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首页> 外文期刊>BMC Health Services Research >Characteristics of a self-management support programme applicable in primary health care: a qualitative study of users’ and health professionals’ perceptions
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Characteristics of a self-management support programme applicable in primary health care: a qualitative study of users’ and health professionals’ perceptions

机译：适用于初级卫生保健的自我管理支持计划的特征：对使用者和卫生专业人员的看法的定性研究

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Background Development of more self-management support programmes in primary health care has been one option used to enhance positive outcomes in chronic disease management. At present, research results provide no consensus on what would be the best way to develop support programmes into new settings. The aim of the present study was therefore to explore users’ and health professionals’ perceptions of what would be the vital elements in a self - management support programme applicable in primary health care, how to account for them, and why. Methods Four qualitative, semi-structured focus group interviews were conducted in Central Norway. The informants possessed experience in development, provision, or participation in a self-management support programme. Data was analysed by the Systematic Text Condensation method. Results The results showed an overall positive expectation to the potential benefits of development of a self-management support programme in primary health care. Despite somewhat different arguments and perspectives, the users and the health professionals had a joint agreement on core characteristics; a self-management support programme in primary health care should therefore be generic, not disease specific, and delivered in a group- based format. A special focus should be on the everyday- life of the participants. The most challenging aspect was a present lack of competence and experience among health professionals to moderate self-management support programmes. Conclusions The development and design of a relevant and applicable self-management support programme in primary health care should balance the interests of the users with the possibilities and constraints within each municipality. It would be vital to benefit from the closeness of the patients’ every-day life situations. The user informants’ perception of a self-management support programme as a supplement to regular medical treatment represented an expanded understanding of the self-management support concept. An exploring approach should be applied in the development of the health professionals’ competence in practice. The effect of a self-management support programme based on the core characteristics found in this study needs to be evaluated.
机译：背景技术在初级卫生保健中开发更多自我管理支持计划已成为增强慢性疾病管理积极成果的一种选择。目前，研究结果尚未就将支持计划发展到新环境中的最佳方法达成共识。因此，本研究的目的是探讨用户和卫生专业人员对适用于初级卫生保健的自我管理支持计划的关键要素是什么，如何解决这些问题以及原因的看法。方法在挪威中部进行了四次定性，半结构化焦点小组访谈。线人在开发，提供或参与自我管理支持计划方面具有经验。通过系统文本压缩方法分析数据。结果结果表明，对在初级卫生保健中制定自我管理支持计划的潜在收益总体抱有积极期望。尽管争论和观点有所不同，但使用者和卫生专业人员对核心特征达成了共同协议。因此，初级卫生保健中的自我管理支持计划应该是通用的，而不是特定于疾病的，并且应该以基于小组的形式提供。应特别关注参与者的日常生活。最具挑战性的方面是卫生专业人员目前缺乏适度的自我管理支持计划的能力和经验。结论在初级卫生保健中制定和设计相关且适用的自我管理支持计划应在使用者的利益与每个市镇的可能性和局限性之间取得平衡。受益于患者日常生活中的亲密关系至关重要。用户信息提供者对自我管理支持程序作为常规医疗的补充的理解代表了对自我管理支持概念的扩展理解。在卫生专业人员的实践能力发展中应采用探索性方法。基于本研究中发现的核心特征的自我管理支持计划的效果需要进行评估。

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