Policy Versus Practice: Facilitators and Barriers of Chronic Care Integration in Dutch General Practice – a Survey Study
2024

Barriers and Facilitators of Integrated Chronic Care in Dutch General Practice

Sample size: 104 publication Evidence: moderate

Author Information

Author(s): Remers Toine E. P., Van Dulmen Simone A., Bischoff Erik W. M. A., Kruse Florien M., Olde Rikkert Marcel G. M., Jeurissen Patrick P. T.

Primary Institution: Radboud university medical center

Hypothesis

This study aims to determine whether Dutch general practices perceive themselves capable of delivering integrated chronic care and uncover the role of care groups.

Conclusion

General practices are not sufficiently supported by care groups and national policies in delivering integrated chronic care.

Supporting Evidence

  • 43% of healthcare providers are dissatisfied with their capabilities for chronic care.
  • 56% do not feel capable of delivering integrated care.
  • Care groups and providers align on some facilitators and barriers but differ on others.

Takeaway

Doctors in the Netherlands feel they can't provide good care for patients with multiple health problems because they don't have enough time or support.

Methodology

An observational, cross-sectional study design with data collected through online questionnaires sent to care groups and healthcare providers.

Potential Biases

Differences in perceptions of barriers and facilitators between general practices and care groups may indicate bias.

Limitations

Few responses from healthcare providers within general practices and potential differences in perspectives between care groups and general practices.

Participant Demographics

{"gender_distribution":{"male":20,"female":52},"roles":{"general_practitioner":53,"nurse_practitioner":16,"other":3}}

Digital Object Identifier (DOI)

10.5334/ijic.8443

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