Abstract

BackgroundThe number of people with multiple chronic conditions increases as a result of ageing. To deal with the complex health‐care needs of these patients, it is important that health‐care professionals collaborate in interprofessional teams. To deliver patient‐centred care, it is often recommended to include the patient as a member of the team.ObjectiveTo gain more insight into how health‐care professionals and patients, who are used to participate in interprofessional team meetings, experience and organize patient participation in the team meetings.MethodsA qualitative study including observations of meetings (n=8), followed by semi‐structured interviews with participating health‐care professionals (n=8), patients and/or relatives (n=11). Professionals and patients were asked about their experiences of patient participation immediately after the team meetings. Results from both observations and interviews were analysed using content analysis.ResultsThe findings show a variety of influencing factors related to patient participation that can be divided into five categories: (i) structure and task distribution, (ii) group composition, (iii) relationship between professionals and patients or relatives, (iv) patients’ characteristics and (v) the purpose of the meeting.ConclusionPatient participation during team meetings was appreciated by professionals and patients. A tailored approach to patient involvement during team meetings is preferable. When considering the presence of patients in team meetings, it is recommended to pay attention to patients’ willingness and ability to participate, and the necessary information shared before the meeting. Participating patients seem to appreciate support and preparation for the meeting.

Highlights

  • The number of people with multiple chronic conditions increases as a result of ageing

  • Chronic diseases are responsible for 60% of the global disease burden

  • The goal of this study was to gain more insight into how health-­care professionals and patients, who are used to participate in interprofessional team meetings, experience and organize patient participation in interprofessional team meetings

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Summary

Introduction

The number of people with multiple chronic conditions increases as a result of ageing. Professionals and patients were asked about their experiences of patient participation immediately after the team meetings Results from both observations and interviews were analysed using content analysis. Due to increased life expectancy, it can be expected that by the year 2020, 80% of the disease burden will be related to chronic diseases.[1] Patients often suffer from multiple chronic conditions at the same time, which make them vulnerable to suboptimal quality of care. They tend to use health services more often and.

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