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The pros and cons of the implementation of a chronic care model in European rural primary care : the points of view of European rural general practitioners

Kurpas, Donata ; Petrazzuoli, Ferdinando LU orcid ; Szwamel, Katarzyna ; Randall-Smith, Jane ; Blahova, Beata ; Dumitra, Gindrovel ; Javorská, Kateřina ; Mohos, András ; Simões, José Augusto and Tkachenko, Victoria , et al. (2021) In Rural and Remote Health 21(3).
Abstract

INTRODUCTION: This article describes the views of European rural general practitioners regarding the strengths, weaknesses, opportunities and threats (SWOT) of the implementation of a chronic care model (CCM) in European rural primary care. METHODS: This was a mixed-methods online survey. Data were collected from 227 general practitioners between May and December 2017. Categorical data were analysed using descriptive methods while free-text responses were analysed using qualitative methods. The setting was rural primary care in nine European countries (including Central and Eastern Europe). Main outcomes measures were respondents' evaluations of a chronic care model in their rural healthcare settings in terms of SWOT. RESULTS: The SWOT... (More)

INTRODUCTION: This article describes the views of European rural general practitioners regarding the strengths, weaknesses, opportunities and threats (SWOT) of the implementation of a chronic care model (CCM) in European rural primary care. METHODS: This was a mixed-methods online survey. Data were collected from 227 general practitioners between May and December 2017. Categorical data were analysed using descriptive methods while free-text responses were analysed using qualitative methods. The setting was rural primary care in nine European countries (including Central and Eastern Europe). Main outcomes measures were respondents' evaluations of a chronic care model in their rural healthcare settings in terms of SWOT. RESULTS: The SWOT analysis showed that the expertise of healthcare professionals and the strength of relationships and communications between professionals, caregivers and patients are positive components of the CCM system. However, ensuring adequate staffing levels and staff competency are issues that would need to be addressed. Opportunities included the need to enable patients to participate in decision making by ensuring adequate health literacy. CONCLUSION: The CCM could certainly have benefits for health care in rural settings but staffing levels and staff competency would need to be addressed before implementation of CCM in such settings. Improving health literacy among patients and their carers will be essential to ensure their full participation in the implementation of a successful CCM.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
disease management, Europe, health and wellbeing, health services research, primary health care survey research, public policy issues, rural health services, chronic disease
in
Rural and Remote Health
volume
21
issue
3
article number
6509
publisher
Deakin University
external identifiers
  • scopus:85115283649
  • pmid:34455798
ISSN
1445-6354
DOI
10.22605/RRH6509
language
English
LU publication?
yes
id
c32b25fe-5112-453a-82e1-ff10389d5cc9
date added to LUP
2021-10-04 14:53:05
date last changed
2024-04-06 09:57:29
@article{c32b25fe-5112-453a-82e1-ff10389d5cc9,
  abstract     = {{<p>INTRODUCTION: This article describes the views of European rural general practitioners regarding the strengths, weaknesses, opportunities and threats (SWOT) of the implementation of a chronic care model (CCM) in European rural primary care. METHODS: This was a mixed-methods online survey. Data were collected from 227 general practitioners between May and December 2017. Categorical data were analysed using descriptive methods while free-text responses were analysed using qualitative methods. The setting was rural primary care in nine European countries (including Central and Eastern Europe). Main outcomes measures were respondents' evaluations of a chronic care model in their rural healthcare settings in terms of SWOT. RESULTS: The SWOT analysis showed that the expertise of healthcare professionals and the strength of relationships and communications between professionals, caregivers and patients are positive components of the CCM system. However, ensuring adequate staffing levels and staff competency are issues that would need to be addressed. Opportunities included the need to enable patients to participate in decision making by ensuring adequate health literacy. CONCLUSION: The CCM could certainly have benefits for health care in rural settings but staffing levels and staff competency would need to be addressed before implementation of CCM in such settings. Improving health literacy among patients and their carers will be essential to ensure their full participation in the implementation of a successful CCM.</p>}},
  author       = {{Kurpas, Donata and Petrazzuoli, Ferdinando and Szwamel, Katarzyna and Randall-Smith, Jane and Blahova, Beata and Dumitra, Gindrovel and Javorská, Kateřina and Mohos, András and Simões, José Augusto and Tkachenko, Victoria and Kern, Jean Baptiste and Holland, Carol and Gwyther, Holly}},
  issn         = {{1445-6354}},
  keywords     = {{disease management; Europe; health and wellbeing; health services research; primary health care survey research; public policy issues; rural health services; chronic disease}},
  language     = {{eng}},
  number       = {{3}},
  publisher    = {{Deakin University}},
  series       = {{Rural and Remote Health}},
  title        = {{The pros and cons of the implementation of a chronic care model in European rural primary care : the points of view of European rural general practitioners}},
  url          = {{http://dx.doi.org/10.22605/RRH6509}},
  doi          = {{10.22605/RRH6509}},
  volume       = {{21}},
  year         = {{2021}},
}