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Healthcare experiences of adults with COPD across community care settings: a meta-ethnography

Sanduni Madawala, Christian Robert Osadnik, Narelle Warren, Karthika Kasiviswanathan, Chris Barton
ERJ Open Research 2023 9: 00581-2022; DOI: 10.1183/23120541.00581-2022
Sanduni Madawala
1Department of General Practice, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Australia
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  • ORCID record for Sanduni Madawala
  • For correspondence: sanduni.madawala1@monash.edu
Christian Robert Osadnik
2Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Australia
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Narelle Warren
3Department of Sociology, School of Social Sciences, Faculty of Arts, Monash University, Victoria, Australia
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Karthika Kasiviswanathan
4School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Australia
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Chris Barton
1Department of General Practice, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Australia
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  • FIGURE 1
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    FIGURE 1

    PRISMA flow diagram showing selection of papers for inclusion.

Tables

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  • TABLE 1

    Definition of Wong and Haggerty's [10] patient experience domains used in the assessment of patient experiences of care

    Patient experience domainDefinition
    AccessAccess can be broadly defined as the ease and ability for consumers and community groups to access a provider, service or an institution
    Interpersonal communicationThe extent to which patients are involved in making decisions about their treatment
    Continuity and coordinationContinuity is the patients’ experience of care over time. Coordination is the provision and organisation of health services and information to meet a patient's health needs
    Comprehensiveness of servicesThe provision, either directly or indirectly, of a full range of services to meet patients’ or clients’ healthcare needs
    TrustThe expectation that the other person will behave in a way that is beneficial and that allows for risks to be taken based on this expectation and the expectation that the other person will behave in a way that is beneficial and that allows for risks to be taken based on this expectation [10]
    Patient-reported impactsPatients’ or clients’ ability or readiness to engage in health behaviours that will maintain or improve their health status
  • TABLE 2

    Quality appraisal criteria

    1. Is this study qualitative research?
    2. Are the research questions clearly stated?
    3. Is the qualitative approach clearly justified?
    4. Is the approach appropriate for the research questions?
    5. Is the study context clearly described?
    6. Is the role of the researcher clearly described?
    7. Is the sampling method clearly described?
    8. Is the sampling strategy appropriate for the research question?
    9. Is the method of data collection clearly described?
    10. Is the data collection method appropriate to the research question?
    11. Is the method of analysis clearly described?
    12. Is the analysis appropriate for the research question?
    13. Are the claims made supported by sufficient evidence?
  • TABLE 3

    Characteristics of included studies

    Authors (year) [ref.]SampleHealthcare settingData collectionType of methodologyQuality appraisal score using Atkin's quality appraisal tool
    Bauer and Schiffman (2020) [38]28 patients (12 men, 16 women), Mean of 4 comorbidities, 6 current smokers, 18 ex-smokers, 4 nonsmokersPrimary careSemi-structured interviewsThematic analysis12
    Ellison et al. (2012) [39]14 patients (7 men, 7 women), 7 current smokers and 7 ex-smokersPrimary careIn-depth semi-structured interviews (40 to 60 min)Thematic analysis13
    Fotokian et al. (2017) [54]15 patients with COPDGeneral healthcare settingIn-depth semi-structured interviews (30–100 min)Grounded theory13
    Gorst et al. (2016) [58]8 patients (5 women, 3 men)TelehealthcareFace-to-face semi-structured interviews (mean=45 min)Interpretative Phenomenological Analysis (IPA)13
    Guo and Bruce (2014) [45]25 participants (12 women, 13 men), 8 current smokers, 16 nonsmokers, 1 experimenterPulmonary rehabilitationFocus group discussions using a semi-structured topic guideThematic analysis12
    Halding et al. (2018) [40]11 patients (6 men, 5 women), 4 answered YES to smokingPrimary careSemi-structured interviews (45–90 min)Content analysis13
    Halding et al. (2010) [46]18 participants (13 men, 5 women), 11 were ex-smokers and 5 were current smokersPulmonary rehabilitation33 qualitative interviews (40–90 min), 2 sessions with each participantInterpretive phenomenology12
    Halding et al. (2011) [23]18 participants (13 men, 5 women), 11 were ex-smokers and 5 were current smokersPulmonary rehabilitation33 qualitative interviews (40–90 min), 2 sessions with each participantQualitative content analysis12
    Harb et al. (2017) [41]26 patients (11 men, 15 women), 10 had arthritis, 7 asthma, 5 hypertension, 5 obstructive sleep apnoea, 5 diabetes, 4 osteoporosis, 3 cardiovascular disease, 2 hypercholesterolaemia and 17 otherPrimary care setting and specialist careSemi-structured in-depth interviews (∼45 min)Thematic analysis using treatment-burden framework12
    Hellem et al. (2012) [47]11 participants (3 men, 8 women), all had smoking history except 1Pulmonary rehabilitationIn-depth interviews and focus group discussionContent analysis, phenomenological approach12
    Kayyali et al. (2018) [42]18 patients (11 women, 7 men)Primary care settingSemi-structured interviewsThematic analysis using inductive/deductive approaches12
    Keating et al. (2011) [48]37 patients (18 men, 19 women), 10 current smokers, all had at least 1 comorbidity (1–7)Pulmonary rehabilitationSemi-structured interviewsThematic analysis13
    Lindgren et al. (2014) [15]8 participants (3 male, 5 female), 7 ex-smokers and 1 smokerGeneral healthcare setting60 to 110 min interviewsPhenomenological–hermeneutical approach12
    Luckett et al. (2017) [49]20 participants (9 women), 15 had COPDPulmonary rehabilitationSemi-structured interviews (22–70 min)Phenomenology13
    Moore et al. (2012) [50]24 participants (14 men, 10 women)Pulmonary rehabilitationSemi-structured interviews (mean 1 h)Thematic analysis13
    Oliver (2001) [44]16 patients (12 men)General practiceSemi-structured interviews (45–85 min)Thematic analysis13
    Robinson (2005) [56]10 patientsGeneral healthcare settingUnstructured interviewsQualitative phenomenological approach10
    Shipman et al. (2009) [43]16 patients (9 men), 10 patients had comorbidities including heart disease, rheumatoid arthritis, diverticulitis, osteoporosis and diabetes mellitusGP and hospitalIn-depth qualitative interviewsFramework approach12
    Sully et al. (2012) [51]23 patientsPulmonary rehabilitationFocus group discussions (45 to 60 min)Grounded theory complemented with content matrix13
    Wodskou et al. (2014) [57]34 patients (15 men, 19 women)General healthcare settingFocus groups and semi-structured interviewsInductive content analysis12
    Hopley et al. (2009) [52]9 patients (almost equal number of men and women), 7 ex-smokers, 1 current smokerSpecialist careIn-depth semi-structured interviewsGeneral inductive approach with emerging themes12
    Andersen et al. (2018) [53]10 patients (7 women, 3 men)General healthcare settingRepeated in-depth ethnographic interviews and patient observationsPhenomenological–hermeneutical approach12
    Korpershoek et al. (2016) [55]15 patients (8 male, 7 female)General healthcare settingSemi-structured in-depth individual interviewsGrounded theory13

Supplementary Materials

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  • Supplementary Material

    Please note: supplementary material is not edited by the Editorial Office, and is uploaded as it has been supplied by the author.

    Search strategy for Ovid MEDLINE 00581-2022.SUPPLEMENT

    Data extraction template 00581-2022.SUPPLEMENT2

    Critical appraisal results 00581-2022.SUPPLEMENT3

    Details of excluded studies 00581-2022.SUPPLEMENT4

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Healthcare experiences of adults with COPD across community care settings: a meta-ethnography
Sanduni Madawala, Christian Robert Osadnik, Narelle Warren, Karthika Kasiviswanathan, Chris Barton
ERJ Open Research Jan 2023, 9 (1) 00581-2022; DOI: 10.1183/23120541.00581-2022

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Healthcare experiences of adults with COPD across community care settings: a meta-ethnography
Sanduni Madawala, Christian Robert Osadnik, Narelle Warren, Karthika Kasiviswanathan, Chris Barton
ERJ Open Research Jan 2023, 9 (1) 00581-2022; DOI: 10.1183/23120541.00581-2022
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