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Physicians' perceptions of the implementation of the serious illness care program: a qualitative study
Susanna Pusa1, Rebecca Baxter2, Anna Sandgren2
1Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden. susanna.pusa@lnu.se.
Physicians experienced varied levels of preparedness and impact when implementing the Serious Illness Care Program. Understanding physician, team, patient, and organizational factors is key for successful integration.
Area of Science:
- Palliative Care
- Medical Education
- Healthcare Implementation Science
Background:
- Discussions about goals, values, and priorities with seriously ill patients improve palliative care.
- The Serious Illness Care Program aims to enhance clinician-patient conversations regarding serious illness.
- Understanding stakeholder perceptions is crucial for successful and sustainable program implementation.
Purpose of the Study:
- To explore physicians' perceptions and experiences regarding the implementation of the Serious Illness Care Program.
Main Methods:
- Four focus group discussions were conducted with 14 physicians at a hospital undergoing program implementation.
- Inductive thematic analysis was used to analyze the collected qualitative data.
Main Results:
- Physicians' perceptions centered on three themes: preparedness/unpreparedness, being impacted/impactful, and selective adoption versus full embrace of the program.
- Implementation experiences varied, highlighting a spectrum of engagement and perceived influence.
Conclusions:
- Key factors influencing implementation and integration include individual physician attributes, care team dynamics, patient impact, and organizational support.
- Insights into physician experiences provide a basis for targeted training and development to support the Serious Illness Care Program.
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