چکیده (انگلیسی):

Background:An evaluation of an effective and engaging intervention for educating general practice (GP)
receptionists about integrated care and the importance of their role within the whole system was conducted.
Methods:Workshops took place in North West London, one of England’s14‘Integrated Care Pioneers.’ Three
training days featuring Sequential Simulations (SqS) were held. Forty GP receptionists attended on each day,
as well as 5–6 patients and 8–9 healthcare professionals. The SqS developed was from a collection of patient
stories, the key scene of which featured a GP receptionist. The scenes were designed to show the
consequences for the patient of professionals working in silos. This provided the focus for facilitated table
discussions. The discussants suggested ways in which an unfortunate series of events could have been dealt
with differently. These suggestions were then incorporated in a re-designed SqS. Evaluation was conducted
through questionnaires, field notes and analysis of video material. Descriptive statistics and thematic analysis
were applied.
Results:Ninety three participants responded to the questionnaire out of 131 attendees. All (93/93)
respondents reported that the event was a powerful learning experience and that they had gained confidence
in improving patient care. 98 % (91/93) reported that their knowledge of integrated care had improved. The
simulation was rated highly as a learning experience [60 % (57/93) - excellent, 39 % (37/93) good]. Further
evidence of educational benefit was expressed through comments such as:‘The simulations really got me
thinking about the patient as a human with many problems and situations.’
Conclusion:SqS is an innovative and practical way of presenting current care pathways and health care
scenarios in order to create a shared focus, engage the emotions of the participants and bring the principles of
integrated care to life. Facilitated table discussions are an opportunity to see events from multiple perspectives,
share reactions and ideas, and practise co-producing service reforms with patients. We believe this approach is
a useful way of preparing front-line staff to participate in integrated care