Mapping Evidence of Patients' Experiences in Integrated Care: A Scoping Review.

Behavioural health in primary care Collaborative care Integrated care Mental health Patient experience Patient-centered care

Journal

General hospital psychiatry
ISSN: 1873-7714
Titre abrégé: Gen Hosp Psychiatry
Pays: United States
ID NLM: 7905527

Informations de publication

Date de publication:
Historique:
received: 16 02 2019
revised: 12 08 2019
accepted: 12 08 2019
pubmed: 4 9 2019
medline: 21 5 2020
entrez: 4 9 2019
Statut: ppublish

Résumé

Despite the established clinical and cost-effectiveness of integrated care (IC) models for patients with comorbid mental and physical illness, little is known about whether these models facilitate a better care experience from the patient's perspective. The authors conducted a scoping review of the literature to explore how IC influences patients' care experiences. MEDLINE, EMBASE, PSYC INFO CINAHL, AMED, the Cochrane Library, and grey literature were searched to identify relevant articles. Eligible studies were systematically reviewed and analyzed, using thematic analysis approach, to identify patterns, trends, and variation in patient experience within IC settings. Search results yielded 5250 unique resources of which 21 primary studies met our eligibility criteria for analysis. Findings from this scoping review revealed variation in patients' experiences in IC settings. IC models enhanced patients' experience by creating theraputic spaces: improving patient access to care, developing collaborative relationships, and personalizing patient care to address individual needs. Productive interactions with care team were key to improve patient engagement and experience of centeredness in IC settings. Successful implementation of IC demanded purposeful alignment of IC structural components and care processes to create therapeutic spaces that address patient care needs and preferences.

Identifiants

pubmed: 31479842
pii: S0163-8343(19)30064-7
doi: 10.1016/j.genhosppsych.2019.08.004
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-9

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

Alaa Youssef (A)

Institute for Medical Sciences, University of Toronto, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; The Wilson Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada.

Zarah K Chaudhary (ZK)

The Wilson Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada.

David Wiljer (D)

Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; University Health Network Centre for Mental Health, Toronto, Ontario, Canada; The Institute for Health Policy, Management and Education, University of Toronto, Toronto, Ontario, Canada.

Maria Mylopoulos (M)

The Wilson Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada; Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada.

Sanjeev Sockalingam (S)

Institute for Medical Sciences, University of Toronto, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; The Wilson Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada; University Health Network Centre for Mental Health, Toronto, Ontario, Canada; Centre for Addiction and Mental Health, University of Toronto, Toronto, Ontario, Canada. Electronic address: sanjeev.sockalingam@uhn.ca.

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