N. Stock, Fabio Zucchelli, Vanessa Hammond, N. Hudson, D. Sell
{"title":"Facilitators and barriers to delivering an optimal specialist service: an example from cleft lip and/or palate care","authors":"N. Stock, Fabio Zucchelli, Vanessa Hammond, N. Hudson, D. Sell","doi":"10.12968/bjhc.2021.0051","DOIUrl":null,"url":null,"abstract":"Despite published standards of care, inequities and variations in specialist care delivery in the UK have been identified. Using cleft lip and palate services as an example, this study aims to identify potential facilitators and common barriers to delivering an optimal specialist service. Individual interviews were conducted with 50 specialist clinicians, representing all 16 NHS cleft lip and palate services in the UK. Responses were analysed thematically. A range of barriers to optimal care were identified, including working within a restrictive medical model, declining resources and an insufficient evidence base. To facilitate optimal care delivery, participants described a need to share best practice, partner with academics to demonstrate service effectiveness, use technology in clinic and authentically integrate patient-centred care. Commissioners need to work more closely with specialist teams to ensure that resources are allocated based on need, with the view of optimising service delivery and patient outcomes.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2022-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Health Care Management","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12968/bjhc.2021.0051","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Despite published standards of care, inequities and variations in specialist care delivery in the UK have been identified. Using cleft lip and palate services as an example, this study aims to identify potential facilitators and common barriers to delivering an optimal specialist service. Individual interviews were conducted with 50 specialist clinicians, representing all 16 NHS cleft lip and palate services in the UK. Responses were analysed thematically. A range of barriers to optimal care were identified, including working within a restrictive medical model, declining resources and an insufficient evidence base. To facilitate optimal care delivery, participants described a need to share best practice, partner with academics to demonstrate service effectiveness, use technology in clinic and authentically integrate patient-centred care. Commissioners need to work more closely with specialist teams to ensure that resources are allocated based on need, with the view of optimising service delivery and patient outcomes.
期刊介绍:
British Journal of Healthcare Management (BJHCM) is the independent monthly journal which is essential reading for all health service managers, policymakers, influencers and commentators. Launched in 1995, BJHCM mixes peer-reviewed management articles with interviews, analysis and comment to bring you a sharp, topical and valuable insight into what"s happening in and around the NHS. To reflect the way that the NHS is changing, the journal has recently received a major face-lift and several new features now appear alongside BJHCM"s excellent state-of-the-art review articles and celebrated columnists.