‘It’s so simple’ Lessons from the margins: a qualitative study of patient experiences of a mobile health clinic in Hamilton, Ontario, Canada

ObjectiveOur study explored the experiences of clients of HAMSMaRT (Hamilton Social Medicine Response Team), a mobile health service, in the context of their experiences of the overall healthcare system.DesignWe conducted a qualitative study with reflexive thematic analysis.SettingHAMSMaRT is a mobi...

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Bibliographic Details
Published in:BMJ open 2023-03, Vol.13 (3), p.e066674-e066674
Main Authors: Nussey, Lisa, Lamarche, Larkin, O'Shea, Tim
Format: Article
Language:English
Subjects:
Addictions
Data analysis
Data collection
Delivery of Health Care
Health care
Health Services
Hospitals
Humans
Interdisciplinary aspects
Interviews
Medicine
Ontario
Patient Outcome Assessment
Patient-centered care
Patient-Centred Medicine
Patients
PRIMARY CARE
QUALITATIVE RESEARCH
Quality in health care
Research methodology
Telemedicine
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Summary:ObjectiveOur study explored the experiences of clients of HAMSMaRT (Hamilton Social Medicine Response Team), a mobile health service, in the context of their experiences of the overall healthcare system.DesignWe conducted a qualitative study with reflexive thematic analysis.SettingHAMSMaRT is a mobile health service in Hamilton, Ontario Canada providing primary care, internal and addiction medicine and infectious diseases services.ParticipantsEligible participants were clients of HAMSMaRT who could understand English to do the interview and at least 16 years of age. Fourteen clients of HAMSMaRT were interviewed.ResultsOur findings represented five themes. When the themes of people deserve care, from the margins to the centre, and improved and different access to the system are enacted, the model of care works, represented by the theme it works!. The way in which participants compared their experiences of HAMSMaRT to the mainstream healthcare system insinuated how simple it is, represented by the theme it’s so simple.ConclusionsOur findings offer guidance to the broader healthcare system for walking from the rhetoric to practice of person-centred care.
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2022-066674