Cargando…
Implementing cardiometabolic health checks in general practice: a qualitative process evaluation
BACKGROUND: A stepwise screening approach for the detection and management of cardiometabolic disease is proposed in various primary care guidelines. The aim of this study was to explore the implementation of a cardiometabolic health check as perceived by the involved caregivers and patients. METHOD...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4097043/ https://www.ncbi.nlm.nih.gov/pubmed/24998671 http://dx.doi.org/10.1186/1471-2296-15-132 |
_version_ | 1782326183325597696 |
---|---|
author | Godefrooij, Merijn Spigt, Mark van der Minne, Wim Jurrissen, Georgette Dinant, Geert-Jan Knottnerus, André |
author_facet | Godefrooij, Merijn Spigt, Mark van der Minne, Wim Jurrissen, Georgette Dinant, Geert-Jan Knottnerus, André |
author_sort | Godefrooij, Merijn |
collection | PubMed |
description | BACKGROUND: A stepwise screening approach for the detection and management of cardiometabolic disease is proposed in various primary care guidelines. The aim of this study was to explore the implementation of a cardiometabolic health check as perceived by the involved caregivers and patients. METHODS: Qualitative process evaluation of the implementation of a cardiometabolic screening programme in a multidisciplinary primary healthcare centre in Eindhoven, the Netherlands, in which 1270 patients had participated. We explored the caregivers’ experiences though focus group discussions and collected patients’ experiences through a written questionnaire containing two open-ended questions. We analyzed our data using a thematic content analysis based on grounded theory principles. RESULTS: Five general practitioners, three practice nurses and five medical receptionists participated in the focus groups. Additionally we collected experiences of 657 (52% of 1270) participating patients through an open-ended questionnaire. GPs were enthusiastic about offering a health check and preferred systematic screening over case-finding, both in terms of yield and workload. The level of patient participation was high and most participants were enthusiastic about the health check being offered by their GP. Despite their enthusiasm, the GPs realized that they lacked experience in the design and implementation of a structured, large-scale prevention programme. This resulted in suboptimal instruction of the involved practice nurses and medical receptionists. The recruitment strategy was unnecessarily aggressive. There were shortcomings in communicating the outcomes of the health check to the patients and there was no predefined follow-up programme. Based on our findings we developed a checklist that can be used by designers of similar health checks. CONCLUSIONS: A number of fundamental issues may arise when GPs organize a systematic screening programme in their practice. These issues are related to the preparation of the involved staff, the importance of integration with everyday clinical practice, the approach of healthy patients and the provision of adequate follow-up programmes. The identified challenges and recommendations can be taken into account during future screening programmes. |
format | Online Article Text |
id | pubmed-4097043 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-40970432014-07-16 Implementing cardiometabolic health checks in general practice: a qualitative process evaluation Godefrooij, Merijn Spigt, Mark van der Minne, Wim Jurrissen, Georgette Dinant, Geert-Jan Knottnerus, André BMC Fam Pract Research Article BACKGROUND: A stepwise screening approach for the detection and management of cardiometabolic disease is proposed in various primary care guidelines. The aim of this study was to explore the implementation of a cardiometabolic health check as perceived by the involved caregivers and patients. METHODS: Qualitative process evaluation of the implementation of a cardiometabolic screening programme in a multidisciplinary primary healthcare centre in Eindhoven, the Netherlands, in which 1270 patients had participated. We explored the caregivers’ experiences though focus group discussions and collected patients’ experiences through a written questionnaire containing two open-ended questions. We analyzed our data using a thematic content analysis based on grounded theory principles. RESULTS: Five general practitioners, three practice nurses and five medical receptionists participated in the focus groups. Additionally we collected experiences of 657 (52% of 1270) participating patients through an open-ended questionnaire. GPs were enthusiastic about offering a health check and preferred systematic screening over case-finding, both in terms of yield and workload. The level of patient participation was high and most participants were enthusiastic about the health check being offered by their GP. Despite their enthusiasm, the GPs realized that they lacked experience in the design and implementation of a structured, large-scale prevention programme. This resulted in suboptimal instruction of the involved practice nurses and medical receptionists. The recruitment strategy was unnecessarily aggressive. There were shortcomings in communicating the outcomes of the health check to the patients and there was no predefined follow-up programme. Based on our findings we developed a checklist that can be used by designers of similar health checks. CONCLUSIONS: A number of fundamental issues may arise when GPs organize a systematic screening programme in their practice. These issues are related to the preparation of the involved staff, the importance of integration with everyday clinical practice, the approach of healthy patients and the provision of adequate follow-up programmes. The identified challenges and recommendations can be taken into account during future screening programmes. BioMed Central 2014-07-06 /pmc/articles/PMC4097043/ /pubmed/24998671 http://dx.doi.org/10.1186/1471-2296-15-132 Text en Copyright © 2014 Godefrooij et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Godefrooij, Merijn Spigt, Mark van der Minne, Wim Jurrissen, Georgette Dinant, Geert-Jan Knottnerus, André Implementing cardiometabolic health checks in general practice: a qualitative process evaluation |
title | Implementing cardiometabolic health checks in general practice: a qualitative process evaluation |
title_full | Implementing cardiometabolic health checks in general practice: a qualitative process evaluation |
title_fullStr | Implementing cardiometabolic health checks in general practice: a qualitative process evaluation |
title_full_unstemmed | Implementing cardiometabolic health checks in general practice: a qualitative process evaluation |
title_short | Implementing cardiometabolic health checks in general practice: a qualitative process evaluation |
title_sort | implementing cardiometabolic health checks in general practice: a qualitative process evaluation |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4097043/ https://www.ncbi.nlm.nih.gov/pubmed/24998671 http://dx.doi.org/10.1186/1471-2296-15-132 |
work_keys_str_mv | AT godefrooijmerijn implementingcardiometabolichealthchecksingeneralpracticeaqualitativeprocessevaluation AT spigtmark implementingcardiometabolichealthchecksingeneralpracticeaqualitativeprocessevaluation AT vanderminnewim implementingcardiometabolichealthchecksingeneralpracticeaqualitativeprocessevaluation AT jurrissengeorgette implementingcardiometabolichealthchecksingeneralpracticeaqualitativeprocessevaluation AT dinantgeertjan implementingcardiometabolichealthchecksingeneralpracticeaqualitativeprocessevaluation AT knottnerusandre implementingcardiometabolichealthchecksingeneralpracticeaqualitativeprocessevaluation |