Provider experiences of the implementation of a new tuberculosis treatment programme: A qualitative study using the normalisation process model

Purpose This study aims to investigate the decision-making processes of international retirement migrants. The development of a place in response to the high demand for international retirement migration has become an important strategy for stakeholders within host destinations; of particular interest is international retirement migrant behaviour and intention to stay and retire in a foreign country. Design/methodology/approach This research presents the results of a qualitative study using face-to-face interview techniques. Content analysis technique was used to analyse data from interviews with 33 international retirees in Thailand. Findings Destination stakeholders must consider creating awareness of the destination through WOM, trustworthy websites and government channels, which migrants evaluate a destination based on pre-retirement visits that create attachment and emotional feelings for the place, and finally, the decision-making processes of short stay, semi-permanent and permanent migrants. Research limitations/implications This qualitative study investigated migrants from Europe, Australia and the USA. An understanding of IR migrants from Asia needs further research. Practical implications The results can be used as guidelines for government, hospitality and tourism stakeholders. IR migrants want different destination attributes to mainstream tourists, especially a peaceful environment, mild weather (not too cold or hot), and to live among locals. Originality/value This study examines migrant decision-making processes. The results provide a theoretical foundation for how IR migrants decide to retire overseas. This comprises three components: destination awareness, secondly, evaluation of the destination’s resources, and finally, the decision and implementation of their plans.

Download Full-text

Embedding electronic decision-support tools for suspected cancer in primary care: a qualitative study of GPs’ experiences

Primary Health Care Research & Development ◽

10.1017/s1463423615000109 ◽

2015 ◽

Vol 16 (06) ◽

pp. 548-555 ◽

Cited By ~ 13

Author(s):

Lisa Dikomitis ◽

Trish Green ◽

Una Macleod

Keyword(s):

Primary Care ◽

Decision Support ◽

Qualitative Study ◽

Process Model ◽

Assessment Tools ◽

Routine Practice ◽

Decision Support Tools ◽

Electronic Decision Support ◽

Cancer Symptoms ◽

Support Tools

AimThe purpose of this evaluation was to obtain views from general practitioners (GPs) who piloted the electronic risk assessment tools (eRATs) for suspected lung or colorectal cancer. We wanted to find out whether GPs were able to integrate these tools into their everyday practice. We were also keen to identify facilitators and barriers to their more widespread use.BackgroundCancer remains one of UK’s biggest health problems, in terms of morbidity and mortality. Comparative European data show that five-year survival figures for many cancers are lower in the United Kingdom than in comparable European countries. eRATs are intended to aid recognition of symptoms of lung and colorectal cancers in patients aged 40 years and over.MethodsThis was a qualitative study; telephone interviews were conducted with 23 GPs who piloted the eRATs. A systematic qualitative analysis was applied to the data. The normalisation process model was used after data collection. This theory-driven conceptual framework was used to examine the operationalisation of this intervention in Primary Care.FindingsElectronic decision-support tools appear to be useful additions to the resources available to GPs in order to assist them with recognizing potential cancer symptoms. However, the tools need to be refined in order to integrate them into GP practice. The tools raised GPs’ awareness about cancer because of the prompt facility of the software, although this also raised the potential of ‘prompt fatigue’. GPs constantly receive alerts via their clinical system, particularly related to the Quality and Outcomes Framework. The integration of eRATs into routine practice could be engendered by improvement to the training packages that accompany them, and by its delivery via a platform compatible with all GP clinical systems.

Download Full-text