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Towards a liquid healthcare: primary care organisational and management strategies during the COVID-19 pandemic - a qualitative study
BACKGROUND: The COVID-19 pandemic has changed the organisational and management strategies of healthcare institutions such as primary care centres. Organisational culture as well as leadership style are key issues for the success of these institutions. Due to the multidimensional nature of identity...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9112637/ https://www.ncbi.nlm.nih.gov/pubmed/35581581 http://dx.doi.org/10.1186/s12913-022-07855-0 |
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author | Pulido-Fuentes, Montserrat González, Luisa Abad Reneo, Isaac Aranda Cipriano-Crespo, Carmen Flores-Martos, Juan Antonio Santos, Ana Palmar |
author_facet | Pulido-Fuentes, Montserrat González, Luisa Abad Reneo, Isaac Aranda Cipriano-Crespo, Carmen Flores-Martos, Juan Antonio Santos, Ana Palmar |
author_sort | Pulido-Fuentes, Montserrat |
collection | PubMed |
description | BACKGROUND: The COVID-19 pandemic has changed the organisational and management strategies of healthcare institutions such as primary care centres. Organisational culture as well as leadership style are key issues for the success of these institutions. Due to the multidimensional nature of identity processes, it is necessary to explore the changes experienced by health professionals from these perspectives. This study explores health professionals’ organisational and management strategies in primary care settings during the COVID-19 pandemic. DESIGN: Qualitative, exploratory study based on the analysis of participants’ accounts within a hermeneutic phenomenologicaly approach. METHODS: Research was conducted in primary care settings in two neighbouring Spanish healthcare regions. The sample included participants with different demographics (gender, age), professional roles (practice managers, general practitioners, paediatricians), employment status (permanent, temporary, zero-hours), and years of experience (under or over ten years’ experience). Data were collected between July and December 2020 through focus groups and in-depth, semi-structured individual interviews. RESULTS: A total of 53 primary care workers participated in the study, of which 38 were individually interviewed and 15 participated in three focus groups. Of these, 78.4% were healthcare professionals, 49% were female nurses, and 70.5% had more than 10 years of work experience in primary care. Two main themes emerged: “liquid” healthcare and “the best healthcare system in the world”. During the first wave of the COVID-19 pandemic, new, more fluid organisational and management models were implemented in primary care settings, which have remained in place since. Primary care workers’ perceived a lack of appreciation and inclusion in decision-making that risked their alienation and disengagement. CONCLUSION: Primary care workers’ professional identity became gradually blurred due to shifting perceptions of their professional roles in a context of increasing improvisation and flexible working practices. This affected their professional performance. TRIAL REGISTRATION: The study was approved by the Clinical Research Ethical Committee of the Talavera de la Reina Integrated Management Area (CEIm del AGI de Talavera de la Reina in Spain, Hospital Nuestra Señora del Prado, ref: 23/2020). |
format | Online Article Text |
id | pubmed-9112637 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-91126372022-05-17 Towards a liquid healthcare: primary care organisational and management strategies during the COVID-19 pandemic - a qualitative study Pulido-Fuentes, Montserrat González, Luisa Abad Reneo, Isaac Aranda Cipriano-Crespo, Carmen Flores-Martos, Juan Antonio Santos, Ana Palmar BMC Health Serv Res Research BACKGROUND: The COVID-19 pandemic has changed the organisational and management strategies of healthcare institutions such as primary care centres. Organisational culture as well as leadership style are key issues for the success of these institutions. Due to the multidimensional nature of identity processes, it is necessary to explore the changes experienced by health professionals from these perspectives. This study explores health professionals’ organisational and management strategies in primary care settings during the COVID-19 pandemic. DESIGN: Qualitative, exploratory study based on the analysis of participants’ accounts within a hermeneutic phenomenologicaly approach. METHODS: Research was conducted in primary care settings in two neighbouring Spanish healthcare regions. The sample included participants with different demographics (gender, age), professional roles (practice managers, general practitioners, paediatricians), employment status (permanent, temporary, zero-hours), and years of experience (under or over ten years’ experience). Data were collected between July and December 2020 through focus groups and in-depth, semi-structured individual interviews. RESULTS: A total of 53 primary care workers participated in the study, of which 38 were individually interviewed and 15 participated in three focus groups. Of these, 78.4% were healthcare professionals, 49% were female nurses, and 70.5% had more than 10 years of work experience in primary care. Two main themes emerged: “liquid” healthcare and “the best healthcare system in the world”. During the first wave of the COVID-19 pandemic, new, more fluid organisational and management models were implemented in primary care settings, which have remained in place since. Primary care workers’ perceived a lack of appreciation and inclusion in decision-making that risked their alienation and disengagement. CONCLUSION: Primary care workers’ professional identity became gradually blurred due to shifting perceptions of their professional roles in a context of increasing improvisation and flexible working practices. This affected their professional performance. TRIAL REGISTRATION: The study was approved by the Clinical Research Ethical Committee of the Talavera de la Reina Integrated Management Area (CEIm del AGI de Talavera de la Reina in Spain, Hospital Nuestra Señora del Prado, ref: 23/2020). BioMed Central 2022-05-17 /pmc/articles/PMC9112637/ /pubmed/35581581 http://dx.doi.org/10.1186/s12913-022-07855-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Pulido-Fuentes, Montserrat González, Luisa Abad Reneo, Isaac Aranda Cipriano-Crespo, Carmen Flores-Martos, Juan Antonio Santos, Ana Palmar Towards a liquid healthcare: primary care organisational and management strategies during the COVID-19 pandemic - a qualitative study |
title | Towards a liquid healthcare: primary care organisational and management strategies during the COVID-19 pandemic - a qualitative study |
title_full | Towards a liquid healthcare: primary care organisational and management strategies during the COVID-19 pandemic - a qualitative study |
title_fullStr | Towards a liquid healthcare: primary care organisational and management strategies during the COVID-19 pandemic - a qualitative study |
title_full_unstemmed | Towards a liquid healthcare: primary care organisational and management strategies during the COVID-19 pandemic - a qualitative study |
title_short | Towards a liquid healthcare: primary care organisational and management strategies during the COVID-19 pandemic - a qualitative study |
title_sort | towards a liquid healthcare: primary care organisational and management strategies during the covid-19 pandemic - a qualitative study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9112637/ https://www.ncbi.nlm.nih.gov/pubmed/35581581 http://dx.doi.org/10.1186/s12913-022-07855-0 |
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