Prevention in primary care: facilitators and barriers to transform prevention from a random coincidence to a systematic approach.
Identifieur interne : 000127 ( Main/Corpus ); précédent : 000126; suivant : 000128Prevention in primary care: facilitators and barriers to transform prevention from a random coincidence to a systematic approach.
Auteurs : Hedwig M M. Vos ; Iris M A. Adan ; François G. Schellevis ; Antoine L M. Lagro-JanssenSource :
- Journal of evaluation in clinical practice [ 1365-2753 ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- geographic : Netherlands.
- prevention & control : Cardiovascular Diseases.
- Diffusion of Innovation, General Practitioners, Group Processes, Humans, Practice Patterns, Physicians', Primary Health Care, Primary Prevention, Qualitative Research.
Abstract
RATIONALE, AIMS AND OBJECTIVES
The Dutch general practitioner (GP) plays a substantial role in prevention. At the same time, many GPs hesitate to incorporate large-scale cardiovascular risk management (CVRM) programmes into their daily practice. By exploring facilitators and barriers occurring during the past three decades, we wish to find clues on how to motivate professionals to adopt and implement prevention programmes.
METHODS
A witness seminar was organized in September 2011, inviting key figures to discuss the decision-making process of the implementation of systematic prevention programmes in the Netherlands in the past, thereby adding new perspectives on past events. The extensive discussion was fully audiotaped. The transcript was content-analysed.
RESULTS
We came across four different transitional stages: (1) the conversion from GPs disputing prevention to the implementation of systematic influenza vaccination; (2) the transition from systematic influenza vaccination to planning CVRM programmes; (3) the transition from planning and piloting CVRM programmes to cancelling the large-scale implementation of the CVRM programme; and (4) the reinforcement of prevention.
CONCLUSIONS
The GPs' fear to lose the domain of prevention to other health care professionals and financial and logistical support are the main facilitators for implementing prevention programmes in primary care. The main barriers for implementing prevention are the combination of insecurity about reimbursement and lack of scientific evidence. It appears that the ethical view of GPs that everyone should have the same right to obtain preventive care gradually takes over the inclination to hold on to evidence-based prevention.
DOI: 10.1111/jep.12108
PubMed: 24330278
Links to Exploration step
pubmed:24330278Le document en format XML
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Schellevis</name></author><author><name sortKey="Lagro Janssen, Antoine L M" sort="Lagro Janssen, Antoine L M" uniqKey="Lagro Janssen A" first="Antoine L M" last="Lagro-Janssen">Antoine L M. Lagro-Janssen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24330278</idno><idno type="pmid">24330278</idno><idno type="doi">10.1111/jep.12108</idno><idno type="wicri:Area/Main/Corpus">000127</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000127</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Prevention in primary care: facilitators and barriers to transform prevention from a random coincidence to a systematic approach.</title><author><name sortKey="Vos, Hedwig M M" sort="Vos, Hedwig M M" uniqKey="Vos H" first="Hedwig M M" last="Vos">Hedwig M M. Vos</name><affiliation><nlm:affiliation>Gender and Women's Health, Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Adan, Iris M A" sort="Adan, Iris M A" uniqKey="Adan I" first="Iris M A" last="Adan">Iris M A. Adan</name></author><author><name sortKey="Schellevis, Francois G" sort="Schellevis, Francois G" uniqKey="Schellevis F" first="François G" last="Schellevis">François G. Schellevis</name></author><author><name sortKey="Lagro Janssen, Antoine L M" sort="Lagro Janssen, Antoine L M" uniqKey="Lagro Janssen A" first="Antoine L M" last="Lagro-Janssen">Antoine L M. Lagro-Janssen</name></author></analytic><series><title level="j">Journal of evaluation in clinical practice</title><idno type="eISSN">1365-2753</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cardiovascular Diseases (prevention & control)</term><term>Diffusion of Innovation (MeSH)</term><term>General Practitioners (MeSH)</term><term>Group Processes (MeSH)</term><term>Humans (MeSH)</term><term>Netherlands (MeSH)</term><term>Practice Patterns, Physicians' (MeSH)</term><term>Primary Health Care (MeSH)</term><term>Primary Prevention (MeSH)</term><term>Qualitative Research (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Netherlands</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Cardiovascular Diseases</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Diffusion of Innovation</term><term>General Practitioners</term><term>Group Processes</term><term>Humans</term><term>Practice Patterns, Physicians'</term><term>Primary Health Care</term><term>Primary Prevention</term><term>Qualitative Research</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>RATIONALE, AIMS AND OBJECTIVES</b></p><p>The Dutch general practitioner (GP) plays a substantial role in prevention. At the same time, many GPs hesitate to incorporate large-scale cardiovascular risk management (CVRM) programmes into their daily practice. By exploring facilitators and barriers occurring during the past three decades, we wish to find clues on how to motivate professionals to adopt and implement prevention programmes.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A witness seminar was organized in September 2011, inviting key figures to discuss the decision-making process of the implementation of systematic prevention programmes in the Netherlands in the past, thereby adding new perspectives on past events. The extensive discussion was fully audiotaped. The transcript was content-analysed.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We came across four different transitional stages: (1) the conversion from GPs disputing prevention to the implementation of systematic influenza vaccination; (2) the transition from systematic influenza vaccination to planning CVRM programmes; (3) the transition from planning and piloting CVRM programmes to cancelling the large-scale implementation of the CVRM programme; and (4) the reinforcement of prevention.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The GPs' fear to lose the domain of prevention to other health care professionals and financial and logistical support are the main facilitators for implementing prevention programmes in primary care. The main barriers for implementing prevention are the combination of insecurity about reimbursement and lack of scientific evidence. It appears that the ethical view of GPs that everyone should have the same right to obtain preventive care gradually takes over the inclination to hold on to evidence-based prevention.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24330278</PMID><DateCompleted><Year>2015</Year><Month>01</Month><Day>09</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1365-2753</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>3</Issue><PubDate><Year>2014</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Journal of evaluation in clinical practice</Title><ISOAbbreviation>J Eval Clin Pract</ISOAbbreviation></Journal><ArticleTitle>Prevention in primary care: facilitators and barriers to transform prevention from a random coincidence to a systematic approach.</ArticleTitle><Pagination><MedlinePgn>208-15</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/jep.12108</ELocationID><Abstract><AbstractText Label="RATIONALE, AIMS AND OBJECTIVES" NlmCategory="OBJECTIVE">The Dutch general practitioner (GP) plays a substantial role in prevention. At the same time, many GPs hesitate to incorporate large-scale cardiovascular risk management (CVRM) programmes into their daily practice. By exploring facilitators and barriers occurring during the past three decades, we wish to find clues on how to motivate professionals to adopt and implement prevention programmes.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A witness seminar was organized in September 2011, inviting key figures to discuss the decision-making process of the implementation of systematic prevention programmes in the Netherlands in the past, thereby adding new perspectives on past events. The extensive discussion was fully audiotaped. The transcript was content-analysed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We came across four different transitional stages: (1) the conversion from GPs disputing prevention to the implementation of systematic influenza vaccination; (2) the transition from systematic influenza vaccination to planning CVRM programmes; (3) the transition from planning and piloting CVRM programmes to cancelling the large-scale implementation of the CVRM programme; and (4) the reinforcement of prevention.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The GPs' fear to lose the domain of prevention to other health care professionals and financial and logistical support are the main facilitators for implementing prevention programmes in primary care. The main barriers for implementing prevention are the combination of insecurity about reimbursement and lack of scientific evidence. It appears that the ethical view of GPs that everyone should have the same right to obtain preventive care gradually takes over the inclination to hold on to evidence-based prevention.</AbstractText><CopyrightInformation>© 2013 John Wiley & Sons, Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vos</LastName><ForeName>Hedwig M M</ForeName><Initials>HM</Initials><AffiliationInfo><Affiliation>Gender and Women's Health, Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Adan</LastName><ForeName>Iris M A</ForeName><Initials>IM</Initials></Author><Author ValidYN="Y"><LastName>Schellevis</LastName><ForeName>François G</ForeName><Initials>FG</Initials></Author><Author ValidYN="Y"><LastName>Lagro-Janssen</LastName><ForeName>Antoine L M</ForeName><Initials>AL</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>12</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Eval Clin Pract</MedlineTA><NlmUniqueID>9609066</NlmUniqueID><ISSNLinking>1356-1294</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002318" MajorTopicYN="N">Cardiovascular Diseases</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004059" MajorTopicYN="Y">Diffusion of Innovation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058005" MajorTopicYN="N">General Practitioners</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006126" MajorTopicYN="N">Group Processes</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009426" MajorTopicYN="N" Type="Geographic">Netherlands</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010818" MajorTopicYN="N">Practice Patterns, Physicians'</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011320" MajorTopicYN="Y">Primary Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011322" MajorTopicYN="Y">Primary Prevention</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D036301" MajorTopicYN="N">Qualitative Research</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">cardiovascular risk management</Keyword><Keyword MajorTopicYN="N">implementation</Keyword><Keyword MajorTopicYN="N">prevention</Keyword><Keyword MajorTopicYN="N">primary care</Keyword><Keyword MajorTopicYN="N">qualitative research</Keyword><Keyword MajorTopicYN="N">witness seminar</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>11</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>12</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>12</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>1</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24330278</ArticleId><ArticleId IdType="doi">10.1111/jep.12108</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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