Embedding work coaches in GP practices: Findings from an interview-based study in the UK

IF 2.2 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health in Practice Pub Date : 2024-09-12 DOI:10.1016/j.puhip.2024.100548

Shriti Pattani , Marie Line El Asmar , Manisha Karki , Eva Riboli Sasco , Lara Shemtob , Kabir Varghese , Austen El-Osta

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引用次数: 0

Abstract

Background

The integration of work coaches (WCs) and disability employment advisors (DEAs) into General Practitioner (GP) practices in the UK aims to address the interplay between health and employment by facilitating access to employment support, especially to people with disabilities and health conditions affecting their ability to work. This study seeks to explore the perspectives and perceptions of WCs, DEAs and GPs regarding the benefits and challenges of embedding WCs and DEAs in GP practices.

Methods

Data was collected between May and July 2023 through semi-structured interviews with four GPs, four WCs and four DEAs working in NHS GP practices. The interviews were audio-recorded, transcribed verbatim and thematically analysed using the Thematic Framework method. Emergent themes were pre-structured and classified as perceived benefits, barriers and challenges or drivers and strategies.

Results

The integration of WCs & DEAs within GP practices was perceived by respondents as fostering a direct collaboration between professionals as well as a greater openness of patients which benefited patients, WCs/DEAs and GPs. While all respondents emphasised the various benefits, they also identified several barriers and challenges. The implementation stage was perceived as particularly challenging, especially by WCs and DEAs, whereas the lack of human, financial and logistical resources hindered the service beyond this stage. Several strategies and drivers to support the service were identified, including the importance of receiving support from all professionals involved as well as making the service visible to both healthcare professionals and patients.

Conclusion

Embedding WCs and DEAs in GP practices emerges as a promising approach which can benefit patients, GPs and WCs/DEAs. Exploring patients' perspectives directly is crucial to fully assess this type of service and identify any additional challenges and benefits.

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将工作教练纳入全科医生诊所：英国基于访谈的研究结果

背景在英国，将工作教练（WCs）和残疾人就业顾问（DEAs）纳入全科医生（GP）实践的目的是通过促进就业支持的获得来解决健康和就业之间的相互作用，特别是对残疾人和健康状况影响其工作能力的人。本研究旨在探讨残疾人中心、残疾人就业促进者和全科医生对将残疾人中心和残疾人就业促进者纳入全科医生诊所的益处和挑战的观点和看法。方法在 2023 年 5 月至 7 月期间通过半结构式访谈收集数据，访谈对象包括在国家医疗服务体系全科医生诊所工作的四名全科医生、四名残疾人中心工作人员和四名残疾人就业促进者。对访谈进行了录音、逐字记录，并使用主题框架法进行了主题分析。结果受访者认为，在全科医生诊所内整合 WCs & DEAs 可促进专业人员之间的直接合作，并使患者更加开放，从而使患者、WCs/DEAs 和全科医生受益。所有受访者在强调各种益处的同时，也指出了一些障碍和挑战。特别是 WC 和 DEA 认为，实施阶段尤其具有挑战性，而人力、财力和后勤资源的缺乏则阻碍了这一阶段之后的服务。研究发现了一些支持该服务的策略和驱动力，包括获得所有相关专业人员的支持以及让医护人员和患者了解该服务的重要性。直接探讨患者的观点对于全面评估此类服务并确定任何额外的挑战和益处至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health in Practice Medicine-Health Policy

CiteScore

2.80

自引率

0.00%

发文量

117

审稿时长

71 days