Barriers and facilitators to workforce changes in integrated care

L. Busetto, K.G. Luijkx, S. Calciolari, L. Guadalupe González Ortiz, H.J.M. Vrijhoef

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Abstract

Introduction:
The aim of the study is to investigate the barriers and facilitators to the implementation of workforce changes implemented as part of integrated chronic care interventions.

Methods:
We used a qualitative multimethod design that combined expert questionnaires, a systematic literature review, and secondary analysis of two case reports. Twenty-five experts, twenty-one studies and two case reports were included in the study.

Results:
Most barriers related to problematic delivery structures, health professionals’ skills and enthusiasm, IT, funding, culture and cooperation and communication. Most facilitators related to health professionals’ motivation and enthusiasm, good delivery structures, communication and cooperation, IT, patients, leadership and senior management. Overall, similar categories of barriers and facilitators were found.

Discussion:
We recommend that future research focusses on more complex designs including multiple data sources, as these are better able to capture the complexity of interventions such as integrated care. We recommend that health managers and policy-makers should invest in delivery structures and skills and motivation of health professionals to improve the implementation of workforce changes in integrated chronic care interventions.

Conclusion: The added value of the present study lies in its provision of information on which factors might mitigate the success of an intervention, which helps to prevent premature conclusions of ineffectiveness for complex interventions.
Original languageEnglish
Article number17
JournalInternational Journal of Integrated Care
Volume18
Issue number2
DOIs
Publication statusPublished - 2018

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health professionals
Communication
Information Storage and Retrieval
Administrative Personnel
expert
communication
secondary analysis
value added
funding
manager
leadership
questionnaire
health
management
Surveys and Questionnaires
literature

Cite this

Busetto, L., Luijkx, K. G., Calciolari, S., Guadalupe González Ortiz, L., & Vrijhoef, H. J. M. (2018). Barriers and facilitators to workforce changes in integrated care. International Journal of Integrated Care, 18(2), [17]. https://doi.org/10.5334/ijic.3587
Busetto, L. ; Luijkx, K.G. ; Calciolari, S. ; Guadalupe González Ortiz, L. ; Vrijhoef, H.J.M. / Barriers and facilitators to workforce changes in integrated care. In: International Journal of Integrated Care. 2018 ; Vol. 18, No. 2.
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Busetto, L, Luijkx, KG, Calciolari, S, Guadalupe González Ortiz, L & Vrijhoef, HJM 2018, 'Barriers and facilitators to workforce changes in integrated care', International Journal of Integrated Care, vol. 18, no. 2, 17. https://doi.org/10.5334/ijic.3587

Barriers and facilitators to workforce changes in integrated care. / Busetto, L.; Luijkx, K.G.; Calciolari, S.; Guadalupe González Ortiz, L.; Vrijhoef, H.J.M.

In: International Journal of Integrated Care, Vol. 18, No. 2, 17, 2018.

Research output: Contribution to journalArticleScientificpeer-review

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