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Implementation of patient-centred care: which organisational determinants matter from decision maker’s perspective? Results from a qualitative interview study across various health and social care organisations

OBJECTIVES: Health and social care systems, organisations and providers are under pressure to organise care around patients’ needs with constrained resources. To implement patient-centred care (PCC) successfully, barriers must be addressed. Up to now, there has been a lack of comprehensive investiga...

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Autores principales: Hower, Kira Isabel, Vennedey, Vera, Hillen, Hendrik Ansgar, Kuntz, Ludwig, Stock, Stephanie, Pfaff, Holger, Ansmann, Lena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6500213/
https://www.ncbi.nlm.nih.gov/pubmed/30940764
http://dx.doi.org/10.1136/bmjopen-2018-027591
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author Hower, Kira Isabel
Vennedey, Vera
Hillen, Hendrik Ansgar
Kuntz, Ludwig
Stock, Stephanie
Pfaff, Holger
Ansmann, Lena
author_facet Hower, Kira Isabel
Vennedey, Vera
Hillen, Hendrik Ansgar
Kuntz, Ludwig
Stock, Stephanie
Pfaff, Holger
Ansmann, Lena
author_sort Hower, Kira Isabel
collection PubMed
description OBJECTIVES: Health and social care systems, organisations and providers are under pressure to organise care around patients’ needs with constrained resources. To implement patient-centred care (PCC) successfully, barriers must be addressed. Up to now, there has been a lack of comprehensive investigations on possible determinants of PCC across various health and social care organisations (HSCOs). Our qualitative study examines determinants of PCC implementation from decision makers’ perspectives across diverse HSCOs. DESIGN: Qualitative study of n=24 participants in n=20 semistructured face-to-face interviews conducted from August 2017 to May 2018. SETTING AND PARTICIPANTS: Decision makers were recruited from multiple HSCOs in the region of the city of Cologne, Germany, based on a maximum variation sampling strategy varying by HSCOs types. OUTCOMES: The qualitative interviews were analysed using an inductive and deductive approach according to qualitative content analysis. The Consolidated Framework for Implementation Research was used to conceptualise determinants of PCC. RESULTS: Decision makers identified similar determinants facilitating or obstructing the implementation of PCC in their organisational contexts. Several determinants at the HSCO’s inner setting and the individual level (eg, communication among staff and well-being of employees) were identified as crucial to overcome constrained financial, human and material resources in order to deliver PCC. CONCLUSIONS: The results can help to foster the implementation of PCC in various HSCOs contexts. We identified possible starting points for initiating the tailoring of interventions and implementation strategies and the redesign of HSCOs towards more patient-centredness. TRIAL REGISTRATION NUMBER: DRKS00011925.
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spelling pubmed-65002132019-05-21 Implementation of patient-centred care: which organisational determinants matter from decision maker’s perspective? Results from a qualitative interview study across various health and social care organisations Hower, Kira Isabel Vennedey, Vera Hillen, Hendrik Ansgar Kuntz, Ludwig Stock, Stephanie Pfaff, Holger Ansmann, Lena BMJ Open Health Services Research OBJECTIVES: Health and social care systems, organisations and providers are under pressure to organise care around patients’ needs with constrained resources. To implement patient-centred care (PCC) successfully, barriers must be addressed. Up to now, there has been a lack of comprehensive investigations on possible determinants of PCC across various health and social care organisations (HSCOs). Our qualitative study examines determinants of PCC implementation from decision makers’ perspectives across diverse HSCOs. DESIGN: Qualitative study of n=24 participants in n=20 semistructured face-to-face interviews conducted from August 2017 to May 2018. SETTING AND PARTICIPANTS: Decision makers were recruited from multiple HSCOs in the region of the city of Cologne, Germany, based on a maximum variation sampling strategy varying by HSCOs types. OUTCOMES: The qualitative interviews were analysed using an inductive and deductive approach according to qualitative content analysis. The Consolidated Framework for Implementation Research was used to conceptualise determinants of PCC. RESULTS: Decision makers identified similar determinants facilitating or obstructing the implementation of PCC in their organisational contexts. Several determinants at the HSCO’s inner setting and the individual level (eg, communication among staff and well-being of employees) were identified as crucial to overcome constrained financial, human and material resources in order to deliver PCC. CONCLUSIONS: The results can help to foster the implementation of PCC in various HSCOs contexts. We identified possible starting points for initiating the tailoring of interventions and implementation strategies and the redesign of HSCOs towards more patient-centredness. TRIAL REGISTRATION NUMBER: DRKS00011925. BMJ Publishing Group 2019-04-01 /pmc/articles/PMC6500213/ /pubmed/30940764 http://dx.doi.org/10.1136/bmjopen-2018-027591 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Health Services Research
Hower, Kira Isabel
Vennedey, Vera
Hillen, Hendrik Ansgar
Kuntz, Ludwig
Stock, Stephanie
Pfaff, Holger
Ansmann, Lena
Implementation of patient-centred care: which organisational determinants matter from decision maker’s perspective? Results from a qualitative interview study across various health and social care organisations
title Implementation of patient-centred care: which organisational determinants matter from decision maker’s perspective? Results from a qualitative interview study across various health and social care organisations
title_full Implementation of patient-centred care: which organisational determinants matter from decision maker’s perspective? Results from a qualitative interview study across various health and social care organisations
title_fullStr Implementation of patient-centred care: which organisational determinants matter from decision maker’s perspective? Results from a qualitative interview study across various health and social care organisations
title_full_unstemmed Implementation of patient-centred care: which organisational determinants matter from decision maker’s perspective? Results from a qualitative interview study across various health and social care organisations
title_short Implementation of patient-centred care: which organisational determinants matter from decision maker’s perspective? Results from a qualitative interview study across various health and social care organisations
title_sort implementation of patient-centred care: which organisational determinants matter from decision maker’s perspective? results from a qualitative interview study across various health and social care organisations
topic Health Services Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6500213/
https://www.ncbi.nlm.nih.gov/pubmed/30940764
http://dx.doi.org/10.1136/bmjopen-2018-027591
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