The ideal of biopsychosocial chronic care: How to make it real? A qualitative study among Dutch stakeholders

BMC Family Practice

Research Article

Trudy van der Weijden¹  Anneke van Dijk-de Vries²  Albine Moser³  Vera-Christina Mertens⁴  Jikke van der Linden⁴  Jacques Th. M van Eijk⁴ 

[1] Department of General Practice, Maastricht University, School for Public Health and Primary Care (CAPHRI), PO Box 616, 6200, MD Maastricht, The Netherlands;Department of General Practice, Maastricht University, School for Public Health and Primary Care (CAPHRI), PO Box 616, 6200, MD Maastricht, The Netherlands;Department of Social Medicine, Maastricht University, School for Public Health and Primary Care (CAPHRI), Maastricht, The Netherlands;Department of General Practice, Maastricht University, School for Public Health and Primary Care (CAPHRI), PO Box 616, 6200, MD Maastricht, The Netherlands;Faculty of Care and Nursing, Zuyd University, Heerlen, The Netherlands;Department of Social Medicine, Maastricht University, School for Public Health and Primary Care (CAPHRI), Maastricht, The Netherlands;

关键词: Psychosocial Problem;    Health Insurer;    Chronic Care;    Biopsychosocial Model;    Health Policy Maker;   

DOI  :  10.1186/1471-2296-13-14

 received in 2011-07-29, accepted in 2012-03-12,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundChronically ill patients often experience psychosocial problems in everyday life. A biopsychosocial approach is considered to be essential in chronic care. In Dutch primary health care the current biomedically oriented clinical practice may conflict with the biopsychosocial approach. This study is aimed to explore the views of Dutch stakeholders on achieving a biopsychosocial approach to the care of patients with chronic diseases.MethodsIn a qualitative explorative study design, we held semi-structured interviews with stakeholders, face-to-face or by telephone. Data were analysed using content analysis. Thirty representatives of Dutch patients with chronic illnesses, primary care professionals, policy makers, health inspectorate, health insurers, educational institutes and researchers were interviewed.ResultsStakeholders were aware that a systematic biopsychosocial care approach is lacking in current practice. Opportunities for effective change are multidimensional. Achieving a biopsychosocial approach to care relates to active patient participation, the training of professionals, high-quality guidelines, protocols and tools, integrated primary care, research and financial issues.ConclusionsAlthough the principles and importance of the biopsychosocial model have been recognized, the provision of care that starts from the medical, emotional or social needs of individual patients does not fit in easily with the current Dutch health care system. All parties involved need to make a commitment to realize the ideal of biopsychosocial chronic care. Together they need to equip health professionals with skills to understand patients' multifaceted needs and to reward integrated biopsychosocial care. Patients need to be empowered to be active partners in their own care.

【 授权许可】

CC BY   
© van Dijk-de Vries et al; licensee BioMed Central Ltd. 2012