Will the implementation process for goal-oriented primary care succeed? A qualitative study investigating five perceived attributes of goal-oriented care

On behalf on the Primary Care Academy, Ine Huybrechts, Anja Declercq, Emily Verté, Pauline Boeckxstaens, Peter Raeymaeckers, Sibyl Anthierens

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Abstract

Throughout the western world, goal oriented care (GOC) is increasingly promoted as a strategy towards more person-centered, integrated care. The implementation of goal-oriented care not only takes place at the micro-level with individual primary care providers (PCPs) changing their approach, but also requires meso- and macro-level investment. In this study, we zoom in on experiences and actions of various meso- and macro-level actors that are actively engaged with implementing GOC, both within their organization or at the policy level. In-depth interviews were conducted with n = 23 actors from a variety of different organizations (governmental institutions, provider organizations, patient organizations, health/social care organizations, primary care zones/care councils, etc.), using a semi- interview guide inspired by realist interviewing. Three main drivers for implementation were identified: recognition, commitment and coordination. On top of that, results were interpreted through Rogers' Diffusion of Innovations (Dol) theory in which five attributes are discussed that contribute to or hinder implementation success. Our findings can help define actions to support and facilitate the implementation process of an innovation such as GOC.

Original languageEnglish
Article number116048
Number of pages9
JournalSocial Science & Medicine
Volume331
Issue number1
Early online dateJun 2023
DOIs
Publication statusPublished - Aug 2023

Bibliographical note

Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords

  • Goal-oriented care
  • Person-centered care
  • Primery care
  • Implementation
  • Implementation process
  • Diffusion of innovations

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