Behavioural Change in Practice: Primary Care Providers' Journey Towards Goal-Oriented Care.

IF 2.7 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

International Journal of Integrated Care Pub Date : 2025-12-19 eCollection Date: 2025-10-01 DOI:10.5334/ijic.9067

Reini Haverals, Sibyl Anthierens, Peter Pype, Carolyn Steele Gray, Kris Van den Broeck, Pauline Boeckxstaens

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引用次数: 0

Abstract

Introduction: The demand for person-centred integrated care (PC-IC) requires health services focused on patients' individual needs. Strengthening primary care is crucial in promoting PC-IC. Goal-oriented care (GOC) prioritizes patient goals and fosters interprofessional team-based care, optimizing PC-IC. GOC requires healthcare providers to shift from problem- to goal-oriented practices. However, how providers change their daily practice to align care with what matters most to patients remains unclear.

Aim: This qualitative study explores how primary care providers (PCPs) experience behaviour change when implementing GOC in daily work after an interprofessional GOC-training.

Method: Six months post-training, focus groups with PCPs were organized. A theoretical thematic analysis was conducted using the Capability, Opportunity, Motivation, and Behaviour (COM-B) model.

Results: Twenty-two PCPs participated in five focus groups. Motivational factors catalysed behaviour change towards GOC, including developing awareness on care actions through reflective practice. PCPs identified capabilities such as asking person-centred questions, maintaining a broad knowledge and enhancing their advocacy for patients. Opportunities stressed team support, care continuity, and reflexivity-promoting workplaces as vital for enabling behavioural change in GOC.

Conclusion: Reflective practice is vital for aligning PCPs' behaviour with GOC. Involvement of all colleagues and dedicated time for reflection promote team alignment and consistency in achieving patients' personal goals.

Abstract Image

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行为改变在实践：初级保健提供者的旅程，以目标为导向的护理。

导言：对以人为中心的综合护理（PC-IC）的需求要求卫生服务侧重于患者的个人需求。加强初级保健对促进PC-IC至关重要。目标导向护理（GOC）优先考虑患者目标，促进基于团队的跨专业护理，优化PC-IC。GOC要求医疗保健提供者从问题导向转向目标导向。然而，医疗服务提供者如何改变他们的日常实践，使护理与对患者最重要的事情保持一致，仍不清楚。目的：本定性研究探讨初级保健提供者（pcp）在接受跨专业GOC培训后，在日常工作中实施GOC时，行为发生了怎样的变化。方法：培训后6个月，组织有pcp的焦点小组。运用能力、机会、动机和行为（COM-B）模型进行理论专题分析。结果：22名pcp参加了5个焦点小组。动机因素促进了对GOC的行为改变，包括通过反思实践提高对护理行动的认识。pcp确定了诸如提出以人为本的问题、保持广泛的知识和加强对患者的宣传等能力。机会强调团队支持，护理连续性和促进反射的工作场所对于实现GOC的行为改变至关重要。结论：反思性实践对于使pcp的行为与GOC保持一致至关重要。所有同事的参与和专门的反思时间促进了团队的一致性和一致性，以实现患者的个人目标。

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

International Journal of Integrated Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

3.80

自引率

8.30%

发文量

887

审稿时长

>12 weeks

期刊介绍： Established in 2000, IJIC’s mission is to promote integrated care as a scientific discipline. IJIC’s primary purpose is to examine critically the policy and practice of integrated care and whether and how this has impacted on quality-of-care, user experiences, and cost-effectiveness. The journal regularly publishes conference supplements and special themed editions. To find out more contact Managing Editor, Susan Royer. The Journal is supported by the International Foundation for Integrated Care (IFIC).