ArticleInternational journal of integrated care
Behavioural Change in Practice: Primary Care Providers' Journey Towards Goal-Oriented Care.
Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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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.
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