OPEN ARCH integrated care model: experiences of older Australians and their carers

Quigley, Rachel, Russell, Sarah, Harvey, Desley, and Mann, Jennifer (2021) OPEN ARCH integrated care model: experiences of older Australians and their carers. Australian Journal of Primary Health. (In Press)

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Abstract

There is worldwide recognition of the need to redesign health service delivery with a focus on strengthening primary health care and aligning health and social care through integrated models. A defining feature of integrated models is improved patient and carer experience of care. This study explored the experiences of older people and their carers enrolled in a unique model of integrated care that provides a specialist geriatric intervention in the primary care setting for older adults with complex needs in Far North Queensland. A qualitative exploratory descriptive design using semistructured interviews was used to address the study aims. Seventeen older people and nine carers took part in the study. Data were analysed inductively, guided by the principles of thematic analysis. Three themes emerged: getting by; achieving positive change; and improving and maintaining the OPEN ARCH (Older Persons ENablement And Rehabilitation for Complex Health conditions) approach. The findings indicate that enablement models of integration can be successful in activating positive change towards independence for the older person with complex needs. Understanding patients' and carers’ experiences is essential to comprehensive service evaluation.

Item ID: 67047
Item Type: Article (Research - C1)
ISSN: 1836-7399
Keywords: case management, complex care, integrated care, older adults, primary care.
Copyright Information: (C) La Trobe University 2021
Date Deposited: 21 Jun 2021 02:00
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420301 Aged health care @ 50%
42 HEALTH SCIENCES > 4208 Traditional, complementary and integrative medicine > 420899 Traditional, complementary and integrative medicine not elsewhere classified @ 50%
SEO Codes: 20 HEALTH > 2002 Evaluation of health and support services > 200206 Health system performance (incl. effectiveness of programs) @ 50%
20 HEALTH > 2005 Specific population health (excl. Indigenous health) > 200503 Health related to specific ethnic groups @ 50%
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