Understanding experiences of patients and family caregivers in the mayo clinic care transitions program: A qualitative study

Paul Y Takahashi, Dawn M. Finnie, Stephanie M. Quigg, Lynn S. Borkenhagen, Ashok Kumbamu, Ashley K. Kimeu, Joan Griffin

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Care transitions programs are increasingly used to improve care and reduce re-admission of patients after hospitalization. To learn from the experience of patients who have participated in the Mayo Clinic Care Transitions (MCCT) program and to understand the patient experience, we sought perspectives of patients, caregivers, and providers who worked with participants of the MCCT program. Methods: Investigators interviewed 17 patients and nine of their caregivers about their experience with the MCCT program. Eight health care providers described provider experiences with the MCCT program. Data from semistructured interviews were audio recorded, transcribed, and evaluated through content analysis. Inductive coding methods were used to elicit themes about patient experience with the MCCT program. Results: Patients, caregivers, and providers emphasized that the MCCT program prevented hospitalizations and contributed to the health and quality of life of participants. All three stake-holder groups emphasized the value of the home visit and provision of the visit on a patient’s “home turf” as central to the program. Patients appreciated speaking to a provider without the stress and exertion of a trip to the clinic. Caregivers appreciated improved communication provided in the home visit and felt that home visits gave them peace of mind. Patients, caregivers, and providers also identified the need for improved phone triage and communication. Conclusion: Patients, caregivers, and providers acknowledged the care transitions problem and emphasized the benefits of seeing patients on their home turf rather than in an office visit. This qualitative study of patient, caregiver, and provider experiences further validates the importance of the MCCT program.

Original languageEnglish (US)
Pages (from-to)17-25
Number of pages9
JournalClinical Interventions in Aging
Volume14
DOIs
StatePublished - Jan 1 2019

Fingerprint

Patient Transfer
Caregivers
House Calls
Hospitalization
Communication
Office Visits
Triage
Patient Admission
Health Personnel

Keywords

  • Geriatrics
  • Home care
  • Hospitalization
  • Nurse practitioner
  • Program evaluation

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Understanding experiences of patients and family caregivers in the mayo clinic care transitions program : A qualitative study. / Takahashi, Paul Y; Finnie, Dawn M.; Quigg, Stephanie M.; Borkenhagen, Lynn S.; Kumbamu, Ashok; Kimeu, Ashley K.; Griffin, Joan.

In: Clinical Interventions in Aging, Vol. 14, 01.01.2019, p. 17-25.

Research output: Contribution to journalArticle

Takahashi, Paul Y ; Finnie, Dawn M. ; Quigg, Stephanie M. ; Borkenhagen, Lynn S. ; Kumbamu, Ashok ; Kimeu, Ashley K. ; Griffin, Joan. / Understanding experiences of patients and family caregivers in the mayo clinic care transitions program : A qualitative study. In: Clinical Interventions in Aging. 2019 ; Vol. 14. pp. 17-25.
@article{aa6b9114cb414e898660decbbf51aa8a,
title = "Understanding experiences of patients and family caregivers in the mayo clinic care transitions program: A qualitative study",
abstract = "Background: Care transitions programs are increasingly used to improve care and reduce re-admission of patients after hospitalization. To learn from the experience of patients who have participated in the Mayo Clinic Care Transitions (MCCT) program and to understand the patient experience, we sought perspectives of patients, caregivers, and providers who worked with participants of the MCCT program. Methods: Investigators interviewed 17 patients and nine of their caregivers about their experience with the MCCT program. Eight health care providers described provider experiences with the MCCT program. Data from semistructured interviews were audio recorded, transcribed, and evaluated through content analysis. Inductive coding methods were used to elicit themes about patient experience with the MCCT program. Results: Patients, caregivers, and providers emphasized that the MCCT program prevented hospitalizations and contributed to the health and quality of life of participants. All three stake-holder groups emphasized the value of the home visit and provision of the visit on a patient’s “home turf” as central to the program. Patients appreciated speaking to a provider without the stress and exertion of a trip to the clinic. Caregivers appreciated improved communication provided in the home visit and felt that home visits gave them peace of mind. Patients, caregivers, and providers also identified the need for improved phone triage and communication. Conclusion: Patients, caregivers, and providers acknowledged the care transitions problem and emphasized the benefits of seeing patients on their home turf rather than in an office visit. This qualitative study of patient, caregiver, and provider experiences further validates the importance of the MCCT program.",
keywords = "Geriatrics, Home care, Hospitalization, Nurse practitioner, Program evaluation",
author = "Takahashi, {Paul Y} and Finnie, {Dawn M.} and Quigg, {Stephanie M.} and Borkenhagen, {Lynn S.} and Ashok Kumbamu and Kimeu, {Ashley K.} and Joan Griffin",
year = "2019",
month = "1",
day = "1",
doi = "10.2147/CIA.S183893",
language = "English (US)",
volume = "14",
pages = "17--25",
journal = "Clinical Interventions in Aging",
issn = "1176-9092",
publisher = "Dove Medical Press Ltd.",

}

TY - JOUR

T1 - Understanding experiences of patients and family caregivers in the mayo clinic care transitions program

T2 - A qualitative study

AU - Takahashi, Paul Y

AU - Finnie, Dawn M.

AU - Quigg, Stephanie M.

AU - Borkenhagen, Lynn S.

AU - Kumbamu, Ashok

AU - Kimeu, Ashley K.

AU - Griffin, Joan

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: Care transitions programs are increasingly used to improve care and reduce re-admission of patients after hospitalization. To learn from the experience of patients who have participated in the Mayo Clinic Care Transitions (MCCT) program and to understand the patient experience, we sought perspectives of patients, caregivers, and providers who worked with participants of the MCCT program. Methods: Investigators interviewed 17 patients and nine of their caregivers about their experience with the MCCT program. Eight health care providers described provider experiences with the MCCT program. Data from semistructured interviews were audio recorded, transcribed, and evaluated through content analysis. Inductive coding methods were used to elicit themes about patient experience with the MCCT program. Results: Patients, caregivers, and providers emphasized that the MCCT program prevented hospitalizations and contributed to the health and quality of life of participants. All three stake-holder groups emphasized the value of the home visit and provision of the visit on a patient’s “home turf” as central to the program. Patients appreciated speaking to a provider without the stress and exertion of a trip to the clinic. Caregivers appreciated improved communication provided in the home visit and felt that home visits gave them peace of mind. Patients, caregivers, and providers also identified the need for improved phone triage and communication. Conclusion: Patients, caregivers, and providers acknowledged the care transitions problem and emphasized the benefits of seeing patients on their home turf rather than in an office visit. This qualitative study of patient, caregiver, and provider experiences further validates the importance of the MCCT program.

AB - Background: Care transitions programs are increasingly used to improve care and reduce re-admission of patients after hospitalization. To learn from the experience of patients who have participated in the Mayo Clinic Care Transitions (MCCT) program and to understand the patient experience, we sought perspectives of patients, caregivers, and providers who worked with participants of the MCCT program. Methods: Investigators interviewed 17 patients and nine of their caregivers about their experience with the MCCT program. Eight health care providers described provider experiences with the MCCT program. Data from semistructured interviews were audio recorded, transcribed, and evaluated through content analysis. Inductive coding methods were used to elicit themes about patient experience with the MCCT program. Results: Patients, caregivers, and providers emphasized that the MCCT program prevented hospitalizations and contributed to the health and quality of life of participants. All three stake-holder groups emphasized the value of the home visit and provision of the visit on a patient’s “home turf” as central to the program. Patients appreciated speaking to a provider without the stress and exertion of a trip to the clinic. Caregivers appreciated improved communication provided in the home visit and felt that home visits gave them peace of mind. Patients, caregivers, and providers also identified the need for improved phone triage and communication. Conclusion: Patients, caregivers, and providers acknowledged the care transitions problem and emphasized the benefits of seeing patients on their home turf rather than in an office visit. This qualitative study of patient, caregiver, and provider experiences further validates the importance of the MCCT program.

KW - Geriatrics

KW - Home care

KW - Hospitalization

KW - Nurse practitioner

KW - Program evaluation

UR - http://www.scopus.com/inward/record.url?scp=85059225917&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85059225917&partnerID=8YFLogxK

U2 - 10.2147/CIA.S183893

DO - 10.2147/CIA.S183893

M3 - Article

C2 - 30587950

AN - SCOPUS:85059225917

VL - 14

SP - 17

EP - 25

JO - Clinical Interventions in Aging

JF - Clinical Interventions in Aging

SN - 1176-9092

ER -