scholarly journals Evaluation of the role of Care Sport Connectors in connecting primary care, sport, and physical activity, and residents’ participation in the Netherlands: study protocol for a longitudinal multiple case study design

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
E. Smit ◽  
K.E.F. Leenaars ◽  
M.A.E. Wagemakers ◽  
G.R.M. Molleman ◽  
M.A. Koelen ◽  
...  
2013 ◽  
Vol 14 (1) ◽  
Author(s):  
Catherine Donnelly ◽  
Christie Brenchley ◽  
Candace Crawford ◽  
Lori Letts

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711485
Author(s):  
Fiona Hares ◽  
Daniel Menzies ◽  
Paul Brocklehurst ◽  
Sion Williams

BackgroundClinical guidelines for asthma are available to UK clinicians but implementation is not straightforward. Diagnostic and treatment inadequacy contribute to patient morbidity and mortality and lack of adherence to guidelines is a component of this.AimThis qualitative study sought to explore and understand the use of asthma guidelines by primary care clinicians in two geographically bounded regions of Wales.MethodMultiple case study design was used. Data was collected using semi-structured interviews with a purposively sampled group of clinical staff from GP practices. Interview transcripts were thematically analysed to produce a detailed picture of practice.ResultsAsthma care in the studied areas operated as a social network of clinicians who often used guidelines as boundary objects. Practice and local service design was influenced and dependent on regular input from local secondary care providers. Clinicians looked to British Thoracic Society and Scottish Intercollegiate Guideline Network (BTS/SIGN) 2016 guidelines. There was limited use of National Institute for Health and Care Excellence (NICE) 2017 guidelines. Barriers to guideline recommended diagnostic asthma care included: lack of acceptability, financial costs and disempowerment of nursing staff.ConclusionThe findings from this study replicate and reinforce the findings of previous work. It is striking and concerning that the thematic outcomes of this study bear a strong resemblance to that which was demonstrated over a decade ago. The guideline-implementation gap in asthma diagnostics will likely persist unless there is significant restructuring, financial investment and greater empowerment of nursing staff in primary care.


2017 ◽  
Vol 4 (1) ◽  
pp. 1376425 ◽  
Author(s):  
Sarah D. Gunnery ◽  
Elena N. Naumova ◽  
Marie Saint-Hilaire ◽  
Linda Tickle-Degnen ◽  
Peter Walla

10.2196/15586 ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. e15586
Author(s):  
Isabelle Vedel ◽  
Jui Ramaprasad ◽  
Liette Lapointe

Background Nonprofit organizations have always played an important role in health promotion. Social media is widely used in health promotion efforts. However, there is a lack of evidence on how decisions regarding the use of social media are undertaken by nonprofit organizations that want to increase their impact in terms of health promotion. Objective The aim of this study was to understand why and how nonprofit health care organizations put forth social media strategies to achieve health promotion goals. Methods A multiple case study design, using in-depth interviews and a content analysis of each social media strategy, was employed to analyze the use of social media tools by six North American nonprofit organizations dedicated to cancer prevention and management. Results The resulting process model demonstrates how social media strategies are enacted by nonprofit organizations to achieve health promotion goals. They put forth three types of social media strategies relative to their use of existing information and communication technologies (ICT)—replicate, transform, or innovate—each affecting the content, format, and delivery of the message differently. Organizations make sense of the social media innovation in complementarity with existing ICT. Conclusions For nonprofit organizations, implementing a social media strategy can help achieve health promotion goals. The process of social media strategy implementation could benefit from understanding the rationale, the opportunities, the challenges, and the potentially complementary role of existing ICT strategies.


Author(s):  
Ahlam Awata ◽  
Alexandra Dzubina ◽  
Christiana Correa e Castro Martine ◽  
Upasana Saha ◽  
Arrani Senthinathan ◽  
...  

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