The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study
Abstract Background An increasing older population, along with the organizational principle of remaining at home, has moved health care from institutions into the older person’s home, where several health care providers facilitate care. The Mobile Integrated Care Model strives to provide cost-effici...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-022-03211-3 |
| _version_ | 1818519315656212480 |
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| author | Lina Hovlin Jenny Hallgren Anna K. Dahl Aslan Catharina Gillsjö |
| author_facet | Lina Hovlin Jenny Hallgren Anna K. Dahl Aslan Catharina Gillsjö |
| author_sort | Lina Hovlin |
| collection | DOAJ |
| description | Abstract Background An increasing older population, along with the organizational principle of remaining at home, has moved health care from institutions into the older person’s home, where several health care providers facilitate care. The Mobile Integrated Care Model strives to provide cost-efficient, coherent, person-centered health care in the home. In the integrated care team, where the home health care physician is the medical authority, several health care professions work across organizational borders. Therefore, the aim of this study was to describe Home Health Care Physicians perceptions of working and providing health care in the Mobile Integrated Care Model, as well as perceptions of participating in and forming health care. Methods A phenomenographic qualitative study design, with semi-structured interviews using an interview guide. Results Working within Mobile Integrated Care Model was a different way of working as a physician. The physicians’ role was to support the patient by making safe medical decisions. Physicians described themselves as a piece in the team puzzle, where the professional knowledge of others was crucial to give quality health care. Being in the patients’ homes was expressed as adding a unique dimension in the provision of health care, and the physicians learned more about the patients by meeting them in their homes than at an institution. This aided the physicians in respecting patient autonomy in medical decision making, even though the physicians sometimes disregarded patient autonomy in favor of their own medical experience. There was a divided view on next of kin participation among the home health care physicians, ranging from always including to total absence of involving next of kin in decision making. Conclusions The home health care physicians described the Mobile Integrated Care Model as the best way to work, but there was still a need for additional resources and structure when working in different organizations. The need for full-time employment, additional time or hours, more equipment, access to each other’s medical records, and additional collaboration with other health care providers were expressed, which could contribute to increased work satisfaction and facilitate further development of person-centered care in the Mobile Integrated Care Model. |
| first_indexed | 2024-12-11T01:22:31Z |
| format | Article |
| id | doaj.art-142cc7e8e5574515a682970d4032ca9a |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-11T01:22:31Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-142cc7e8e5574515a682970d4032ca9a2022-12-22T01:25:40ZengBMCBMC Geriatrics1471-23182022-07-0122111110.1186/s12877-022-03211-3The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic studyLina Hovlin0Jenny Hallgren1Anna K. Dahl Aslan2Catharina Gillsjö3School of Health Sciences, University of SkövdeSchool of Health Sciences, University of SkövdeSchool of Health Sciences, University of SkövdeSchool of Health Sciences, University of SkövdeAbstract Background An increasing older population, along with the organizational principle of remaining at home, has moved health care from institutions into the older person’s home, where several health care providers facilitate care. The Mobile Integrated Care Model strives to provide cost-efficient, coherent, person-centered health care in the home. In the integrated care team, where the home health care physician is the medical authority, several health care professions work across organizational borders. Therefore, the aim of this study was to describe Home Health Care Physicians perceptions of working and providing health care in the Mobile Integrated Care Model, as well as perceptions of participating in and forming health care. Methods A phenomenographic qualitative study design, with semi-structured interviews using an interview guide. Results Working within Mobile Integrated Care Model was a different way of working as a physician. The physicians’ role was to support the patient by making safe medical decisions. Physicians described themselves as a piece in the team puzzle, where the professional knowledge of others was crucial to give quality health care. Being in the patients’ homes was expressed as adding a unique dimension in the provision of health care, and the physicians learned more about the patients by meeting them in their homes than at an institution. This aided the physicians in respecting patient autonomy in medical decision making, even though the physicians sometimes disregarded patient autonomy in favor of their own medical experience. There was a divided view on next of kin participation among the home health care physicians, ranging from always including to total absence of involving next of kin in decision making. Conclusions The home health care physicians described the Mobile Integrated Care Model as the best way to work, but there was still a need for additional resources and structure when working in different organizations. The need for full-time employment, additional time or hours, more equipment, access to each other’s medical records, and additional collaboration with other health care providers were expressed, which could contribute to increased work satisfaction and facilitate further development of person-centered care in the Mobile Integrated Care Model.https://doi.org/10.1186/s12877-022-03211-3Home health careHome health care physicianIntegrated carePerson-centered careQualitativeMunicipality care |
| spellingShingle | Lina Hovlin Jenny Hallgren Anna K. Dahl Aslan Catharina Gillsjö The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study BMC Geriatrics Home health care Home health care physician Integrated care Person-centered care Qualitative Municipality care |
| title | The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study |
| title_full | The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study |
| title_fullStr | The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study |
| title_full_unstemmed | The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study |
| title_short | The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study |
| title_sort | role of the home health care physician in mobile integrated care a qualitative phenomenograpic study |
| topic | Home health care Home health care physician Integrated care Person-centered care Qualitative Municipality care |
| url | https://doi.org/10.1186/s12877-022-03211-3 |
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