Barriers and facilitators among health professionals in primary care to prevention of cardiometabolic diseases: A systematic review

Per Wändell, Anne-Karien de Waard, Martin Holzmann, Carl Gornitzki, Christos Lionis, Niek de Wit, Jens Søndergaard, Anders Sønderlund, Norbert Kral, Bohumil Seifert, Joke Korevaar, Francois Schellevis, Axel Carlsson

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

The aim of this study is to identify potential facilitators and barriers for health care professionals to undertake selective prevention of cardiometabolic diseases (CMD) in primary health care. We developed a search string for Medline, Embase, Cinahl and PubMed. We also screened reference lists of relevant articles to retain barriers and facilitators for prevention of CMD. We found 19 qualitative studies, 7 quantitative studies and 2 mixed qualitative and quantitative studies. In terms of five overarching categories, the most frequently reported barriers and facilitators were as follows: Structural (barriers: time restraints, ineffective counselling and interventions, insufficient reimbursement and problems with guidelines; facilitators: feasible and effective counselling and interventions, sufficient assistance and support, adequate referral, and identification of obstacles), Organizational (barriers: general organizational problems, role of practice, insufficient IT support, communication problems within health teams and lack of support services, role of staff, lack of suitable appointment times; facilitators: structured practice, IT support, flexibility of counselling, sufficient logistic/practical support and cooperation with allied health staff/community resources, responsibility to offer and importance of prevention), Professional (barriers: insufficient counselling skills, lack of knowledge and of experience; facilitators: sufficient training, effective in motivating patients), Patient-related factors (barriers: low adherence, causes problems for patients; facilitators: strong GP-patient relationship, appreciation from patients), and Attitudinal (barriers: negative attitudes to prevention; facilitators: positive attitudes of importance of prevention). We identified several frequently reported barriers and facilitators for prevention of CMD, which may be used in designing future implementation and intervention studies.

OriginalsprogEngelsk
TidsskriftFamily Practice
Vol/bind35
Udgave nummer4
Sider (fra-til)383-398
ISSN0263-2136
DOI
StatusUdgivet - 23. jul. 2018

Fingeraftryk

Primary Health Care
Counseling
Health
PubMed
Referral and Consultation
Communication
Guidelines
Delivery of Health Care

Emneord

  • almen praksis
  • systematisk review
  • kardiometabolske sygdomme
  • Kardiologi

Citer dette

Wändell, P., de Waard, A-K., Holzmann, M., Gornitzki, C., Lionis, C., de Wit, N., ... Carlsson, A. (2018). Barriers and facilitators among health professionals in primary care to prevention of cardiometabolic diseases: A systematic review. Family Practice, 35(4), 383-398. https://doi.org/10.1093/fampra/cmx137
Wändell, Per ; de Waard, Anne-Karien ; Holzmann, Martin ; Gornitzki, Carl ; Lionis, Christos ; de Wit, Niek ; Søndergaard, Jens ; Sønderlund, Anders ; Kral, Norbert ; Seifert, Bohumil ; Korevaar, Joke ; Schellevis, Francois ; Carlsson, Axel. / Barriers and facilitators among health professionals in primary care to prevention of cardiometabolic diseases : A systematic review. I: Family Practice. 2018 ; Bind 35, Nr. 4. s. 383-398.
@article{e43b82d0dca54447af9d4f4374ec8f1a,
title = "Barriers and facilitators among health professionals in primary care to prevention of cardiometabolic diseases: A systematic review",
abstract = "The aim of this study is to identify potential facilitators and barriers for health care professionals to undertake selective prevention of cardiometabolic diseases (CMD) in primary health care. We developed a search string for Medline, Embase, Cinahl and PubMed. We also screened reference lists of relevant articles to retain barriers and facilitators for prevention of CMD. We found 19 qualitative studies, 7 quantitative studies and 2 mixed qualitative and quantitative studies. In terms of five overarching categories, the most frequently reported barriers and facilitators were as follows: Structural (barriers: time restraints, ineffective counselling and interventions, insufficient reimbursement and problems with guidelines; facilitators: feasible and effective counselling and interventions, sufficient assistance and support, adequate referral, and identification of obstacles), Organizational (barriers: general organizational problems, role of practice, insufficient IT support, communication problems within health teams and lack of support services, role of staff, lack of suitable appointment times; facilitators: structured practice, IT support, flexibility of counselling, sufficient logistic/practical support and cooperation with allied health staff/community resources, responsibility to offer and importance of prevention), Professional (barriers: insufficient counselling skills, lack of knowledge and of experience; facilitators: sufficient training, effective in motivating patients), Patient-related factors (barriers: low adherence, causes problems for patients; facilitators: strong GP-patient relationship, appreciation from patients), and Attitudinal (barriers: negative attitudes to prevention; facilitators: positive attitudes of importance of prevention). We identified several frequently reported barriers and facilitators for prevention of CMD, which may be used in designing future implementation and intervention studies.",
keywords = "almen praksis, systematisk review, kardiometabolske sygdomme, Kardiologi, Coronary heart disease, Diabetes, General practitioner, Health check, Myocardial infarction, Selective prevention, Stroke, Attitude of Health Personnel, Preventive Health Services/methods, Cardiovascular Diseases/prevention & control, Humans, Metabolic Diseases/prevention & control, Health Personnel, Primary Health Care, Qualitative Research",
author = "Per W{\"a}ndell and {de Waard}, Anne-Karien and Martin Holzmann and Carl Gornitzki and Christos Lionis and {de Wit}, Niek and Jens S{\o}ndergaard and Anders S{\o}nderlund and Norbert Kral and Bohumil Seifert and Joke Korevaar and Francois Schellevis and Axel Carlsson",
year = "2018",
month = "7",
day = "23",
doi = "10.1093/fampra/cmx137",
language = "English",
volume = "35",
pages = "383--398",
journal = "Family Practice",
issn = "0263-2136",
publisher = "Heinemann",
number = "4",

}

Wändell, P, de Waard, A-K, Holzmann, M, Gornitzki, C, Lionis, C, de Wit, N, Søndergaard, J, Sønderlund, A, Kral, N, Seifert, B, Korevaar, J, Schellevis, F & Carlsson, A 2018, 'Barriers and facilitators among health professionals in primary care to prevention of cardiometabolic diseases: A systematic review', Family Practice, bind 35, nr. 4, s. 383-398. https://doi.org/10.1093/fampra/cmx137

Barriers and facilitators among health professionals in primary care to prevention of cardiometabolic diseases : A systematic review. / Wändell, Per; de Waard, Anne-Karien; Holzmann, Martin; Gornitzki, Carl; Lionis, Christos; de Wit, Niek; Søndergaard, Jens; Sønderlund, Anders ; Kral, Norbert; Seifert, Bohumil; Korevaar, Joke; Schellevis, Francois; Carlsson, Axel.

I: Family Practice, Bind 35, Nr. 4, 23.07.2018, s. 383-398.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Barriers and facilitators among health professionals in primary care to prevention of cardiometabolic diseases

T2 - A systematic review

AU - Wändell, Per

AU - de Waard, Anne-Karien

AU - Holzmann, Martin

AU - Gornitzki, Carl

AU - Lionis, Christos

AU - de Wit, Niek

AU - Søndergaard, Jens

AU - Sønderlund, Anders

AU - Kral, Norbert

AU - Seifert, Bohumil

AU - Korevaar, Joke

AU - Schellevis, Francois

AU - Carlsson, Axel

PY - 2018/7/23

Y1 - 2018/7/23

N2 - The aim of this study is to identify potential facilitators and barriers for health care professionals to undertake selective prevention of cardiometabolic diseases (CMD) in primary health care. We developed a search string for Medline, Embase, Cinahl and PubMed. We also screened reference lists of relevant articles to retain barriers and facilitators for prevention of CMD. We found 19 qualitative studies, 7 quantitative studies and 2 mixed qualitative and quantitative studies. In terms of five overarching categories, the most frequently reported barriers and facilitators were as follows: Structural (barriers: time restraints, ineffective counselling and interventions, insufficient reimbursement and problems with guidelines; facilitators: feasible and effective counselling and interventions, sufficient assistance and support, adequate referral, and identification of obstacles), Organizational (barriers: general organizational problems, role of practice, insufficient IT support, communication problems within health teams and lack of support services, role of staff, lack of suitable appointment times; facilitators: structured practice, IT support, flexibility of counselling, sufficient logistic/practical support and cooperation with allied health staff/community resources, responsibility to offer and importance of prevention), Professional (barriers: insufficient counselling skills, lack of knowledge and of experience; facilitators: sufficient training, effective in motivating patients), Patient-related factors (barriers: low adherence, causes problems for patients; facilitators: strong GP-patient relationship, appreciation from patients), and Attitudinal (barriers: negative attitudes to prevention; facilitators: positive attitudes of importance of prevention). We identified several frequently reported barriers and facilitators for prevention of CMD, which may be used in designing future implementation and intervention studies.

AB - The aim of this study is to identify potential facilitators and barriers for health care professionals to undertake selective prevention of cardiometabolic diseases (CMD) in primary health care. We developed a search string for Medline, Embase, Cinahl and PubMed. We also screened reference lists of relevant articles to retain barriers and facilitators for prevention of CMD. We found 19 qualitative studies, 7 quantitative studies and 2 mixed qualitative and quantitative studies. In terms of five overarching categories, the most frequently reported barriers and facilitators were as follows: Structural (barriers: time restraints, ineffective counselling and interventions, insufficient reimbursement and problems with guidelines; facilitators: feasible and effective counselling and interventions, sufficient assistance and support, adequate referral, and identification of obstacles), Organizational (barriers: general organizational problems, role of practice, insufficient IT support, communication problems within health teams and lack of support services, role of staff, lack of suitable appointment times; facilitators: structured practice, IT support, flexibility of counselling, sufficient logistic/practical support and cooperation with allied health staff/community resources, responsibility to offer and importance of prevention), Professional (barriers: insufficient counselling skills, lack of knowledge and of experience; facilitators: sufficient training, effective in motivating patients), Patient-related factors (barriers: low adherence, causes problems for patients; facilitators: strong GP-patient relationship, appreciation from patients), and Attitudinal (barriers: negative attitudes to prevention; facilitators: positive attitudes of importance of prevention). We identified several frequently reported barriers and facilitators for prevention of CMD, which may be used in designing future implementation and intervention studies.

KW - almen praksis

KW - systematisk review

KW - kardiometabolske sygdomme

KW - Kardiologi

KW - Coronary heart disease

KW - Diabetes

KW - General practitioner

KW - Health check

KW - Myocardial infarction

KW - Selective prevention

KW - Stroke

KW - Attitude of Health Personnel

KW - Preventive Health Services/methods

KW - Cardiovascular Diseases/prevention & control

KW - Humans

KW - Metabolic Diseases/prevention & control

KW - Health Personnel

KW - Primary Health Care

KW - Qualitative Research

U2 - 10.1093/fampra/cmx137

DO - 10.1093/fampra/cmx137

M3 - Journal article

C2 - 29385438

VL - 35

SP - 383

EP - 398

JO - Family Practice

JF - Family Practice

SN - 0263-2136

IS - 4

ER -