Care coordination for chronic and complex health conditions: an experienced based co-design study engaging consumer and clinician groups for service improvement

Heslop, Liza, Cranwell, Kathryn, and Burton, Trish (2019) Care coordination for chronic and complex health conditions: an experienced based co-design study engaging consumer and clinician groups for service improvement. PLoS ONE, 14 (10). e0224380.

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Abstract

Background: Evidence shows that engaging consumers and clinicians in development of health services creates a more responsive, integrated service that better meets the needs of consumers and the community of practice it serves. Further, consumer and clinician participation in service development processes can boost confidence and motivation levels in organisational employees and help foster clinical accountability.

Objective: To see where consumers’ care experiences could be improved by better understanding where care coordination organisational systems needed improvement.

Methods: Experienced based co-design informed an investigation of consumer and clinician experiences of a care coordination service and involved the sharing of those experiences across service employees in a series of iterative and feedback loops over eighteen months (July 2012 January 2014). Formal participants included care coordination clinicians (n=13) and consumers. Data from formal participants were collected during September-December 2012, consisting of consumer video-recorded and clinician audio-recorded interviews. Interview transcriptions were analysed to identify service “touch points”, being emotionally significant events related to key service aspects that connect or disconnect consumers and/or clinicians.

Results: Results revealed that consumers highly valued the transdisciplinary skill base of the care coordination workforce, though service improvements were needed for transition support, quality discharge planning and conveying better understandings of care coordination activity both internally and externally.

Conclusion: Incorporating consumer and clinician view-points about their experiences, including the production of a DVD, facilitated conversations across the entire service about care coordination provision and provided a catalyst for design improvement that may otherwise have been difficult to achieve. Some changes to the service were made such as improved client complaints processes, new roles for the care coordination service, and enlisting clinical staff to undertake motivational interviewing training to promote greater consumer self-management capacity. In this study, the user experience was given a platform within a larger healthcare workforce capability development project.

Item ID: 60980
Item Type: Article (Research - C1)
ISSN: 1932-6203
Keywords: experienced based co-design, chronic and complex conditions, care coordination, healthcare workforce
Copyright Information: ©2019 Heslop et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funders: Health Workforce Australia (HWA), Victoria University
Date Deposited: 18 Nov 2019 01:57
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111708 Health and Community Services @ 100%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920299 Health and Support Services not elsewhere classified @ 100%
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