Co-designing a blueprint for spreading person-centered, Whole Health care to HIV specialty care settings: a mixed methods protocol
Abstract Background Since 2013, the Veterans Health Administration (VHA) has advanced a person-centered, Whole Health (WH) System of Care, a shift from a disease-oriented system to one that prioritizes “what matters most” to patients in their lives. Whole Health is predicated on patient-provider int...
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| Format: | Article |
| Language: | English |
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BMC
2024-10-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-024-11733-2 |
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| author | Sonia Rupcic Ming Z. Tam Kathryn L. DeLaughter Allen L. Gifford Anna M. Barker Barbara G. Bokhour Chris Xu Eileen Dryden Ekaterina Anderson Guneet K. Jasuja Jacqueline Boudreau Jamie H. Douglas Justeen Hyde Reagan Mozer Steven B. Zeliadt Gemmae M. Fix |
| author_facet | Sonia Rupcic Ming Z. Tam Kathryn L. DeLaughter Allen L. Gifford Anna M. Barker Barbara G. Bokhour Chris Xu Eileen Dryden Ekaterina Anderson Guneet K. Jasuja Jacqueline Boudreau Jamie H. Douglas Justeen Hyde Reagan Mozer Steven B. Zeliadt Gemmae M. Fix |
| author_sort | Sonia Rupcic |
| collection | DOAJ |
| description | Abstract Background Since 2013, the Veterans Health Administration (VHA) has advanced a person-centered, Whole Health (WH) System of Care, a shift from a disease-oriented system to one that prioritizes “what matters most” to patients in their lives. Whole Health is predicated on patient-provider interactions marked by a multi-level understanding of health and trusted relationships that promote well-being. Presently, WH implementation has been focused largely in primary care settings, yet the goal is to effect a system-wide transformation of care so that Veterans receive WH across VHA clinical settings, including specialty care. This sort of system-wide cultural transformation is difficult to implement. Methods This three-aim mixed methods study will result in a co-designed implementation blueprint for spreading WH from primary to specialty care settings. Taking HIV specialty care as an illustrative case- because of its diverse models of relationships to primary care - to explore how to spread WH through specialty care settings. We will use the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework to organize quantitative and qualitative data and identify key determinants of WH receipt among Veterans living with HIV. Through a co-design process, we develop an adaptable implementation blueprint that identifies and matches implementation strategies to different HIV specialty care configurations. Discussion This study will co-design a flexible implementation blueprint for spreading WH from VHA primary care throughout HIV specialty care settings. This protocol contributes to the science of end-user engagement while also answering calls for greater transparency in how implementation strategies are identified, tailored, and spread. |
| format | Article |
| id | doaj-art-6e91fc8631fc4b0e8f3700b02cd97ad5 |
| institution | OA Journals |
| issn | 1472-6963 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-6e91fc8631fc4b0e8f3700b02cd97ad52025-08-20T02:18:24ZengBMCBMC Health Services Research1472-69632024-10-0124111010.1186/s12913-024-11733-2Co-designing a blueprint for spreading person-centered, Whole Health care to HIV specialty care settings: a mixed methods protocolSonia Rupcic0Ming Z. Tam1Kathryn L. DeLaughter2Allen L. Gifford3Anna M. Barker4Barbara G. Bokhour5Chris Xu6Eileen Dryden7Ekaterina Anderson8Guneet K. Jasuja9Jacqueline Boudreau10Jamie H. Douglas11Justeen Hyde12Reagan Mozer13Steven B. Zeliadt14Gemmae M. Fix15Center for Health Equity Research and Promotion (CHERP), Veterans Affairs Pittsburgh Healthcare SystemCenter for Health Optimization & Implementation Research (CHOIR), Bedford & Boston Veterans Affairs Medical CentersCenter for Health Optimization & Implementation Research (CHOIR), Bedford & Boston Veterans Affairs Medical CentersCenter for Health Optimization & Implementation Research (CHOIR), Bedford & Boston Veterans Affairs Medical CentersCenter for Health Optimization & Implementation Research (CHOIR), Bedford & Boston Veterans Affairs Medical CentersCenter for Health Optimization & Implementation Research (CHOIR), Bedford & Boston Veterans Affairs Medical CentersCenter for Health Optimization & Implementation Research (CHOIR), Bedford & Boston Veterans Affairs Medical CentersCenter for Health Optimization & Implementation Research (CHOIR), Bedford & Boston Veterans Affairs Medical CentersCenter for Health Optimization & Implementation Research (CHOIR), Bedford & Boston Veterans Affairs Medical CentersCenter for Health Optimization & Implementation Research (CHOIR), Bedford & Boston Veterans Affairs Medical CentersCenter for Health Optimization & Implementation Research (CHOIR), Bedford & Boston Veterans Affairs Medical CentersSeattle-Denver Center of Innovation (COIN) for Veteran-Centered and Value-Driven Care, Veterans Affairs Puget Sound Health Care SystemCenter for Health Optimization & Implementation Research (CHOIR), Bedford & Boston Veterans Affairs Medical CentersDepartment of Mathematical Sciences, Bentley UniversitySeattle-Denver Center of Innovation (COIN) for Veteran-Centered and Value-Driven Care, Veterans Affairs Puget Sound Health Care SystemCenter for Health Optimization & Implementation Research (CHOIR), Bedford & Boston Veterans Affairs Medical CentersAbstract Background Since 2013, the Veterans Health Administration (VHA) has advanced a person-centered, Whole Health (WH) System of Care, a shift from a disease-oriented system to one that prioritizes “what matters most” to patients in their lives. Whole Health is predicated on patient-provider interactions marked by a multi-level understanding of health and trusted relationships that promote well-being. Presently, WH implementation has been focused largely in primary care settings, yet the goal is to effect a system-wide transformation of care so that Veterans receive WH across VHA clinical settings, including specialty care. This sort of system-wide cultural transformation is difficult to implement. Methods This three-aim mixed methods study will result in a co-designed implementation blueprint for spreading WH from primary to specialty care settings. Taking HIV specialty care as an illustrative case- because of its diverse models of relationships to primary care - to explore how to spread WH through specialty care settings. We will use the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework to organize quantitative and qualitative data and identify key determinants of WH receipt among Veterans living with HIV. Through a co-design process, we develop an adaptable implementation blueprint that identifies and matches implementation strategies to different HIV specialty care configurations. Discussion This study will co-design a flexible implementation blueprint for spreading WH from VHA primary care throughout HIV specialty care settings. This protocol contributes to the science of end-user engagement while also answering calls for greater transparency in how implementation strategies are identified, tailored, and spread.https://doi.org/10.1186/s12913-024-11733-2ImplementationSpreadMixed methodsPatient-centered careCo-designHIV |
| spellingShingle | Sonia Rupcic Ming Z. Tam Kathryn L. DeLaughter Allen L. Gifford Anna M. Barker Barbara G. Bokhour Chris Xu Eileen Dryden Ekaterina Anderson Guneet K. Jasuja Jacqueline Boudreau Jamie H. Douglas Justeen Hyde Reagan Mozer Steven B. Zeliadt Gemmae M. Fix Co-designing a blueprint for spreading person-centered, Whole Health care to HIV specialty care settings: a mixed methods protocol BMC Health Services Research Implementation Spread Mixed methods Patient-centered care Co-design HIV |
| title | Co-designing a blueprint for spreading person-centered, Whole Health care to HIV specialty care settings: a mixed methods protocol |
| title_full | Co-designing a blueprint for spreading person-centered, Whole Health care to HIV specialty care settings: a mixed methods protocol |
| title_fullStr | Co-designing a blueprint for spreading person-centered, Whole Health care to HIV specialty care settings: a mixed methods protocol |
| title_full_unstemmed | Co-designing a blueprint for spreading person-centered, Whole Health care to HIV specialty care settings: a mixed methods protocol |
| title_short | Co-designing a blueprint for spreading person-centered, Whole Health care to HIV specialty care settings: a mixed methods protocol |
| title_sort | co designing a blueprint for spreading person centered whole health care to hiv specialty care settings a mixed methods protocol |
| topic | Implementation Spread Mixed methods Patient-centered care Co-design HIV |
| url | https://doi.org/10.1186/s12913-024-11733-2 |
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