Cargando…
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...
Autores principales: | , , , , , , , , , |
---|---|
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 |
_version_ | 1783718163881394176 |
---|---|
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. |
format | Online Article Text |
id | pubmed-8256765 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Sciendo |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT zavrnikcrt scalingupanintegratedcareforpatientswithnoncommunicablediseasesananalysisofhealthcarebarriersandfacilitatorsinsloveniaandbelgium AT danhieuxkatrien scalingupanintegratedcareforpatientswithnoncommunicablediseasesananalysisofhealthcarebarriersandfacilitatorsinsloveniaandbelgium AT monarresmiriamhurtado scalingupanintegratedcareforpatientswithnoncommunicablediseasesananalysisofhealthcarebarriersandfacilitatorsinsloveniaandbelgium AT stojnicnatasa scalingupanintegratedcareforpatientswithnoncommunicablediseasesananalysisofhealthcarebarriersandfacilitatorsinsloveniaandbelgium AT lukancicmajdamori scalingupanintegratedcareforpatientswithnoncommunicablediseasesananalysisofhealthcarebarriersandfacilitatorsinsloveniaandbelgium AT martensmonika scalingupanintegratedcareforpatientswithnoncommunicablediseasesananalysisofhealthcarebarriersandfacilitatorsinsloveniaandbelgium AT klemencketiszalika scalingupanintegratedcareforpatientswithnoncommunicablediseasesananalysisofhealthcarebarriersandfacilitatorsinsloveniaandbelgium AT woutersedwin scalingupanintegratedcareforpatientswithnoncommunicablediseasesananalysisofhealthcarebarriersandfacilitatorsinsloveniaandbelgium AT vanolmenjosefien scalingupanintegratedcareforpatientswithnoncommunicablediseasesananalysisofhealthcarebarriersandfacilitatorsinsloveniaandbelgium AT poplassusicantonija scalingupanintegratedcareforpatientswithnoncommunicablediseasesananalysisofhealthcarebarriersandfacilitatorsinsloveniaandbelgium |