OPEN ARCH integrated care model: experiences of older Australians and their carers
Rachel Quigley A B E , Sarah Russell A B , Desley Harvey A C and Jennifer Mann A D
+ Author Affiliations
- Author Affiliations
A Cairns and Hinterland Hospital and Health Service, PO Box 902, Cairns, Qld 4870, Australia.
B College of Medicine and Dentistry, James Cook University, PO Box 6811, Cairns, Qld 4870, Australia.
C College of Healthcare Sciences, James Cook University, PO Box 6811, Cairns, Qld 4870, Australia.
D College of Public Health, Medicine and Veterinary Sciences, James Cook University, PO Box 6811, Cairns, Qld 4870, Australia.
E Corresponding author. Email: rachel.quigley@jcu.edu.au
Australian Journal of Primary Health 27(3) 236-242 https://doi.org/10.1071/PY20203
Submitted: 3 September 2020 Accepted: 12 December 2020 Published: 3 March 2021
Abstract
There is worldwide recognition of the need to redesign health service delivery with a focus on strengthening primary health care and aligning health and social care through integrated models. A defining feature of integrated models is improved patient and carer experience of care. This study explored the experiences of older people and their carers enrolled in a unique model of integrated care that provides a specialist geriatric intervention in the primary care setting for older adults with complex needs in Far North Queensland. A qualitative exploratory descriptive design using semistructured interviews was used to address the study aims. Seventeen older people and nine carers took part in the study. Data were analysed inductively, guided by the principles of thematic analysis. Three themes emerged: getting by; achieving positive change; and improving and maintaining the OPEN ARCH (Older Persons ENablement And Rehabilitation for Complex Health conditions) approach. The findings indicate that enablement models of integration can be successful in activating positive change towards independence for the older person with complex needs. Understanding patients’ and carers’ experiences is essential to comprehensive service evaluation.
Keywords: case management, complex care, integrated care, older adults, primary care.
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