Department of Public Health, University of Stavanger, Postbox 8600 FORUS, 4036, Stavanger, Norway.
University of Stavanger, Stavanger Business School, Postbox 8600 FORUS, 4036, Stavanger, Norway.
BMC Health Serv Res. 2024 May 16;24(1):633. doi: 10.1186/s12913-024-10999-w.
Care coordination is crucial to ensure the health of individuals with serious mental illness. The aim of this study was to describe and analyze an inclusive innovation process for coordinating municipal health and care services for individuals with serious mental illness.
We conducted café dialogues with professionals and service users with serious mental illness. The café dialogues engaged participants in conversation and knowledge exchange about care coordination, adressing topics of efficiency, challenges, and improvement. We used a responsible innovation framework to analyze the innovation process.
Responsible coordination requires promoting service users' health and ensuring communication and mutual awareness between professionals. Individual-level factors supporting responsible coordination included service users knowing their assigned professionals, personalized healthcare services, and access to meaningful activities. Provider-level factors included effective coordination routines, communication, information exchange, and professional familiarity. Results reflect professionals' and service users' perspectives on efficient care coordination, existing challenges, and measures to improve care coordination.
Café dialogues are an inclusive, participatory method that can produce insights into the responsible coordination of municipal health and care services for individuals with serious mental illness. The responsible innovation framework is helpful in identifying care coordination challenges and measures for responsible coordination.
对于确保严重精神疾病患者的健康而言，护理协调至关重要。本研究旨在描述和分析一种协调严重精神疾病患者的市立卫生和护理服务的包容性创新过程。
我们与严重精神疾病患者的专业人员和服务使用者进行了咖啡对话。咖啡对话让参与者就护理协调进行对话和知识交流，讨论效率、挑战和改进的话题。我们使用负责任的创新框架来分析创新过程。
负责任的协调需要促进服务使用者的健康，并确保专业人员之间的沟通和相互了解。支持负责任协调的个体层面因素包括服务使用者了解他们指定的专业人员、个性化的医疗保健服务以及获得有意义的活动的机会。提供者层面的因素包括有效的协调常规、沟通、信息交流和专业熟悉度。结果反映了专业人员和服务使用者对高效护理协调、现有挑战以及改善护理协调措施的看法。
咖啡对话是一种包容性、参与性的方法，可以深入了解严重精神疾病患者的市立卫生和护理服务的负责任协调。负责任的创新框架有助于确定护理协调挑战和负责任协调的措施。
