A qualitative analysis of interprofessional healthcare team members’ perceptions of patient barriers to healthcare engagement

摘要: Healthcare systems increasingly engage interprofessional healthcare team members such as case managers, social workers, and community health workers to work directly with patients improve population health. This study elicited perspectives of regarding patient barriers suggestions address these barriers. is a qualitative employing focus groups semi-structured interviews 39 in Philadelphia elicit perceptions patients’ needs experiences the system, for positioning care better serve patients. Themes were identified using content analysis approach. Three 21 conducted 26 hospital-based 13 ambulatory-based participants. domains emerged characterize care: determinants, system factors, trust system. Social determinants included insurance financial shortcomings, mental substance abuse issues, housing transportation-related limitations, unpredictability associated living poverty. Suggestions addressing increased assistance from building workforce directly. Health factors poor coordination, inadequate communication hospital discharge instructions, difficulty navigating complex systems. enhanced between sites, patient-centered scheduling, improved education especially planning. Finally, related emerged. Participants reported that are often intimidated by mistrusting physicians, fearful receiving serious diagnosis or prognosis. A suggestion mitigating issues was visibility within communities foster help providers gain understanding unique needs. explored members’ engagement. health, organization, mistrust offered concrete barriers, supporting current reform efforts aim at improving coordination adding new insight into how might trust.