Enhancing patient-centred chiropractic care in Canada: identifying barriers, enablers, and strategies through a qualitative needs assessment.
Background: The Canadian Chiropractic Association (CCA) initiated a quality improvement project to develop best practices aimed at enhancing the patient experience. Objectives: (1) Identify and prioritise the key moments in the new patient experience that could be improved by providing chiropractors...
| Publicado en: | Chiropractic & Manual Therapies Vol. 32; no. 1; pp. 1 - 19 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
11/28/2024
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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=181199505&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181199505 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2045709X BG1Z jtl: Chiropractic & Manual Therapies issn: 2045709X maglogo: N pubinfo: dt: 11/28/2024 vid: 32 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 181199505 181199505 181199505 10.1186/s12998-024-00560-1 181199505 ppf: 1 ppct: 18 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Enhancing patient-centred chiropractic care in Canada: identifying barriers, enablers, and strategies through a qualitative needs assessment. aug: au: To, Daphne Southerst, Danielle Atkinson-Graham, Melissa Yu, Hainan Connell, Gaelan Draper, Crystal Cancelliere, Carol affil: https://ror.org/03jfagf20 Canadian Memorial Chiropractic College, Toronto, ON, Canada sug: subj: Chiropractic Practice Canada Patient Centered Care Health Services Accessibility Health Services Needs and Demand Needs Assessment Quality Improvement Attitude of Health Personnel Evaluation Human Funding Source Canada Male Female Adult Middle Age Aged Qualitative Studies Convenience Sample Purposive Sample Snowball Sample Semi-Structured Interview Thematic Analysis Professional Knowledge Behavioral Changes Communication Skills Rural Areas Health Resource Allocation Chiropractors Education Interprofessional Relations Collaboration Conceptual Framework Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: The Canadian Chiropractic Association (CCA) initiated a quality improvement project to develop best practices aimed at enhancing the patient experience. Objectives: (1) Identify and prioritise the key moments in the new patient experience that could be improved by providing chiropractors with focused support and resources; (2) explore views, barriers, and enablers to implementing these best practices; and (3) develop recommendations to facilitate the adoption of these practices. Methods: We conducted a qualitative needs assessment using a human-centred design approach, focused on understanding the needs and experiences of end-users to create tailored solutions. The Theoretical Domains Framework (TDF) was employed to explore chiropractors' knowledge use and behaviour change, and TDF domains were mapped to Behaviour Change Techniques (BCTs) to develop targeted strategies for addressing identified barriers and enablers. Thirteen chiropractors from across Canada participated in semi-structured interviews and related activities. Results: The key moments where participants felt they needed the most support were "treatment", "report of findings", "informed consent", "physical examination", and "before the appointment". All participants agreed with the best practices seed statements. Key barriers included gaps in knowledge, communication skills, and resource availability, particularly in rural areas. Enablers included collaboration with other health professionals, mentorship, and access to practice tools. Recommendations include enhanced training in communication and treatment planning, increased access to resources in rural areas, and fostering collaborative relationships among health professionals. Conclusion: Understanding the barriers and enablers to implementing best practices can inform targeted strategies to improve patient-centred care in chiropractic practice across Canada. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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