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The Portuguese Model of Home Respiratory Care: Healthcare Professionals’ Perspective

dc.contributor.authorCaneiras, C
dc.contributor.authorJácome, C
dc.contributor.authorOliveira, D
dc.contributor.authorMoreira, E
dc.contributor.authorDias, CC
dc.contributor.authorMendonça, L
dc.contributor.authorMayoralas-Alises, S
dc.contributor.authorAlmeida Fonseca, JA
dc.contributor.authorDiaz-Lobato, S
dc.contributor.authorEscarrabill, J
dc.contributor.authorWinck, JC
dc.date.accessioned2023-02-05T17:10:00Z
dc.date.available2023-02-05T17:10:00Z
dc.date.issued2021
dc.description.abstractPatients' and carers' views regarding the Portuguese model of home respiratory care were recently described, yet the complementary perspective of healthcare professionals (HCPs) is still to be investigated. Thus, this study explored HCPs experience in the management of patients needing home respiratory therapies (HRT), and their perspective about the Portuguese model. A phenomenological descriptive study, using focus groups, was carried out with 28 HCPs (median 42 y, 68% female) with distinct backgrounds (57% pulmonologists, 29% clinical physiologists, 7% physiotherapists, 7% nurses). Three focus groups were conducted in three regions of Portugal. Thematic analysis was performed by two independent researchers. HCPs have in general a positive view about the organization of the Portuguese model of home respiratory care, which was revealed in four major topics: Prescription (number of references, n = 171), Implementation and maintenance (n = 162), Carer involvement (n = 65) and Quality of healthcare (n = 247). Improvements needed were related to patients' late referral, HRT prescription (usability of the medical electronic prescription system and renewals burden), patients' education, access to hospital care team, lack of multidisciplinary work and articulation between hospital, primary and home care teams. This study describes the perspective of HCPs about the Portuguese model of home respiratory care and identifies specific points where improvements and reflections are needed. This knowledge may be useful to decision makers improve the current healthcare model.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationHealthcare (Basel) . 2021 Nov 9;9(11):1523.pt_PT
dc.identifier.doi10.3390/healthcare9111523pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/43625
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjecterviços Hospitalares de Cuidados Domiciliarpt_PT
dc.subjectRespiration, Artificialpt_PT
dc.subjectHome Care Servicespt_PT
dc.subjectRespiração Artificialpt_PT
dc.titleThe Portuguese Model of Home Respiratory Care: Healthcare Professionals’ Perspectivept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue11pt_PT
oaire.citation.startPage1523pt_PT
oaire.citation.titleHealthcarept_PT
oaire.citation.volume9pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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