Yurun Gao, Yutong Yang, Tingting Qin, Xingming Li, Junjun Guo, Lihan Zhou, Mingyu Gu, Yao Wang
{"title":"提高居家养老服务质量：北京市社区卫生工作者报告的促进因素和障碍的定性研究","authors":"Yurun Gao, Yutong Yang, Tingting Qin, Xingming Li, Junjun Guo, Lihan Zhou, Mingyu Gu, Yao Wang","doi":"10.2147/JMDH.S514336","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>As the population ages, the growing demand for elderly care has become a multi-faceted issue, encompassing the health of individuals, the viability of healthcare systems in addition to family and societal pressure. This study aims to identify the associated factors and provide recommendations to inform the better implementation of home health care services in Beijing.</p><p><strong>Methods: </strong>This study was a qualitative study in which 13 individuals were selected for focus group interviews through purposive sampling to understand the current status of home-based health care service provided by Beijing's community health service organizations, and to categorize facilitating and barriers factors into the five domains of the Consolidated Framework for Implementation Research (CFIR), a comprehensive framework for implementation research, and to derive targeted recommendations by using the expert recommendations for implementing change (ERIC).</p><p><strong>Results: </strong>Of the 13 study participants, 4 (30.77%) were physicians, 9 (69.23%), were nurses and 8 (61.54%) were involved in the management of home-based health care service. The main facilitators included Intervention Source, Evidence Strength and Quality, and Adaptability; Local Attitudes, Conditions, and Cosmopolitanism; Relationship Connection, Incentive System; and Motivation. Major barriers identified included Design Quality and Packaging, Cosmopolitanism, Peer Pressure, Available Resources, Structural Characteristics, Access to knowledge and information, Key Stakeholders, and Planning. To address the barrier factors, CFIR-ERIC matching tool was utilized to make recommendations. Importance was determined by cumulative selection rate, resulting in multiple improvement strategies.</p><p><strong>Conclusions: </strong>The provision of home-based health care service by Beijing's community health service organizations meets some of the needs of participants in this study reported, but there are still some barriers that can be further improved with reference to the ERIC recommendations.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2293-2304"},"PeriodicalIF":2.7000,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036617/pdf/","citationCount":"0","resultStr":"{\"title\":\"Improving Service Quality of Home-Based Health Care Services for the Elderly: A Qualitative Study of Facilitators and Barriers Reported by Community Health Workers in Beijing.\",\"authors\":\"Yurun Gao, Yutong Yang, Tingting Qin, Xingming Li, Junjun Guo, Lihan Zhou, Mingyu Gu, Yao Wang\",\"doi\":\"10.2147/JMDH.S514336\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>As the population ages, the growing demand for elderly care has become a multi-faceted issue, encompassing the health of individuals, the viability of healthcare systems in addition to family and societal pressure. This study aims to identify the associated factors and provide recommendations to inform the better implementation of home health care services in Beijing.</p><p><strong>Methods: </strong>This study was a qualitative study in which 13 individuals were selected for focus group interviews through purposive sampling to understand the current status of home-based health care service provided by Beijing's community health service organizations, and to categorize facilitating and barriers factors into the five domains of the Consolidated Framework for Implementation Research (CFIR), a comprehensive framework for implementation research, and to derive targeted recommendations by using the expert recommendations for implementing change (ERIC).</p><p><strong>Results: </strong>Of the 13 study participants, 4 (30.77%) were physicians, 9 (69.23%), were nurses and 8 (61.54%) were involved in the management of home-based health care service. The main facilitators included Intervention Source, Evidence Strength and Quality, and Adaptability; Local Attitudes, Conditions, and Cosmopolitanism; Relationship Connection, Incentive System; and Motivation. Major barriers identified included Design Quality and Packaging, Cosmopolitanism, Peer Pressure, Available Resources, Structural Characteristics, Access to knowledge and information, Key Stakeholders, and Planning. To address the barrier factors, CFIR-ERIC matching tool was utilized to make recommendations. Importance was determined by cumulative selection rate, resulting in multiple improvement strategies.</p><p><strong>Conclusions: </strong>The provision of home-based health care service by Beijing's community health service organizations meets some of the needs of participants in this study reported, but there are still some barriers that can be further improved with reference to the ERIC recommendations.</p>\",\"PeriodicalId\":16357,\"journal\":{\"name\":\"Journal of Multidisciplinary Healthcare\",\"volume\":\"18 \",\"pages\":\"2293-2304\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-04-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036617/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Multidisciplinary Healthcare\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/JMDH.S514336\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Multidisciplinary Healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/JMDH.S514336","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Improving Service Quality of Home-Based Health Care Services for the Elderly: A Qualitative Study of Facilitators and Barriers Reported by Community Health Workers in Beijing.
Background: As the population ages, the growing demand for elderly care has become a multi-faceted issue, encompassing the health of individuals, the viability of healthcare systems in addition to family and societal pressure. This study aims to identify the associated factors and provide recommendations to inform the better implementation of home health care services in Beijing.
Methods: This study was a qualitative study in which 13 individuals were selected for focus group interviews through purposive sampling to understand the current status of home-based health care service provided by Beijing's community health service organizations, and to categorize facilitating and barriers factors into the five domains of the Consolidated Framework for Implementation Research (CFIR), a comprehensive framework for implementation research, and to derive targeted recommendations by using the expert recommendations for implementing change (ERIC).
Results: Of the 13 study participants, 4 (30.77%) were physicians, 9 (69.23%), were nurses and 8 (61.54%) were involved in the management of home-based health care service. The main facilitators included Intervention Source, Evidence Strength and Quality, and Adaptability; Local Attitudes, Conditions, and Cosmopolitanism; Relationship Connection, Incentive System; and Motivation. Major barriers identified included Design Quality and Packaging, Cosmopolitanism, Peer Pressure, Available Resources, Structural Characteristics, Access to knowledge and information, Key Stakeholders, and Planning. To address the barrier factors, CFIR-ERIC matching tool was utilized to make recommendations. Importance was determined by cumulative selection rate, resulting in multiple improvement strategies.
Conclusions: The provision of home-based health care service by Beijing's community health service organizations meets some of the needs of participants in this study reported, but there are still some barriers that can be further improved with reference to the ERIC recommendations.
期刊介绍：
The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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