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Scaling-up an Integrated Care for Patients with Non-communicable Diseases: An Analysis of Healthcare Barriers and Facilitators in Slovenia and Belgium

INTRODUCTION: Although the concept of integrated care for non-communicable diseases was introduced at the primary level to move from disease-centered to patient-centered care, it has only been partially implemented in European countries. The aim of this study was to identify and compare identified f...

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Autores principales: Zavrnik, Črt, Danhieux, Katrien, Monarres, Miriam Hurtado, Stojnić, Nataša, Lukančič, Majda Mori, Martens, Monika, Klemenc-Ketiš, Zalika, Wouters, Edwin, van Olmen, Josefien, Poplas-Susič, Antonija
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sciendo 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8256765/
https://www.ncbi.nlm.nih.gov/pubmed/34249162
http://dx.doi.org/10.2478/sjph-2021-0023
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author Zavrnik, Črt
Danhieux, Katrien
Monarres, Miriam Hurtado
Stojnić, Nataša
Lukančič, Majda Mori
Martens, Monika
Klemenc-Ketiš, Zalika
Wouters, Edwin
van Olmen, Josefien
Poplas-Susič, Antonija
author_facet Zavrnik, Črt
Danhieux, Katrien
Monarres, Miriam Hurtado
Stojnić, Nataša
Lukančič, Majda Mori
Martens, Monika
Klemenc-Ketiš, Zalika
Wouters, Edwin
van Olmen, Josefien
Poplas-Susič, Antonija
author_sort Zavrnik, Črt
collection PubMed
description INTRODUCTION: Although the concept of integrated care for non-communicable diseases was introduced at the primary level to move from disease-centered to patient-centered care, it has only been partially implemented in European countries. The aim of this study was to identify and compare identified facilitators and barriers to scale-up this concept between Slovenia and Belgium. METHODS: This was a qualitative study. Fifteen focus groups and fifty-one semi-structured interviews were conducted with stakeholders at the micro, meso and macro levels. In addition, data from two previously published studies were used for the analysis. Data collection and analysis was initially conducted at country level. Finally, the data was evaluated by a cross-country team to assess similarities and differences between countries. RESULTS: Four topics were identified in the study: patient-centered care, teamwork, coordination of care and task delegation. Despite the different contexts, true teamwork and patient-centered care are limited in both countries by hierarchies and a very heavily skewed medical approach. The organization of primary healthcare in Slovenia probably facilitates the coordination of care, which is not the case in Belgium. The financing and organization of primary practices in Belgium was identified as a barrier to the implementation of task delegation between health professionals. CONCLUSIONS: This study allowed formulating some important concepts for future healthcare for non-communicable diseases at the level of primary healthcare. The results could provide useful insights for other countries with similar health systems.
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spelling pubmed-82567652021-07-09 Scaling-up an Integrated Care for Patients with Non-communicable Diseases: An Analysis of Healthcare Barriers and Facilitators in Slovenia and Belgium Zavrnik, Črt Danhieux, Katrien Monarres, Miriam Hurtado Stojnić, Nataša Lukančič, Majda Mori Martens, Monika Klemenc-Ketiš, Zalika Wouters, Edwin van Olmen, Josefien Poplas-Susič, Antonija Zdr Varst Original Scientific Article INTRODUCTION: Although the concept of integrated care for non-communicable diseases was introduced at the primary level to move from disease-centered to patient-centered care, it has only been partially implemented in European countries. The aim of this study was to identify and compare identified facilitators and barriers to scale-up this concept between Slovenia and Belgium. METHODS: This was a qualitative study. Fifteen focus groups and fifty-one semi-structured interviews were conducted with stakeholders at the micro, meso and macro levels. In addition, data from two previously published studies were used for the analysis. Data collection and analysis was initially conducted at country level. Finally, the data was evaluated by a cross-country team to assess similarities and differences between countries. RESULTS: Four topics were identified in the study: patient-centered care, teamwork, coordination of care and task delegation. Despite the different contexts, true teamwork and patient-centered care are limited in both countries by hierarchies and a very heavily skewed medical approach. The organization of primary healthcare in Slovenia probably facilitates the coordination of care, which is not the case in Belgium. The financing and organization of primary practices in Belgium was identified as a barrier to the implementation of task delegation between health professionals. CONCLUSIONS: This study allowed formulating some important concepts for future healthcare for non-communicable diseases at the level of primary healthcare. The results could provide useful insights for other countries with similar health systems. Sciendo 2021-06-28 /pmc/articles/PMC8256765/ /pubmed/34249162 http://dx.doi.org/10.2478/sjph-2021-0023 Text en © 2021 National Institute of Public Health, Slovenia, published by Sciendo https://creativecommons.org/licenses/by-nc-nd/3.0/This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
spellingShingle Original Scientific Article
Zavrnik, Črt
Danhieux, Katrien
Monarres, Miriam Hurtado
Stojnić, Nataša
Lukančič, Majda Mori
Martens, Monika
Klemenc-Ketiš, Zalika
Wouters, Edwin
van Olmen, Josefien
Poplas-Susič, Antonija
Scaling-up an Integrated Care for Patients with Non-communicable Diseases: An Analysis of Healthcare Barriers and Facilitators in Slovenia and Belgium
title Scaling-up an Integrated Care for Patients with Non-communicable Diseases: An Analysis of Healthcare Barriers and Facilitators in Slovenia and Belgium
title_full Scaling-up an Integrated Care for Patients with Non-communicable Diseases: An Analysis of Healthcare Barriers and Facilitators in Slovenia and Belgium
title_fullStr Scaling-up an Integrated Care for Patients with Non-communicable Diseases: An Analysis of Healthcare Barriers and Facilitators in Slovenia and Belgium
title_full_unstemmed Scaling-up an Integrated Care for Patients with Non-communicable Diseases: An Analysis of Healthcare Barriers and Facilitators in Slovenia and Belgium
title_short Scaling-up an Integrated Care for Patients with Non-communicable Diseases: An Analysis of Healthcare Barriers and Facilitators in Slovenia and Belgium
title_sort scaling-up an integrated care for patients with non-communicable diseases: an analysis of healthcare barriers and facilitators in slovenia and belgium
topic Original Scientific Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8256765/
https://www.ncbi.nlm.nih.gov/pubmed/34249162
http://dx.doi.org/10.2478/sjph-2021-0023
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