Factors influencing the implementation of Home-Based Stroke Rehabilitation: Professionals' perspective
| Autor: | Bert J. M. de Swart, Esther M J Steultjens, Petra C. Siemonsma, Dinja J. van der Veen, C. Döpp, Maria W.G. Nijhuis-van der Sanden |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Economics medicine.medical_treatment Health Care Providers Social Sciences Vascular Medicine Geographical locations 0302 clinical medicine Outpatients Medicine and Health Sciences 030212 general & internal medicine Survivors Qualitative Research media_common Netherlands Allied Health Care Professionals Multidisciplinary Rehabilitation Stroke Rehabilitation Focus Groups Middle Aged Disorders of movement Donders Center for Medical Neuroscience [Radboudumc 3] Home Care Services Stroke Europe Caregivers Neurology Medicine Female Psychology Research Article Adult Patients Attitude of Health Personnel media_common.quotation_subject Cerebrovascular Diseases Science Context (language use) Rehabilitation Centers Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Rehabilitation Medicine 03 medical and health sciences All institutes and research themes of the Radboud University Medical Center Nursing medicine Humans Conversation European Union Primary Care Implementation Science Social environment Focus group Transparency (behavior) Health Care Socioeconomic Factors Content analysis Perception People and places 030217 neurology & neurosurgery Finance Qualitative research |
| Zdroj: | PLoS ONE, Vol 14, Iss 7, p e0220226 (2019) PLoS ONE PLoS One, 14 PLoS One, 14, 7 |
| ISSN: | 1932-6203 |
| Popis: | BackgroundStroke has a major impact on survivors and their social environment. Care delivery is advocated to become more client-centered and home-based because of their positive impact on client outcomes. The objective of this study was to explore professionals' perspectives on the provision of Home-Based Stroke Rehabilitation (HBSR) in the Netherlands and on the barriers and facilitators influencing the implementation of HBSR in daily practice.MethodsSemi-structured focus groups were conducted to explore the perspectives of health and social care professionals involved in stroke rehabilitation. Directed content analysis was performed to analyze the transcripts of recorded conversations.ResultsFourteen professionals participated in focus groups (n = 12) or, if unable to attend, an interview (n = 2). Participants varied in professional backgrounds and roles in treating Dutch clients post stroke. Barriers and facilitators influencing the implementation of HBSR in daily practice were identified in relation to: the innovation, the user, the organization and the socio-political context. Participants reported that HBSR can be efficient and effective to most clients because it facilitates client- and caregiver-centered rehabilitation within the clients' own environment. However, barriers in implementing HBSR were perceived in a lack of (structured) inter-professional collaboration and the transparency of expertise of primary care professionals. Also, the current financial structures for HBSR in the Netherlands are viewed as inappropriate.DiscussionIn line with previous studies, we found that HBSR is recognized by professionals as a promising alternative to institution-based rehabilitation for clients with sufficient capabilities (e.g. their own health and informal support).ConclusionMultiple factors influencing the implementation of HBSR were identified. Our study suggests that, in order to implement HBSR in daily practice, region specific implementation strategies need to be developed. We recommend developing strategies concerning: organized and coordinated inter-professional collaboration, transparency of the expertise of primary care professionals, and the financial structures of HBSR. |
| Databáze: | OpenAIRE |
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