The Portuguese Model of Home Respiratory Care: Healthcare Professionals' Perspective

• Tipo: Artigo em Revista Científica Internacional
• Data: 2021

Autores

Caneiras, C (Autor) Outra; Jacome, C (Autor) FMUP; Oliveira, D (Autor) Outra; Moreira, E (Autor) FMUP; Dias C (Autor) FMUP; Mendonca, L (Autor) Outra; Mayoralas Alises, S (Autor) Outra; Fonseca, J (Autor) FMUP; Diaz Lobato, S (Autor) Outra; Escarrabill, J (Autor) Outra; Winck JC (Autor) FMUP

Revista

Título: Healthcare

Vol. 53

Página Final: 1523

ISSN: 2213-0764

Editora: Elsevier

Indexação

ISI Web of Knowledge - 0 Citações

Scopus - 0 Citações

Outras Informações

ID Authenticus: P-00V-PKJ

DOI: 10.3390/healthcare9111523

Abstract (EN): Patients' and carers' views regarding the Portuguese model of home respiratory care were recently described, yet the complementary perspective of healthcare professionals (HCPs) is still to be investigated. Thus, this study explored HCPs experience in the management of patients needing home respiratory therapies (HRT), and their perspective about the Portuguese model. A phenomenological descriptive study, using focus groups, was carried out with 28 HCPs (median 42 y, 68% female) with distinct backgrounds (57% pulmonologists, 29% clinical physiologists, 7% physiotherapists, 7% nurses). Three focus groups were conducted in three regions of Portugal. Thematic analysis was performed by two independent researchers. HCPs have in general a positive view about the organization of the Portuguese model of home respiratory care, which was revealed in four major topics: Prescription (number of references, n = 171), Implementation and maintenance (n = 162), Carer involvement (n = 65) and Quality of healthcare (n = 247). Improvements needed were related to patients' late referral, HRT prescription (usability of the medical electronic prescription system and renewals burden), patients' education, access to hospital care team, lack of multidisciplinary work and articulation between hospital, primary and home care teams. This study describes the perspective of HCPs about the Portuguese model of home respiratory care and identifies specific points where improvements and reflections are needed. This knowledge may be useful to decision makers improve the current healthcare model.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 16