“What Society Expects of Healthcare and the Picture That We Paint”—A Qualitative Piece in the Puzzle to Inform Implementation: What Do People Using Services and Healthcare Professionals Look for in Questionnaires to Support Person-Centred Care in Phy
Katherine E. Woolley, Robert Letchford, Kathleen WithersBackground/Objectives: Directed questionnaires (e.g., patient-reported outcomes, measuring patient activation) can support equal partnership in a person-centred model of care. Considering stakeholder preferences is essential for effective implementation to prevent high burden and low engagement from individuals using healthcare services. We examined (i) the perception of tools that can be used to measure empowerment and self-efficacy and support person-centred care among healthcare professionals (physiotherapists and podiatrists) and people using services within physiotherapy and podiatry outpatient departments and (ii) whether these perceptions were influenced by health literacy. Methods: An opportunistic sample of people accessing services and healthcare professionals was obtained from physiotherapy and podiatry outpatient departments. People using services (n = 13) underwent in-depth interviews over Microsoft Teams. Healthcare professionals (n = 10) took part in two online focus groups. Thematic analysis using a framework approach was undertaken with codes applied to the “interdependent determinants of implementation success” framework. Results: Perceptions revolved around the characteristics of the implementation object (e.g., well laid out, short, concise, contained person-centred language), patient-level influences (e.g., concerns about delayed/withdrawal of care, reduced engagement as people faced other barriers to accessing and receiving healthcare) and collective-level influences (e.g., electronic data collection, automatic calculation of overall score, time-limited consultations, non-specific content, lack of training and culture of use). A comparison of the differences in perception with respect to health literacy (marginal and adequate only) was limited due to the small sample size, and therefore any findings are exploratory in nature. Conclusions: Preferred tools that could be used to support person-centred care were those that were short, concise, and well laid out and used person-centred wording but also contained enough detail to transfer important information from the people using services to healthcare professionals.