Community Preferences for Allied Health Services in Residential Aged Care

IF 3 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Expectations Pub Date : 2024-10-29 DOI:10.1111/hex.70081

Isabelle Meulenbroeks, Magdalena Z. Raban, Karla Seaman, Kathleen Rolfe, Crisostomo Mercardo, Kristiana Ludlow, Nasir Wabe, Johanna Westbrook

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Abstract

Introduction

Exploring health consumer preferences in care is an essential foundational, and ongoing activity, when designing and delivering models of care. We undertook a study to explore: (i) what allied health (AH) services are most important to health consumers and (ii) how health consumers expect to access these services in residential aged care (RAC) to determine consumer priorities in future AH models of care in RAC.

Methods

A mixed method study was conducted with aged care residents and community members (friends or family of residents/people who believe they may use RAC services). The study comprised two focus-group activities where participants were asked to (1) rank the AH services most important to them and then (2) categorise how they would prefer to access each AH service. Focus group members used card sort methods (Q-methodology) to aid prioritisation, categorisation and discussion. Card sorting data were analysed using inverted factor analysis and descriptive statistics. Qualitative focus group data were deductively coded using a coding structure created by the research team informed by quantitative results.

Results

Data were collected from 16 participants who formed five focus groups in a community forum. The analysis revealed three factors, that represented shared meaning amongst groups of participants (viewpoints) regarding prioritisation of AH services: ‘Prioritising urgent needs’, ‘Prioritising long-term healthy habits and lifestyle’, and ‘Prioritising social well-being’. Data from the card sort activity, which related to ‘how health consumers expect to access AH services’, were also categorised into three categories: ‘It is always provided’, ‘A professional will assess my need’ and ‘I or my family will ask for this service if I need it’. Participants wanted most AH services to be provided regularly, with some such as ‘Exercise and rehabilitation’ and ‘Meaningful activity’ to be provided up to one hour every day.

Conclusion

Consumers value a range of AH services and have an expectation that these will be provided in RAC on a regular basis. To ensure consumers make informed preferences regarding the future of services in RAC, health systems need to trial innovative AH models of care and embed consumer evaluation.

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社区对住院养老护理中专职医疗服务的偏好。

导言：在设计和提供护理模式时，探索保健消费者在护理方面的偏好是一项重要的基础性和持续性活动。我们开展了一项研究，旨在探索：(i) 哪些专职医疗（AH）服务对健康消费者最为重要；(ii) 健康消费者期望如何在安老院中获得这些服务，从而确定消费者在安老院未来的专职医疗护理模式中的优先选择：我们采用混合方法对养老院居民和社区成员（养老院居民的朋友或家人/认为可能会使用养老院护理中心服务的人）进行了研究。研究包括两个焦点小组活动，要求参与者（1）对他们最重要的安老院服务进行排序，然后（2）对他们希望获得的每项安老院服务进行分类。焦点小组成员使用卡片排序法（Q 方法）来帮助排序、分类和讨论。使用倒置因子分析和描述性统计对卡片分类数据进行分析。焦点小组的定性数据使用研究小组根据定量结果创建的编码结构进行演绎编码：从社区论坛的五个焦点小组的 16 名参与者那里收集到了数据。分析结果表明，有三个因素代表了参与者群体（观点）对安老服务优先次序的共同理解：优先考虑紧急需求"、"优先考虑长期健康习惯和生活方式 "以及 "优先考虑社会福利"。卡片分类活动中有关 "健康消费者期望如何获得保健服务 "的数据也被分为三类："总是会提供"、"专业人士会评估我的需求 "和 "如果我需要，我或我的家人会要求这项服务"。参与者希望大多数保健服务都能定期提供，其中一些服务如 "运动和康复 "和 "有意义的活动 "每天最多提供一小时：结论：消费者重视各种保健服务，并希望定期在康复咨询中心提供这些服务。为确保消费者对康复咨询中心未来的服务做出明智的选择，医疗系统需要尝试创新的康复保健护理模式，并对消费者进行评估。

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来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.