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

Patients’ 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 respirat...

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Autores principales:	Cátia Caneiras, Cristina Jácome, Daniela Oliveira, Emília Moreira, Cláudia Camila Dias, Liliane Mendonça, Sagrario Mayoralas-Alises, João Almeida Fonseca, Salvador Diaz-Lobato, Joan Escarrabill, João Carlos Winck
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	oxygen inhalation therapy mechanical ventilation focus groups long-term care quality of health care Home care services Medicine R
Acceso en línea:	https://doaj.org/article/43122c3d82934ed59fccdaf1117e9bf9
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id	oai:doaj.org-article:43122c3d82934ed59fccdaf1117e9bf9
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spelling	oai:doaj.org-article:43122c3d82934ed59fccdaf1117e9bf92021-11-25T17:45:30ZThe Portuguese Model of Home Respiratory Care: Healthcare Professionals’ Perspective10.3390/healthcare91115232227-9032https://doaj.org/article/43122c3d82934ed59fccdaf1117e9bf92021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1523https://doaj.org/toc/2227-9032Patients’ 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, <i>n</i> = 171), Implementation and maintenance (<i>n</i> = 162), Carer involvement (<i>n</i> = 65) and Quality of healthcare (<i>n</i> = 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.Cátia CaneirasCristina JácomeDaniela OliveiraEmília MoreiraCláudia Camila DiasLiliane MendonçaSagrario Mayoralas-AlisesJoão Almeida FonsecaSalvador Diaz-LobatoJoan EscarrabillJoão Carlos WinckMDPI AGarticleoxygen inhalation therapymechanical ventilationfocus groupslong-term carequality of health careHome care servicesMedicineRENHealthcare, Vol 9, Iss 1523, p 1523 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	oxygen inhalation therapy mechanical ventilation focus groups long-term care quality of health care Home care services Medicine R
spellingShingle	oxygen inhalation therapy mechanical ventilation focus groups long-term care quality of health care Home care services Medicine R Cátia Caneiras Cristina Jácome Daniela Oliveira Emília Moreira Cláudia Camila Dias Liliane Mendonça Sagrario Mayoralas-Alises João Almeida Fonseca Salvador Diaz-Lobato Joan Escarrabill João Carlos Winck The Portuguese Model of Home Respiratory Care: Healthcare Professionals’ Perspective
description	Patients’ 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, <i>n</i> = 171), Implementation and maintenance (<i>n</i> = 162), Carer involvement (<i>n</i> = 65) and Quality of healthcare (<i>n</i> = 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.
format	article
author	Cátia Caneiras Cristina Jácome Daniela Oliveira Emília Moreira Cláudia Camila Dias Liliane Mendonça Sagrario Mayoralas-Alises João Almeida Fonseca Salvador Diaz-Lobato Joan Escarrabill João Carlos Winck
author_facet	Cátia Caneiras Cristina Jácome Daniela Oliveira Emília Moreira Cláudia Camila Dias Liliane Mendonça Sagrario Mayoralas-Alises João Almeida Fonseca Salvador Diaz-Lobato Joan Escarrabill João Carlos Winck
author_sort	Cátia Caneiras
title	The Portuguese Model of Home Respiratory Care: Healthcare Professionals’ Perspective
title_short	The Portuguese Model of Home Respiratory Care: Healthcare Professionals’ Perspective
title_full	The Portuguese Model of Home Respiratory Care: Healthcare Professionals’ Perspective
title_fullStr	The Portuguese Model of Home Respiratory Care: Healthcare Professionals’ Perspective
title_full_unstemmed	The Portuguese Model of Home Respiratory Care: Healthcare Professionals’ Perspective
title_sort	portuguese model of home respiratory care: healthcare professionals’ perspective
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/43122c3d82934ed59fccdaf1117e9bf9
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The Portuguese Model of Home Respiratory Care: Healthcare Professionals’ Perspective

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