Perceptions of the primary health care team about the implementation of integrated care of patients with type 2 diabetes and hypertension in Slovenia: qualitative study

被引:5
|
作者
Stojnic, Natasa [1 ]
Klemenc-Ketis, Zalika [1 ,2 ,3 ]
Mori Lukancic, Majda [1 ]
Zavrnik, Crt [1 ]
Susic, Antonija Poplas [1 ,2 ]
机构
[1] Community Hlth Ctr Ljubljana, Ljubljana, Slovenia
[2] Univ Ljubljana, Fac Med, Dept Family Med, Ljubljana, Slovenia
[3] Univ Maribor, Fac Med, Dept Family Med, Maribor, Slovenia
关键词
Integrated health care system; type-2-diabetes; Hypertension; Health care team; interdisciplinary primary care; qualitative research; SELF-MANAGEMENT EDUCATION; NONCOMMUNICABLE DISEASES; MORTALITY; BARRIERS; RISK;
D O I
10.1186/s12913-023-09353-3
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
BackgroundIntegrated care involves good coordination, networking, and communication within health care services and externally between providers and patients or informal caregivers. It affects the quality of services, is more cost-effective, and contributes to greater satisfaction among individuals and providers of integrated care. In our study, we examined the implementation and understanding of integrated care from the perspective of providers - the health care team - and gained insights into the current situation.MethodsEight focus groups were conducted with health care teams, involving a total of 48 health care professionals, including family physicians, registered nurses, practice nurses, community nurses, and registered nurses working in a health education center. Prior to conducting the focus groups, a thematic guide was developed based on the literature and contextual knowledge with the main themes of the integrated care package. The analysis was conducted using the NVivo program.ResultsWe identified 12 main themes with 49 subthemes. Health care professionals highlighted good accessibility and the method of diagnostic screening integrated with preventive examinations as positive aspects of the current system of integrated care in Slovenia. They mentioned the good cooperation within the team, with the involvement of registered nurses and community nurses being a particular advantage. Complaints were made about the high workload and the lack of workforce. They feel that patients do not take the disease seriously enough and that patients as teachers could be useful.ConclusionPrimary care teams described the importance of implementing integrated care for diabetes and hypertension patients at four levels: Patient, community, care providers, and state. Primary care teams also recognized the importance of including more professionals from different health care settings on their team.
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页数:9
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