Barriers and Facilitators to Workforce Changes in Integrated Care.

Area of Science:

• Healthcare Management
• Health Services Research
• Chronic Disease Management

Background:

• Integrated chronic care interventions involve complex workforce changes.
• Understanding implementation barriers and facilitators is crucial for success.

Purpose of the Study:

• To investigate barriers and facilitators to implementing workforce changes in integrated chronic care.
• To identify factors influencing the successful adoption of integrated care models.

Main Methods:

• Qualitative multimethod design combining expert questionnaires, systematic literature review, and case report analysis.
• Inclusion of 25 experts, 21 studies, and 2 case reports.

Main Results:

• Key barriers include problematic delivery structures, health professional skills/enthusiasm, IT, funding, culture, and communication.
• Facilitators involve health professional motivation, effective delivery structures, communication, IT, patient engagement, and leadership support.
• Similar categories of barriers and facilitators were identified across different data sources.

Conclusions:

• Complex interventions like integrated care necessitate research with multiple data sources for accurate assessment.
• Health managers and policymakers should prioritize investments in delivery structures and health professional development to enhance implementation outcomes.