TY - JOUR
T1 - Stakeholders barriers and facilitators for the implementation of a personalised digital care pathway
T2 - a qualitative study
AU - Heijsters, Florence
AU - Santema, Jesse
AU - Mullender, Margriet
AU - Bouman, Mark-Bram
AU - Bruijne, Martine de
AU - van Nassau, Femke
N1 - Funding Information: This study was supported by ZonMw program Actieonderzoek Innovatieve Zorg' (grant number: 516006007), the Netherlands. Funding Information: This study was supported by ZonMw program ‘Actieonderzoek Innovatieve Zorg’ (grant number: 516006007), the Netherlands. Publisher Copyright: © Author(s) (or their employer(s)) 2022.
PY - 2022/11/23
Y1 - 2022/11/23
N2 - OBJECTIVE: A prerequisite for patient-centredness in healthcare organisations is offering patients access to adequate health information, which fits their needs. A personalised digital care pathway (PDCP) is a tool that facilitates the provision of tailored and timely information. Despite its potential, barriers influence the implementation of digital tools in healthcare organisations. Therefore, we investigated the perceived barriers and facilitators for implementation of the PDCP among stakeholders. DESIGN: A qualitative study was conducted to acquire insight into perceptions of the stakeholders involved in the implementation of a digital care pathway in three diverse patient groups. SETTING: This study is part of the PDCP research project in a large academic hospital in the Netherlands. PARTICIPANTS: Purposive sampling was used to recruit internal stakeholders (eg, healthcare professionals, employees of the supporting departments) and external stakeholders (eg, employees of the external PDCP supplier). In addition, existing semistructured interviews with patients involved in pilot implementation (n=24) were used to verify the findings. RESULTS: We conducted 25 semistructured interviews using the Consolidated Framework for Implementation Research. Content analyses yielded four themes: (1) stakeholders' perceptions of the PDCP (eg, perceived usefulness); (2) characteristics of the individuals involved and the implementation process (eg, individuals express resistance to change); (3) organisational readiness (eg, lack of resources); and (4) collaboration within the organisation (eg, mutual communication, multidisciplinary codesign). The main barriers mentioned by patients were duration of first activation and necessity for up-to-date content. In addition, the most facilitating factor for patients was user-friendliness. CONCLUSION: Our findings emphasise the importance of gaining insights into the various perspectives of stakeholder groups, including patients, regarding the implementation of the PDCP. The perceived barriers and facilitators can be used to improve the PDCP implementation plan and tailor the development and improvement of other digital patient communication tools.
AB - OBJECTIVE: A prerequisite for patient-centredness in healthcare organisations is offering patients access to adequate health information, which fits their needs. A personalised digital care pathway (PDCP) is a tool that facilitates the provision of tailored and timely information. Despite its potential, barriers influence the implementation of digital tools in healthcare organisations. Therefore, we investigated the perceived barriers and facilitators for implementation of the PDCP among stakeholders. DESIGN: A qualitative study was conducted to acquire insight into perceptions of the stakeholders involved in the implementation of a digital care pathway in three diverse patient groups. SETTING: This study is part of the PDCP research project in a large academic hospital in the Netherlands. PARTICIPANTS: Purposive sampling was used to recruit internal stakeholders (eg, healthcare professionals, employees of the supporting departments) and external stakeholders (eg, employees of the external PDCP supplier). In addition, existing semistructured interviews with patients involved in pilot implementation (n=24) were used to verify the findings. RESULTS: We conducted 25 semistructured interviews using the Consolidated Framework for Implementation Research. Content analyses yielded four themes: (1) stakeholders' perceptions of the PDCP (eg, perceived usefulness); (2) characteristics of the individuals involved and the implementation process (eg, individuals express resistance to change); (3) organisational readiness (eg, lack of resources); and (4) collaboration within the organisation (eg, mutual communication, multidisciplinary codesign). The main barriers mentioned by patients were duration of first activation and necessity for up-to-date content. In addition, the most facilitating factor for patients was user-friendliness. CONCLUSION: Our findings emphasise the importance of gaining insights into the various perspectives of stakeholder groups, including patients, regarding the implementation of the PDCP. The perceived barriers and facilitators can be used to improve the PDCP implementation plan and tailor the development and improvement of other digital patient communication tools.
KW - Dermatological tumours
KW - PLASTIC & RECONSTRUCTIVE SURGERY
KW - Paediatric plastic & reconstructive surgery
KW - Sexual and gender disorders
UR - http://www.scopus.com/inward/record.url?scp=85142939452&partnerID=8YFLogxK
U2 - https://doi.org/10.1136/bmjopen-2022-065778
DO - https://doi.org/10.1136/bmjopen-2022-065778
M3 - Article
C2 - 36418140
SN - 2044-6055
VL - 12
SP - e065778
JO - BMJ Open
JF - BMJ Open
IS - 11
M1 - e065778
ER -