BACKGROUND The positive impact of physical activity programmes has been recognised, but the current uptake is low. Authorities believe delivering these programmes in a shared-care model is a future perspective. The present study aimed to identify the barriers and facilitators affecting physical activity programme implementation in a shared-care model delivered with the cooperation of all the types of healthcare professionals involved. METHODS Thirty-one individual interviews with primary healthcare professionals (PHPs) and four focus group interviews with 39 secondary healthcare professionals (SHPs) were undertaken. We used Grol and Flottorp's theoretical models to identify barriers and facilitators in six domains: (1) physical activity programmes, (2) patients, (3) healthcare professionals, (4) social setting, (5) organisation and (6) law and governance. RESULTS In the domain of physical activity programmes, those physical activity programmes that were non-tailored to the patients' needs impeded successful implementation. In the domain of healthcare professionals, the knowledge and skills pertaining to physical activity programmes and non-commitment of healthcare professionals impeded implementation. HCPs expressed their concerns about the negative influence of the patient's social network. Most barriers occurred in the domain of organisation. The PHPs and SHPs raised concerns about ineffective collaboration and networks between hospitals. Only the PHPs raised concerns about poor communication, indeterminate roles, and lack of collaboration with SHPs. Insufficient and unclear insurance coverage of physical activity programmes was a barrier in the domain of law and governance. CONCLUSIONS Improving the domain of organisation seems the most challenging because the collaboration, communication, networks, and interactive roles between the PHPs and SHPs are all inadequate. Survivor care plans, more use of health information technology, improved rehabilitation guidelines, and better networks might benefit implementing physical activity programmes.

中文翻译：

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卫生保健专业人员在共享护理模式下实施向癌症幸存者实施体育锻炼计划的障碍和促进者的观点：定性研究。

背景技术人们已经认识到体育锻炼计划的积极影响，但是目前的吸收率很低。当局认为，以共享护理模式提供这些计划是未来的前景。本研究旨在确定在参与所有类型的医护人员合作的共享医疗模式中，影响体育锻炼计划实施的障碍和促进因素。方法进行了31位初级保健专业人员（PHP）的个人访谈和4位39位二级保健专业人员（SHP）的焦点小组访谈。我们使用Grol和Flottorp的理论模型来确定六个领域的障碍和促进者：（1）体育锻炼计划，（2）患者，（3）医疗保健专业人员，（4）社会环境，（5）组织和（6）法律与治理。结果在体育锻炼计划领域，那些不适合患者需求的体育锻炼计划阻碍了其成功实施。在医疗保健专业人员的领域中，与体育锻炼计划有关的知识和技能以及医疗保健专业人员的不承诺阻碍了其实施。HCP对患者社交网络的负面影响表示关注。大多数障碍发生在组织领域。PHP和SHP对医院之间无效的协作和网络提出了担忧。只有PHP提出了有关沟通不畅，角色不确定以及与SHP缺乏协作的担忧。体育活动计划的保险覆盖范围不足和不清楚，这是法律和治理领域的障碍。结论改善组织的领域似乎是最具挑战性的，因为PHP和SHP之间的协作，通信，网络和交互角色都不充分。幸存者护理计划，更多地使用健康信息技术，改进的康复指南以及更好的网络可能有益于实施体育锻炼计划。