Integrated Health and Social Home Care Services in Catalonia: Professionals' Perception of its Implementation, Barriers, and Facilitators
Por:
Hilarión P, Vila A, Contel JC, Sebastià Santaeugènia Gonzàlez, Amblàs-Novellas J, Suñol R, Barbeta C, Plaza A and Vela E
Publicada:
1 abr 2024
Ahead of Print:
26 abr 2024
Resumen:
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.
Filiaciones:
Hilarión P:
Avedis Donabedian Research Institute (FAD), Spain
Universitat Autònoma de Barcelona, Barcelona, Spain
Health Services Research Network on Chronic Diseases (REDISSEC), Spain
Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain
Vila A:
Integrated Social and Health Care Program, Department of Health and Department of Social Rights, Generalitat de Catalunya, Barcelona, Spain
General Directorate of Personal Autonomy and Disability, Department of Social Rights, Generalitat de Catalunya, Barcelona, Spain
Contel JC:
Integrated Social and Health Care Program, Department of Health and Department of Social Rights, Generalitat de Catalunya, Barcelona, Spain
General Directorate of Health Planning, Department of Health, Generalitat de Catalunya, Barcelona, Spain
Central Catalonia Chronicity Research Group (C3RG), Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), Barcelona, Spain
Sebastià Santaeugènia Gonzàlez:
General Directorate of Personal Autonomy and Disability, Department of Social Rights, Generalitat de Catalunya, Barcelona, Spain
Central Catalonia Chronicity Research Group (C3RG), Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), Barcelona, Spain
Intermediate Care Director, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
Amblàs-Novellas J:
Integrated Social and Health Care Program, Department of Health and Department of Social Rights, Generalitat de Catalunya, Barcelona, Spain
General Directorate of Health Planning, Department of Health, Generalitat de Catalunya, Barcelona, Spain
Central Catalonia Chronicity Research Group (C3RG), Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), Barcelona, Spain
Suñol R:
Avedis Donabedian Research Institute (FAD), Spain
Universitat Autònoma de Barcelona, Barcelona, Spain
Health Services Research Network on Chronic Diseases (REDISSEC), Spain
Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain
Barbeta C:
Integrated Social and Health Care Program, Department of Health and Department of Social Rights, Generalitat de Catalunya, Barcelona, Spain
General Directorate of Personal Autonomy and Disability, Department of Social Rights, Generalitat de Catalunya, Barcelona, Spain
Plaza A:
Integrated Social and Health Care Program, Department of Health and Department of Social Rights, Generalitat de Catalunya, Barcelona, Spain
General Directorate of Personal Autonomy and Disability, Department of Social Rights, Generalitat de Catalunya, Barcelona, Spain
Vela E:
Àrea de Sistemes d'Informació, Servei Català de la Salut, Barcelona, Spain
Digitalization for the Sustainability of the Healthcare System (DS3), IDIBELL, Barcelona, Spain
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