Universität zu Köln

Richter, Simone, Demirer, Ibrahim, Nocon, Maya, Pfaff, Holger ORCID: 0000-0001-9154-6575 and Karbach, Ute ORCID: 0000-0003-3479-9474 (2021). When do physicians perceive the success of a new care model differently? BMC Health Serv. Res., 21 (1). LONDON: BMC. ISSN 1472-6963

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Abstract

Background The health care innovation MamBo - people with multimorbidity in outpatient care: patient-focused and needs-oriented healthcare management aims to improve the efficiency and quality of care for multimorbid patients by delegating tasks (e.g. taking over house calls or coordinating specialist appointments) to a monitoring and coordination assistant (MoniKa). Participating physicians are very important for the success of the health care innovation due to their direct involvement as practitioners and their task of enrolling patients. The aim of this part of the evaluation study is therefore to identify the physicians' personal values, which influence the individual perception of the project's advantages and thus possibly the acceptance and sustainable implementation of new care structures. Methods Two Focus groups (n = 4; n = 6) and three individual interviews with general practitioners and specialists who decided to implement the health care innovation within the first year were conducted. The semi-structured guidelines were developed by the research team. The interviews were analysed according to the content analysis by Mayring. We used the learning model of operant conditioning to place our study results in a theoretical context. Result Two central personal values of the participants, which determine the desired advantages of the health care innovation were identified: More patient-oriented and more economic-oriented values. Participants with more patient-oriented values quickly perceived advantages, which seems to be beneficial for the acceptance of the new care structures. Economic-oriented participants tended to be more critical. The benefits of the health care innovation, which was expressed, for example, in an improvement of the practice routine, has not yet been perceived by this group, or only to a limited extent. Conclusions The results suggest that the respective values of the participants define the individual perceived advantages and thus, the assessment of the success of the health care innovation in general. These findings could be used in the implementation process by increasing the motivation of the project participants through typified supervision.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Richter, Simone UNSPECIFIED UNSPECIFIED UNSPECIFIED Demirer, Ibrahim UNSPECIFIED UNSPECIFIED UNSPECIFIED Nocon, Maya UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Karbach, Ute UNSPECIFIED orcid.org/0000-0003-3479-9474 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-577760
DOI:	10.1186/s12913-021-07061-4
Journal or Publication Title:	BMC Health Serv. Res.
Volume:	21
Number:	1
Date:	2021
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1472-6963
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HEALTH; ORGANIZATIONS; DETERMINANTS; DIFFUSION Multiple languages Health Care Sciences & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/57776