Research article

Implementation of a neighbourhood care model in a Scottish integrated context—views from patients

  • Received: 05 December 2018 Accepted: 11 April 2019 Published: 17 April 2019
  • There is a need to test new models of integrated health and social care, particularly due to increasing financial and epidemiological pressures on services. One critical component of testing new models is the acceptability to patients. Here, the aim was to understand the acceptability of a new model of care to patients by understanding their experience of being supported by a self-managing, community-based, integrated, health and social care team. The INCA service consisted of three support workers and three nurses in two teams. These teams were self-managing and had autonomy over service operations and care delivery. Eight interviews and satisfaction questionnaires were conducted with patients. Interviews were transcribed and analysed thematically. Patients found the service highly acceptable (mean overall satisfaction of 98%), self-reporting a variety of benefits to their wellbeing. Central to this acceptability was the autonomy of staff to adjust care frequency and duration to patients’ needs, in addition to describing an active engagement and partnership within their support plans. Future work should aim to ascertain the experiences of staff working in this model and whether receiving support in this way improves clinical outcomes.

    Citation: Calum F Leask, Andrea Gilmartin. Implementation of a neighbourhood care model in a Scottish integrated context—views from patients[J]. AIMS Public Health, 2019, 6(2): 143-153. doi: 10.3934/publichealth.2019.2.143

    Related Papers:

  • There is a need to test new models of integrated health and social care, particularly due to increasing financial and epidemiological pressures on services. One critical component of testing new models is the acceptability to patients. Here, the aim was to understand the acceptability of a new model of care to patients by understanding their experience of being supported by a self-managing, community-based, integrated, health and social care team. The INCA service consisted of three support workers and three nurses in two teams. These teams were self-managing and had autonomy over service operations and care delivery. Eight interviews and satisfaction questionnaires were conducted with patients. Interviews were transcribed and analysed thematically. Patients found the service highly acceptable (mean overall satisfaction of 98%), self-reporting a variety of benefits to their wellbeing. Central to this acceptability was the autonomy of staff to adjust care frequency and duration to patients’ needs, in addition to describing an active engagement and partnership within their support plans. Future work should aim to ascertain the experiences of staff working in this model and whether receiving support in this way improves clinical outcomes.


    加载中

    Abbreviation INCA: Integrated Neighbourhood Care Aberdeen; GP: General Practice; NHS: National Health Service;
    Acknowledgments



    Funding for this project was obtained from the Aberdeen City Health and Social Care Partnership Integration Joint Board.

    Conflict of interest



    All authors declare no conflict of interest.

    [1] Scottish Government (2016) A National Clinical Strategy for Scotland, Edinburgh: Scottish Government.
    [2] Audit Scotland (2016) NHS in Scotland 2016, Edinburgh: Scottish Government.
    [3] Scottish Government (2017) Local Delivery Plan (LDP) Guidance 2017/18. Available from: https://www.sehd.scot.nhs.uk/dl/DL(2017)01.pdf. [Accessed: 05-Dec-2018].
    [4] Ayala GX, Elder JP (2011) Qualitative methods to ensure acceptability of behavioral and social interventions to the target population. J Public Health Dent 71: S69–S79. doi: 10.1111/j.1752-7325.2011.00241.x
    [5] Sekhon M, Cartwright M, Francis JJ (2017) Acceptability of healthcare interventions: an overview of reviews and development of a theoretical framework. BMC Health Serv Res 17: 88. doi: 10.1186/s12913-017-2031-8
    [6] Monsen K, De Blok J (2013) Buurtzorg Nederland. Am J Nurs 113: 55–59.
    [7] Kreitzer MJ, Monsen KA, Nandram S, et al. (2015) Buurtzorg Nederland : A Global Model of Social Innovation , Change , and Whole-Systems Healing. Glob Adv Heal Med 4: 40–44.
    [8] Gray BH, Sarnak DO, Burgers JS (2015) Home Care by Self-Governing Nursing Teams: The Netherlands' Buurtzorg Model, New York: The Commonwealth Fund.
    [9] Sheldon T (2017) Buurtzorg: the district nurses who want to be superflous. BMJ 358: j3140.
    [10] Maguire M, Delahunt B (2017) Doing a Thematic Analysis : A Practical, Step-by-Step Guide for Learning and Teaching Scholars. All Irel J Teach Learn High Educ 3: 3351–33514.
    [11] Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3: 77–101. doi: 10.1191/1478088706qp063oa
    [12] Bowen DJ, Kreuter M, Spring B, et al. (2010) How We Design Feasibility Studies. Am J Prev Med 36: 452–457.
    [13] National Institute for Health and Care Excellence (2012) Patient experience in adult NHS services: improving the experience of care for people using adult NHS services, London: NICE.
    [14] Nunes V, Neilson J, O'Flynn N, et al. (2009) Clinical Guidelines and Evidence Review for Medicines Adherence: involving patients in decisions about prescribed medicines and supporting adherence, London: National Collaborating Centre for Primary Care and Royal College of General Practitioners.
    [15] Stacey D, Légaré F, Lewis K, et al. (2017) Decision aids for people facing health treatment or screening decisions ( Review ). Cochrane Database Syst Rev 4: 2017.
    [16] Scottish Government (2011) Finding the Care That is Right For You, Edinburgh: Scottish Government.
    [17] Leask CF, Sandlund M, Skelton DA, et al. (2016) Modifying Older Adults' Daily Sedentary Behaviour Using an Asset-based Solution: Views from Older Adults. AIMS Public Heal 3: 542–554. doi: 10.3934/publichealth.2016.3.542
    [18] Alders P (2015) Self-managed care teams to improve community care for frail older adults in the Netherlands. Int J Care Coord 18: 2–3.
    [19] Glasgow Centre for Population Health (2011) Asset based approaches for health improvement: redressing the balance, Glasgow: GCPH.
  • Reader Comments
  • © 2019 the Author(s), licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0)
通讯作者: 陈斌, bchen63@163.com
  • 1. 

    沈阳化工大学材料科学与工程学院 沈阳 110142

  1. 本站搜索
  2. 百度学术搜索
  3. 万方数据库搜索
  4. CNKI搜索

Metrics

Article views(5627) PDF downloads(1604) Cited by(6)

Article outline

Figures and Tables

Tables(3)

Other Articles By Authors

/

DownLoad:  Full-Size Img  PowerPoint
Return
Return

Catalog