Exploring Factors Affecting Health Care Providers' Behaviors for Maintaining Continuity of Care in Kerala, India; A Qualitative Analysis Using the Theoretical Domains Framework.
Exploring Factors Affecting Health Care Providers' Behaviors for Maintaining Continuity of Care in Kerala, India; A Qualitative Analysis Using the Theoretical Domains Framework.
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DOI：
10.3389/fpubh.2022.891103
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发表时间：
2022
影响因子：
5.2
通讯作者：
Manaseki-Holland, Semira
中科院分区：
文献类型：
--
作者：
Joseph, Linju;Greenfield, Sheila;Lavis, Anna;Lekha, T. R.;Panniyammakal, Jeemon;Manaseki-Holland, Semira
关键词：
访问患者记录的医疗信息对于在不同医疗保健提供者 (HCP) 之间建立信息连续性是必要的，特别是对于非传染性疾病 (NCD) 患者。非传染性疾病笔记本等患者持有的健康记录 (PHR) 包含重要的记录医疗信息，这有助于喀拉拉邦糖尿病和高血压患者门诊环境中的信息连续性。我们的目的是使用理论领域框架 (TDF) 来确定影响糖尿病和高血压患者信息和管理连续性的 HCP 因素。我们使用 TDF 重新分析了先前研究中 17 名在喀拉拉邦公共卫生机构 NCD 项目中拥有经验的 HCP 的半结构化访谈数据。之前的研究探讨了患者、护理人员和 HCP 在糖尿病和高血压管理中使用 NCD 笔记本等 PHR 的经验。访谈笔录根据基于 TDF 14 个域的编码框架进行演绎编码。具体的信念是根据分组到域中的数据生成的。数据被编码到 TDF 的 14 个领域，并生成了 33 条关于维持护理信息和管理连续性的具体信念。七个域被认为是 PHR 记录和保持连续性的促进者。 “记忆、注意力和决策过程”和“环境背景和资源”这两个领域描述了 HCP 发现的护理信息连续性的障碍。在糖尿病和高血压患者的 PHR 中记录和交流患者医疗信息的探索中，HCP 次优记录的属性被用来识别可能成为进一步开发支持干预的目标领域。总体而言，有九个领域可能会影响 HCP 在 PHR 记录和沟通方面的障碍和促进因素；随后保持护理的信息和管理连续性。这项研究表明，许多关于护理信息连续性的基本信念都是基于 HCP 对患者行为的经验。需要进一步研究来开发使用 PHR 来保持信息连续性的内容和适当的支持干预措施。
Access to patients' documented medical information is necessary for building the informational continuity across different healthcare providers (HCP), particularly for patients with non-communicable diseases (NCD). Patient-held health records (PHR) such as NCD notebooks have important documented medical information, which can contribute to informational continuity in the outpatient settings for patients with diabetes and hypertension in Kerala. We aimed to use the theoretical domains framework (TDF) to identify the perceived HCP factors influencing informational and management continuity for patients with diabetes and hypertension. We re-analyzed semi-structured interview data for 17 HCPs with experience in the NCD programme in public health facilities in Kerala from a previous study, using the TDF. The previous study explored patients, carers and HCPs experiences using PHRs such as NCD notebooks in the management of diabetes and hypertension. Interview transcripts were deductively coded based on a coding framework based on the 14 domains of TDF. Specific beliefs were generated from the data grouped into the domains. Data were coded into the 14 domains of TDF and generated 33 specific beliefs regarding maintaining informational and management continuity of care. Seven domains were judged to be acting as facilitators for recording in PHRs and maintaining continuity. The two domains “memory, attention and decision process” and “environmental context and resources” depicted the barriers identified by HCPs for informational continuity of care. In this exploration of recording and communicating patients' medical information in PHRs for patients with diabetes and hypertension, HCPs attributions of sub-optimal recording were used to identify domains that may be targeted for further development of supporting intervention. Overall, nine domains were likely to impact the barriers and facilitators for HCPs in recording in PHRs and communicating; subsequently maintaining informational and management continuity of care. This study showed that many underlying beliefs regarding informational continuity of care were based on HCPs' experiences with patient behaviors. Further research is needed for developing the content and appropriate support interventions for using PHRs to maintain informational continuity.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
2.9
作者：
Pati S;Pati S;van den Akker M;Schellevis FG;Sahoo KC;Burgers JS
通讯作者：
Burgers JS
影响因子：
5.4
作者：
Ibrahim, Hussein;Munkhbayar, Uyanga;Manaseki-Holland, Semira
通讯作者：
Manaseki-Holland, Semira
DOI：
10.1186/s13012-017-0605-9
发表时间：
2017-06-21
期刊：
Implementation science : IS
影响因子：
--
作者：
Atkins L;Francis J;Islam R;O'Connor D;Patey A;Ivers N;Foy R;Duncan EM;Colquhoun H;Grimshaw JM;Lawton R;Michie S
通讯作者：
Michie S
DOI：
10.1186/1748-5908-7-93
发表时间：
2012-09-21
期刊：
Implementation science : IS
影响因子：
--
作者：
Islam R;Tinmouth AT;Francis JJ;Brehaut JC;Born J;Stockton C;Stanworth SJ;Eccles MP;Cuthbertson BH;Hyde C;Grimshaw JM
通讯作者：
Grimshaw JM