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Enhancing healthcare at home for older people in rural and regional Australia: A protocol for co-creation to design and implement system change
journal contribution
posted on 2023-10-06, 03:59 authored by Cindy NeedhamCindy Needham, N Wheaton, A Wong Shee, Kevin Mc NamaraKevin Mc Namara, Mary MalakellisMary Malakellis, M Murray, Laura AlstonLaura Alston, Anna PeetersAnna Peeters, Anna UgaldeAnna Ugalde, C Huggins, S Yoong, Steven AllenderSteven AllenderBackground
World-wide, health service providers are moving towards innovative models of clinical home-based care services as a key strategy to improve equity of access and quality of care. To optimise existing and new clinical home-based care programs, evidence informed approaches are needed that consider the complexity of the health care system across different contexts.
Methods
We present a protocol for working with health services and their partners to perform rapid identification, prioritisation, and co-design of content-appropriate strategies to optimise the delivery of healthcare at home for older people in rural and regional areas. The protocol combines Systems Thinking and Implementation Science using a Consensus Mapping and Co-design (CMC) process delivered over five workshops.
Discussion
The protocol will be implemented with rural and regional healthcare providers to identify digital and non-digital solutions that have the potential to inform models of service delivery, improve patient experience, and optimise health outcomes. The combination of system and implementation science is a unique approach for optimising healthcare at home for older populations, especially in the rural context where need is high. This is the first protocol to integrate the use of systems and implementation science into one process and articulating these methods will help with replicating this in future practice. Results of the design phase will translate into practice through standard health service planning methods to enhance implementation and sustainability. The delivery of the protocol will include building capacity of health service workers to embed the design, implementation, and evaluation approach into normal practice. This protocol forms part of the DELIVER (Delivering Enhanced heaLthcare at home through optImising Virtual tools for oldEr people in Rural and regional Australia) Project. Funded by Australia’s Medical Research Future Fund, DELIVER involves a collaboration with public health services of Western Victoria, Australia.
History
Journal
PLoS OneVolume
18Article number
e0290386Pagination
1-19Location
San Francisco, Calif.Publisher DOI
ISSN
1932-6203eISSN
1932-6203Language
engPublication classification
C1 Refereed article in a scholarly journalEditor/Contributor(s)
Ali RIssue
9Publisher
Public Library of ScienceUsage metrics
Categories
Keywords
AgedBiomedical ResearchConsensusHealth FacilitiesHealth WorkforceHumansVictoriaRural HealthHealth ServicesClinical Research8 Health and social care services research8.1 Organisation and delivery of services7 Management of diseases and conditions7.1 Individual care needsGeneric health relevance3 Good Health and Well Being
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