Challenges in implementing GP clusters in Scotland: a qualitative study comparing the views of senior primary care stakeholders in 2016 with those in 2021.
Background: Formation of GP clusters began in Scotland in April 2016 as part of a new Scottish GP contract. They aim to improve the care quality for local populations (intrinsic role) and the integration of health and social care (extrinsic role). Aim: To compare predicted challenges of cluster impl...
| Publicado en: | BJGP Open Vol. 7; no. 2; pp. 1 - 10 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Royal College of General Practitioners
Jun2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164734454&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164734454 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23983795 LW60 jtl: BJGP Open issn: 23983795 maglogo: N pubinfo: dt: Jun2023 vid: 7 iid: 2 pid: 11854 pub: Royal College of General Practitioners artinfo: ui: 164734454 164734454 164734454 10.3399/BJGPO.2022.0152 164734454 ppf: 1 ppct: 9 formats: tig: atl: Challenges in implementing GP clusters in Scotland: a qualitative study comparing the views of senior primary care stakeholders in 2016 with those in 2021. aug: au: Kidd, Catherine Donaghy, Eddie Huayi Huang Noble-Jones, Rhian Ogilvie, Sharon McGregor, Julia Maxwell, Margaret Gillies, John Henderson, David A. G. Wang, Harry H. X. Mercer, Stewart W. affil: College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK sug: subj: Family Practice Implementation Science Stakeholder Participation Primary Health Care Scotland Human Qualitative Studies Semi-Structured Interview Funding Source Scotland Motivation COVID-19 Pandemic Government Regulations Geographic Factors Prospective Studies Descriptive Statistics Comparative Studies Public Policy Thematic Analysis Conceptual Framework Health Services Accessibility Burnout, Professional Workforce ab: Background: Formation of GP clusters began in Scotland in April 2016 as part of a new Scottish GP contract. They aim to improve the care quality for local populations (intrinsic role) and the integration of health and social care (extrinsic role). Aim: To compare predicted challenges of cluster implementation in 2016 with reported challenges in 2021. Design & setting: Qualitative study of senior national stakeholders in primary care in Scotland. Method: Qualitative analysis of semi-structured interviews with 12 senior primary care national stakeholders in 2016 (n = 6) and 2021 (n = 6). Results: Predicted challenges in 2016 included balancing intrinsic and extrinsic roles, providing sufficient support, maintaining motivation and direction, and avoiding variation between clusters. Progress of clusters in 2021 was perceived as suboptimal and was reported to vary significantly across the country, reflecting differences in local infrastructure. Practical facilitation (data, administrative support, training, project improvement support, and funded time) and strategic guidance from the Scottish Government was felt to be lacking. GP engagement with clusters was felt to be hindered by the significant time and workforce pressures facing primary care. These barriers were considered as collectively contributing to cluster lead 'burnout' and loss of momentum, exacerbated by inadequate opportunities for shared learning between clusters across Scotland. Such barriers preceded, but were perpetuated by, the impact of the COVID-19 pandemic. Conclusion: Apart from the COVID-19 pandemic, many of the challenges reported by stakeholders in 2021 were predicted in 2016. Accelerating progress in cluster working will require renewed investment and support applied consistently across the country. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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