G505 Vertical integration in NHS paediatric care: a qualitative exploration of barriers and enablers

Objective The aim of our study was to identify barriers and enablers to implementation of the Xpert MTB/RIF test within Mongolia’s National Tuberculosis Program. Methods Twenty-foursemi-structured interviews were conducted between June and September 2015 with laboratory staff and tuberculosis physicians in Mongolia’s capital Ulaanbaatar and regional towns where Xpert MTB/RIF testing had been implemented. Interviews were recorded, transcribed, translated and analysed thematically using NVIVO qualitative analysis software. Results Eight laboratory staff (five from the National Tuberculosis Reference Laboratory in Ulaanbaatar and three from provincial laboratories) and sixteen tuberculosis physicians (five from the Mongolian National Center for Communicable Diseases in Ulaanbaatar, four from district tuberculosis clinics in Ulaanbaatar and seven from provincial tuberculosis clinics) were interviewed. Major barriers to Xpert MTB/RIF implementation identified were: lack of awareness of program guidelines; inadequate staffing arrangements; problems with cartridge supply management; lack of local repair options for the Xpert machines; lack of regular formal training; paper based system; delayed treatment initiation due to consensus meeting and poor sample quality. Enablers to Xpert MTB/RIF implementation included availability of guidelines in the local language; provision of extra laboratory staff, shift working arrangements and additional modules; capacity for troubleshooting internally; access to experts; opportunities for peer learning; common understanding of diagnostic algorithms and decentralised testing. Conclusion Our study identified a number of barriers and enablers to implementation of Xpert MTB/RIF in the Mongolian National Tuberculosis Program. Lessons learned from this study can help to facilitate implementation of Xpert MTB/RIF in other Mongolian locations as well as other low-and middle-income countries.

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Commentary: Clinical academic careers for general practice nurses: a qualitative exploration of associated barriers and enablers

Journal of Research in Nursing ◽

10.1177/17449871211030588 ◽

2021 ◽

pp. 174498712110305

Author(s):

Sue Thomas

Keyword(s):

General Practice ◽

Academic Careers ◽

Practice Nurses ◽

Barriers And Enablers ◽

Qualitative Exploration

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Peer Review #2 of "Implementation of the Xpert MTB/RIF assay for tuberculosis in Mongolia: a qualitative exploration of barriers and enablers (v0.1)"

10.7287/peerj.3567v0.1/reviews/2 ◽

2017 ◽

Author(s):

D Armstrong

Keyword(s):

Peer Review ◽

Barriers And Enablers ◽

Qualitative Exploration

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Stopping smoking advice given by practice assistants after routine cervical screening in general practice: a qualitative exploration of potential barriers and enablers.

10.21203/rs.2.16494/v2 ◽

2020 ◽

Author(s):

Marthe B.L. Mansour ◽

Matty R. Crone ◽

Henk C. van Weert ◽

Niels H. Chavannes ◽

Kristel M. van Asselt

Keyword(s):

General Practice ◽

Cervical Screening ◽

Potential Barriers ◽

Barriers And Enablers ◽

Qualitative Exploration

Abstract The authors have withdrawn this preprint due to author disagreement.

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Factors That Influence Use of a Patient Portal by Health Professionals

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041877 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1877

Author(s):

Anna Janssen ◽

Melanie Keep ◽

Hiran Selvadurai ◽

Andrea Kench ◽

Sharon Hunt ◽

...

Keyword(s):

Health Professionals ◽

Healthcare Team ◽

Patient Portal ◽

Structured Interviews ◽

Patient Portals ◽

Implementation Support ◽

Healthcare Teams ◽

Barriers And Enablers ◽

Paediatric Care ◽

Use Of Technology

Patient portals are websites or apps that provide patients with tools to manage healthcare appointments, access their health records, and communicate with clinicians. Patient portals have been demonstrated to be beneficial for improving communication between patients/carers and their healthcare team in a range of health settings. However, there is limited research on the barriers and enablers for implementing patient portals from the perspective of health professionals and healthcare teams, particularly in a paediatric setting. This study aimed to understand healthcare teams’ experiences of using a patient portal and, using the Unified Theory of Acceptance and Use of Technology (UTAUT) framework, explore the barriers and enablers to ongoing use. Participants were 11 health professionals participating in the pilot of a patient portal for patients/carers in paediatric care. Data were collected using semi-structured interviews. Analysis of the interview data identified nine themes about implementing a patient portal in paediatric care, all of which aligned with the four constructs of the UTAUT. This study identified that barriers and enablers of the uptake of a patient portal by health professionals in a paediatric context aligned with the UTAUT framework. Value for the patient, improved workflow, and adequate technical and implementation support were highlighted by participants.

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