Exploring The Value Of Social Network 'Care Maps' In The Provision Of Long-Term Conditions Care

Jessica Young, Ursula Poole, Fardowsa Mohamed, Shona Jian,Martyn Williamson,Jim Ross,Chrystal Jaye,Peter Radue,Tony Egan

CHRONIC ILLNESS(2021)

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摘要
ObjectivesThere is renewed attention to the role of social networks as part of person-centred long-term conditions care. We sought to explore the benefits of 'care maps' - a patient-identified social network map of their care community - for health professionals in providing person-centred care.MethodsWe piloted care maps with 39 patients with long-term conditions in three urban and one rural general practice and two hospital wards. We interviewed the health professionals (n = 39) of these patients about what value, if any, care maps added to patient care. We analysed health professional interview data using thematic analysis to identify common themes.ResultsHealth professionals all said they learned about their patients as a person-in-context. There was an increased understanding of patients' support networks, synthesising what is known and unknown. Health professionals understood patients' perceptions of health professionals and what really mattered to patients. There was discussion about the therapeutic value of care maps. The maps prompted reflection on practice.DiscussionCare maps facilitated a broader focus than the clinical presentation. Using care maps may enable health professionals to support self-management rather than feeling responsible for many aspects of care. Care maps had 'social function' for health professionals. They may be a valuable tool for patients and clinicians to bridge the gap between medical treatment and patients' lifeworlds.
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关键词
Communities of clinical practice, care maps, long-term conditions care, primary care, social networks, person-centred care
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