Exploring readiness for implementing goal-oriented care in primary care using normalization process theory.

Autor: Huybrechts I; Department of Family Medicine and Population Health, University of Antwerp, Antwerp, Belgium.; Department of Family Medicine and Chronic Care, Free University of Brussels, Brussels, Belgium., Boeykens D; Department of Rehabilitation Sciences, Occupational Therapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.; Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium., Grudniewicz A; Telfer School of Management, University of Ottawa, Ottawa, Ontario, Canada., Steele Gray C; Bridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario, Canada.; Institute of Health Policy, Management & Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada., De Sutter A; Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium., Pype P; Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.; End-of-Life Care Research Group, Faculty of Medicine and Health Sciences, VUB and Ghent University, Ghent, Belgium., Van de Velde D; Department of Rehabilitation Sciences, Occupational Therapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.; Department of Occupational Therapy, Artevelde University of Applied Sciences, Ghent, Belgium., Boeckxstaens P; Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium., Anthierens S; Department of Family Medicine and Population Health, University of Antwerp, Antwerp, Belgium.
Jazyk: angličtina
Zdroj: Primary health care research & development [Prim Health Care Res Dev] 2023 Feb 08; Vol. 24, pp. e12. Date of Electronic Publication: 2023 Feb 08.
DOI: 10.1017/S1463423622000767
Abstrakt: Aim: To use normalization process theory (NPT) to build a strategy for the implementation of goal-oriented care (GOC) in primary care in Flanders, Belgium.
Background: GOC is a possible approach to more coordinated and integrated care and tailors care to patients' personal life goals. The concept has gained interest among policy makers and researchers, but the main drivers for successful implementation are the primary healthcare professionals (PHCPs) who need to see added value of GOC in order to embed it into their daily practice. NPT, developed to understand the processes of implementing new ways of organizing care, offers a useful lens to understand adoption of GOC in primary care practice.
Method: PHCPs ( n = 131) who participated in a 2-hour community meeting on GOC were asked to complete the Normalization MeAsure Development survey. This 23-item survey is based on NPT and describes participants' views about how an intervention would impact their work, their expectations about it, and whether it could become a routine part of their work.
Findings: The NPT constructs coherence (sense-making work) and cognitive participation (relational work) showed positive tendency toward implementation of GOC. The participants had an initial understanding on GOC and there was much interest in supporting and start working with this approach. The other constructs collective action (operational work) and reflexive monitoring (appraisal work) will need further efforts to trigger implementation. A common ground is needed to integrate GOC as a common practice which can be achieved by intensive interprofessional collaboration.
Databáze: MEDLINE