Characteristics of a self-management support programme applicable in primary health care: a qualitative study of users’ and health professionals’ perceptions

BMC Health Services Research

Helge Garåsen⁵  Randi Granbo³  Marit Solbjør¹  Aslak Steinsbekk⁴  Hilde Strøm Solberg² 

[1] Department of Social Work and Health Science, Norwegian University of Technology and Science, Trondheim, Norway;Department of Physiotherapy, Clinic of Clinical Services, St. Olav’s University Hospital, Trondheim, Norway;Centre of competence for movement disability and falls in older persons, St. Olav’s University Hospital, Trondheim, Norway;Department of Public Health and General Practice, Norwegian University of Technology and Science, Trondheim, N- 7491, Norway;Department of Health and Social Services, City of Trondheim, Trondheim, Norway

关键词: Qualitative interviews as topic;    Delivery of health care/Integrated;    Health services research;    Chronic disease;    Primary health care;    Patient education as topic;    Self-care;   

Others  :  1092185
DOI  :  10.1186/s12913-014-0562-9

 received in 2014-07-04, accepted in 2014-10-24,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 Solberg et al.; licensee BioMed Central Ltd.

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