The following is a summary of “Will the implementation process for goal-oriented primary care succeed? A qualitative study investigating five perceived attributes of goal-oriented care,” published in the August 2023 issue of Primary Care by Huybrechts et al.
In the Western world, goal-oriented care (GOC) is promoted as a strategy aimed at achieving more person-centered and integrated healthcare. Adopting goal-oriented care is wider than individual primary care providers (PCPs) changing their approaches at the micro-level; it also necessitates investment at the meso- and macro-levels.
This study focuses on the experiences and actions of various meso- and macro-level actors who are actively involved in implementing GOC within their organizations or at the policy level. In-depth interviews were conducted with 23 actors representing different organizations, including governmental institutions, provider organizations, patient organizations, health/social care organizations, and primary care zones/care councils. The interviews used a semi-structured guide inspired by realist interviewing.
Three primary drivers for implementation emerged: recognition, commitment, and coordination. Additionally, the results were interpreted through Rogers’ Diffusion of Innovations (DoI) theory, which discusses five attributes influencing implementation success. Our findings can inform the definition of actions to support and facilitate the implementation process of innovations such as GOC.
Source: sciencedirect.com/science/article/pii/S0277953623004057
