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Exploring readiness for implementing goal-oriented care in primary care using normalization process theory.

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Implementing goal-oriented care (GOC) in primary care requires engaging healthcare professionals. Normalization Process Theory (NPT) suggests focusing on sense-making and relational work for successful GOC adoption.

Keywords:
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Area of Science:

  • Healthcare implementation science
  • Primary care organization
  • Patient-centered care models

Background:

  • Goal-oriented care (GOC) aims to coordinate services and align treatment with patients' life goals.
  • Primary healthcare professionals (PHCPs) are key to GOC adoption, requiring perceived value.
  • Normalization Process Theory (NPT) provides a framework for understanding implementation processes.

Purpose of the Study:

  • To develop a strategy for implementing GOC in primary care using NPT.
  • To assess PHCPs' perceptions regarding GOC implementation in Flanders, Belgium.

Main Methods:

  • A survey based on NPT (Normalization Measurement Development) was administered to 131 PHCPs.
  • The survey assessed participants' views on GOC's impact, expectations, and routinization potential.
  • Participants attended a 2-hour community meeting on GOC prior to the survey.

Main Results:

  • Positive NPT constructs (coherence and cognitive participation) indicate a tendency towards GOC implementation.
  • Participants showed initial understanding and interest in GOC.
  • Collective action and reflexive monitoring require further development for GOC integration.

Conclusions:

  • Intensive interprofessional collaboration is crucial for establishing GOC as a routine practice.
  • Addressing specific NPT constructs is necessary to facilitate GOC adoption.
  • A shared understanding and common ground are needed to embed GOC effectively.