The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study

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Hovlin, LinaJönköping University,Högskolan i Skövde,Institutionen för hälsovetenskaper,Forskningsmiljön hälsa, hållbarhet och digitalisering,School of Health and Welfare, Jönköping University, Sweden,Välbefinnande vid långvariga hälsoproblem (WeLHP), Wellbeing in Long-term Health Problems,HHJ. ARN-J (Aging Research Network - Jönköping),School of Health Sciences, University of Skövde, Skövde, Sweden (author)

The role of the home health care physician in mobile integrated care : a qualitative phenomenograpic study

Article/chapterEnglish2022

Publisher, publication year, extent ...

2022-07-04
BioMed Central (BMC),2022
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:his-21625
https://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-21625URI
https://doi.org/10.1186/s12877-022-03211-3DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-58045URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:150153909URI

Supplementary language notes

Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

CC BY 4.0© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1. 0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.© 2022 BioMed Central Ltd unless otherwise stated. Part of Springer Nature. Correspondence: lina.hovlin@his.seThe project was approved by the Swedish Ethical Review Authority (Dnr 1020-17; 2019–02563; 2020–04324), and conducted according to the ethical guidelines of the Declaration of Helsinki. All participants received written and oral information about what the data would be used for and gave informed consent.
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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Geriatrik hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Geriatrics hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Annan hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Other Health Sciences hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Annan medicin och hälsovetenskap Gerontologi, medicinsk/hälsovetenskaplig inriktning hsv//swe
MEDICAL AND HEALTH SCIENCES Other Medical and Health Sciences Gerontology, specialising in Medical and Health Sciences hsv//eng
aged
article
controlled study
decision making
full time employment
health care personnel
health care quality
home care
human
job satisfaction
medical decision making
medical record
organization
patient autonomy
perception
physician
professional knowledge
qualitative research
semi structured interview
Home health care
Home health care physician
Integrated care
Municipality care
Person-centered care
Phenomenography
Qualitative
Välbefinnande vid långvariga hälsoproblem (WeLHP)
Wellbeing in long-term health problems (WeLHP)

Added entries (persons, corporate bodies, meetings, titles ...)

Hallgren, Jenny,1978-Högskolan i Skövde,Institutionen för hälsovetenskaper,Forskningsmiljön hälsa, hållbarhet och digitalisering,Välbefinnande vid långvariga hälsoproblem (WeLHP), Wellbeing in Long-term Health Problems,School of Health Sciences, University of Skövde, Skövde, Sweden(Swepub:his)halj (author)
Dahl Aslan, Anna K.,1975-Jönköping University,Högskolan i Skövde,Institutionen för hälsovetenskaper,Forskningsmiljön hälsa, hållbarhet och digitalisering,School of Health and Welfare, Jönköping University, Sweden ; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden,Välbefinnande vid långvariga hälsoproblem (WeLHP), Wellbeing in Long-term Health Problems,HHJ, Institutet för gerontologi,HHJ. ARN-J (Aging Research Network - Jönköping),School of Health Sciences, University of Skövde, Skövde, Sweden; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden(Swepub:hj)daan (author)
Gillsjö, Catharina,Senior Lecturer,1963-Högskolan i Skövde,Institutionen för hälsovetenskaper,Forskningsmiljön hälsa, hållbarhet och digitalisering,School of Health Sciences, University of Skövde, Skövde, Sweden; College of Nursing, University of Rhode Island, Kingston, RI, USA,Välbefinnande vid långvariga hälsoproblem (WeLHP), Wellbeing in Long-term Health Problems(Swepub:his)gila (author)
Högskolan i SkövdeInstitutionen för hälsovetenskaper (creator_code:org_t)

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