Using concept mapping to identify policy options and interventions towards people-centred health care services: a multi stakeholders perspective
Autor: | Sara Willems, Christine Leyns, Jan De Maeseneer |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Professional competence
medicine.medical_specialty Attitude of Health Personnel Concept Formation Health Personnel Health literacy Health Promotion 03 medical and health sciences 0302 clinical medicine Belgium SYSTEMS Stakeholder participation Patient-Centered Care Health care Medicine and Health Sciences medicine Humans 030212 general & internal medicine Sociology Qualitative Research Health policy Health equity Delivery of Health Care Integrated business.industry Research 030503 health policy & services Health Policy Public health lcsh:Public aspects of medicine LITERACY Public Health Environmental and Occupational Health Health services research EDUCATION ENGAGEMENT lcsh:RA1-1270 Public relations Health Literacy Health promotion Policy Health education VACCINATION Health Services Research 0305 other medical science business |
Zdroj: | International Journal for Equity in Health, Vol 17, Iss 1, Pp 1-14 (2018) INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH International Journal for Equity in Health |
ISSN: | 1475-9276 |
Popis: | Background People-centred health care (PCC) services are identified by the WHO as important building blocks towards universal health coverage. In 2016 the WHO formulated a comprehensive framework on integrated PCC services based on an international expert consultation. Yet, expert opinions may fail to recognize the needs of all health system stakeholders. Therefore, a consultation method that includes the health workforce and laypersons, can be instrumental to elaborate this framework more in-depth. This research sought to identify participants’ perspectives on policy options and interventions to achieve people-centred health care services from a multi stakeholder perspective. Methods Study participants, both laypersons and health professionals, were recruited in Belgium. A total of 53 participants engaged in one of the seven concept mapping workshops. In this workshop the concept mapping methodology developed by Trochim, a highly structured qualitative group method for brainstorming and idea sharing, was used to generate and structure participants´ perspectives on what is needed to achieve PCC services. The method was validated using the WHO framework. Results The seven workshops together resulted in 452 different statements that were structured in a framework forming 35 clusters and four overarching domains. The four domains with their most prominent clusters were: (1) governance & policy with intersectoral health policies and affordable health for all; (2) health workforce with excellent communication skills, appreciation of health literacy challenges and respectful attitude based on cultural self-awareness; (3) integrated health services with a greater emphasis on prevention, health promotion and the availability of health education and (4) patient, person and community empowerment and participation with support for informal care, promotion of a healthy lifestyle and contextualised health education. Additionally, this study generated ideas that fitted into every single approach described in the WHO framework. Discussion and conclusion This study shows that in order to achieve PCC a participative approach involving all stakeholders at all levels is needed. The concept mapping process is one of these approaches that brings together diverse stakeholders and foments their egalitarian and respectful participation. The framework that resulted from this study can inform future debate regarding planning, implementation and monitoring of PCC. |
Databáze: | OpenAIRE |
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