Capturing the experiences of patients across multiple complex interventions: a meta-qualitative approach

BMJ Open
Fiona WebsterBRIDGES Collaborative

Abstract

The perspectives, needs and preferences of individuals with complex health and social needs can be overlooked in the design of healthcare interventions. This study was designed to provide new insights on patient perspectives drawing from the qualitative evaluation of 5 complex healthcare interventions. Patients and their caregivers were recruited from 5 interventions based in primary, hospital and community care in Ontario, Canada. We included 62 interviews from 44 patients and 18 non-clinical caregivers. Our team analysed the transcripts from 5 distinct projects. This approach to qualitative meta-evaluation identifies common issues described by a diverse group of patients, therefore providing potential insights into systems issues. This study is a secondary analysis of qualitative data; therefore, no outcome measures were identified. We identified 5 broad themes that capture the patients' experience and highlight issues that might not be adequately addressed in complex interventions. In our study, we found that: (1) the emergency department is the unavoidable point of care; (2) patients and caregivers are part of complex and variable family systems; (3) non-medical issues mediate patients' experiences of health and healthcare ...Continue Reading

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Citations

Mar 11, 2016·Administration and Policy in Mental Health·Deborah Wise-HarrisVicky Stergiopoulos
May 10, 2017·Journal of Addictive Diseases·Eric J HawkinsJohn S Baer
Mar 7, 2018·Journal of Health Organization and Management·Elizabeth MansfieldFiona Webster
Dec 13, 2019·BMC Health Services Research·Steven A TrankleJennifer Reath
May 15, 2021·Journal of General Internal Medicine·Michelle S WongEvelyn T Chang

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