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• W2803485269 abstract "Abstract Background Person‐centredness is important in delivering care for long‐term conditions. New models of care aim to co‐ordinate care through integration of health and social care which require new ways of working, often remotely from the patient. Objective To describe how person‐centred care is enacted within multidisciplinary groups ( MDG s) created as part of a new service, integrating health and social care for older people. Methods We followed the implementation of eight neighbourhood MDG s, observing and interviewing staff from three MDG s at different phases of programme implementation using semi‐structured topic guides. Results Thirty‐four MDG meetings were observed and 32 staff interviewed. Three core themes were identified which impacted on enactment of person‐centred care: the structural context of MDG s enabling person‐centred care; interaction of staff and knowledge sharing during the MDG meetings; and direct staff involvement of the person outside the MDG discussion. Conclusions This study provides new insights into attempts to enact person‐centred care within a new model of service delivery. Teams did what they could to enact person‐centred care in the absence of the “real” patient within MDG meetings. They were successful in delivering and co‐ordinating some aspects of care (eg prompting medication reviews, referring to social worker, health improvement and arranging further multidisciplinary team meetings for complex cases). This “absence of patients” and time pressures within the MDG s led to reliance on the “virtual” record, enhanced by additional “soft” knowledge provided by staff, rather than ensuring the patient's voice was included." @default.
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• W2803485269 date "2018-07-13" @default.
• W2803485269 modified "2023-10-17" @default.
• W2803485269 title "Enacting person-centredness in integrated care: A qualitative study of practice and perspectives within multidisciplinary groups in the care of older people" @default.
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• W2803485269 doi "https://doi.org/10.1111/hex.12803" @default.
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