Have a personal or library account? Click to login

Facilitators and Barriers to Scaling-Up Integrated Care for Arterial Hypertension and Type 2 Diabetes in Slovenia: Qualitative Study

Open Access
|Jan 2024

References

  1. Zhou B, Carrillo-Larco RM, Danaei G, Riley LM, Paciorek CJ, Stevens GA, et al. Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: A pooled analysis of 1201 population-representative studies with 104 million participants. Lancet. 2021;398(10304):957-980. doi: 10.1016/S0140-6736(21)01330-1.
  2. Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019;157:107843. doi: 10.1016/j.diabres.2019.107843.
  3. Ferrer L, Goodwin N. What are the principles that underpin integrated care? Int J Integr Care. 2014;14:e037. doi: 10.5334/ijic.1884.
  4. Demaio AR, Nielsen KK, Tersbøl BP, Kallestrup P, Meyrowitsch DW. Primary health care: A strategic framework for the prevention and control of chronic non-communicable disease. Glob Health Action. 2014;7:24504. doi: 10.3402/gha.v7.24504.
  5. Threapleton DE, Chung RY, Wong SYS, Wong E, Chau P, Woo J, et al. Integrated care for older populations and its implementation facilitators and barriers: A rapid scoping review. Int J Qual Heal Care. 2017;29(3):327-334. doi: 10.1093/intqhc/mzx041.
  6. Monaco A, Palmer K, Marengoni A, Maggi S, Hassan TA, Donde S. Integrated care for the management of ageing-related noncommunicable diseases: Current gaps and future directions. Aging Clin Exp Res. 2020;32(7):1353-1358. doi: 10.1007/s40520-020-01533-z.
  7. Kringos DS, Boerma WG, Bourgueil Y, Cartier T, Hasvold T, Hutchinson A, et al. The European primary care monitor: Structure, process and outcome indicators. BMC Fam Pract. 2010;11(1):81. doi: 10.1186/14712296-11-81.
  8. Albreht T, Pribakovic Brinovec R, Josar D, Poldrugovac M, Kostnapfel T, Zaletel M, et al. Slovenia: Health system review. Health Syst Transit. 2016;18(3):1-207.
  9. Klemenc-Ketiš Z, Švab I, Stepanović A, Susič AP. Transition from a traditional to a comprehensive quality assurance system in Slovenian family medicine practices. Int J Qual Heal Care. 2019;31(4):319-322. doi: 10.1093/intqhc/mzy157.
  10. Klemenc-Ketiš Z, Stojnić N, Zavrnik Č, Gorenjec NR, Danhieux K, Lukančič MM, et al. Implementation of integrated primary care for patients with diabetes and hypertension: A case from Slovenia. Int J Integr Care. 2021;21(3):15. doi: 10.5334/ijic.5637.
  11. Petek D, Mlakar M. Quality of care for patients with diabetes mellitus type 2 in “model practices” in Slovenia -first results. Zdr Varst. 2016;55(3):179-184. doi: 10.1515/sjph-2016-0023.
  12. Klemenc-Ketiš Z, Švab I, Poplas Susič A. Implementing quality indicators for diabetes and hypertension in family medicine in Slovenia. Zdr Varst. 2017;56(4):211-219. doi: 10.1515/sjph-2017-0029.
  13. Petek-Ster M, Kersnik J, Svab I. Compliance with hypertension guidelines in general practice in Slovenia. Srp Arh Celok Lek. 2007;135(3-4):191-196.
  14. Šter MP, Žagar BB. Obravnava bolnikov z arterijsko hipertenzijo v ambulantah družinske medicine v Sloveniji -Ocena stanja po uvedbi referenčnih ambulant. Zdr Vestn. 2021;90(9-10):478-487.
  15. Prevolnik Rupel V, Mori Lukančič M, Ogorevc M. Costs and quality of life in patients with systemic arterial hypertension in Slovenia. Value Heal Reg Issues. 2023;33:49-55. doi: 10.1016/j.vhri.2022.09.001.
  16. Turk E, Prevolnik Rupel V, Tapajner A, Leyshon S, Isola A. An Audit of Diabetes-Dependent Quality of Life (ADDQOL) in older patients with diabetes mellitus type 2 in Slovenia. Value Heal Reg Issues. 2013;2(2):248-253. doi: 10.1016/j.vhri.2013.05.001.
  17. Prevolnik Rupel V, Divjak M, Turk E. Changes in the level of knowledge of diabetes among elderly with diabetes in Slovenia in the period 2011-2020. Prim Care Diabetes. 2021;15(5):879-883. doi: 10.1016/j. pcd.2021.07.001.
  18. Stojnić N, Klemenc-Ketiš Z, Mori Lukančič M, Zavrnik Č, Poplas Susič A. Perceptions of the primary health care team about the implementation of integrated care of patients with type 2 diabetes and hypertension in Slovenia: Qualitative study. BMC Health Serv Res. 2023;23(1):362. doi: 10.1186/s12913-023-09353-3.
  19. van Olmen J, Menon S, Poplas Susič A, Ir P, Klipstein-Grobusch K, Wouters E, et al. Scale-up integrated care for diabetes and hypertension in Cambodia, Slovenia and Belgium (SCUBY): A study design for a quasi-experimental multiple case study. Glob Health Action. 2020;13(1):1824382. doi: 10.1080/16549716.2020.1824382.
  20. Gilson L. Health policy and systems research: A methodology reader. Geneva: WHO; 2013.
  21. Leech NL, Onwuegbuzie AJ. Qualitative data analysis: A compendium of techniques and a framework for selection for school psychology research and beyond. Sch Psychol Q. 2008;23(4):587-604.
  22. Cohen DJ, Crabtree BF. Evaluative criteria for qualitative research in health care: controversies and recommendations. Ann Fam Med. 2008;6(4):331-339. doi: 10.1370/afm.818.
  23. Zavrnik Č, Danhieux K, Monarres MH, Stojnić N, Lukančič MM, Martens M, et al. Scaling-up an integrated care for patients with non-communicable diseases: An analysis of healthcare barriers and facilitators in Slovenia and Belgium. Zdr Varst. 2021;60(3):158-166. doi: 10.2478/sjph-2021-0023.
  24. Lemmens LC, De Bruin SR, Struijs JN, Rijken M, Nijpels G, Baan CA. Patient involvement in diabetes care: experiences in nine diabetes care groups. Int J Integr Care. 2015;15:e044. doi: 10.5334/ijic.2207.
  25. Sims Gould J, Tong C, Ly J, Vazirian S, Windt A, Khan K. Process evaluation of team-based care in people aged >65 years with type 2 diabetes mellitus. BMJ Open. 2019;9(8):e029965. doi: 10.1136/ bmjopen-2019-029965.
  26. Joudeh AI, Elderawy NM, Alhitmi MA, Alnuaimi AS, Aabdien M, Alotaibi M, et al. Assessment of knowledge, attitude, and practice of primary healthcare physicians in Qatar towards hypertension management: An online cross-sectional study. Medicine (Baltimore). 2023;102(38):e34751. doi: 10.1097/MD.0000000000034751.
  27. Gysin S, Sottas B, Odermatt M, Essig S. Advanced practice nurses’ and general practitioners’ first experiences with introducing the advanced practice nurse role to Swiss primary care: A qualitative study. BMC Fam Pract. 2019;20(1):163. doi: 10.1186/s12875-019-1055-z.
  28. Aerts N, Van Bogaert P, Bastiaens H, Peremans L. Integration of nurses in general practice: A thematic synthesis of the perspectives of general practitioners, practice nurses and patients living with chronic illness. J Clin Nurs. 2020;29(1-2):251-264. doi: 10.1111/jocn.15092.
  29. Matthys E, Remmen R, Van Bogaert P. Practice nurse support and task suitability in a general practice: a cross-sectional survey in Belgium. J Interprof Care. 2019;33(6):661-669. doi: 10.1080/13561820.2019.1569602.
  30. Virtic T, Mihevc M, Zavrnik C, Mori Lukancic M, Poplas Susic A, Klemenc-Ketiš Z. Peer support as part of scaling-up integrated care in patients with type 2 diabetes and arterial hypertension at the primary healthcare level: A study protocol. Zdr Varst. 2023;62(2):93-100. doi: 10.2478/sjph-2023-0013.
  31. Mihevc M, Zavrnik C, Mori Lukančič M, Virtič T, Prevolnik Rupel V, Petek Šter M, et al. Telemonitoring of elderly with hypertension and type 2 diabetes at the primary care level: Protocol for a multicentric randomized controlled pilot study. Zdr Varst. 2022;61(4):216-223. doi: 10.2478/sjph-2022-0029.
DOI: https://doi.org/10.2478/sjph-2024-0006 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 38 - 45
Submitted on: Oct 31, 2023
Accepted on: Nov 27, 2023
Published on: Jan 3, 2024
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Črt ZAVRNIK, Nataša STOJNIĆ, Majda MORI LUKANČIČ, Matic MIHEVC, Tina VIRTIČ POTOČNIK, Zalika KLEMENC-KETIŠ, 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.