| Autor: |
Wändell, Per E, Waard, Anne-Karien M de, Holzmann, Martin J, Gornitzki, Carl, Lionis, Christos, Wit, Niek de, Søndergaard, Jens, Sønderlund, Anders L, Kral, Norbert, Seifert, Bohumil, Wändell, Per E, de Waard, Anne-Karien M, de Wit, Niek, Søndergaard, Jens, Sønderlund, Anders L, Korevaar, Joke C, Schellevis, François G, Carlsson, Axel C |
| Předmět: |
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| Zdroj: |
Family Practice; Aug2018, Vol. 35 Issue 4, p383-398, 16p, 1 Diagram, 3 Charts |
| Abstrakt: |
The aim of this study is to identify potential facilitators and barriers for health care professionals to undertake selective prevention of cardiometabolic diseases (CMD) in primary health care. We developed a search string for Medline, Embase, Cinahl and PubMed. We also screened reference lists of relevant articles to retain barriers and facilitators for prevention of CMD. We found 19 qualitative studies, 7 quantitative studies and 2 mixed qualitative and quantitative studies. In terms of five overarching categories, the most frequently reported barriers and facilitators were as follows: Structural (barriers: time restraints, ineffective counselling and interventions, insufficient reimbursement and problems with guidelines; facilitators: feasible and effective counselling and interventions, sufficient assistance and support, adequate referral, and identification of obstacles), Organizational (barriers: general organizational problems, role of practice, insufficient IT support, communication problems within health teams and lack of support services, role of staff, lack of suitable appointment times; facilitators: structured practice, IT support, flexibility of counselling, sufficient logistic/practical support and cooperation with allied health staff/community resources, responsibility to offer and importance of prevention), Professional (barriers: insufficient counselling skills, lack of knowledge and of experience; facilitators: sufficient training, effective in motivating patients), Patient-related factors (barriers: low adherence, causes problems for patients; facilitators: strong GP-patient relationship, appreciation from patients), and Attitudinal (barriers: negative attitudes to prevention; facilitators: positive attitudes of importance of prevention). We identified several frequently reported barriers and facilitators for prevention of CMD, which may be used in designing future implementation and intervention studies. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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