Workforce development to provide person-centered care.
Aging Ment Health
; 20(8): 781-92, 2016 08.
Article
de En
| MEDLINE
| ID: mdl-26666358
ABSTRACT
OBJECTIVES:
Describe the development of a competent workforce committed to providing patient-centered care to persons with dementia and/or depression and their caregivers; to report on qualitative analyses of our workforce's case reports about their experiences; and to present lessons learned about developing and implementing a collaborative care community-based model using our new workforce that we call care coordinator assistants (CCAs).METHOD:
Sixteen CCAs were recruited and trained in person-centered care, use of mobile office, electronic medical record system, community resources, and team member support. CCAs wrote case reports quarterly that were analyzed for patient-centered care themes.RESULTS:
Qualitative analysis of 73 cases using NVivo software identified six patient-centered care themes (1) patient familiarity/understanding; (2) patient interest/engagement encouraged; (3) flexibility and continuity of care; (4) caregiver support/engagement; (5) effective utilization/integration of training; and (6) teamwork. Most frequently reported themes were patient familiarity - 91.8% of case reports included reference to patient familiarity, 67.1% included references to teamwork and 61.6% of case reports included the theme flexibility/continuity of care. CCAs made a mean number of 15.7 (SD = 15.6) visits, with most visits for coordination of care services, followed by home visits and phone visits to over 1200 patients in 12 months.DISCUSSION:
Person-centered care can be effectively implemented by well-trained CCAs in the community.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Soins centrés sur le patient
/
Main-d'oeuvre en santé
/
Professions de santé
Type d'étude:
Evaluation_studies
/
Qualitative_research
Limites:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
Aging Ment Health
Sujet du journal:
GERIATRIA
/
PSICOLOGIA
Année:
2016
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique