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Healthcare professionals' perspectives on a blended care program in primary care; A qualitative study
Internet Interventions ( IF 5.358 ) Pub Date : 2021-08-04 , DOI: 10.1016/j.invent.2021.100440
S A J Toonders 1, 2, 3 , E Y Poolman 4 , M E Nieboer 1 , M F Pisters 1, 2, 3, 5 , C Veenhof 2, 3, 5, 6
Affiliation  

Increasingly, healthcare policies have changed focus from cure and care to behaviour and health. Prevention is becoming more important, which requires a change in the role of healthcare professionals. Healthcare professionals' role is changing from being a therapist to taking on the role of a coach. To prevent chronicity in Medically Unexplained Physical Symptoms (MUPS), an integrated blended care program was developed. To apply this new program in daily practice, it is important to gain insight into the usability. From the healthcare professionals' point of view the concept of usability consists of performance, satisfaction and acceptability. In this qualitative study participants were recruited after participating in the PARASOL program. Demographics were collected. Semi-structured interviews were conducted and analysed using thematic analysis. Ten healthcare professionals (six physical therapists and four mental health nurses) were interviewed. Four themes on usability were identified: (1) Who fits in the program, (2) preparation, (3) experience with the program and (4) interprofessional collaboration. This study gathered healthcare professionals' experiences with and attitudes towards integrating healthcare and offering blended care programs. An integrated blended care program offers the possibility to personalize treatment. Findings show attention should be given to the new responsibilities of healthcare professionals, and their role in integrated and blended care. This new approach of delivering healthcare can facilitate interprofessional collaboration. Achieving sustainable change in patients however still requires instruction and support for healthcare professionals implementing behavioural change techniques.



中文翻译:

医疗保健专业人员对初级保健混合保健计划的看法;定性研究

医疗保健政策的重点越来越多地从治疗和护理转向行为和健康。预防变得越来越重要,这需要改变医疗保健专业人员的角色。医疗保健专业人员的角色正在从治疗师转变为教练角色。为了防止医学上无法解释的身体症状 (MUPS) 的慢性化,开发了一个综合的混合护理计划。为了在日常实践中应用这个新程序,深入了解可用性非常重要。从医疗保健专业人员的角度来看,可用性的概念包括性能、满意度和可接受性。在这项定性研究中,参与者是在参加 PARASOL 计划后招募的。收集了人口统计信息。使用主题分析进行和分析半结构化访谈。十名医疗保健专业人员(六名物理治疗师和四名心理健康护士)接受了采访。确定了四个关于可用性的主题:(1)谁适合该计划,(2)准备,(3)该计划的经验和(4)跨专业合作。这项研究收集了医疗保健专业人员对整合医疗保健和提供混合护理计划的经验和态度。综合的混合护理计划提供了个性化治疗的可能性。调查结果表明,应该关注医疗保健专业人员的新职责,以及他们在综合和混合护理中的作用。这种提供医疗保健的新方法可以促进跨专业合作。然而,实现患者的可持续改变仍然需要对实施行为改变技术的医疗保健专业人员进行指导和支持。

更新日期:2021-08-09
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