Leenaars K E F, Smit E, Wagemakers A, Molleman G R M, Koelen M A
Department of Social Sciences, Health and Society Group, Wageningen University & Research Centre, EW Wageningen, The Netherlands.
Academic Collaborative Centre AMPHI, Primary Health Care, Radboud university medical Center, Nijmegen, The Netherlands.
Health Promot Int. 2018 Jun 1;33(3):422-435. doi: 10.1093/heapro/daw097.
To stimulate physical activity and guide primary care patients towards local sport facilities, Care Sport Connectors (CSC), to whom a broker role has been ascribed, were introduced in 2012 in the Netherlands. The aim of this study was to explore CSCs' role in connecting the primary care sector and the PA sector.
Fifteen CSCs were selected to participate in this study and were followed in their work of connecting both sectors. Over the course of one year, three rounds of interviews were held with these CSCs on the topics of their role and the connection between the primary care and the PA sector. Both top-down and bottom-up codes were used to analyse the interviews.
CSCs fulfilled three roles: 1) broker, 2) referral, 3) organiser. The extent to which CSCs fulfilled these roles was influenced by the way municipalities implemented the CSC funding. CSCs set up two forms of collaboration structures: 1) project basis and 2) referral scheme. CSCs perceived the following barriers to connecting the primary care and the PA sector: lack of knowledge and time, primary care professionals' own interests, and lack of suitable sport activities for the target group.
The CSC role seems to hold the promise of improving collaboration between the primary care and the PA sector, especially, because the roles that CSCs perceive themselves as having seem to be directed at eliminating barriers in this connection. Future research is needed to study whether CSCs are capable of establishing a connection over time.
为了促进身体活动并引导初级保健患者前往当地体育设施，荷兰于2012年引入了护理运动连接器（CSC），赋予其经纪人角色。本研究的目的是探讨CSC在连接初级保健部门和体育活动部门方面的作用。
选择15名CSC参与本研究，并跟踪他们在连接两个部门方面的工作。在一年的时间里，就CSC的角色以及初级保健与体育活动部门之间的联系这两个主题，对这些CSC进行了三轮访谈。采用自上而下和自下而上的编码方式对访谈进行分析。
CSC履行了三个角色：1）经纪人，2）转诊，3）组织者。CSC履行这些角色的程度受到市政当局实施CSC资金方式的影响。CSC建立了两种合作结构形式：1）项目基础和2）转诊计划。CSC认为在连接初级保健和体育活动部门方面存在以下障碍：缺乏知识和时间、初级保健专业人员自身的利益以及缺乏适合目标群体的体育活动。
CSC的角色似乎有望改善初级保健部门和体育活动部门之间的合作，特别是因为CSC认为自己所具有的角色似乎旨在消除这方面的障碍。需要进一步研究以探讨CSC是否能够随着时间的推移建立起联系。
