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Chronic obstructive pulmonary disease mobile care: A participant-focussed and human rights-based evaluation

Artikel i vetenskaplig tidskrift
Författare Vania Ranjbar
Anna Hjalmarsson
Henry Ascher
Ann Ekberg-Jansson
Publicerad i Health Services Management Research
Volym 28
Nummer/häfte 3-4
Sidor 58-66
ISSN 0951-4848
Publiceringsår 2015
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition
Sidor 58-66
Språk en
Länkar dx.doi.org/10.1177/0951484815616829...
Ämnesord COPD, early supported discharge, hospital at home, qualitative research, human rights-based analysis, right to health
Ämneskategorier Folkhälsovetenskap

Sammanfattning

To reduce healthcare costs associated with chronic obstructive pulmonary disease (COPD) and vacate hospital beds without compromising patient satisfaction with healthcare, alternatives for hospital treatment have been developed; however, few studies have qualitatively investigated patients’ experiences of these alternatives. This study aimed, first, to explore patients’ experiences of Sweden’s first COPD mobile care programme through semi-structured interviews with twelve patients, and, second, to evaluate if a human rights-based analysis could provide additional information. Data were, first, analysed using latent content analysis, resulting in three themes: security (effective follow-up, positive encounters), availability (convenience), and suggestions for improvement (increased amount of personnel, longer enrolment period, continued follow-up upon discharge from the programme). Security and availability contributed to high acceptability of and satisfaction with the programme; COPD mobile care can, thus, constitute an acceptable alternative to inpatient care for COPD patients. Findings were then further analysed using the AAAQ framework (availability, accessibility, acceptability, and quality) to determine how the COPD mobile care programme corresponds to the Right to health. This human rights-based analysis enabled the uncovering of certain groups being excluded from the programme, thereby generating valuable information for improving the programme by ensuring equal access and care for all COPD patients

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