Scaling-up an integrated care for patients with non-communicable diseases: An analysis of healthcare barriers and facilitators in Slovenia and Belgium
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Jun 28, 2021
About this article
Article Category: Original scientific article
Published Online: Jun 28, 2021
Page range: 158 - 166
Received: Dec 23, 2020
Accepted: May 28, 2021
DOI: https://doi.org/10.2478/sjph-2021-0023
Keywords
© 2021 National Institute of Public Health, Slovenia, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Data collection characteristics_
| Participants level | Slovenia | Belgium |
|---|---|---|
| 15 focus groups: seven with patients1 (6 urban, 1 rural), eight with health workers2 (5 urban, 3 rural) | Secondary data, based on two recently published relevant studies ( |
|
| 11 interviews | 15 interviews | |
| 12 interviews | 13 interviews |
Focus groups and interview guide_
| • Thank | |
| • Name & function of researcher | |
| • In case of 2 researchers: one asking questions (mainly) and one/both taking notes | |
| • Aim of FG/interview: gaining insight into opinions and perceptions of patients, healthcare teams and community actors in relation to integrated care, its barriers and facilitators | |
| • Duration of FG/interview (max 90 min) | |
| • Ensure confidentiality | |
| • Questions? | |
| • Ask (to sign) the informed consent and permission to record the FG/interview | |
| 1. How do you see the current implementation of integrated chronic disease care in your country? What favors and what hinders it? | |
| 2. What do you think is currently an obstacle to tailor healthcare more to the individual person? What could facilitate such an approach? | |
| 3. How do you see collaboration between the patient and health professionals; and between different professionals within and outside the team? What are the barriers and facilitators? | |
| 4. How well coordinated is healthcare currently? What hinders and what facilitates the coordination of care? | |
| • Do you have any additional remarks? | |
| • Thank you for your time. | |
Selection of participants_
| Participants level | Slovenia | Belgium |
|---|---|---|
| FG Patients - Ljubljana (6 focus groups) | Secondary data | |
| FG Patients - Ravne na Koroškem | ||
| FG Health Professionals - Ljubljana (5 focus groups) | ||
| FG Health Professionals - Lendava | ||
| FG Health Professionals - Gornja Radgona | ||
| FG Health Professionals - Ravne na Koroškem | ||
| Community Health Centre Ljubljana (3 interviews) | Medical Association of GPs (Domus Medica, DM) | |
| Community Health Centre Postojna | Belgian Association of Doctors Syndicates (BVAS) | |
| Institution for informal home care | Medical Association of GPs and Specialists (ASGB) | |
| (Zavod za oskrbo na domu) | General Pharmaceutical Association (APB) | |
| Municipality of Ljubljana (2 interviews) | Network of Hospitals (ICURO) | |
| Associations of patients with chronic diseases (Društvo Za Srce) (2 interviews) | Flemish Association of Dieticians | |
| Retirement home (Dom starejših občanov Tabor) | Association of Diabetes Nurses | |
| Associations of patients with chronic diseases (Društvo diabetikov) | Flemish Association of Independent Nurses (VBZV) | |
| Network of Homecare Nurses (Zorggezind) | ||
| Association of Home Nursing (WGK) | ||
| Flemish Patient Platform (VPP) | ||
| Flemish Diabetes Association (Diabetes liga) | ||
| First line zone (3 zones: Antwerp, | ||
| Ghent, Kempenland) | ||
| National Institute for Public Health (2 interviews) | Federal Public Service of Health (FOD) | |
| National Institute for Health Insurance | Flemish Cabinet | |
| Ministry of Health (2 interviews) | Association of Flemish Cities | |
| and Municipalities (VVSG) | ||
| Chamber of Pharmacies | ||
| Flemish Agency of Care and Health (VAZG) | ||
| Health Council at Ministry of Health | ||
| National Institute of Health & Disability | ||
| Chamber of nurses, midwives and | Insurance (NIHDI) (3 interviews) | |
| healthcare assistants of Slovenia | ||
| Christian Health Fund (CM) | ||
| Medical University of Ljubljana, Department | ||
| of Family Medicine (3 interviews) | Joint College of Sickness Funds (NIC) | |
| Medical Chamber | Socialist Sickness Fund | |
| Federal Knowledge Centre for Healthcare (KCE) | ||
| Academia/Medical universities (2 interviews) | ||