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Health care providers' experiences with delivering person centred care in an Integrated Care Program for thoracic surgery patients in Ontario, Canada

Kathy Kornas (Dalla Lana School of Public Health, University of Toronto, Toronto, Canada)
Meghan O'Neill (Dalla Lana School of Public Health, University of Toronto, Toronto, Canada)
Catherine Y. Liang (Dalla Lana School of Public Health, University of Toronto, Toronto, Canada)
Lori Diemert (Dalla Lana School of Public Health, University of Toronto, Toronto, Canada)
Tsoleen Ayanian (University Health Network, Toronto, Canada)
Melissa Chang (University Health Network, Toronto, Canada)
Laura Rosella (Dalla Lana School of Public Health, University of Toronto, Toronto, Canada)

Journal of Integrated Care

ISSN: 1476-9018

Article publication date: 29 April 2021

Issue publication date: 19 July 2021

113

Abstract

Purpose

The purpose of this study is to understand health care providers' experiences with delivering a novel Integrated Care (IC) Program that co-ordinates hospital-based clinical services and home care for thoracic surgery patients, including perceptions on the provision of person-centred care and quality of work life.

Design/methodology/approach

The authors conducted a process evaluation using qualitative methods to understand provider experiences in the Integrated Care (IC) Program and to identify areas for programme improvement. Study data were collected using a focus group with thoracic surgeons, open-ended survey with home care providers, and semi-structured interviews with lead thoracic surgeons and IC leads, who are nurses serving as the primary point of contact for one consistent care team. Data were analysed using thematic analysis.

Findings

The IC Program was successful in supporting a partnership between health care providers and patients and caregivers to deliver a comprehensive and person-centred care experience. Informational continuity between providers was facilitated by IC leads and improved over time with greater professional integration and adaptation to the new care delivery processes. Differential impacts were found on quality of work life for providers in the IC Program.

Originality/value

This study describes provider experiences with delivering integrated and person-centred care across the hospital to home continuum, which can inform future integrated care initiatives.

Keywords

Acknowledgements

Conflict of interest: The authors have no conflicts of interest to declare.The authors are grateful to the members of the Evaluation Working Group, which comprised of researchers, providers and patient representatives including Phyllis Berck, Lyn Gaetz, Geoff Anderson, Jose Figueroa, Pierre-Gerlier Forest, Carolyn Gosse and Andrew Boozary. The authors wish to thank the providers of the UHN IC Program who participated in this evaluation, as well as the UHN Connected Care Team for their input throughout the evaluation.Funding: The evaluation was funded by the University Health Network and Ontario Health Toronto Region. The evaluation team was external to UHN and the funders did not have any influence on the findings.

Citation

Kornas, K., O'Neill, M., Liang, C.Y., Diemert, L., Ayanian, T., Chang, M. and Rosella, L. (2021), "Health care providers' experiences with delivering person centred care in an Integrated Care Program for thoracic surgery patients in Ontario, Canada", Journal of Integrated Care, Vol. 29 No. 3, pp. 346-356. https://doi.org/10.1108/JICA-10-2020-0068

Publisher

:

Emerald Publishing Limited

Copyright © 2021, Emerald Publishing Limited

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