quebec City, PQ, Canada

[14] Univ Sherbrooke, Sch Social Work, Sherbrooke, PQ, Canada

[15] Dalhousie Univ, Dept Family Med, Halifax, NS, Canada

[16] Western Univ, Dept Hlth Studies, London, ON, Canada

[17] Univ Montreal, Dept Family Med & Emergency Med, Montreal, PQ, Canada

[18] Univ Glasgow, Sch Hlth & Wellbeing, Glasgow, Scotland

[19] Royal Coll Surgeons Ireland, Dept Gen Practice, Dublin, Ireland

[20] Univ Montreal, Sch Rehabil, Montreal, PQ, Canada

[21] Univ British Columbia, Fac Sci Appl, Vancouver, BC, Canada

来源：

BMC PRIMARY CARE | 2023年 / 24卷 / 01期

基金：

加拿大健康研究院;

关键词：

Primary care; Mental health; Multimorbidity; Chronic disease; COVID-19; Health care experiences; HEALTH-CARE; CHRONIC DISEASES; DEPRESSION; MORBIDITY; QUALITY;

D O I：

10.1186/s12875-023-02106-5

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

BackgroundPrimary care and other health services have been disrupted during the COVID-19 pandemic, yet the consequences of these service disruptions on patients' care experiences remain largely unstudied. People with mental-physical multimorbidity are vulnerable to the effects of the pandemic, and to sudden service disruptions. It is thus essential to better understand how their care experiences have been impacted by the current pandemic. This study aims to improve understanding of the care experiences of people with mental-physical multimorbidity during the pandemic and identify strategies to enhance these experiences.MethodsWe will conduct a mixed-methods study with multi-phase approach involving four distinct phases. Phase 1 will be a qualitative descriptive study in which we interview individuals with mental-physical multimorbidity and health professionals in order to explore the impacts of the pandemic on care experiences, as well as their perspectives on how care can be improved. The results of this phase will inform the design of study phases 2 and 3. Phase 2 will involve journey mapping exercises with a sub-group of participants with mental-physical multimorbidity to visually map out their care interactions and experiences over time and the critical moments that shaped their experiences. Phase 3 will involve an online, cross-sectional survey of care experiences administered to a larger group of people with mental disorders and/or chronic physical conditions. In phase 4, deliberative dialogues will be held with key partners to discuss and plan strategies for improving the delivery of care to people with mental-physical multimorbidity. Pre-dialogue workshops will enable us to synthesize an prepare the results from the previous three study phases.DiscussionOur study results will generate much needed evidence of the positive and negative impacts of the COVID-19 pandemic on the care experiences of people with mental-physical multimorbidity and shed light on strategies that could improve care quality and experiences.

引用

页数：10

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