Abstract
OBJECTIVE: The TARGET program for integrated, person-centered care for people with chronic conditions offers primary care (PC) professionals a set of tools and trainings to actively engage in population segmentation and person-centered needs assessments (PCNAs). A pilot study was conducted to gain insight into the program's feasibility and acceptability, and identify preconditions for successful implementation. DESIGN AND SETTING: Seven Dutch PC practices participated in a half-year pilot study starting in August 2020. We performed a review of the population segmentation tool, observed four training sessions and 15 PCNAs, and interviewed 15 professionals and 12 patients. RESULTS: Regarding feasibility and acceptability, we found that the tools and trainings provided professionals with skills to use the segmentation tool and take a more coaching role in the well-appreciated PCNAs. Concerning implementation preconditions, we found that team commitment and network connections need improvement, although work pleasure increased and professionals generally wanted the program to continue. CONCLUSIONS: While the content of the TARGET program is supported by its users, the implementation process, for instance team commitment to the program, needs more attention in future upscaling efforts.
Original language | English |
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Pages (from-to) | 377-391 |
Number of pages | 15 |
Journal | Scandinavian Journal of Primary Health Care |
Volume | 41 |
Issue number | 4 |
Early online date | 4 Sept 2023 |
DOIs | |
Publication status | Published - 2 Oct 2023 |
Keywords
- Primary health care
- chronic diseases
- delivery of health care
- feasibility studies
- integrated
- person-centered care
- pilot projects