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INTRODUCTION: Social prescribing (SP) is a rapidly growing health and social model of care. The concept of social prescribing is based on well-known clinical practices such as community referrals, integrated health and social care, and navigator models. Although SP began in the United Kingdom's mental health and social care field, there are many examples of different models of SP foci and pathways. Here in Canada, SP is emerging at several provincial locations, with differences in its delivery reflecting the local context of people and places.
British Columbia (BC) has developed a province-wide social prescribing model supporting older adults through close partnerships between health care and community organizations. A regional health authority, Fraser Health, has a specific regional team focussing on integrating social prescribing into the health system through meaningful engagement and continuous co-creation with multisectoral partners, using strategies such as change management and Plan-Do-Study-Act cycles. Environmental and organizational support are big facilitators that have supported the continuation of the designated integration effort. Long-term funding and more partnerships between health care and community organizations will be critical to sustaining the social prescribing model in BC.
La Colombie-Britannique a élaboré un modèle de prescription sociale à l'échelle de la province pour soutenir les aînés grâce à des partenariats étroits entre les établissements de soins de santé et les organismes communautaires. Une régie régionale de santé, Fraser Health, a une équipe régionale spécialisée qui travaille à intégrer la prescription sociale au système de santé par des interactions significatives avec des partenaires multisectoriels et l'élaboration conjointe continue de programmes, au moyen de stratégies comme la gestion du changement et les cycles de planification, d'exécution, d'étude et d'action (de Plan-Do-Study-Act, soit Planification-Exécution-Étude-Action). Les ressources du milieu et le soutien des organismes sont des facteurs importants qui ont facilité la poursuite de ces travaux d'intégration. Un financement à long terme et une hausse des partenariats entre les établissements de soins de santé et les organismes communautaires seront essentiels à la pérennisation du modèle de prescription sociale en Colombie-Britannique.
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Envelhecimento Saudável , Humanos , Canadá/epidemiologia , Serviço Social/organização & administração , Idoso , Apoio Social , Encaminhamento e ConsultaRESUMO
BACKGROUND: Older people living in long-term care homes are particularly susceptible to loneliness and social isolation, which the COVID-19 pandemic has exacerbated further. 'Tochie' is a smart audio device that allows family members to remotely record and send messages, such as daily reminders and comforting recordings, to their loved ones in LTC settings. The purpose of this study was to assess the feasibility and acceptability of using Tochie to improve resident-family connections, and to investigate user experience, impact and lessons learned. METHODS: Participants included 10 residents, nine family members and six care staff from two LTC homes in British Columbia, Canada. A Tochie was provided to each resident to use with their family members over a 4-week intervention period. The research team provided support and gathered feedback from family members and care staff through weekly phone and email correspondence. Qualitative descriptive design was used, including pre- and post-intervention focus groups and interviews held via Zoom and phone to gather participants' experiences with Tochie. Themes were identified through thematic analysis. RESULTS: Three themes were identified: (1) Facilitating emotional connection, (2) Using the device in creative and personalised ways and (3) Structural challenges and supports. Based on these findings, recommendations for future research and practice are provided. CONCLUSION: The COVID-19 pandemic has prompted a rethinking of what it means to 'stay in touch' with loved ones in LTC settings. This study found that Tochie has opened up new opportunities for family connection and provided emotional support for residents. The results of this study offer valuable insights into the implementation of assistive technology in LTC homes to support resident care.
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COVID-19 , Assistência de Longa Duração , Masculino , Humanos , Idoso , Assistência de Longa Duração/psicologia , Pandemias , Amor , Colúmbia BritânicaRESUMO
Co-development of healthcare technology with users helps produce user-friendly products, ensuring safe device usage and meeting patients' needs. For developers considering healthcare innovations, engaging user experience can reduce production time and cost while maximizing device application. The purpose of this paper is to report lessons learned from the development of a 3D printed origami ventilator prototype in response to the rise of ventilator demand due to the Coronavirus disease (COVID-19) pandemic. We conducted focus groups with frontline clinicians working in an Intensive Care Unit of a large urban hospital in Vancouver, British Columbia, Canada. In the interdisciplinary focus groups, we identified challenges, practical tips about product development, the human needs of technology, and cross-discipline peer learning. The focus group discussions provide useful insight into the technology development for complex clinical contexts. Based on our experiences, we articulate five practical tips for co-development of healthcare technology - AGILE: Analyse users' needs first, Gain insights into complex context, Involve users early and frequently, Lead with a prototype, and Educate and support. Through sharing the tips and lessons learned, we wish to emphasize the necessity of meaningful multi-disciplinary collaboration during healthcare technology development and promote the inclusion of frontline clinicians during these initiatives. Supplementary Information: The online version contains supplementary material available at 10.1007/s12553-022-00655-w.