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Substitution of Hospital Care with Primary Care: Defining the Conditions of Primary Care Plus

OBJECTIVE: To analyse barriers and facilitators in substituting hospital care with primary care to define preconditions for successful implementation. METHODS: A descriptive feasibility study was performed to collect information on the feasibility of substituting hospital care with primary care. Gen...

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Autores principales: van Hoof, Sofie Johanna Maria, Kroese, Mariëlle Elisabeth Aafje Lydia, Spreeuwenberg, Marieke Dingena, Elissen, Arianne Mathilda Josephus, Meerlo, Ronald Johan, Hanraets, Monique Margaretha Henriëtte, Ruwaard, Dirk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5015530/
https://www.ncbi.nlm.nih.gov/pubmed/27616956
http://dx.doi.org/10.5334/ijic.2446
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author van Hoof, Sofie Johanna Maria
Kroese, Mariëlle Elisabeth Aafje Lydia
Spreeuwenberg, Marieke Dingena
Elissen, Arianne Mathilda Josephus
Meerlo, Ronald Johan
Hanraets, Monique Margaretha Henriëtte
Ruwaard, Dirk
author_facet van Hoof, Sofie Johanna Maria
Kroese, Mariëlle Elisabeth Aafje Lydia
Spreeuwenberg, Marieke Dingena
Elissen, Arianne Mathilda Josephus
Meerlo, Ronald Johan
Hanraets, Monique Margaretha Henriëtte
Ruwaard, Dirk
author_sort van Hoof, Sofie Johanna Maria
collection PubMed
description OBJECTIVE: To analyse barriers and facilitators in substituting hospital care with primary care to define preconditions for successful implementation. METHODS: A descriptive feasibility study was performed to collect information on the feasibility of substituting hospital care with primary care. General practitioners were able to refer patients, about whom they had doubts regarding diagnosis, treatment and/or the need to refer to hospital care, to medical specialists who performed low-complex consultations at general practitioner practices. Qualitative data were collected through interviews with general practitioners and medical specialists, focus groups and notes from meetings in the Netherlands between April 2013 and January 2014. Data were analysed using a conventional content analysis which resulted in categorised barriers, facilitators and policy adjustments, after which preconditions were formulated. RESULTS: The most important preconditions were make arrangements on governmental level, arrange a collective integrated IT-system, determine the appropriate profile for medical specialists, design a referral protocol for eligible patients, arrange deliberation possibilities for general practitioners and medical specialists and formulate a diagnostic protocol. CONCLUSIONS: The barriers, facilitators and formulated preconditions provided relevant input to change the design of substituting hospital care with primary care.
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spelling pubmed-50155302016-09-09 Substitution of Hospital Care with Primary Care: Defining the Conditions of Primary Care Plus van Hoof, Sofie Johanna Maria Kroese, Mariëlle Elisabeth Aafje Lydia Spreeuwenberg, Marieke Dingena Elissen, Arianne Mathilda Josephus Meerlo, Ronald Johan Hanraets, Monique Margaretha Henriëtte Ruwaard, Dirk Int J Integr Care Research and Theory OBJECTIVE: To analyse barriers and facilitators in substituting hospital care with primary care to define preconditions for successful implementation. METHODS: A descriptive feasibility study was performed to collect information on the feasibility of substituting hospital care with primary care. General practitioners were able to refer patients, about whom they had doubts regarding diagnosis, treatment and/or the need to refer to hospital care, to medical specialists who performed low-complex consultations at general practitioner practices. Qualitative data were collected through interviews with general practitioners and medical specialists, focus groups and notes from meetings in the Netherlands between April 2013 and January 2014. Data were analysed using a conventional content analysis which resulted in categorised barriers, facilitators and policy adjustments, after which preconditions were formulated. RESULTS: The most important preconditions were make arrangements on governmental level, arrange a collective integrated IT-system, determine the appropriate profile for medical specialists, design a referral protocol for eligible patients, arrange deliberation possibilities for general practitioners and medical specialists and formulate a diagnostic protocol. CONCLUSIONS: The barriers, facilitators and formulated preconditions provided relevant input to change the design of substituting hospital care with primary care. Ubiquity Press 2016-04-14 /pmc/articles/PMC5015530/ /pubmed/27616956 http://dx.doi.org/10.5334/ijic.2446 Text en Copyright: © 2016 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Research and Theory
van Hoof, Sofie Johanna Maria
Kroese, Mariëlle Elisabeth Aafje Lydia
Spreeuwenberg, Marieke Dingena
Elissen, Arianne Mathilda Josephus
Meerlo, Ronald Johan
Hanraets, Monique Margaretha Henriëtte
Ruwaard, Dirk
Substitution of Hospital Care with Primary Care: Defining the Conditions of Primary Care Plus
title Substitution of Hospital Care with Primary Care: Defining the Conditions of Primary Care Plus
title_full Substitution of Hospital Care with Primary Care: Defining the Conditions of Primary Care Plus
title_fullStr Substitution of Hospital Care with Primary Care: Defining the Conditions of Primary Care Plus
title_full_unstemmed Substitution of Hospital Care with Primary Care: Defining the Conditions of Primary Care Plus
title_short Substitution of Hospital Care with Primary Care: Defining the Conditions of Primary Care Plus
title_sort substitution of hospital care with primary care: defining the conditions of primary care plus
topic Research and Theory
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5015530/
https://www.ncbi.nlm.nih.gov/pubmed/27616956
http://dx.doi.org/10.5334/ijic.2446
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