Understanding the impacts of the COVID-19 pandemic on the care experiences of people with mental-physical multimorbidity: protocol for a mixed methods study

BMC Primary Care

Study Protocol

Patrick Archambault¹  Jean-Sébastien Paquette¹  Matthew Menear¹  Annie LeBlanc¹  Maman Joyce Dogba¹  Marie-Thérèse Lussier²  Emily Gard Marshall³  Judith Belle Brown⁴  Susan Smith⁵  Anita Kothari⁶  Sabrina Wong⁷  Ariane Girard⁸  Marie-Eve Poitras⁸  Martin Fortin⁸  Jean-Daniel Carrier⁸  Mylaine Breton⁸  Arnaud Duhoux⁹  Simon Courtemanche^1,10  Myreille Bédard^1,10  Émilie Larouche-Côté^1,11  Virtue Bajurny^1,12  Frances S. Mair^1,13  Brigitte Vachon^1,14  Yves Couturier^1,15  Sophie Rivet^1,16  Marie Baron^1,16  Sergio Cortez Ghio^1,16  Savannah Dubé^1,16  Stefany Dufour^1,16  Amélie Achim^1,17  Marie-Pierre Gagnon^1,18  Maxime Sasseville^1,18  Nancy Côté^1,19  Audrey L’Espérance^2,20 

[1]Department of Family Medicine and Emergency Medicine, Université Laval, Quebec City, Canada

[2]VITAM Centre de recherche en santé durable, Quebec City, Canada

[3]Department of Family Medicine and Emergency Medicine, Université de Montréal, Montreal, Canada

[4]Department of Family Medicine, Dalhousie University, Halifax, Canada

[5]Department of Family Medicine, Western University, London, Canada

[6]Department of General Practice, Royal College of Surgeons in Ireland, Dublin, UK

[7]Department of Health Studies, Western University, London, Canada

[8]Faculty of Applied Science, University of British Colombia, Vancouver, Canada

[9]Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Canada

[10]Faculty of Nursing, Université de Montréal, Montreal, Canada

[11]Centre de Recherche Charles-Le Moyne, Montreal, Canada

[12]Person With Lived Experience (Patient Partner), Montreal, Canada

[13]Person with Lived Experience (Patient Partner), Quebec City, Canada

[14]Person with Lived Experience (Patient Partner), Toronto, Canada

[15]School of Health and Wellbeing, University of Glasgow, Glasgow, UK

[16]School of Rehabilitation, Université de Montréal, Montreal, Canada

[17]School of Social Work, Université de Sherbrooke, Sherbrooke, Canada

[18]VITAM Centre de recherche en santé durable, Quebec City, Canada

[19]VITAM Centre de recherche en santé durable, Quebec City, Canada

[20]Department of Psychiatry, Université Laval, Quebec, Canada

[21]VITAM Centre de recherche en santé durable, Quebec City, Canada

[22]Faculty of Nursing, Université Laval, Quebec, Canada

[23]VITAM Centre de recherche en santé durable, Quebec City, Canada

[24]Faculty of Social Sciences, Université Laval, Quebec, Canada

[25]École Nationale d’administration Publique, Montreal, Canada

关键词: Primary care;    Mental health;    Multimorbidity;    Chronic disease;    COVID-19;    Health care experiences;   

DOI  :  10.1186/s12875-023-02106-5

 received in 2023-03-14, accepted in 2023-07-06,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundPrimary care and other health services have been disrupted during the COVID-19 pandemic, yet the consequences of these service disruptions on patients’ care experiences remain largely unstudied. People with mental-physical multimorbidity are vulnerable to the effects of the pandemic, and to sudden service disruptions. It is thus essential to better understand how their care experiences have been impacted by the current pandemic. This study aims to improve understanding of the care experiences of people with mental-physical multimorbidity during the pandemic and identify strategies to enhance these experiences.MethodsWe will conduct a mixed-methods study with multi-phase approach involving four distinct phases. Phase 1 will be a qualitative descriptive study in which we interview individuals with mental-physical multimorbidity and health professionals in order to explore the impacts of the pandemic on care experiences, as well as their perspectives on how care can be improved. The results of this phase will inform the design of study phases 2 and 3. Phase 2 will involve journey mapping exercises with a sub-group of participants with mental-physical multimorbidity to visually map out their care interactions and experiences over time and the critical moments that shaped their experiences. Phase 3 will involve an online, cross-sectional survey of care experiences administered to a larger group of people with mental disorders and/or chronic physical conditions. In phase 4, deliberative dialogues will be held with key partners to discuss and plan strategies for improving the delivery of care to people with mental-physical multimorbidity. Pre-dialogue workshops will enable us to synthesize an prepare the results from the previous three study phases.DiscussionOur study results will generate much needed evidence of the positive and negative impacts of the COVID-19 pandemic on the care experiences of people with mental-physical multimorbidity and shed light on strategies that could improve care quality and experiences.

【 授权许可】

CC BY   
© The Author(s) 2023