Author/Editor     Mastellos, Nikolaos; Gunn, Laura H; Harris, Matthew; Majeed, Azeem; Car, Josip; Pappas, Yannis
Title     Assessing patients' experience of integrated care
Type     članek
Vol. and No.     Letnik 14
Publication year     2014
ISSN     1568-4156 - International Journal of Integrated Care (IJIC)
Language     eng
Abstract     Introduction: Despite the importance of continuity of care and patient engagement, few studies have captured patients' views on inte- grated care. This study assesses patient experience in the Integrated Care Pilot in North West London with the aim to help clinicians and policymakers understand patients' acceptability of integrated care and design future initiatives. Methods: A survey was developed, validated and distributed to 2029 randomly selected practice patients identified as having a care plan. Results: A total of 405 questionnaires were included for analysis. Respondents identified a number of benefits associated with the pilot, including increased patient involv ement in decision-making, improved patient' provider relationship, better organisation and access to care, and enhanced inter-professional communication. However, only 22.4% were aware of having a care plan, and of these only 37.9% had a copy of the care plan. Knowledge of care plans was significantly associated with a more positive experience. Conclusions: This study reinforces the view that integrated care can improve quality of care and patient experience. However, care plan- ning was a complex and technically challenging process that occurred more slowly than planned with wide variation in quality and time of recruitment to the pilot, making it difficult to assess the sustainability of benefits.
Keywords     integrated care
experience
patient views
integrirano varstvo
izkušnje
mnenja pacientov