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Patient focus groups about nurse-led shared care for the chronically ill
Irmgard M J G Eijkelberg1, Ingrid M Mur-Veeman, Cor Spreeuwenberg
1Department of Health Organisation, Policy and Economics, Faculty of Health Sciences, University of Maastricht, Maastricht, The Netherlands. i.eijkelberg@beoz.unimaas.nl
Patient Education and Counseling
|July 24, 2002
Summary
Nurse-led shared care models for diabetes mellitus type 2 and chronic obstructive pulmonary disease (COPD) are preferred by patients over traditional care. Patients found shared care positive, but information provision requires improvement.
Area of Science:
- Healthcare Management
- Nursing Practice
- Chronic Disease Management
Background:
- Traditional care models often fail to meet the complex needs of chronically ill patients, particularly in coordinating primary and secondary care.
- Gaps in care continuity can negatively impact patient outcomes and satisfaction.
Purpose of the Study:
- To evaluate patient perceptions of nurse-led shared care models for chronic conditions.
- To identify key quality aspects important to patients within these models.
- To compare patient experiences with nurse-led shared care versus traditional care.
Main Methods:
- Qualitative study utilizing joint patient focus groups.
- Patients with diabetes mellitus type 2 and chronic obstructive pulmonary disease (COPD) participated.
- Focus groups assessed experiences and quality priorities within two nurse-led shared care models.
Main Results:
- Most patients reported positive experiences with nurse-led shared care models.
- Patients generally preferred shared care models over traditional care approaches.
- Information provision was identified as a critical quality aspect, though its current delivery needs enhancement.
Conclusions:
- Nurse-led shared care models show promise in improving chronic disease management from a patient perspective.
- Patient focus groups are a valuable method for evaluating shared care, ideally complemented by quantitative data.
- Improving information dissemination within shared care is crucial for maximizing patient satisfaction and care quality.