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'Localism and intimacy, and horizontal ellipsis other rather imponderable reasons of that sort': A qualitative study of patient experience of community hospitals in England

Davidson, D., Williams, I., Glasby, J. & Ellis Paine, A. ORCID: 0000-0002-4385-5098 (2022). 'Localism and intimacy, and horizontal ellipsis other rather imponderable reasons of that sort': A qualitative study of patient experience of community hospitals in England. Health and Social Care in the Community, doi: 10.1111/hsc.14083

Abstract

Debates over the value and contribution of community hospitals are hampered by a lack of empirical assessment of the experience of patients using these services. This paper presents findings from a study which included a focus on patient and family-carer experiences of community hospitals in England. We adopted a qualitative design involving nine case study hospitals. Data collection included interviews with patients (n = 60), carers (n = 28) and staff (n = 89). Through patients and carers highlighting the value of community hospitals feeling ‘close to home’, providing holistic and personalised care and supporting them through difficult transitions, the study confirms the importance of functional and interpersonal aspects of care, while also highlighting the importance of social and psychological aspects. These included having family, friends and the community close, maintaining social connections during periods of hospital treatment, and feeling less anonymous and anxious when attending the hospital due to the high levels of familiarity and connectedness. Although the experiences uncovered in this study were not uniformly positive, patients and carers placed a high overall value on the care provided by community hospitals, often arguing that these were distinctive when compared to their experiences of using other health and care services. The study suggests the need to weigh the full range of these dimensions of patient experience—functional, interpersonal, social and psychological—when assessing the role and contribution of community hospitals.

Publication Type: Article
Additional Information: © 2022 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Publisher Keywords: community hospitals, England, patient experience, research
Subjects: B Philosophy. Psychology. Religion > BF Psychology
H Social Sciences > H Social Sciences (General)
R Medicine > RA Public aspects of medicine
Departments: Bayes Business School
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