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Barriers and facili...
Barriers and facilitators among health professionals in primary care to prevention of cardiometabolic diseases : A systematic review
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- Waendell, Per E. (författare)
- Karolinska Institutet
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- de Waard, Anne-Karien M. (författare)
- Univ Med Ctr, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands
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- Holzmann, Martin J. (författare)
- Karolinska Institutet
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- Gornitzki, Carl (författare)
- Karolinska Institutet
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- Lionis, Christos (författare)
- Univ Crete, Sch Med, Clin Social & Family Med, Iraklion, Greece
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- de Wit, Niek (författare)
- Univ Med Ctr, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands
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- Sondergaard, Jens (författare)
- Univ Southern, Inst Publ Hlth, Res Unit Gen Practice, Odense, Denmark
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- Sonderlund, Anders L. (författare)
- Charles Univ Prague, Fac Med 1, Dept Gen Practice, Prague, Czech Republic
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- Kral, Norbert (författare)
- NIVEL Netherlands Inst Hlth Serv Res, Utrecht, Netherlands
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- Seifert, Bohumil (författare)
- NIVEL Netherlands Inst Hlth Serv Res, Utrecht, Netherlands
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- Korevaar, Joke C. (författare)
- Vrije Univ Amsterdam Med Ctr, Amsterdam Publ Hlth Res Inst, Dept Gen Practice & Elderly Care Med, Amsterdam, Netherlands
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- Schellevis, Francois G. (författare)
- Vrije Univ Amsterdam Med Ctr, Amsterdam Publ Hlth Res Inst, Dept Gen Practice & Elderly Care Med, Amsterdam, Netherlands
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- Carlsson, Axel C (författare)
- Karolinska Institutet,Uppsala universitet,Kardiovaskulär epidemiologi,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Family Med & Primary Care, Huddinge, Sweden
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(creator_code:org_t)
- 2018-01-29
- 2018
- Engelska.
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Ingår i: Family Practice. - : Oxford University Press. - 0263-2136 .- 1460-2229. ; 35:4, s. 383-398
- Relaterad länk:
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https://academic.oup...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Coronary heart disease
- diabetes
- general practitioner
- health check
- myocardial infarction
- selective prevention
- stroke
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- Av författaren/redakt...
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Waendell, Per E.
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de Waard, Anne-K ...
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Holzmann, Martin ...
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Gornitzki, Carl
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Lionis, Christos
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de Wit, Niek
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visa fler...
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Sondergaard, Jen ...
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Sonderlund, Ande ...
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Kral, Norbert
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Seifert, Bohumil
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Korevaar, Joke C ...
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Schellevis, Fran ...
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Carlsson, Axel C
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Family Practice
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Uppsala universitet
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Karolinska Institutet