Structure, quality and accessibility of the Dutch acne healthcare; a care providers’ perspective
Background: Despite the wide range of available treatment modalities a delay between the first outbreak of acne vulgaris and an effective treatment outcome is experienced by many patients. Considering the growing incentives to improve patient satisfaction and quality of care while reducing healthcar...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2021-04-01
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| Series: | Journal of Dermatological Treatment |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/09546634.2021.1906521 |
| _version_ | 1797683532595724288 |
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| author | F. M. C. de Vries R. J. B. Driessen M. Welbie E. P. M. Tjin P. C. M. van de Kerkhof |
| author_facet | F. M. C. de Vries R. J. B. Driessen M. Welbie E. P. M. Tjin P. C. M. van de Kerkhof |
| author_sort | F. M. C. de Vries |
| collection | DOAJ |
| description | Background: Despite the wide range of available treatment modalities a delay between the first outbreak of acne vulgaris and an effective treatment outcome is experienced by many patients. Considering the growing incentives to improve patient satisfaction and quality of care while reducing healthcare costs, insights into the structure, quality and accessibility of acne healthcare services beyond guidelines are therefore needed. Objective: To provide insights into the structure, quality and accessibility of acne healthcare services. Methods: A qualitative study was conducted according to the principles of ‘situational analysis’. The Dutch acne healthcare system was taken as an illustrative example. Twenty-four semi-structured interviews were conducted among representatives of the 4 main Dutch professions providing acne care. All interviews were audiotaped, transcribed verbatim and analyzed. Results: Multiple facilitators and barriers emerged from the interviews. Identified facilitators were care providers delivering personalized patient care and having a positive attitude toward formalized multidisciplinary care delivery. A lack of streamlined referral pathways and standardization in acne severity-assessment, financial aspects and unfamiliarity with the content and added value of other acne care professionals were identified as barriers. Further research is recommended to investigate how de-medicalisation, the gatekeepers role, and the impact of location and work setting influence the quality of and accessibility to care. Conclusions: Identified facilitators and barriers and an overall positive attitude of care providers toward multidisciplinary care provision provides opportunities for the utilization of future guidelines involving streamlined referral pathways and good working arrangements between all acne care providing professions. |
| first_indexed | 2024-03-12T00:16:09Z |
| format | Article |
| id | doaj.art-9ccdf1b315da4f26a8e539c33f214fc3 |
| institution | Directory Open Access Journal |
| issn | 0954-6634 1471-1753 |
| language | English |
| last_indexed | 2024-03-12T00:16:09Z |
| publishDate | 2021-04-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Dermatological Treatment |
| spelling | doaj.art-9ccdf1b315da4f26a8e539c33f214fc32023-09-15T14:28:50ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532021-04-0132326927610.1080/09546634.2021.19065211906521Structure, quality and accessibility of the Dutch acne healthcare; a care providers’ perspectiveF. M. C. de Vries0R. J. B. Driessen1M. Welbie2E. P. M. Tjin3P. C. M. van de Kerkhof4Research Group Innovation in Healthcare Processes in Pharmacology, HU University of Applied Sciences UtrechtDepartment of Dermatology, Radboud University Medical CenterResearch Group Innovation in Healthcare Processes in Pharmacology, HU University of Applied Sciences UtrechtResearch Group Innovation in Healthcare Processes in Pharmacology, HU University of Applied Sciences UtrechtDepartment of Dermatology, Radboud University Medical CenterBackground: Despite the wide range of available treatment modalities a delay between the first outbreak of acne vulgaris and an effective treatment outcome is experienced by many patients. Considering the growing incentives to improve patient satisfaction and quality of care while reducing healthcare costs, insights into the structure, quality and accessibility of acne healthcare services beyond guidelines are therefore needed. Objective: To provide insights into the structure, quality and accessibility of acne healthcare services. Methods: A qualitative study was conducted according to the principles of ‘situational analysis’. The Dutch acne healthcare system was taken as an illustrative example. Twenty-four semi-structured interviews were conducted among representatives of the 4 main Dutch professions providing acne care. All interviews were audiotaped, transcribed verbatim and analyzed. Results: Multiple facilitators and barriers emerged from the interviews. Identified facilitators were care providers delivering personalized patient care and having a positive attitude toward formalized multidisciplinary care delivery. A lack of streamlined referral pathways and standardization in acne severity-assessment, financial aspects and unfamiliarity with the content and added value of other acne care professionals were identified as barriers. Further research is recommended to investigate how de-medicalisation, the gatekeepers role, and the impact of location and work setting influence the quality of and accessibility to care. Conclusions: Identified facilitators and barriers and an overall positive attitude of care providers toward multidisciplinary care provision provides opportunities for the utilization of future guidelines involving streamlined referral pathways and good working arrangements between all acne care providing professions.http://dx.doi.org/10.1080/09546634.2021.1906521acnehealthcare systemaccessqualityqualitative studysituational analysisfacilitatorsbarriersreferral |
| spellingShingle | F. M. C. de Vries R. J. B. Driessen M. Welbie E. P. M. Tjin P. C. M. van de Kerkhof Structure, quality and accessibility of the Dutch acne healthcare; a care providers’ perspective Journal of Dermatological Treatment acne healthcare system access quality qualitative study situational analysis facilitators barriers referral |
| title | Structure, quality and accessibility of the Dutch acne healthcare; a care providers’ perspective |
| title_full | Structure, quality and accessibility of the Dutch acne healthcare; a care providers’ perspective |
| title_fullStr | Structure, quality and accessibility of the Dutch acne healthcare; a care providers’ perspective |
| title_full_unstemmed | Structure, quality and accessibility of the Dutch acne healthcare; a care providers’ perspective |
| title_short | Structure, quality and accessibility of the Dutch acne healthcare; a care providers’ perspective |
| title_sort | structure quality and accessibility of the dutch acne healthcare a care providers perspective |
| topic | acne healthcare system access quality qualitative study situational analysis facilitators barriers referral |
| url | http://dx.doi.org/10.1080/09546634.2021.1906521 |
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