Cardiologists’ perceptions on multidisciplinary collaboration in heart failure care - a qualitative study
Abstract Background Cardiologists play a key role in multidisciplinary care by guiding heart failure (HF) management in the hospital and in the community. Regional implementation of multidisciplinary health care interventions depends on how they perceive collaboration with other health care discipli...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-02-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-021-06179-9 |
| _version_ | 1818582682137788416 |
|---|---|
| author | Willem Raat Miek Smeets Isolde Vandewal Lien Broekx Sanne Peters Stefan Janssens Bert Vaes Bert Aertgeerts |
| author_facet | Willem Raat Miek Smeets Isolde Vandewal Lien Broekx Sanne Peters Stefan Janssens Bert Vaes Bert Aertgeerts |
| author_sort | Willem Raat |
| collection | DOAJ |
| description | Abstract Background Cardiologists play a key role in multidisciplinary care by guiding heart failure (HF) management in the hospital and in the community. Regional implementation of multidisciplinary health care interventions depends on how they perceive collaboration with other health care disciplines, yet research on this topic is limited. This study aimed to explore the views and opinions of cardiologists on multidisciplinary collaboration in HF care. Methods We conducted a qualitative study based on face-to-face semi-structured interviews with 11 Belgian cardiologists between September 2019 and February 2020. We used the Qualitative Analysis Guide of Leuven (QUAGOL) method as guidance for data analysis until data saturation was reached. Results Cardiologists consider the general practitioner (GP) and HF nurse as the most important partners in HF management. Cardiologists identified four problems in current multidisciplinary collaboration: the communication of a HF diagnosis to the patient, advanced care planning, titration of HF medication by the GP and electronic data exchange and communication. Three themes emerged as ideas for improvement of HF care: 1) expansion of the role of the HF nurse, 2) implementation of a structured, patient-centered, and flexible model of disease management program and 3) integrated data approaches. Conclusion Cardiologists value close cooperation with GPs in HF management. They advocate an expanded future role for the HF nurse, increased eHealth, and structured disease management to optimize current HF care. |
| first_indexed | 2024-12-16T07:53:16Z |
| format | Article |
| id | doaj.art-d4aaa126285e4c9fa587bcee098e4632 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-16T07:53:16Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-d4aaa126285e4c9fa587bcee098e46322022-12-21T22:38:49ZengBMCBMC Health Services Research1472-69632021-02-012111910.1186/s12913-021-06179-9Cardiologists’ perceptions on multidisciplinary collaboration in heart failure care - a qualitative studyWillem Raat0Miek Smeets1Isolde Vandewal2Lien Broekx3Sanne Peters4Stefan Janssens5Bert Vaes6Bert Aertgeerts7Department of Public Health and Primary Care, KU LeuvenDepartment of Public Health and Primary Care, KU LeuvenDepartment of Public Health and Primary Care, KU LeuvenDepartment of Public Health and Primary Care, KU LeuvenDepartment of Public Health and Primary Care, KU LeuvenDepartment of Cardiovascular Diseases, Universitaire Ziekenhuizen Leuven, KU LeuvenDepartment of Public Health and Primary Care, KU LeuvenDepartment of Public Health and Primary Care, KU LeuvenAbstract Background Cardiologists play a key role in multidisciplinary care by guiding heart failure (HF) management in the hospital and in the community. Regional implementation of multidisciplinary health care interventions depends on how they perceive collaboration with other health care disciplines, yet research on this topic is limited. This study aimed to explore the views and opinions of cardiologists on multidisciplinary collaboration in HF care. Methods We conducted a qualitative study based on face-to-face semi-structured interviews with 11 Belgian cardiologists between September 2019 and February 2020. We used the Qualitative Analysis Guide of Leuven (QUAGOL) method as guidance for data analysis until data saturation was reached. Results Cardiologists consider the general practitioner (GP) and HF nurse as the most important partners in HF management. Cardiologists identified four problems in current multidisciplinary collaboration: the communication of a HF diagnosis to the patient, advanced care planning, titration of HF medication by the GP and electronic data exchange and communication. Three themes emerged as ideas for improvement of HF care: 1) expansion of the role of the HF nurse, 2) implementation of a structured, patient-centered, and flexible model of disease management program and 3) integrated data approaches. Conclusion Cardiologists value close cooperation with GPs in HF management. They advocate an expanded future role for the HF nurse, increased eHealth, and structured disease management to optimize current HF care.https://doi.org/10.1186/s12913-021-06179-9Heart failureCardiologyMultidisciplinaryCollaborationPerception |
| spellingShingle | Willem Raat Miek Smeets Isolde Vandewal Lien Broekx Sanne Peters Stefan Janssens Bert Vaes Bert Aertgeerts Cardiologists’ perceptions on multidisciplinary collaboration in heart failure care - a qualitative study BMC Health Services Research Heart failure Cardiology Multidisciplinary Collaboration Perception |
| title | Cardiologists’ perceptions on multidisciplinary collaboration in heart failure care - a qualitative study |
| title_full | Cardiologists’ perceptions on multidisciplinary collaboration in heart failure care - a qualitative study |
| title_fullStr | Cardiologists’ perceptions on multidisciplinary collaboration in heart failure care - a qualitative study |
| title_full_unstemmed | Cardiologists’ perceptions on multidisciplinary collaboration in heart failure care - a qualitative study |
| title_short | Cardiologists’ perceptions on multidisciplinary collaboration in heart failure care - a qualitative study |
| title_sort | cardiologists perceptions on multidisciplinary collaboration in heart failure care a qualitative study |
| topic | Heart failure Cardiology Multidisciplinary Collaboration Perception |
| url | https://doi.org/10.1186/s12913-021-06179-9 |
| work_keys_str_mv | AT willemraat cardiologistsperceptionsonmultidisciplinarycollaborationinheartfailurecareaqualitativestudy AT mieksmeets cardiologistsperceptionsonmultidisciplinarycollaborationinheartfailurecareaqualitativestudy AT isoldevandewal cardiologistsperceptionsonmultidisciplinarycollaborationinheartfailurecareaqualitativestudy AT lienbroekx cardiologistsperceptionsonmultidisciplinarycollaborationinheartfailurecareaqualitativestudy AT sannepeters cardiologistsperceptionsonmultidisciplinarycollaborationinheartfailurecareaqualitativestudy AT stefanjanssens cardiologistsperceptionsonmultidisciplinarycollaborationinheartfailurecareaqualitativestudy AT bertvaes cardiologistsperceptionsonmultidisciplinarycollaborationinheartfailurecareaqualitativestudy AT bertaertgeerts cardiologistsperceptionsonmultidisciplinarycollaborationinheartfailurecareaqualitativestudy |