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ABSTRACT: Background
Patients with multimorbidity must bear not just the burden of their illness, but also the burden of treatment which is, in part, induced by their interactions with the healthcare system. The need to shuttle between different healthcare institutions and multiple healthcare providers can make navigating the healthcare system challenging, and this may be even more so for older patients with limited resources and support.Objectives
Few qualitative studies have explored the experiences of patients with multimorbidity in navigating the healthcare system. This study will explore the experiences of older patients with multimorbidity and their caregivers as they navigate through the healthcare system. We aim to arrive at a better understanding of patient experiences of possible gaps in the continuity of care and how the current system can be modified and adapted to better address the needs of older patients with multimorbidity.Method
Semi-structured, in-depth interviews will be conducted with purposively sampled older patients with multimorbidity, aged 60 and above seen in primary care, together with their caregivers. Interviews will be transcribed verbatim and analysed by the study team using inductive thematic analysis.Conclusions
Our study seeks to explore the navigational experiences within the healthcare system for older patients with multimorbidity in an Asian, multi-ethnic society. The findings will be shared with decision-makers in the healthcare setting in order to improve patient care for this population and ultimately maximise their positive health outcomes, and will add to better understanding how the burden of treatment arising from navigational challenges within the healthcare system may be reduced for older patients with multimorbidity.
SUBMITTER: Lee ES
PROVIDER: S-EPMC7783878 | biostudies-literature | 2020 Jan-Dec
REPOSITORIES: biostudies-literature
Lee Eng Sing ES Muthulingam Gayathri G Chew Evelyn Ai Ling EAL Lee Poay Sian Sabrina PSS Koh Hui Li HL Quak Stephanie Xin En SXE Ding Yew Yoong YY Subramaniam Mythily M Vaingankar Janhavi Ajit JA
Journal of comorbidity 20200101
<h4>Background</h4>Patients with multimorbidity must bear not just the burden of their illness, but also the burden of treatment which is, in part, induced by their interactions with the healthcare system. The need to shuttle between different healthcare institutions and multiple healthcare providers can make navigating the healthcare system challenging, and this may be even more so for older patients with limited resources and support.<h4>Objectives</h4>Few qualitative studies have explored the ...[more]