Innovative models of care for the health facility of the future: a protocol for a mixed-methods study to elicit consumer and provider views

Abstract

IntroductionTo address the challenges of rapidly changing healthcare, governments and health services are increasingly emphasising healthcare delivery models that are flexible, person centred, cost-effective and integrate hospital services more closely with primary healthcare and social services. In addition, such models increasingly embed consumer codesign, integration of services, and leverage digital technologies such as telehealth and sophisticated medical records systems.ObjectivesThis paper provides a study protocol to describe a method to elicit consumer and healthcare provider needs and expectations for the development of innovative care models.Methods and analysisA literature review identified six key models of care, supported by a common theme of consumer-focused care, along with the international evidence supporting the efficacy of these models. A mixed-methods study of the needs and expectations of consumer members and health providers who reside or work in the area of a new hospital catchment will be undertaken. They will complete a community-specific and provider-specific, short demographic questionnaire (delivered during the recruitment process) and be assigned to facilitator-coordinated online workshops comprising small focus groups. Follow-up interviews will be offered. Culturally and linguistically diverse members and Aboriginal and Torres Strait Islander Elders and their communities will also be consulted. Data will be analysed thematically (qualitative) and statistically (quantitative), and findings synthesised using a triangulated approach.Ethics and disseminationThe results will be actively disseminated through peer-reviewed journals, conference presentations and in a report to stakeholders. This study was reviewed and approved by the relevant Ethics Committee in New South Wales, Australia.

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“…The study methods are described in detail in Carrigan et al [26] Key aspects of the methods relevant to integrated care are outlined below.…”

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“…In 2021, in collaboration with the Western Sydney Local Health District (WSLHD) in Australia, research was conducted to seek views about the design and development of a new healthcare facility in Sydney, within the Darug Nation territory. 11 The catchment area of the new facility consists of 49 suburbs, comprising a land area of almost 500 km 2 and an estimated population in 2019 of approximately 300 000 residents. 12 The overarching goal of the research was to inform delivery of care that is more accessible, efficient and effective for healthcare providers, funders and the population.…”

“…Thus, it complements and differs from the already published research. 11 Including Aboriginal experiences and perspectives in the current study will inform the culturally appropriate development of innovative acute and chronic care and support service delivery that address the delivery preferences and concerns of the community. This information will also provide key insights and opportunities for the WSLHD and the health facility to fulfil key components of the Australian National Safety and Quality Health Service Standards, 14 as they relate to Aboriginal consumers.…”