scholarly journals Sharing a written medical summary with patients on the post‐admission ward round: A qualitative study of clinician and patient experience

2021 ◽  
Author(s):  
Anna L. Crucefix ◽  
Aaron P. L. Fleming ◽  
Caroline S. Lebus ◽  
Anne‐Marie Slowther ◽  
Zoë Fritz
Keyword(s):  
Qualitative Study ◽  
Patient Experience ◽  
Ward Round ◽  
Admission Ward

PATIENTS’ JOURNEY THROUGH INFLAMMATORY BOWEL DISEASE (IBD): A QUALITATIVE STUDY

2021 ◽  
Vol 27 (Supplement_1) ◽  
pp. S53-S54
Author(s):  
Tina Aswani Omprakash ◽  
Norelle Reilly ◽  
Jan Bhagwakar ◽  
Jeanette Carrell ◽  
Kristina Woodburn ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Qualitative Study ◽  
Patient Experience ◽  
Bowel Disease ◽  
Quality Care ◽  
Diagnostic Testing ◽  
Healthcare Providers ◽  
Indeterminate Colitis ◽  
Patient Journey ◽  
Inflammatory Bowel

Abstract Background Inflammatory bowel disease (IBD) is a debilitating intestinal condition, manifesting as Crohn’s disease (CD), ulcerative colitis (UC) or indeterminate colitis (IC). The patient experience is impacted by a lack of awareness from other stakeholders despite growing global disease prevalence. To gain deeper insight of the patient experience, promote quality care, and enhance quality of life, we performed a qualitative study of the patient journey starting from pre-diagnosis through treatment. Methods U.S. patients with IBD were recruited via UC/CD support groups and organizations, social media platforms, blog followers, and personal networks. Participants were screened via an emailed survey and asked to self-identify as medically diagnosed on the basis of reported diagnostic testing. Interviews were conducted by qualitative researchers by phone or web conferencing. Open-ended questions were developed to support and gather information about our learning objectives—primarily, our desire to understand the unique experiences of UC/CD patients in their journey from symptom onset through diagnosis, treatment and maintenance (e.g. “Upon diagnosis, what were your immediate thoughts about the condition?”). This qualitative data were analyzed using Human-Centered Design methodology, including patient typologies (personas), forced temporal zoom (journey maps), forced semantic zoom (stakeholder system mapping), and affinity mapping for pattern recognition of unmet needs. Results A total of 32 patients were interviewed: N=17 CD patients, N=13 UC patients and N=2 IC patients. The interviewed population reflected regional, demographic, and disease-related diversity (Table 1). Five unique, mutually exclusive journeys were identified to understand and classify patient experiences: (1) Journey of Independence, (2) Journey of Acceptance, (3) Journey of Recognition, (4) Journey of Passion and (5) Journey of Determination (Figure 1). Patients with IBD expressed a need for increased awareness, education, and training for providers to shorten the path to diagnosis. Mental health support was found to be a critical gap in care, particularly for major treatment decisions (e.g., surgery). The inclusion of emotional support into the treatment paradigm was perceived as essential to long-term wellness. Patient attitudes and self-advocacy varied on their individual journeys; understanding these journeys may accelerate time to diagnosis and treatment. Conclusion Better understanding of patient journeys can help healthcare providers improve their approach to patient care and coordination.

scholarly journals Quitting the quitline: a qualitative study of patient experience of electronic referrals to quitlines

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Elizabeth L. Albert ◽  
Jeanmarie C. Rose ◽  
India J. Gill ◽  
Susan A. Flocke
Keyword(s):  
Qualitative Study ◽  
Patient Experience ◽  
Electronic Referrals

scholarly journals Capturing patient experience: a qualitative study of implementing real-time feedback in primary care

2016 ◽  
Vol 66 (652) ◽  
pp. e786-e793 ◽  
Author(s):  
Mary Carter ◽  
Antoinette Davey ◽  
Christine Wright ◽  
Natasha Elmore ◽  
Jenny Newbould ◽  
...  
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Real Time ◽  
Patient Experience

Description and Evaluation of a Short-Stay Admission Ward

1980 ◽  
Vol 136 (3) ◽  
pp. 205-215 ◽  
Author(s):  
Peter Kennedy ◽  
Fiona Hird
Keyword(s):  
General Practitioners ◽  
Patient Experience ◽  
Readmission Rate ◽  
Psychiatric Ward ◽  
Short Stay ◽  
Admission Ward ◽  
Clinical Methods ◽  
The Family ◽  
Acute Psychiatric Ward ◽  
One Year

SummaryDuration of stay for unselected admissions to an acute psychiatric ward was reduced to an average of 11 days. The clinical methods by which this was achieved are described. Comparing patients randomly allocated to this experimental ward and other admission wards: (i) the readmission rate to the experimental ward was higher but readmissions were briefer so that total in-patient experience per patient over the course of one year remained substantially lower; (ii) symptom levels and burden on the family had improved equally at three weeks and at four months after discharge; (iii) experimental ward patients made fewer demands on their general practitioners and reported fewer parasuicides. Beds can be released for other purposes in this way.

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