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Using concept mapping to identify policy options and interventions towards people-centred health care services: a multi stakeholders perspective

BACKGROUND: People-centred health care (PCC) services are identified by the WHO as important building blocks towards universal health coverage. In 2016 the WHO formulated a comprehensive framework on integrated PCC services based on an international expert consultation. Yet, expert opinions may fail...

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Autores principales: Leyns, Christine Cécile, De Maeseneer, Jan, Willems, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6278128/
https://www.ncbi.nlm.nih.gov/pubmed/30514317
http://dx.doi.org/10.1186/s12939-018-0895-9
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author Leyns, Christine Cécile
De Maeseneer, Jan
Willems, Sara
author_facet Leyns, Christine Cécile
De Maeseneer, Jan
Willems, Sara
author_sort Leyns, Christine Cécile
collection PubMed
description BACKGROUND: People-centred health care (PCC) services are identified by the WHO as important building blocks towards universal health coverage. In 2016 the WHO formulated a comprehensive framework on integrated PCC services based on an international expert consultation. Yet, expert opinions may fail to recognize the needs of all health system stakeholders. Therefore, a consultation method that includes the health workforce and laypersons, can be instrumental to elaborate this framework more in-depth. This research sought to identify participants’ perspectives on policy options and interventions to achieve people-centred health care services from a multi stakeholder perspective. METHODS: Study participants, both laypersons and health professionals, were recruited in Belgium. A total of 53 participants engaged in one of the seven concept mapping workshops. In this workshop the concept mapping methodology developed by Trochim, a highly structured qualitative group method for brainstorming and idea sharing, was used to generate and structure participants´ perspectives on what is needed to achieve PCC services. The method was validated using the WHO framework. RESULTS: The seven workshops together resulted in 452 different statements that were structured in a framework forming 35 clusters and four overarching domains. The four domains with their most prominent clusters were: (1) governance & policy with intersectoral health policies and affordable health for all; (2) health workforce with excellent communication skills, appreciation of health literacy challenges and respectful attitude based on cultural self-awareness; (3) integrated health services with a greater emphasis on prevention, health promotion and the availability of health education and (4) patient, person and community empowerment and participation with support for informal care, promotion of a healthy lifestyle and contextualised health education. Additionally, this study generated ideas that fitted into every single approach described in the WHO framework. DISCUSSION AND CONCLUSION: This study shows that in order to achieve PCC a participative approach involving all stakeholders at all levels is needed. The concept mapping process is one of these approaches that brings together diverse stakeholders and foments their egalitarian and respectful participation. The framework that resulted from this study can inform future debate regarding planning, implementation and monitoring of PCC.
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spelling pubmed-62781282018-12-10 Using concept mapping to identify policy options and interventions towards people-centred health care services: a multi stakeholders perspective Leyns, Christine Cécile De Maeseneer, Jan Willems, Sara Int J Equity Health Research BACKGROUND: People-centred health care (PCC) services are identified by the WHO as important building blocks towards universal health coverage. In 2016 the WHO formulated a comprehensive framework on integrated PCC services based on an international expert consultation. Yet, expert opinions may fail to recognize the needs of all health system stakeholders. Therefore, a consultation method that includes the health workforce and laypersons, can be instrumental to elaborate this framework more in-depth. This research sought to identify participants’ perspectives on policy options and interventions to achieve people-centred health care services from a multi stakeholder perspective. METHODS: Study participants, both laypersons and health professionals, were recruited in Belgium. A total of 53 participants engaged in one of the seven concept mapping workshops. In this workshop the concept mapping methodology developed by Trochim, a highly structured qualitative group method for brainstorming and idea sharing, was used to generate and structure participants´ perspectives on what is needed to achieve PCC services. The method was validated using the WHO framework. RESULTS: The seven workshops together resulted in 452 different statements that were structured in a framework forming 35 clusters and four overarching domains. The four domains with their most prominent clusters were: (1) governance & policy with intersectoral health policies and affordable health for all; (2) health workforce with excellent communication skills, appreciation of health literacy challenges and respectful attitude based on cultural self-awareness; (3) integrated health services with a greater emphasis on prevention, health promotion and the availability of health education and (4) patient, person and community empowerment and participation with support for informal care, promotion of a healthy lifestyle and contextualised health education. Additionally, this study generated ideas that fitted into every single approach described in the WHO framework. DISCUSSION AND CONCLUSION: This study shows that in order to achieve PCC a participative approach involving all stakeholders at all levels is needed. The concept mapping process is one of these approaches that brings together diverse stakeholders and foments their egalitarian and respectful participation. The framework that resulted from this study can inform future debate regarding planning, implementation and monitoring of PCC. BioMed Central 2018-12-04 /pmc/articles/PMC6278128/ /pubmed/30514317 http://dx.doi.org/10.1186/s12939-018-0895-9 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. 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
Leyns, Christine Cécile
De Maeseneer, Jan
Willems, Sara
Using concept mapping to identify policy options and interventions towards people-centred health care services: a multi stakeholders perspective
title Using concept mapping to identify policy options and interventions towards people-centred health care services: a multi stakeholders perspective
title_full Using concept mapping to identify policy options and interventions towards people-centred health care services: a multi stakeholders perspective
title_fullStr Using concept mapping to identify policy options and interventions towards people-centred health care services: a multi stakeholders perspective
title_full_unstemmed Using concept mapping to identify policy options and interventions towards people-centred health care services: a multi stakeholders perspective
title_short Using concept mapping to identify policy options and interventions towards people-centred health care services: a multi stakeholders perspective
title_sort using concept mapping to identify policy options and interventions towards people-centred health care services: a multi stakeholders perspective
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6278128/
https://www.ncbi.nlm.nih.gov/pubmed/30514317
http://dx.doi.org/10.1186/s12939-018-0895-9
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