Toonders S A J, Poolman E Y, Nieboer M E, Pisters M F, Veenhof C
Department of Health Innovation and Technology, Fontys University of Applied Sciences, Eindhoven, the Netherlands.
Center for Physical Therapy Research and Innovation in Primary Care, Leidsche Rijn Julius Health Care Centers, Utrecht, the Netherlands.
Internet Interv. 2021 Aug 4;26:100440. doi: 10.1016/j.invent.2021.100440. eCollection 2021 Dec.
Increasingly, healthcare policies have changed focus from cure and care to behaviour and health. Prevention is becoming more important, which requires a change in the role of healthcare professionals. Healthcare professionals' role is changing from being a therapist to taking on the role of a coach. To prevent chronicity in Medically Unexplained Physical Symptoms (MUPS), an integrated blended care program was developed. To apply this new program in daily practice, it is important to gain insight into the usability. From the healthcare professionals' point of view the concept of usability consists of performance, satisfaction and acceptability. In this qualitative study participants were recruited after participating in the PARASOL program. Demographics were collected. Semi-structured interviews were conducted and analysed using thematic analysis. Ten healthcare professionals (six physical therapists and four mental health nurses) were interviewed. Four themes on usability were identified: (1) , (2) , (3) and (4) . This study gathered healthcare professionals' experiences with and attitudes towards integrating healthcare and offering blended care programs. An integrated blended care program offers the possibility to personalize treatment. Findings show attention should be given to the new responsibilities of healthcare professionals, and their role in integrated and blended care. This new approach of delivering healthcare can facilitate interprofessional collaboration. Achieving sustainable change in patients however still requires instruction and support for healthcare professionals implementing behavioural change techniques.
医疗保健政策越来越多地将重点从治疗和护理转向行为与健康。预防变得越发重要，这就要求医疗保健专业人员的角色发生转变。医疗保健专业人员的角色正从治疗师转变为教练。为预防医学上无法解释的身体症状（MUPS）的慢性化，制定了一个综合混合护理项目。要在日常实践中应用这一新项目，了解其可用性很重要。从医疗保健专业人员的角度来看，可用性概念包括性能、满意度和可接受性。在这项定性研究中，参与者在参加PARASOL项目后被招募。收集了人口统计学数据。进行了半结构化访谈，并使用主题分析法进行分析。采访了10名医疗保健专业人员（6名物理治疗师和4名心理健康护士）。确定了关于可用性的四个主题：（1） ，（2） ，（3） 和（4） 。本研究收集了医疗保健专业人员在整合医疗保健和提供混合护理项目方面的经验和态度。综合混合护理项目提供了个性化治疗的可能性。研究结果表明，应关注医疗保健专业人员的新职责及其在综合和混合护理中的作用。这种提供医疗保健的新方法可以促进跨专业合作。然而，要在患者身上实现可持续的改变，仍然需要对实施行为改变技术的医疗保健专业人员进行指导和支持。
