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Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia

INTRODUCTION: Research on models of integrated health care for hypertension and diabetes is one of the priority issues in the world. There is a lack of knowledge about how integrated care is implemented in practice. Our study assessed its implementation in six areas: identification of patients, trea...

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Autores principales: Klemenc-Ketis, Zalika, Stojnić, Nataša, Zavrnik, Črt, Ružić Gorenjec, Nina, Danhieux, Katrien, Lukančič, Majda Mori, Susič, Antonija Poplas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8485865/
https://www.ncbi.nlm.nih.gov/pubmed/34690619
http://dx.doi.org/10.5334/ijic.5637
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author Klemenc-Ketis, Zalika
Stojnić, Nataša
Zavrnik, Črt
Ružić Gorenjec, Nina
Danhieux, Katrien
Lukančič, Majda Mori
Susič, Antonija Poplas
author_facet Klemenc-Ketis, Zalika
Stojnić, Nataša
Zavrnik, Črt
Ružić Gorenjec, Nina
Danhieux, Katrien
Lukančič, Majda Mori
Susič, Antonija Poplas
author_sort Klemenc-Ketis, Zalika
collection PubMed
description INTRODUCTION: Research on models of integrated health care for hypertension and diabetes is one of the priority issues in the world. There is a lack of knowledge about how integrated care is implemented in practice. Our study assessed its implementation in six areas: identification of patients, treatment, health education, self-management support, structured collaboration and organisation of care. METHODS: This was a mixed methods study based on a triangulation method using quantitative and qualitative data. It took place in different types of primary health care organisations, in one urban and two rural regions of Slovenia. The main instrument for data collection was the Integrated Care Package (ICP) Grid, assessed through four methods: 1) a document analysis (of a current health policy and available protocols; 2) observation of the infrastructure of health centres, organisation of work, patient flow, interaction of patients with health professionals; 3) interview with key informants and 4) review of medical documentation of selected patients. RESULTS: The implementation of the integrated care in Slovenia was assessed with the overall ICP score of 3.7 points (out of 5 possible points). The element Identification was almost fully implemented, while the element Self-management support was weakly implemented. DISCUSSION: The implementation of the integrated care of patients with diabetes and/or hypertension in Slovenian primary health care organisations achieved high levels of implementation. However, some week points were identified. CONCLUSION: Integrated care of the chronic patients in Slovenia is already provided at high levels, but the area of self-management support could be improved.
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spelling pubmed-84858652021-10-22 Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia Klemenc-Ketis, Zalika Stojnić, Nataša Zavrnik, Črt Ružić Gorenjec, Nina Danhieux, Katrien Lukančič, Majda Mori Susič, Antonija Poplas Int J Integr Care Research and Theory INTRODUCTION: Research on models of integrated health care for hypertension and diabetes is one of the priority issues in the world. There is a lack of knowledge about how integrated care is implemented in practice. Our study assessed its implementation in six areas: identification of patients, treatment, health education, self-management support, structured collaboration and organisation of care. METHODS: This was a mixed methods study based on a triangulation method using quantitative and qualitative data. It took place in different types of primary health care organisations, in one urban and two rural regions of Slovenia. The main instrument for data collection was the Integrated Care Package (ICP) Grid, assessed through four methods: 1) a document analysis (of a current health policy and available protocols; 2) observation of the infrastructure of health centres, organisation of work, patient flow, interaction of patients with health professionals; 3) interview with key informants and 4) review of medical documentation of selected patients. RESULTS: The implementation of the integrated care in Slovenia was assessed with the overall ICP score of 3.7 points (out of 5 possible points). The element Identification was almost fully implemented, while the element Self-management support was weakly implemented. DISCUSSION: The implementation of the integrated care of patients with diabetes and/or hypertension in Slovenian primary health care organisations achieved high levels of implementation. However, some week points were identified. CONCLUSION: Integrated care of the chronic patients in Slovenia is already provided at high levels, but the area of self-management support could be improved. Ubiquity Press 2021-09-28 /pmc/articles/PMC8485865/ /pubmed/34690619 http://dx.doi.org/10.5334/ijic.5637 Text en Copyright: © 2021 The Author(s) https://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
Klemenc-Ketis, Zalika
Stojnić, Nataša
Zavrnik, Črt
Ružić Gorenjec, Nina
Danhieux, Katrien
Lukančič, Majda Mori
Susič, Antonija Poplas
Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia
title Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia
title_full Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia
title_fullStr Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia
title_full_unstemmed Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia
title_short Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia
title_sort implementation of integrated primary care for patients with diabetes and hypertension: a case from slovenia
topic Research and Theory
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8485865/
https://www.ncbi.nlm.nih.gov/pubmed/34690619
http://dx.doi.org/10.5334/ijic.5637
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