Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen · 2025
Healthcare professionals as promoters and barriers of innovative complex outpatient interventions: A case study of an intervention to increase participation of people living with MS.
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Raths Susan, Flessa Steffen
Аннотация
OBJECTIVE: The German Innovation Funds project MSnetWork introduced a complex outpatient intervention to improve treatment of patients with MS. This study analyses the perception of healthcare professionals working in neurological practices to determine their ability and willingness to implement these interventions during the MSnetWork period and beyond the end of the project. The study assumes that the motivation of these professionals to implement the intervention is crucial for its success.
METHODS: For this qualitative study, semi-structured interviews assessed the perception of neurological practice personnel (neurologists, assistants) of all MSnetWork practices (full sample) to determine their motivation to implement the interventions. Furthermore, challenges and opportunities of the implementation were retrieved to find out the reasons for promoting or hindering the new intervention. The interviews were transcribed and analysed using qualitative content analysis.
RESULTS: The interviews with 26 participants from 19 neurology practices (52.8 % participation, 12 interviews with physicians and 14 interviews with assistants) were conducted from October to December 2023 and lasted about 60 minutes.. From the professionals' perspective, key motivations included improving patient care, exploring innovative approaches, and fostering collaboration. Challenges included resource limitations, unclear intervention processes, and patient engagement. The healthcare professionals also indicated that making the MSnetWork interventions an essential element of routine treatment of MS patients would require more flexibility, fair reimbursement, and specialized training.
DISCUSSION: MSnetWork seems to have implementation potential, i.e., healthcare professionals perceive that the new services fill gaps in care that are usually not appropriately addressed due to a lack of adequate funding. However, the main barrier to implement the new scheme is its integration into routine care, given the tense situation in specialist care and the simultaneous shortage of staff.
CONCLUSION: The ultimate goal of innovative care projects is the transition of the pilot into routine care. The results of this interview study indicate that healthcare professionals have to be involved right from the start in both design and implementation of innovative care projects. Innovative routine care is not only a medical or technological challenge, but above all a social process that requires the joint efforts of all stakeholders. The findings indicate that the project should be transferred into routine care.
METHODS: For this qualitative study, semi-structured interviews assessed the perception of neurological practice personnel (neurologists, assistants) of all MSnetWork practices (full sample) to determine their motivation to implement the interventions. Furthermore, challenges and opportunities of the implementation were retrieved to find out the reasons for promoting or hindering the new intervention. The interviews were transcribed and analysed using qualitative content analysis.
RESULTS: The interviews with 26 participants from 19 neurology practices (52.8 % participation, 12 interviews with physicians and 14 interviews with assistants) were conducted from October to December 2023 and lasted about 60 minutes.. From the professionals' perspective, key motivations included improving patient care, exploring innovative approaches, and fostering collaboration. Challenges included resource limitations, unclear intervention processes, and patient engagement. The healthcare professionals also indicated that making the MSnetWork interventions an essential element of routine treatment of MS patients would require more flexibility, fair reimbursement, and specialized training.
DISCUSSION: MSnetWork seems to have implementation potential, i.e., healthcare professionals perceive that the new services fill gaps in care that are usually not appropriately addressed due to a lack of adequate funding. However, the main barrier to implement the new scheme is its integration into routine care, given the tense situation in specialist care and the simultaneous shortage of staff.
CONCLUSION: The ultimate goal of innovative care projects is the transition of the pilot into routine care. The results of this interview study indicate that healthcare professionals have to be involved right from the start in both design and implementation of innovative care projects. Innovative routine care is not only a medical or technological challenge, but above all a social process that requires the joint efforts of all stakeholders. The findings indicate that the project should be transferred into routine care.