| | SLO | ENG | Cookies and privacy

Bigger font | Smaller font

Show document Help

Title:Scaling-up an integrated care for patients with non-communicable diseases : an analysis of healthcare barriers and facilitators in Slovenia and Belgium
Authors:ID Zavrnik, Črt (Author)
ID Danhieux, Katrien (Author)
ID Hurtado Monarres, Miriam (Author)
ID Stojnić, Nataša (Author)
ID Mori-Lukančič, Majda (Author)
ID Martens, Monika (Author)
ID Klemenc-Ketiš, Zalika (Author)
ID Wouters, Edwin (Author)
ID Van Olmen, Josefien (Author)
ID Poplas-Susič, Tonka (Author)
Files:.pdf Zavrnik-2021-SCALING-UP_AN_INTEGRATED_CARE_FOR.pdf (428,11 KB)
MD5: DFB73F864B74286161F71298010356E6
 
URL https://doi.org/10.2478/sjph-2021-0023
 
Language:English
Work type:Scientific work
Typology:1.01 - Original Scientific Article
Organization:MF - Faculty of Medicine
Abstract:Introduction: Although the concept of integrated care for non-communicable diseases was introduced at the primary level to move from disease-centered to patient-centered care, it has only been partially implemented in European countries. The aim of this study was to identify and compare identified facilitators and barriers to scale-up this concept between Slovenia and Belgium. Methods: This was a qualitative study. Fifteen focus groups and fifty-one semi-structured interviews were conducted with stakeholders at the micro, meso and macro levels. In addition, data from two previously published studies were used for the analysis. Data collection and analysis was initially conducted at country level. Finally, the data was evaluated by a cross-country team to assess similarities and differences between countries. Results: Four topics were identified in the study: patient-centered care, teamwork, coordination of care and task delegation. Despite the different contexts, true teamwork and patient-centered care are limited in both countries by hierarchies and a very heavily skewed medical approach. The organization of primary healthcare in Slovenia probably facilitates the coordination of care, which is not the case in Belgium. The financing and organization of primary practices in Belgium was identified as a barrier to the implementation of task delegation between health professionals. Conclusions: This study allowed formulating some important concepts for future healthcare for non-communicable diseases at the level of primary healthcare. The results could provide useful insights for other countries with similar health systems.
Keywords:scale-up, noncommunicable diseases, patientcentered care, primary healthcare, integrated healthcare
Publication status:Published
Publication version:Version of Record
Submitted for review:23.12.2020
Article acceptance date:28.05.2021
Publication date:28.06.2021
Publisher:Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Univerzitetni zavod za zdravstveno in socialno varstvo, Inštitut za varovanje zdravja Republike Slovenije, Nacionalni inštitut za javno zdravje
Year of publishing:2021
Number of pages:Str. 158-166
Numbering:Letn. 60, št. 3
PID:20.500.12556/DKUM-91103 New window
UDC:614
ISSN on article:0351-0026
COBISS.SI-ID:71483907 New window
DOI:10.2478/sjph-2021-0023 New window
Publication date in DKUM:22.10.2024
Views:0
Downloads:7
Metadata:XML DC-XML DC-RDF
Categories:Misc.
:
Copy citation
  
Average score:(0 votes)
Your score:Voting is allowed only for logged in users.
Share:Bookmark and Share


Hover the mouse pointer over a document title to show the abstract or click on the title to get all document metadata.

Record is a part of a journal

Title:Zdravstveno varstvo : Slovenian journal of public health
Publisher:Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Univerzitetni zavod za zdravstveno in socialno varstvo, Inštitut za varovanje zdravja Republike Slovenije, Nacionalni inštitut za javno zdravje
ISSN:0351-0026
COBISS.SI-ID:3287810 New window

Document is financed by a project

Funder:EC - European Commission
Funding programme:H2020
Project number:825432
Name:SCale Up an integrated care package for diaBetes and hYpertension for vulnerable people in Cambodia, Slovenia and Belgium
Acronym:SCUBY

Licences

License:CC BY-NC-ND 3.0, Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported
Link:http://creativecommons.org/licenses/by-nc-nd/3.0/
Description:You are free to reproduce and redistribute the material in any medium or format. You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material. You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Licensing start date:28.06.2021

Secondary language

Language:Slovenian
Title:Nadgradnja celostne oskrbe pacientov s kroničnimi nenalezljivimi boleznimi : analiza spodbujevalcev in ovir v Sloveniji in Belgiji
Abstract:Uvod: Celostna oskrba kroničnih nenalezljivih bolezni je koncept, ki v bolezen usmerjeno oskrbo nadomešča z oskrbo, usmerjeno na pacienta. Kljub obstoju učinkovitega modela takšne obravnave pa je bil slednji v evropskih državah doslej uveden le delno. Namen te študije je prepoznati in primerjati spodbujevalce in ovire za nadgradnjo celostne oskrbe v Sloveniji in Belgiji. Metode: V sklopu te kvalitativne študije je bilo izvedenih 15 fokusnih skupin in 51 intervjujev z odločevalci na mikro-, mezo- in makroravni. Poleg tega so bili v analizo vključeni tudi podatki iz dveh predhodno objavljenih študij. Zbiranje podatkov in analiza sta bila sprva izvedena v vsaki državi ločeno, nato pa je mednarodna ekipa raziskovalcev primerjala podatke ter opredelila razlike in podobnosti med državama. Rezultati: V raziskavi so bile izpostavljene štiri teme: na pacienta usmerjena oskrba, timsko delo, koordinacija oskrbe ter prenos zadolžitev med zdravstvenimi delavci. Odločevalci obeh držav so izpostavili, da vzpostavljena močna hierarhija in strog medicinski pristop k obravnavi pacientov s kronično boleznijo predstavlja bistveno oviro za uresničitev resničnega timskega dela in na pacienta usmerjene oskrbe. V nasprotju z Belgijo organizacija primarnega zdravstvenega varstva v Sloveniji najverjetneje spodbuja koordinacijo oskrbe. V Belgiji pa sta bila kot bistvena ovira za prenos zadolžitev med zdravstvenimi delavci izpostavljena način financiranja in organizacija primarnih ambulant. Zaključki: Ta študija predstavlja nekaj za prihodnost pomembnih načel obravnave kroničnih nenalezljivih bolezni na primarni zdravstveni ravni. Rezultati lahko predstavljajo uporabna spoznanja za druge države s podobnim zdravstvenim sistemom.
Keywords:nadgradnja, kronične nenalezljive bolezni, na pacienta usmerjena oskrba, primarno zdravstveno varstvo, celostna oskrba


Comments

Leave comment

You must log in to leave a comment.

Comments (0)
0 - 0 / 0
 
There are no comments!

Back
Logos of partners University of Maribor University of Ljubljana University of Primorska University of Nova Gorica