"In Our Corner": A Qualitative Descriptive Study of Patient Engagement in a Community-Based Care Coordination Program

被引:6
作者
Sefcik, Justine S. [1 ,2 ]
Petrovsky, Darina [1 ,2 ]
Streur, Megan [2 ]
Toles, Mark [5 ]
O'Connor, Melissa [6 ]
Ulrich, Connie M. [2 ,3 ]
Marcantonio, Sherry [8 ]
Coburn, Ken [8 ]
Naylor, Mary D. [2 ,4 ]
Moriarty, Helene [6 ,7 ]
机构
[1] Univ Penn, Sch Nursing, 418 Curie Blvd 307E, Philadelphia, PA 19104 USA
[2] Univ Penn, Sch Nursing, NewCourtland Ctr Transit & Hlth, Philadelphia, PA 19104 USA
[3] Univ Penn, Sch Nursing, Nursing, Philadelphia, PA 19104 USA
[4] Univ Penn, Sch Nursing, Gerontol, Philadelphia, PA 19104 USA
[5] Univ North Carolina Chapel Hill, Sch Nursing, Chapel Hill, NC USA
[6] Villanova Univ, Coll Nursing, Villanova, PA 19085 USA
[7] Villanova Univ, Coll Nursing, Nursing Res, Villanova, PA 19085 USA
[8] Hlth Qual Partners, Doylestown, PA USA
基金
美国国家卫生研究院;
关键词
Community-based care; health promotion; older adults; nursing intervention; qualitative research; MULTIPLE CHRONIC CONDITIONS; TRANSITIONAL CARE; HEALTH-LITERACY; FOLLOW-UP; PREVALENCE; MORTALITY; EDUCATION; NURSES; LIFE;
D O I
10.1177/1054773816685746
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The purpose of this study was to explore participants' experience in the Health Quality Partners (HQP) Care Coordination Program that contributed to their continued engagement. Older adults with multiple chronic conditions often have limited engagement in health care services and face fragmented health care delivery. This can lead to increased risk for disability, mortality, poor quality of life, and increased health care utilization. A qualitative descriptive design with two focus groups was conducted with a total of 20 older adults enrolled in HQP's Care Coordination Program. Conventional content analysis was the analytical technique. The overarching theme resulting from the analysis was in our corner, with subthemes opportunities to learn and socialize and dedicated nurses, suggesting that these are the primary contributing factors to engagement in HQP's Care Coordination Program. Study findings suggest that nurses play an integral role in patient engagement among older adults enrolled in a care coordination program.
引用
收藏
页码:258 / 277
页数:20
相关论文
共 41 条
  • [1] Co-creation of a pedagogical space to support qualitative inquiry: An advanced qualitative collective
    Abboud, Sarah
    Kim, Su Kyung
    Jacoby, Sara
    Mooney-Doyle, Kim
    Waite, Terease
    Froh, Elizabeth
    Sefcik, Justine S.
    Kim, Hyejin
    Sowicz, Timothy Joseph
    Kelly, Terri-Ann
    Kagan, Sarah
    [J]. NURSE EDUCATION TODAY, 2017, 50 : 8 - 11
  • [2] Anderson G., 2010, Chronic Care: Making the Case for Ongoing Care
  • [3] [Anonymous], 2015, MED EXP PAN SURV MEP
  • [4] From social integration to health: Durkheim in the new millennium
    Berkman, LF
    Glass, T
    Brissette, I
    Seeman, TE
    [J]. SOCIAL SCIENCE & MEDICINE, 2000, 51 (06) : 843 - 857
  • [5] Low Health Literacy and Health Outcomes: An Updated Systematic Review
    Berkman, Nancy D.
    Sheridan, Stacey L.
    Donahue, Katrina E.
    Halpern, David J.
    Crotty, Karen
    [J]. ANNALS OF INTERNAL MEDICINE, 2011, 155 (02) : 97 - +
  • [6] Coordinating care - A perilous journey through the health care system
    Bodenheimer, Thomas
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (10) : 1064 - 1071
  • [7] Brown R, 2008, HEALTH CARE FINANC R, V30, P5
  • [8] Six Features Of Medicare Coordinated Care Demonstration Programs That Cut Hospital Admissions Of High-Risk Patients
    Brown, Randall S.
    Peikes, Deborah
    Peterson, Greg
    Schore, Jennifer
    Razafindrakoto, Carol M.
    [J]. HEALTH AFFAIRS, 2012, 31 (06) : 1156 - 1166
  • [9] Single index of multimorbidity did not predict multiple outcomes
    Byles, JE
    D'Este, C
    Parkinson, L
    O'Connell, R
    Treloar, C
    [J]. JOURNAL OF CLINICAL EPIDEMIOLOGY, 2005, 58 (10) : 997 - 1005
  • [10] Centers for Medicare & Medicaid Services, 2015, CHRON CAR MAN SERV