Providing person-centred care for people with multiple chronic conditions: protocol for a qualitative study incorporating client and staff perspectives

Annette Peart; Virginia Lewis; Christopher Barton; Ted Brown; Julie White; Debra Gascard; Grant Russell

doi:10.1136/bmjopen-2019-030581

Providing person-centred care for people with multiple chronic conditions: protocol for a qualitative study incorporating client and staff perspectives

BMJ Open. 2019 Oct 7;9(10):e030581. doi: 10.1136/bmjopen-2019-030581.

Authors

Annette Peart¹, Virginia Lewis², Christopher Barton³, Ted Brown⁴, Julie White⁵, Debra Gascard⁵, Grant Russell³

Affiliations

¹ Department of General Practice, Monash University, Notting Hill, Victoria, Australia annette.peart@monash.edu.
² Australian Institute for Primary Care and Aging, La Trobe University, Bundoora, Victoria, Australia.
³ Department of General Practice, Monash University, Notting Hill, Victoria, Australia.
⁴ Department of Occupational Therapy, Monash University, Frankston, Victoria, Australia.
⁵ Monash Health, Dandenong, Victoria, Australia.

Abstract

Introduction: Chronic conditions are associated with over one-third of potentially avoidable hospitalisations. Integrated care programmes aim to help people with chronic conditions to self-manage their health, thus avoiding hospital admissions. While founded on principles of person-centred care, the experiences of people with multiple chronic conditions in integrated care programmes are not widely known. Our study will explore how person-centred care is incorporated into an integrated care programme for people with multiple chronic conditions.

Methods and analysis: This is a qualitative phenomenological study being conducted from March 2018 to June 2019, in a large metropolitan health service in Melbourne, Australia. Participants will be programme clients (and/or their carers) and staff working in the programme. We will interview staff about their experiences of the programme. Recruited staff will assist with recruitment of clients who recently completed an episode of care, to participate in a semistructured interview in their home. We will also analyse the medical records of interviewed clients, and observe outpatient clinics connected to the programme, based on the findings of the interviews. We will analyse all data using thematic analysis, with overarching themes representing staff and client perspectives of person-centred care.

Ethics and dissemination: Ethical approval was granted by Monash Health (HREC/18/MonH/33) and Monash University (12260) Human Research Ethics Committees. Our study will provide a comprehensive exploration of person-centred care in an integrated care programme. It will add information to person-centred care literature on participants' perceptions of what works and why, including barriers and enablers to person-centred care in a complex environment. Findings of this study will be disseminated via publications, conferences and presentations to the health service participants.

Keywords: delivery of health care; integrated; multimorbidity; patient-centred care; qualitative research.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Attitude of Health Personnel
Attitude to Health
Australia
Delivery of Health Care, Integrated / organization & administration*
Efficiency, Organizational
Humans
Multiple Chronic Conditions* / epidemiology
Multiple Chronic Conditions* / therapy
Patient-Centered Care / methods*
Qualitative Research
Research Design