Patient and Caregiver Experience with Care

Topic: Measuring Impact and Value

 

Alinea Health 2 Patients and caregivers experience.jpg

Aim: Assess experience in LifeCourse, a late-life supportive care intervention, using a new experience tool for patients and caregivers.

Data and Analysis: Intervention sample with baseline and six-month data included 373 heart failure, cancer, and dementia patients and 434 caregivers. Usual care included 201 patients and 163 caregivers. Experience was assessed quantitatively through quarterly administration of a 30-item tool built to study guiding principles as sub-domains, and overall ratings for care and support. Qualitative data came from patient and caregiver interviews, and was used to better understand patterns.

Results: Intervention patients trended toward greater improvements in all subdomains and overall care and support ratings, compared to those in usual care. Findings were more mixed for caregivers.

Conclusions: Experience scores showed more positive trends for LifeCourse than for comparison patients (though without significance in most domains by six months.) The patterns were slightly more consistent for patients than caregivers, reflecting potential benefits of LifeCourse and challenges to engaging caregivers. We look to perform longer follow-up and other components of assessment. Care delivery and experience tools oriented toward ongoing relationships and later-life care for complex patients may allow for meaningful assessment and better understanding of goals for integrating and streamlining care.

Author

  • Laura Sutter, MPH
  • Research Coordinator
  • Allina Health
  • 2925 Chicago Ave., MR 10039
  • Minneapolis, MN 55407
  • 612-262-0534

Co-authors

  • Alissa Jones, MA
  • Cindy Cain, MA PhD
  • Heather Britt, MPH, PhD
  • Karl Fernstrom, MPH
  • Nathan Shippee, MS, PhD
  • Tetyana Shippee, MS, PhD

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