Barriers and Facilitators in the Uptake ...
Document type :
Article dans une revue scientifique: Article original
DOI :
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Title :
Barriers and Facilitators in the Uptake of Integrated Care Pathways for Older Patients by Healthcare Professionals: A Qualitative Analysis of the French National “Health Pathway of Seniors for Preserved Autonomy” Pilot Program
Author(s) :
Averlant, L. [Auteur]
Calafiore, Matthieu [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Puisieux, Francois [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Ramez, C. [Auteur]
Sarrazin, F. [Auteur]
Lotin, M. [Auteur]
Naessens, R. [Auteur]
Delesalle, A. [Auteur]
Adotey, G. [Auteur]
Harduin, P. [Auteur]
Leveque, N. [Auteur]
Dambre, D. [Auteur]
Defebvre, M. M. [Auteur]
Di Martino, Carla [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Beuscart, Jean-Baptiste [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Calafiore, Matthieu [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Puisieux, Francois [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Ramez, C. [Auteur]
Sarrazin, F. [Auteur]
Lotin, M. [Auteur]
Naessens, R. [Auteur]
Delesalle, A. [Auteur]
Adotey, G. [Auteur]
Harduin, P. [Auteur]
Leveque, N. [Auteur]
Dambre, D. [Auteur]
Defebvre, M. M. [Auteur]
Di Martino, Carla [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Beuscart, Jean-Baptiste [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Journal title :
International Journal of Integrated Care
Abbreviated title :
Int J Integr Care
Volume number :
21
Pages :
7
Publication date :
2021
ISSN :
1568-4156
English keyword(s) :
integrated care
care pathway
elderly
frailty
care pathway
elderly
frailty
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Introduction: Integrated care is a particularly promising approach in geriatrics – a field in which the medical, psychological and social issues are often complex. The uptake of integrated care by healthcare professionals ...
Show more >Introduction: Integrated care is a particularly promising approach in geriatrics – a field in which the medical, psychological and social issues are often complex. The uptake of integrated care by healthcare professionals (HCPs) is essential but varies markedly. The objective of the present study of healthcare professionals was to identify barriers to and facilitators of commitment to integrated care for seniors. Methods: We performed a two-step, qualitative study, comprising (i) six qualitative, semi-directive series of interviews with HCPs (hospital practitioners, family physicians, nurses and pharmacists) who agreed or disagreed to take part in the French national “Health Pathway of Seniors for Preserved Autonomy” (PAERPA) pilot program; and (ii) an analysis of the pooled results, in order to identify common concerns among the healthcare professionals. Results: We identified four key “barrier” and “facilitator” topics shared by HCPs who had committed to the pilot program and those who had not: (i) awareness of and/or interest in geriatric medicine and team working, (ii) the presence of a care coordinator; (iii) the provision of information about the program and about the patient, and communication between HCPs, and (iv) personal benefits for the HCPs and the patients. Key conclusions: The four key topics identified in this large qualitative study of several healthcare professions should be considered during the design and dissemination of integrated care pathways for older patients.Show less >
Show more >Introduction: Integrated care is a particularly promising approach in geriatrics – a field in which the medical, psychological and social issues are often complex. The uptake of integrated care by healthcare professionals (HCPs) is essential but varies markedly. The objective of the present study of healthcare professionals was to identify barriers to and facilitators of commitment to integrated care for seniors. Methods: We performed a two-step, qualitative study, comprising (i) six qualitative, semi-directive series of interviews with HCPs (hospital practitioners, family physicians, nurses and pharmacists) who agreed or disagreed to take part in the French national “Health Pathway of Seniors for Preserved Autonomy” (PAERPA) pilot program; and (ii) an analysis of the pooled results, in order to identify common concerns among the healthcare professionals. Results: We identified four key “barrier” and “facilitator” topics shared by HCPs who had committed to the pilot program and those who had not: (i) awareness of and/or interest in geriatric medicine and team working, (ii) the presence of a care coordinator; (iii) the provision of information about the program and about the patient, and communication between HCPs, and (iv) personal benefits for the HCPs and the patients. Key conclusions: The four key topics identified in this large qualitative study of several healthcare professions should be considered during the design and dissemination of integrated care pathways for older patients.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Submission date :
2023-11-15T06:39:55Z
2024-03-21T10:02:51Z
2024-03-21T10:02:51Z
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