Qualitative evaluation of a local coronary heart disease treatment pathway: practical implications and theoretical framework.

BMC Family Practice
Lena KramerNorbert Donner-Banzhoff

Abstract

Coronary heart disease (CHD) is a common medical problem in general practice. Due to its chronic character, shared care of the patient between general practitioner (GP) and cardiologist (C) is required. In order to improve the cooperation between both medical specialists for patients with CHD, a local treatment pathway was developed. The objective of this study was first to evaluate GPs' opinions regarding the pathway and its practical implications, and secondly to suggest a theoretical framework of the findings by feeding the identified key factors influencing the pathway implementation into a multi-dimensional model. The evaluation of the pathway was conducted in a qualitative design on a sample of 12 pathway developers (8 GPs and 4 cardiologists) and 4 pathway users (GPs). Face-to face interviews, which were aligned with previously conducted studies of the department and assumptions of the theory of planned behaviour (TPB), were performed following a semi-structured interview guideline. These were audio-taped, transcribed verbatim, coded, and analyzed according to the standards of qualitative content analysis. We identified 10 frequently mentioned key factors having an impact on the implementation success of the CHD treatmen...Continue Reading

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Citations

Apr 4, 2014·German Medical Science : GMS E-journal·Lena KramerNorbert Donner-Banzhoff
Mar 1, 2017·Implementation Science : IS·Laurel LiangUNKNOWN Members of the Guidelines International Network Implementation Working Group

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