Introduction
There is a gap in the literature about how person- centred care (PCC) is reflected in the patient experience within multidisciplinary team (MDT) care.The aim was to capture the views of the patients and clinicians thus to create enhance patient engagement and produce workable solutions to support healthy relationships between patients and clinicians so improving health outcomes in chronic and complex disease management
Methods
Exploratory qualitative design with semi-structured question with focus group discussions and interviews in 3 clinical areas which included Geriatric, Rehabilitation and Chronic Pain Services Participant numbers were patients (13 ) and clinicians (7 ).Thematic analysis of the data with reference to domains of person centred care was completed
Major Findings
Continuous Planning and Treatment Clinicians partnered with patients during their journey to give treatment choices and enhance autonomy
Emotional Support including social aspect of care. Patients valued the ongoing warm and compassionate relationship with the team which was vital for their successful treatment
Experiential Learning and Empowerment (for patients). Group learning using socialisation facilitated self management of chronic health issues
Summary
A variety of enhancements to the services were recommended including - Reflective ‘Schwartz’ or narrative groups to support clinicians to continue to provide emotional engagement with patients addressing issues of burnout and self-care
Review of service gaps in services in chronic and complex care to provide more social orientated group treatments
Research projects to explore the patient experience with the presence of the patient and family in MDT case conference