Health‐care professionals' experiences of patient participation among older patients in intermediate care—At the intersection between profession, market and bureaucracy.

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  • Additional Information
    • Subject Terms:
    • Subject Terms:
    • Author-Supplied Keywords:
      empowerment
      geriatrics
      patient participation
      professional work
      quality of health care
      rehabilitation
    • Abstract:
      Background: Patient participation is a key concern in health care. Nevertheless, older patients often do not feel involved in their rehabilitation process. Research states that when organizational conditions exert pressure on the work situation, care as a mere technical activity seems to be prioritized by the health‐care staff, at the expense of patient involvement. Objective: The aim of this article is to explore how health‐care professionals experience patient participation in IC services, and explain how they perform their clinical work balancing between the patient's needs, available resources and regulatory constraints. Design: Using a framework of professional work and institutional logics, underpinned by critical realism, we conducted semi‐structured interviews with 18 health‐care professionals from three IC institutions. Results: IC appears as an important service in the patient pathway for older people with a great potential for patient participation. However, health care staff may experience constraints that prohibit them from using professional discretion, which is perceived as a threat to patient participation. Further, they may adopt routines that simplify their interactions with patients. Our results call for more emphasis on an individualized rehabilitation process and a recognition that psychological and social aspects are critical for patient participation in IC. Conclusion: Patients interact in the face of conflicting institutional priorities or protocols. The study adds important knowledge about the practice of patient participation in IC from a front‐line provider perspective. Underlying mechanisms are identified to understand and recommend how to facilitate patient participation at different levels in narrowing the gap between policy and clinical work in IC. [ABSTRACT FROM AUTHOR]
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    • Full Text Word Count:
      8123
    • ISSN:
      1369-6513
    • DOI:
      10.1111/hex.12896
    • Accession Number:
      139230902
  • Citations
    • ABNT:
      KVÆL, L. A. H. et al. Health‐care professionals’ experiences of patient participation among older patients in intermediate care—At the intersection between profession, market and bureaucracy. Health Expectations, [s. l.], v. 22, n. 5, p. 921–930, 2019. DOI 10.1111/hex.12896. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=c9h&AN=139230902. Acesso em: 10 dez. 2019.
    • AMA:
      Kvæl LAH, Debesay J, Bye A, Bergland A. Health‐care professionals’ experiences of patient participation among older patients in intermediate care—At the intersection between profession, market and bureaucracy. Health Expectations. 2019;22(5):921-930. doi:10.1111/hex.12896.
    • APA:
      Kvæl, L. A. H., Debesay, J., Bye, A., & Bergland, A. (2019). Health‐care professionals’ experiences of patient participation among older patients in intermediate care—At the intersection between profession, market and bureaucracy. Health Expectations, 22(5), 921–930. https://doi.org/10.1111/hex.12896
    • Chicago/Turabian: Author-Date:
      Kvæl, Linda Aimée Hartford, Jonas Debesay, Asta Bye, and Astrid Bergland. 2019. “Health‐care Professionals’ Experiences of Patient Participation among Older Patients in Intermediate Care—At the Intersection between Profession, Market and Bureaucracy.” Health Expectations 22 (5): 921–30. doi:10.1111/hex.12896.
    • Harvard:
      Kvæl, L. A. H. et al. (2019) ‘Health‐care professionals’ experiences of patient participation among older patients in intermediate care—At the intersection between profession, market and bureaucracy’, Health Expectations, 22(5), pp. 921–930. doi: 10.1111/hex.12896.
    • Harvard: Australian:
      Kvæl, LAH, Debesay, J, Bye, A & Bergland, A 2019, ‘Health‐care professionals’ experiences of patient participation among older patients in intermediate care—At the intersection between profession, market and bureaucracy’, Health Expectations, vol. 22, no. 5, pp. 921–930, viewed 10 December 2019, .
    • MLA:
      Kvæl, Linda Aimée Hartford, et al. “Health‐care Professionals’ Experiences of Patient Participation among Older Patients in Intermediate Care—At the Intersection between Profession, Market and Bureaucracy.” Health Expectations, vol. 22, no. 5, Oct. 2019, pp. 921–930. EBSCOhost, doi:10.1111/hex.12896.
    • Chicago/Turabian: Humanities:
      Kvæl, Linda Aimée Hartford, Jonas Debesay, Asta Bye, and Astrid Bergland. “Health‐care Professionals’ Experiences of Patient Participation among Older Patients in Intermediate Care—At the Intersection between Profession, Market and Bureaucracy.” Health Expectations 22, no. 5 (October 2019): 921–30. doi:10.1111/hex.12896.
    • Vancouver/ICMJE:
      Kvæl LAH, Debesay J, Bye A, Bergland A. Health‐care professionals’ experiences of patient participation among older patients in intermediate care—At the intersection between profession, market and bureaucracy. Health Expectations [Internet]. 2019 Oct [cited 2019 Dec 10];22(5):921–30. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=c9h&AN=139230902