心理学
过程(计算)
医疗保健
工作(物理)
自反性
过程管理
医学教育
知识管理
应用心理学
计算机科学
医学
政治学
社会学
业务
工程类
机械工程
操作系统
社会科学
法学
作者
Ine Huybrechts,Dagje Boeykens,Agnes Grudniewicz,Carolyn Steele Gray,An De Sutter,Peter Pype,Dominique Van de Velde,Pauline Boeckxstaens,Sibyl Anthierens
出处
期刊:Primary Health Care Research & Development
[Cambridge University Press]
日期:2023-01-01
卷期号:24
被引量:3
标识
DOI:10.1017/s1463423622000767
摘要
Abstract Aim: To use normalization process theory (NPT) to build a strategy for the implementation of goal-oriented care (GOC) in primary care in Flanders, Belgium. Background: GOC is a possible approach to more coordinated and integrated care and tailors care to patients’ personal life goals. The concept has gained interest among policy makers and researchers, but the main drivers for successful implementation are the primary healthcare professionals (PHCPs) who need to see added value of GOC in order to embed it into their daily practice. NPT, developed to understand the processes of implementing new ways of organizing care, offers a useful lens to understand adoption of GOC in primary care practice. Method: PHCPs ( n = 131) who participated in a 2-hour community meeting on GOC were asked to complete the Normalization MeAsure Development survey. This 23-item survey is based on NPT and describes participants’ views about how an intervention would impact their work, their expectations about it, and whether it could become a routine part of their work. Findings: The NPT constructs coherence (sense-making work) and cognitive participation (relational work) showed positive tendency toward implementation of GOC. The participants had an initial understanding on GOC and there was much interest in supporting and start working with this approach. The other constructs collective action (operational work) and reflexive monitoring (appraisal work) will need further efforts to trigger implementation. A common ground is needed to integrate GOC as a common practice which can be achieved by intensive interprofessional collaboration.
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