A COVID-19 patient’s experience: Engagement in disease management, interactions with care teams and implications on health policies and managerial practices

This narrative inquiry aimed to explore a COVID-19 patient’s lived experience from contracting the disease to recovery and understand the implications of this unique patient experience on health policies and managerial practices. The personal narrative approach was used to chronicle the patient’s we...

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Main Authors: Lihua Dishman, Vicki Schroeder
Format: Article
Language:English
Published: The Beryl Institute 2020-08-01
Series:Patient Experience Journal
Subjects:
Online Access:https://pxjournal.org/journal/vol7/iss2/11
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author Lihua Dishman
Vicki Schroeder
author_facet Lihua Dishman
Vicki Schroeder
author_sort Lihua Dishman
collection DOAJ
description This narrative inquiry aimed to explore a COVID-19 patient’s lived experience from contracting the disease to recovery and understand the implications of this unique patient experience on health policies and managerial practices. The personal narrative approach was used to chronicle the patient’s weekly journey in disease management. Best practices emerged from her and her family members’ engagement in managing COVID-19, and interactions with her primary care provider and COVID-19 Response Team. Her COVID-19 patient experience also provided a basis for implications on public health and healthcare policies and managerial practices. Three key dimensions were perceived to have positively impacted the COVID-19 patient’s experience and health outcomes: information seeking, communication, and self-awareness. Physical, mental and emotional support from family members were also perceived to have a positive impact on the patient’s experience and outcomes. Three key dimensions were perceived to have negatively impacted the COVID-19 patient’s experience and health outcomes: federal government’s lack of coordination in crisis management, CDC’s slow actions in disease control and prevention and primary care provider’s absence in care continuity. Patients must take active ownership and engage consistently in their disease management, which could help improve their own experiences and overall health outcomes. Proactive engagement in care and in making treatment decisions may improve disease outcomes even when coordinated responses to health crises were lacking in the country and care continuity by providers was absent. Interactions with care providers also present opportunities for patients to help providers improve their practices. Patients are integral members of care teams. <strong>Experience Framework</strong> This article is associated with the Infrastructure & Governance<strong> </strong>lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>)<strong></strong> <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Infrastructure%20%26%20Governance%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-InfrastructureGovernance">Access other resources</a> related to this lens.</li> </ul>
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spelling doaj.art-3dbaa5047b9f461199d016f376dda6282022-12-21T19:30:24ZengThe Beryl InstitutePatient Experience Journal2372-02472020-08-01A COVID-19 patient’s experience: Engagement in disease management, interactions with care teams and implications on health policies and managerial practicesLihua DishmanVicki SchroederThis narrative inquiry aimed to explore a COVID-19 patient’s lived experience from contracting the disease to recovery and understand the implications of this unique patient experience on health policies and managerial practices. The personal narrative approach was used to chronicle the patient’s weekly journey in disease management. Best practices emerged from her and her family members’ engagement in managing COVID-19, and interactions with her primary care provider and COVID-19 Response Team. Her COVID-19 patient experience also provided a basis for implications on public health and healthcare policies and managerial practices. Three key dimensions were perceived to have positively impacted the COVID-19 patient’s experience and health outcomes: information seeking, communication, and self-awareness. Physical, mental and emotional support from family members were also perceived to have a positive impact on the patient’s experience and outcomes. Three key dimensions were perceived to have negatively impacted the COVID-19 patient’s experience and health outcomes: federal government’s lack of coordination in crisis management, CDC’s slow actions in disease control and prevention and primary care provider’s absence in care continuity. Patients must take active ownership and engage consistently in their disease management, which could help improve their own experiences and overall health outcomes. Proactive engagement in care and in making treatment decisions may improve disease outcomes even when coordinated responses to health crises were lacking in the country and care continuity by providers was absent. Interactions with care providers also present opportunities for patients to help providers improve their practices. Patients are integral members of care teams. <strong>Experience Framework</strong> This article is associated with the Infrastructure & Governance<strong> </strong>lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>)<strong></strong> <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Infrastructure%20%26%20Governance%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-InfrastructureGovernance">Access other resources</a> related to this lens.</li> </ul>https://pxjournal.org/journal/vol7/iss2/11covid-19patient experiencepatient-provider interactionscontinuity of carepatient and family engagementpolicy implicationsmanagerial implications
spellingShingle Lihua Dishman
Vicki Schroeder
A COVID-19 patient’s experience: Engagement in disease management, interactions with care teams and implications on health policies and managerial practices
Patient Experience Journal
covid-19
patient experience
patient-provider interactions
continuity of care
patient and family engagement
policy implications
managerial implications
title A COVID-19 patient’s experience: Engagement in disease management, interactions with care teams and implications on health policies and managerial practices
title_full A COVID-19 patient’s experience: Engagement in disease management, interactions with care teams and implications on health policies and managerial practices
title_fullStr A COVID-19 patient’s experience: Engagement in disease management, interactions with care teams and implications on health policies and managerial practices
title_full_unstemmed A COVID-19 patient’s experience: Engagement in disease management, interactions with care teams and implications on health policies and managerial practices
title_short A COVID-19 patient’s experience: Engagement in disease management, interactions with care teams and implications on health policies and managerial practices
title_sort covid 19 patient s experience engagement in disease management interactions with care teams and implications on health policies and managerial practices
topic covid-19
patient experience
patient-provider interactions
continuity of care
patient and family engagement
policy implications
managerial implications
url https://pxjournal.org/journal/vol7/iss2/11
work_keys_str_mv AT lihuadishman acovid19patientsexperienceengagementindiseasemanagementinteractionswithcareteamsandimplicationsonhealthpoliciesandmanagerialpractices
AT vickischroeder acovid19patientsexperienceengagementindiseasemanagementinteractionswithcareteamsandimplicationsonhealthpoliciesandmanagerialpractices
AT lihuadishman covid19patientsexperienceengagementindiseasemanagementinteractionswithcareteamsandimplicationsonhealthpoliciesandmanagerialpractices
AT vickischroeder covid19patientsexperienceengagementindiseasemanagementinteractionswithcareteamsandimplicationsonhealthpoliciesandmanagerialpractices