Consumer and provider perceptions of the specialist unit model of care : A qualitative study

Journal article


Long, Janet C., Carrigan, Ann, Roberts, Natalie, Clay-Williams, Robyn, Hibbert, D, Zurynski, Yvonne, Maka, Katherine, Loy, Graeme and Braithwaite, Jeffrey. (2024). Consumer and provider perceptions of the specialist unit model of care : A qualitative study. PLoS One. 19, pp. 1-16. https://doi.org/10.1371/journal.pone.0293025
AuthorsLong, Janet C., Carrigan, Ann, Roberts, Natalie, Clay-Williams, Robyn, Hibbert, D, Zurynski, Yvonne, Maka, Katherine, Loy, Graeme and Braithwaite, Jeffrey
Abstract

Background: Specialist care units cater to targeted cohorts of patients, applying evidence-based practice to people with a specific condition (e.g., dementia) or meeting other specific criteria (e.g., children). This paper aimed to collate perceptions of local consumers and health providers around specialist care units, as a model of care that may be considered for a new local healthcare facility.

Methods: This was a qualitative study using two-hour workshops and interviews to collect data. Participants were consumers and health providers in the planned facility’s catchment: 49 suburbs in metropolitan Australia. Consumers and health providers were recruited through advertisements and emails. An initial survey collected demographic details. Consumers and health providers participated in separate two-hour workshops in which a scenario around the specialist unit model was presented and discussion on benefits, barriers and enablers of the model was led by researchers. Detailed notes were taken for analysis.

Results: Five consumer workshops (n = 22 participants) and five health provider workshops (n = 42) were conducted. Participants were representative of this culturally diverse region. Factors identified by participants as relevant to the specialist unit model of care included: accessibility; a perceived narrow scope of practice; coordination with other services; resources and infrastructure; and awareness and expectations of the units. Some factors identified as risks or barriers when absent were identified as strengths and enablers when present by both groups of participants.

Conclusions: Positive views of the model centred on the higher perceived quality of care received in the units. Negative views centred on a perceived narrow scope of care and lack of flexibility. Consumers hinted, and providers stated explicitly, that the model needed to be complemented by an integrated model of care model to enable continuity of care and easy transfer of patients into and out of the specialist unit.

Keywordshealthcare providers; specialist care units; evidence-based practice; model of care; interview; healthcare design
Year01 Jan 2024
JournalPLoS One
Journal citation19, pp. 1-16
PublisherPublic Library of Science (PLoS)
ISSN1932-6203
Digital Object Identifier (DOI)https://doi.org/10.1371/journal.pone.0293025
Web address (URL)https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0293025
Open accessOpen access
Research or scholarlyResearch
Page range1-16
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online12 Feb 2023
Publication process dates
Accepted04 Oct 2023
Deposited17 Sep 2024
Additional information

© 2024 Long et al.

This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Place of publicationUnited States
Permalink -

https://acuresearchbank.acu.edu.au/item/90y9v/consumer-and-provider-perceptions-of-the-specialist-unit-model-of-care-a-qualitative-study

Download files


Publisher's version
OA_Carrigan_2024_Consumer_and_provider_perceptions_of_the.pdf
License: CC BY 4.0
File access level: Open

  • 8
    total views
  • 3
    total downloads
  • 1
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Strategies to improve care for older adults who present to the emergency department : A systematic review
Testa, Luke, Richardson, Lieke, Cheek, Colleen, Hensel, Theresa, Austin, Elizabeth E., Safi, Mariam, Ransolin, Natália, Carrigan, Ann, Long, Janet, Hutchinson, Karen, Goirand, Magali, Bierbaum, Mia, Bleckley, Felicity, Hibbert, Peter, Churruca, Kate and Clay-Williams, Robyn. (2024). Strategies to improve care for older adults who present to the emergency department : A systematic review. BMC Health Services Research. 24(1), pp. 1-35. https://doi.org/10.1186/s12913-024-10576-1
Birang Daruganora : what do Aboriginal and Torres Strait Islander communities need in a new hospital? A qualitative study
Austin, Elizabeth E., Carrigan, Ann, Holden, Narelle, Grigg, Shai, Maka, Katherine, Clay-Williams, Robyn, Hibbert, Peter, Loy, Graeme and Braithwaite, Jeffrey. (2024). Birang Daruganora : what do Aboriginal and Torres Strait Islander communities need in a new hospital? A qualitative study. BMJ Open. 14(5), pp. 1-11. https://doi.org/10.1136/bmjopen-2023-078658
Improving emergency department care for adults presenting with mental illness : a systematic review of strategies and their impact on outcomes, experience, and performance
Austin, Elizabeth E., Cheek, Colleen, Richardson, Lieke, Testa, Luke, Dominello, Amanda, Long, Janet C., Carrigan, Ann, Ellis, Louise A., Norman, Alicia, Murphy, Margaret, Smith, Kylie, Gillies, Donna and Clay-Williams, Robyn. (2024). Improving emergency department care for adults presenting with mental illness : a systematic review of strategies and their impact on outcomes, experience, and performance. Frontiers in Psychiatry. 15, pp. 1-14. https://doi.org/10.3389/fpsyt.2024.1368129
Strategies to Improve Care in the Emergency Department for Culturally and Linguistically Diverse Adults : a Systematic Review
Hayba, Nematullah, Cheek, Colleen, Austin, Elizabeth E., Testa, Luke, Richardson, Lieke, Safi, Mariam, Ransolin, Natália, Carrigan, Ann, Harrison, Reema, Francis-Auton, Emilie and Clay-Williams, Robyn. (2023). Strategies to Improve Care in the Emergency Department for Culturally and Linguistically Diverse Adults : a Systematic Review. Journal of Racial and Ethnic Health Disparities. pp. 1-21. https://doi.org/10.1007/s40615-023-01876-z
Transition models of care for type 1 diabetes : a systematic review
Zurynski, Yvonne, Carrigan, Ann, Meulenbroeks, Isabelle, Sarkies, Mitchell N., Dammery, Genevieve, Halim, Nicole, Lake, Rebecca, Davis, Elizabeth, Jones, Timothy W. and Braithwaite, Jeffrey. (2023). Transition models of care for type 1 diabetes : a systematic review. BMC Health Services Research. 23(1), pp. 1-15. https://doi.org/10.1186/s12913-023-09644-9
The journey to a learning health system in primary care : a qualitative case study utilising an embedded research approach
Dammery, Genevieve, Ellis, Louise A., Churruca, Kate, Mahadeva, Janani, Lopez, Francisco, Carrigan, Ann, Halim, Nicole, Willcock, Simon and Braithwaite, Jeffrey. (2023). The journey to a learning health system in primary care : a qualitative case study utilising an embedded research approach. BMC Primary Care. 24(22), pp. 1-10. https://doi.org/10.1186/s12875-022-01955-w
The diversity of providers’ and consumers’ views of virtual versus inpatient care provision : a qualitative study
Clay-Williams, Robyn, Hibbert, Peter, Carrigan, Ann, Roberts, Natalie, Austin, Elizabeth E., Pulido, Diana Fajardo, Meulenbroeks, Isabelle, Nguyen, Hoa Mi, Sarkies, Mitchell N., Hatem, Sarah, Maka, Katherine, Loy, Graeme and Braithwaite, Jeffrey. (2023). The diversity of providers’ and consumers’ views of virtual versus inpatient care provision : a qualitative study. BMC Health Services Research. 23(1), pp. 1-12. https://doi.org/10.1186/s12913-023-09715-x
Consumer and Provider Perspectives on Hospital in the Home : A Qualitative Study
Roberts, Natalie, Carrigan, Ann, Hibbert, Peter, Williams, Robyn-Clay, Austin, Elizabeth E., Pulido, Diana Fajardo, Meulenbroeks, Isabelle, Nguyen, Hoa Mi, Hatem, Sarah, Maka, Katherine, Loy, Graeme and Braithwaite, Jeffrey. (2023). Consumer and Provider Perspectives on Hospital in the Home : A Qualitative Study. Health & Social Care in the Community. 2023, pp. 1-11. https://doi.org/10.1155/2023/7105751
What do consumer and providers view as important for integrated care? A qualitative study
Carrigan, Ann, Roberts, Natalie, Clay-Williams, Robyn, Hibbert, Peter, Austin, Elizabeth E., Pulido, Diana Fajardo, Meulenbroeks, Isabelle, Nguyen, Hoa Mi, Sarkies, Mitchell N., Hatem, Sarah, Maka, Katherine, Loy, Graeme and Braithwaite, Jeffrey. (2023). What do consumer and providers view as important for integrated care? A qualitative study. BMC Health Services Research. 23(1), pp. 1-11. https://doi.org/10.1186/s12913-022-08997-x
Built to last? Barriers and facilitators of healthcare program sustainability : a systematic integrative review
Zurynski, Yvonne, Ludlow, Kristiana, Testa, Luke, Augustsson, Hanna, Herkes-Deane, Jessica, Hutchinson, Karen, Lamprell, Gina, McPherson, Elise, Carrigan, Ann, Ellis, Louise A., Dharmayani, Putu Novi Arfirsta, Smith, Carolynn L., Richardson, Lieke, Dammery, Genevieve, Singh, Nehal and Braithwaite, Jeffrey. (2023). Built to last? Barriers and facilitators of healthcare program sustainability : a systematic integrative review. Implementation Science. 18(1), pp. 1-21. https://doi.org/10.1186/s13012-023-01315-x
Birang Daruganora : A protocol for a qualitative study to elicit Aboriginal and Torres Strait Islander community views about cultural needs and experiences for a new Australian health facility
Carrigan, Ann, Austin, Elizabeth E., Clay-Williams, Robyn, Hibbert, Peter, Maka, Katherine, Holden, Narelle, Grigg, Shai, Loy, Graeme and Braithwaite, Jeffrey. (2023). Birang Daruganora : A protocol for a qualitative study to elicit Aboriginal and Torres Strait Islander community views about cultural needs and experiences for a new Australian health facility. BMJ Open. 13(4), pp. 1-6. https://doi.org/10.1136/bmjopen-2022-069951
Predictors of response rates of safety culture questionnaires in healthcare : a systematic review and analysis
Ellis, Louise A., Pomare, Chiara, Churruca, Kate, Carrigan, Ann, Meulenbroeks, Isabelle, Saba, Maree and Braithwaite, Jeffrey. (2022). Predictors of response rates of safety culture questionnaires in healthcare : a systematic review and analysis. BMJ Open. 12(9), pp. 1-7. https://doi.org/10.1136/bmjopen-2022-065320
The role of cue-based strategies in skilled diagnosis among pathologists
Carrigan, Ann J., Charlton, Amanda, Foucar, Elliott, Wiggins, Mark W., Georgiou, Andrew, Palmeri, Thomas J. and Curby, Kim M.. (2022). The role of cue-based strategies in skilled diagnosis among pathologists. Human Factors. 64(7), pp. 1154-1167. https://doi.org/10.1177/0018720821990160
Cue utilisation reduces the impact of response bias in histopathology
Carrigan, A. J., Charlton, A., Wiggins, M. W., Georgiou, A, Palmeri, T and Curby, K. M.. (2022). Cue utilisation reduces the impact of response bias in histopathology. Applied Ergonomics : Human factors in technology and society. 98, pp. 1-10. https://doi.org/10.1016/j.apergo.2021.103590
Innovative models of care for the health facility of the future : a protocol for a mixed-methods study to elicit consumer and provider views
Carrigan, Ann, Roberts, Natalie, Clay-Williams, Robyn, Hibbert, Peter, Pomare, Chiara, Mahmoud, Zeyad, Maka, Katherine, Mitchell, Rebecca, Zurynski, Yvonne, Long, Janet C., Rapport, Frances, Arnolda, Gaston, Loy, Graeme and Braithwaite, Jeffrey. (2022). Innovative models of care for the health facility of the future : a protocol for a mixed-methods study to elicit consumer and provider views. BMJ Open. 12(11), pp. 1-8. https://doi.org/10.1136/bmjopen-2021-059330
Mapping care provision for type 1 diabetes throughout Australia : A protocol for a mixed-method study
Carrigan, Ann, Lake, Rebecca, Zoungas, Sophia, Huynh, Tony, Couper, Jennifer, Davis, Elizabeth, Jones, Timothy W., Bloom, David, Braithwaite, Jeffrey and Zurynski, Yvonne. (2022). Mapping care provision for type 1 diabetes throughout Australia : A protocol for a mixed-method study. BMJ Open. 12(12), pp. 1-6. https://doi.org/10.1136/bmjopen-2022-067209
Spatial and time domain analysis of eye-tracking data during screening of brain magnetic resonance images
Suman, Abdulla Al, Russo, Carlo, Carrigan, Ann, Nalepka, Patrick, Liquet-Weiland, Benoit, Newport, Robert Ahadizad, Kumari, Poonam and Ieva, Antonio Di. (2021). Spatial and time domain analysis of eye-tracking data during screening of brain magnetic resonance images. PLoS One. 16, pp. 1-19. https://doi.org/10.1371/journal.pone.0260717
Static versus dynamic medical images : The role of cue utilization in diagnostic performance
Carrigan, Ann J., Stoodley, Paul, Ng, Kenny, Moerel, Denise and Wiggins, Mark W.. (2021). Static versus dynamic medical images : The role of cue utilization in diagnostic performance. Applied Cognitive Psychology. 35(5), pp. 1284-1296. https://doi.org/10.1002/acp.3861
Individual differences in echocardiography : Visual object recognition ability predicts cue utilization
Carrigan, Ann J., Stoodley, Paul, Fernandez, Fernando, Sunday, Mackenzie A. and Wiggins, Mark W.. (2020). Individual differences in echocardiography : Visual object recognition ability predicts cue utilization. Applied Cognitive Psychology. 34(6), pp. 1369-1378. https://doi.org/10.1002/acp.3711
Optimising the future of technology in organisations : A human factors perspective
Wiggins, Mark W., Auton, Jaime, Bayl-Smith, Piers and Carrigan, Ann. (2020). Optimising the future of technology in organisations : A human factors perspective. Australian Journal of Management. 45(3), pp. 449-467. https://doi.org/10.1177/0312896220918915
Finding cancer in mammograms : if you know it’s there, do you know where?
Carrigan, Ann, Wardle, Susan G. and Rich, Anina N.. (2018). Finding cancer in mammograms : if you know it’s there, do you know where? Cognitive Research: Principles and Implications. 3(10), pp. 1-14. https://doi.org/10.1186/s41235-018-0096-5