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Scaling-up an integrated care for patients with non-communicable diseases: An analysis of healthcare barriers and facilitators in Slovenia and Belgium Cover

Scaling-up an integrated care for patients with non-communicable diseases: An analysis of healthcare barriers and facilitators in Slovenia and Belgium

Open Access
|Jun 2021

Figures & Tables

Data collection characteristics_

Participants levelSloveniaBelgium
Micro15 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 (16,17)
Meso11 interviews15 interviews
Macro12 interviews13 interviews

Focus groups and interview guide_

IntroductionIntroduction of the researcher(s)
• Thank
• Name & function of researcher
• In case of 2 researchers: one asking questions (mainly) and one/both taking notes
Explain purpose and the intent of the FG/interview:
• 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?
Informed consent
• Ask (to sign) the informed consent and permission to record the FG/interview

Questions1. 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?
The questions were followed by additional sub-questions, that emerged from the responses of the current interviewee or focus group participants as well as aspects already identified by previous interviewees or focus group participants. Such an approach allowed us to gain more in-depth information.

Concluding remarksAdditional comments
• Do you have any additional remarks?
Thank
• Thank you for your time.

Selection of participants_

Participants levelSloveniaBelgium
Micro (FGs)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

Meso (interviews)Community Health Centre Ljubljana (3 interviews)Medical Association of GPs (Domus Medica, DM)
Community Health Centre PostojnaBelgian Association of Doctors Syndicates (BVAS)
Institution for informal home careMedical 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)

Macro (interviews)National Institute for Public Health (2 interviews)Federal Public Service of Health (FOD)
National Institute for Health InsuranceFlemish 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 andInsurance (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 ChamberSocialist Sickness Fund
Federal Knowledge Centre for Healthcare (KCE)
Academia/Medical universities (2 interviews)
DOI: https://doi.org/10.2478/sjph-2021-0023 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 158 - 166
Submitted on: Dec 23, 2020
Accepted on: May 28, 2021
Published on: Jun 28, 2021
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2021 Črt Zavrnik, Katrien Danhieux, Miriam Hurtado Monarres, Nataša Stojnić, Majda Mori Lukančič, Monika Martens, Zalika Klemenc-Ketiš, Edwin Wouters, Josefien van Olmen, Antonija Poplas-Susič, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.