Integrated Health and Social Home Care Services in Catalonia: Professionals' Perception of its Implementation, Barriers, and Facilitators

被引：1

作者：

Hilarion, Pilar ^{[1
,2
,3
,4
]}

Vila, Anna ^{[5
,6
,7
]}

Contel, Joan c. ^{[5
,6
,9
,13
]}

Santaeugenia, Sebastia J. ^{[8
,9
,10
]}

Amblas-Novellas, Jordi ^{[5
,6
,8
,9
]}

Sunol, Rosa ^{[1
,4
]}

Barbeta, Conxita ^{[5
,6
,8
]}

Plaza, Aina ^{[5
,7
,8
]}

Vela, Emili ^{[11
,12
]}

机构：

[1] Avedis Donabedian Res Inst FAD, Barcelona, Spain

[2] Univ Autonoma Barcelona, Barcelona, Spain

[3] Hlth Serv Res Network Chron Dis REDISSEC, Bizkaia, Spain

[4] Network Res Chron Primary Care & Hlth Promot RICAP, Elech, Spain

[5] Generalitat Catalunya, Dept Hlth, Barcelona, Spain

[6] Generalitat Catalunya, Dept Social Rights, Barcelona, Spain

[7] Generalitat Catalunya, Dept Social Rights, Gen Directorate Personal Auton & Disabil, Barcelona, Spain

[8] Generalitat Catalunya, Dept Hlth, Gen Directorate Hlth & Res Planning, Barcelona, Spain

[9] Univ Vic Cent Univ Catalonia UVIC UCC, Ctr Hlth & Social Care Res CESS, Cent Catalonia Chron Res Grp C3RG, Travessera de les Corts,131-159, Barcelona 08028, Catalonia, Spain

[10] Parc Sanit St Joan Deu, St Boi Llobregat, Spain

[11] Area Sistemes Informacio, Serv Catala Salut, Barcelona, Spain

[12] IDIBELL, Digitalizat Sustainabil Healthcare Syst DS3, Barcelona, Spain

[13] Generalitat Catalunya, Dept Hlth, Chron Care Program, Travessera Corts 131-159, Barcelona 08028, Catalonia, Spain

来源：

INTERNATIONAL JOURNAL OF INTEGRATED CARE | 2024年 / 24卷 / 02期

关键词：

home care services; home care; integrated care; health care; social care; barriers and facilitators;

D O I：

10.5334/ijic.7530

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Introduction: This study aimed to assess the implementation of integrated social and health home care services (HCS) offered by the Government of Catalonia, and to identify the main barriers and facilitators of integrated HCS. Methods: Analysis of the degree of implementation of integrated social and health HCS perceived by social care services (SCS) and primary health care centers (PHCs) between December 2020 and June 2021 in two phases. First, the perception of integration by social workers within SCS and PHCs was assessed using a screening questionnaire. Then, SCS in counties with the highest integration scores received a customized questionnaire for an in-depth assessment. Results: A total of 105 (100%) SCS and 94 (25%) PHCs answered the screening questionnaire, and 48 (45.7%) SCS received a customized questionnaire. The most frequent barrier identified was the lack of shared protocols, with the most frequent facilitator being the recognition of the importance of integrated HCS. Conclusions: Our study showed that the degree of implementation of integrated health and social HCS offered by the Government of Catalonia was perceived as low. The identified barriers and facilitators can be used to facilitate such implementation. Further studies should include professionals other than social workers in PHC assessments.

引用

页数：13