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Tytuł pozycji:

Sharing responsibility: municipal health professionals' approaches to goal setting with older patients with multi-morbidity - a grounded theory study.

Tytuł :
Sharing responsibility: municipal health professionals' approaches to goal setting with older patients with multi-morbidity - a grounded theory study.
Autorzy :
Oksavik JD; Department of Health Sciences, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Ålesund, Norway. .
Kirchhoff R; Department of Health Sciences, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Ålesund, Norway.
Sogstad MKR; The Centre for Care Research, and Department for Health Sciences, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Gjøvik, Norway.
Solbjør M; Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
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Źródło :
BMC health services research [BMC Health Serv Res] 2020 Feb 24; Vol. 20 (1), pp. 141. Date of Electronic Publication: 2020 Feb 24.
Typ publikacji :
Journal Article
Język :
English
Imprint Name(s) :
Original Publication: London : BioMed Central, [2001-
MeSH Terms :
Goals*
Multimorbidity*
Social Responsibility*
Health Personnel/*psychology
Urban Health Services/*organization & administration
Adult ; Aged ; Aged, 80 and over ; Female ; Focus Groups ; Grounded Theory ; Health Personnel/statistics & numerical data ; Health Services Research ; Humans ; Male ; Middle Aged ; Negotiating ; Professional-Patient Relations ; Qualitative Research ; Young Adult
References :
BMC Health Serv Res. 2018 Nov 26;18(1):891. (PMID: 30477566)
BMC Fam Pract. 2013 Sep 08;14:133. (PMID: 24010523)
PLoS One. 2017 Nov 27;12(11):e0188822. (PMID: 29176800)
BMC Health Serv Res. 2018 Jun 20;18(1):479. (PMID: 29925357)
Chronic Illn. 2018 Jun;14(2):79-103. (PMID: 28530114)
Disabil Rehabil. 2013 Feb;35(3):177-90. (PMID: 22671934)
Health Policy. 2018 Jan;122(1):12-22. (PMID: 28668222)
J Comorb. 2016 Nov 14;6(2):120-126. (PMID: 29090183)
Ann Fam Med. 2017 Nov;15(6):546-551. (PMID: 29133494)
BMC Geriatr. 2017 Jul 31;17(1):167. (PMID: 28760149)
Clin Rehabil. 2009 Apr;23(4):321-33. (PMID: 19293291)
Int J Nurs Stud. 2015 Sep;52(9):1525-38. (PMID: 25980558)
Ageing Res Rev. 2017 Aug;37:53-68. (PMID: 28511964)
Health Policy. 2012 Oct;107(2-3):108-45. (PMID: 22884086)
BMC Health Serv Res. 2019 Oct 3;19(1):682. (PMID: 31581947)
Fam Pract. 2016 Dec;33(6):698-703. (PMID: 27411728)
Patient Educ Couns. 2009 Aug;76(2):174-80. (PMID: 19560895)
Patient Educ Couns. 2011 Nov;85(2):206-13. (PMID: 21306859)
BMJ Open. 2015 Dec 10;5(12):e009403. (PMID: 26656243)
Patient Educ Couns. 2017 Jan;100(1):65-75. (PMID: 27486052)
Health Policy. 2018 Jan;122(1):4-11. (PMID: 28967492)
Disabil Rehabil. 2019 Apr 25;:1-10. (PMID: 31020863)
Contributed Indexing :
Keywords: Aged, 80 and over; Co-production; Collaborative goal setting; Conceptual model; Health care delivery, integrated; Health professionals; Multi-morbidity
Entry Date(s) :
Date Created: 20200226 Date Completed: 20200624 Latest Revision: 20200624
Update Code :
20210623
PubMed Central ID :
PMC7041090
DOI :
10.1186/s12913-020-4983-3
PMID :
32093653
Czasopismo naukowe
Background: Recent health policy promoting integrated care emphasizes to increase patients' health, experience of quality of care and reduce care utilization. Thus, health service delivery should be co-produced by health professionals and individual patients with multiple diseases and complex needs. Collaborative goal setting is a new procedure for older patients with multi-morbidity. The aim is to explore municipal health professionals' experiences of collaborative goal setting with patients with multi-morbidity aged 80 and above.
Methods: A qualitative study with a constructivist grounded theory approach. In total twenty-four health professionals from several health care services in four municipalities, participated in four focus group discussions.
Results: Health professionals took four approaches to goal setting with older patients with multi-morbidity: motivating for goals, vicariously setting goals, negotiating goals, and specifying goals. When 'motivating for goals', they educated reluctant patients to set goals. Patients' capacity or willingness to set goals could be reduced, due to old age, illness or less knowledge about the health system. Health professionals were 'vicariously setting goals' when patients did not express or take responsibility for goals due to adaptation processes to disease, or symptoms as cognitive impairment or exhaustion. By 'Negotiating goals', health professionals handled disagreements with patients, and often relatives, who expected to receive more services than usual care. They perceived some patients as passive or having unrealistic goals to improve health. 'Specifying goals' was a collaboration. Patients currently treated for one condition, set sub-goals to increase health. Patients with complex diseases prioritized one goal to maintain health. These approaches constitute a conceptual model of how health professionals, to varying extents, share responsibility for goal setting with patients.
Conclusions: Goal setting for patients with multi-morbidity were carried out in an interplay between patients' varying levels of engagement and health professionals' attitudes regarding to what extents patients should be responsible for pursuing the integrated health services' objectives. Even though goal setting seeks to involve patients in co-production of their health service delivery, the health services´ aims and context could restrict this co-production.
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