TY - JOUR
KW - Activities of Daily Living/psychology
KW - Administrative Personnel/psychology
KW - Attitude of Health Personnel
KW - Chronic Disease/psychology/rehabilitation/therapy
KW - Clinical Competence
KW - Delivery of Health Care, Integrated/methods/organization & administration
KW - Female
KW - Governing Board/statistics & numerical data
KW - Health Policy
KW - Humans
KW - Male
KW - Netherlands
KW - Nurse Practitioners/psychology
KW - Patient Education as Topic
KW - Patient Participation/psychology
KW - Patients/psychology
KW - Physicians, Family/psychology
KW - Practice Guidelines as Topic
KW - Primary Health Care/economics/manpower/standards
KW - Professional-Patient Relations
KW - Qualitative Research
KW - Questionnaires
KW - Recovery of Function/physiology
KW - Research Personnel/psychology
AU - van Dijk- de Vries
AU - A. Moser
AU - V. C. Mertens
AU - J. van der Linden
AU - T. van der Weijden
AU - J. T. van Eijk
A1 - 
AB - BACKGROUND: Chronically ill patients often experience psychosocial problems in everyday life. A biopsychosocial approach is considered to be essential in chronic care. In Dutch primary health care the current biomedically oriented clinical practice may conflict with the biopsychosocial approach. This study is aimed to explore the views of Dutch stakeholders on achieving a biopsychosocial approach to the care of patients with chronic diseases. METHODS: In a qualitative explorative study design, we held semi-structured interviews with stakeholders, face-to-face or by telephone. Data were analysed using content analysis. Thirty representatives of Dutch patients with chronic illnesses, primary care professionals, policy makers, health inspectorate, health insurers, educational institutes and researchers were interviewed. RESULTS: Stakeholders were aware that a systematic biopsychosocial care approach is lacking in current practice. Opportunities for effective change are multidimensional. Achieving a biopsychosocial approach to care relates to active patient participation, the training of professionals, high-quality guidelines, protocols and tools, integrated primary care, research and financial issues. CONCLUSIONS: Although the principles and importance of the biopsychosocial model have been recognized, the provision of care that starts from the medical, emotional or social needs of individual patients does not fit in easily with the current Dutch health care system. All parties involved need to make a commitment to realize the ideal of biopsychosocial chronic care. Together they need to equip health professionals with skills to understand patients' multifaceted needs and to reward integrated biopsychosocial care. Patients need to be empowered to be active partners in their own care.
BT - BMC family practice
C5 - General Literature
CY - England
DO - 10.1186/1471-2296-13-14
JF - BMC family practice
N2 - BACKGROUND: Chronically ill patients often experience psychosocial problems in everyday life. A biopsychosocial approach is considered to be essential in chronic care. In Dutch primary health care the current biomedically oriented clinical practice may conflict with the biopsychosocial approach. This study is aimed to explore the views of Dutch stakeholders on achieving a biopsychosocial approach to the care of patients with chronic diseases. METHODS: In a qualitative explorative study design, we held semi-structured interviews with stakeholders, face-to-face or by telephone. Data were analysed using content analysis. Thirty representatives of Dutch patients with chronic illnesses, primary care professionals, policy makers, health inspectorate, health insurers, educational institutes and researchers were interviewed. RESULTS: Stakeholders were aware that a systematic biopsychosocial care approach is lacking in current practice. Opportunities for effective change are multidimensional. Achieving a biopsychosocial approach to care relates to active patient participation, the training of professionals, high-quality guidelines, protocols and tools, integrated primary care, research and financial issues. CONCLUSIONS: Although the principles and importance of the biopsychosocial model have been recognized, the provision of care that starts from the medical, emotional or social needs of individual patients does not fit in easily with the current Dutch health care system. All parties involved need to make a commitment to realize the ideal of biopsychosocial chronic care. Together they need to equip health professionals with skills to understand patients' multifaceted needs and to reward integrated biopsychosocial care. Patients need to be empowered to be active partners in their own care.
PP - England
PY - 2012
SN - 1471-2296; 1471-2296
SP - 14
T1 - The ideal of biopsychosocial chronic care: how to make it real? A qualitative study among Dutch stakeholders
T2 - BMC family practice
TI - The ideal of biopsychosocial chronic care: how to make it real? A qualitative study among Dutch stakeholders
U1 - General Literature
U2 - 22405260
U3 - 10.1186/1471-2296-13-14
VL - 13
VO - 1471-2296; 1471-2296
Y1 - 2012
ER -