Co-designing a blueprint for spreading person-centered, Whole Health care to HIV specialty care settings: a mixed methods protocol

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...

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Bibliographic Details
Published in:	BMC health services research Vol. 24; no. 1; pp. 1306 - 10
Main Authors:	Rupcic, Sonia, Tam, Ming Z, DeLaughter, Kathryn L, Gifford, Allen L, Barker, Anna M, Bokhour, Barbara G, Xu, Chris, Dryden, Eileen, Anderson, Ekaterina, Jasuja, Guneet K, Boudreau, Jacqueline, Douglas, Jamie H, Hyde, Justeen, Mozer, Reagan, Zeliadt, Steven B, Fix, Gemmae M
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 29-10-2024 BioMed Central BMC
Subjects:	Analysis Care and treatment Client-centered psychotherapy Co-design Electronic health records Health care Health services HIV HIV (Viruses) HIV Infections - therapy HIV patients Human immunodeficiency virus Humans Implementation Methods Mixed methods Mixed methods research Patient-centered care Patient-Centered Care - organization & administration Patients Primary care Primary health care Primary Health Care - organization & administration Spread Study Protocol United States United States Department of Veterans Affairs - organization & administration United States United States > US Co-design Spread HIV Mixed methods Implementation Patient-centered care
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Summary:	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. 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. 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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1472-6963 1472-6963
DOI:	10.1186/s12913-024-11733-2