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Integration of chronic disease prevention and management services into primary care (PR1MaC): findings from an embedded qualitative study

Fortin Martin, Chouinard Maud-Christine, Boubacar-Diallo Bayero et Bouhali Tarek. (2019). Integration of chronic disease prevention and management services into primary care (PR1MaC): findings from an embedded qualitative study. BMC Family Practice, 20, (7),

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URL officielle: https://doi.org/10.1186/s12875-018-0898-z

Résumé

Background: The PR1MaC study was conducted to evaluate the integration of Chronic Disease Prevention and Management services into primary care practices and was reported effective. The aim of this study was to further explore the effects of the PR1MaC intervention on patients and their family.

Methods: We conducted a qualitative study embedded in a randomized controlled trial. The trial was implemented in eight primary health care practices in the Saguenay region, Quebec, Canada. The interdisciplinary patient-centred team-based intervention included self-management support and a motivational approach. We conducted focus groups and semi-directed individual interviews with patients, family members and healthcare professionals.

Results: Perceived positive effects can be grouped into six major themes: awareness, improved knowledge, improved motivation and empowerment, adoption of healthy behaviours, improvement of health status and improvement of quality of life. On the negative side, some participants reported lack of sustainability of newly acquired benefits in the months following the intervention.

Conclusions: Integrating chronic disease prevention and management services into primary care settings had impacts on patients and their family members. These findings are consistent with findings that were reported in the quantitative study. Further studies should address longterm sustainabilility in terms of benefits for the patients.

Type de document:Article publié dans une revue avec comité d'évaluation
Volume:20
Numéro:7
Version évaluée par les pairs:Oui
Date:2019
Sujets:Sciences de la santé
Sciences de la santé > Sciences infirmières
Sciences de la santé > Sciences médicales
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Module des sciences infirmières
Mots-clés:chronic diseases, primary health care, intervention, disease management, qualitative research, program evaluation, maladies chroniques, soins de santé primaires, recherche qualitative
Déposé le:24 avr. 2019 00:46
Dernière modification:24 avr. 2019 00:46
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