ArticleHealth expectations : an international journal of public participation in health care and health policy2017
'Who is on your health-care team?' Asking individuals with heart failure about care team membership and roles.
Article in Health expectations : an international journal of public participation in health care and health policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Decision-making and related outcomes of patients with complex care needs in primary care settings: a systematic literature review with a case-based qualitative synthesis.BMC primary care · 2022Pooled it
- Patients' Perspectives of Interprofessional Collaboration in Breast Cancer Unit.Healthcare (Basel, Switzerland) · 2023Article
- Interdisciplinary Health Care Evaluation Instruments: A Review of Psychometric Evidence.Evaluation & the health professions · 2022Review
- Networks of Care: A Social Network Perspective of Distributed Multidisciplinary Care for People With Inflammatory Arthritis.ACR open rheumatology · 2022Article
- Macro and meso level influences on distributed integrated COPD care delivery: a social network perspective.BMC health services research · 2021Article
- Article
- Appropriating and asserting power on inflammatory arthritis teams: A social network perspective.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- "I'd Have to Basically Be on My Deathbed": Heart Failure Patients' Perceptions of and Preferences for Palliative Care.Journal of palliative medicine · 2020Article
- Evidence of Inter-Professional and Multi-Professional Interventions for Geriatric Patients: A Systematic Review.International journal of integrated care · 2020Article
- Elderly patients' decision-making embedded in the social context: a mixed-method analysis of subjective norms and social support.BMC geriatrics · 2020Article
- Article
- How oncology teams can be patient-centred? opportunities for theoretical improvement through an empirical examination.Health expectations : an international journal of public participation in health care and health policy · 2019Article
- The different perspectives of patients, informal caregivers and professionals on patient involvement in primary care teams. A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2018Article
- Patients with heart failure and their partners with chronic illness: interdependence in multiple dimensions of time.Journal of multidisciplinary healthcare · 2018Article
- Pulling together and pulling apart: influences of convergence and divergence on distributed healthcare teams.Advances in health sciences education : theory and practice · 2017Article
- Beyond Simple Planning: Existential Dimensions of Conversations With Patients at Risk of Dying From Heart Failure.Journal of pain and symptom management · 2017Article
- Exploring Patient, Caregiver, and Healthcare Provider Perceptions of Caring for Patients With Heart Failure: What Are the Implications?Ochsner journal · 2017Article
- Collaboration and entanglement: An actor-network theory analysis of team-based intraprofessional care for patients with advanced heart failure.Social science & medicine (1982) · 2016Article
- Psychometrics of the Persian Version of the Team Assessment Questionnaire in Providing Care for Heart Failure Patients.Iranian journal of nursing and midwifery researchArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundComplex, chronically ill patients require interprofessional teams to address their multiple health needs; heart failure (HF) is an iconic example of this growing problem. While patients are the common denominator in interprofessional care teams, patients have not explicitly informed our understanding of team composition and function. Their perspectives are crucial for improving quality, patient-centred care.
objectivesTo explore how individuals with HF conceptualize their care team, and perceive team members' roles. SETTING AND
participantsIndividuals with advanced HF were recruited from five cities in three Canadian provinces.
designIndividuals were asked to identify their HF care team during semi-structured interviews. Team members' titles and roles, quotes pertaining to team composition and function, and frailty criteria were extracted and analysed using descriptive statistics and content analysis.
resultsA total of 62 individuals with HF identified 2-19 team members. Caregivers, nurses, family physicians and cardiologists were frequently identified; teams also included dentists, foot care specialists, drivers, housekeepers and spiritual advisors. Most individuals met frailty criteria and described participating in self-management. DISCUSSION: Individuals with HF perceived being active participants, not passive recipients, of care. They identified teams that were larger and more diverse than traditional biomedical conceptualizations. However, the nature and importance of team members' roles varied according to needs, relationships and context. Patients' degree of agency was negotiated within this context, causing multiple, sometimes conflicting, responses.
conclusionIgnoring the patient's role on the care team may contribute to fragmented care. However, understanding the team through the patient's lens - and collaborating meaningfully among identified team members - may improve health-care delivery.
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