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Improving continuity of care for frequent users of emergency departments: service user and provider perspectives
- Source :
- General hospital psychiatry. 40
- Publication Year :
- 2015
-
Abstract
- Objective This study explored service user and provider perspectives on barriers and facilitators of continuity of care for frequent users of emergency departments (ED) participating in a brief intensive case management intervention. Method We conducted semistructured interviews with 20 frequent ED users with mental health and addiction challenges participating in a brief intensive case management intervention, eliciting experiences of care and care continuity. We interviewed 13 service providers working with this population. We used thematic analysis to determine shared and unique barriers and facilitators to continuity of care, and we gave priority to themes reported by both service users and providers. Results Within fragmented systems of care, strong working relationships between service users and providers, timely access to coordinated services and seamless transitions to needed supports increased perceived care continuity. Barriers to continuity of care included difficulties engaging this population, short intervention duration and the lack of a single accountable service provider to address health and social needs. Conclusion Although brief intensive case management interventions have the potential to improve continuity of care for frequent ED users, continuity of care, especially for people with complex health and social needs, may be compromised by program and personal characteristics as well as lack of broader system integration.
- Subjects :
- Adult
Male
Population
Psychological intervention
Health Services Accessibility
03 medical and health sciences
0302 clinical medicine
Nursing
Intervention (counseling)
Medicine
Humans
030212 general & internal medicine
Intervention Duration
education
Qualitative Research
education.field_of_study
business.industry
Mental Disorders
Service provider
Continuity of Patient Care
Middle Aged
Mental illness
medicine.disease
Mental health
Quality Improvement
030227 psychiatry
Psychiatry and Mental health
Female
Thematic analysis
business
Emergency Service, Hospital
Case Management
Subjects
Details
- ISSN :
- 18737714
- Volume :
- 40
- Database :
- OpenAIRE
- Journal :
- General hospital psychiatry
- Accession number :
- edsair.doi.dedup.....bf145d93f676356d3b35ec4436c29011