Abstract：
BACKGROUND: Persistent somatic symptoms and functional disorders (PSS/FD) are often complex conditions requiring care from multiple disciplines. One way of bringing the different disciplines together is through collaborative care. Little is known about the implementation barriers faced and relevant strategies to tackle the barriers in this field. Therefore, using expert knowledge, we aim to develop realistic strategies for dealing with implementation barriers of collaborative care in PSS/FD.
METHODS: The Research World Café method is a single-session, expert-based method with multiple focus-groups forming and reforming to answer a set of inter-related questions, under the guidance of moderators. Using this method, participants involved in PSS/FD care across different areas of healthcare in the Netherlands developed several realistic strategies for dealing with ten implementation barriers for collaborative care in PSS/FD that were previously identified in a Delphi study. Strategies were grouped into strategy clusters using a card-sorting task.
RESULTS: Thirty-three participants took part, representing ten different disciplines, most commonly physiotherapists, psychologists, and physicians. In total, 54 strategies, identified in response to the ten barriers, were grouped into eight strategy clusters. The strategy clusters were professional education, communication, care coordination, care pathways, joint consults, funding, patient involvement, and prevention.
CONCLUSIONS: We identified a number of useful strategies for dealing with implementation barriers for collaborative care in PSS/FD. Many strategies provided ways to deal with multiple barriers at once. The effects of applying these strategies in collaborative care in PSS/FD will need testing through implementation studies, as well as in other areas needing multidisciplinary care.
METHODS: The Research World Café method is a single-session, expert-based method with multiple focus-groups forming and reforming to answer a set of inter-related questions, under the guidance of moderators. Using this method, participants involved in PSS/FD care across different areas of healthcare in the Netherlands developed several realistic strategies for dealing with ten implementation barriers for collaborative care in PSS/FD that were previously identified in a Delphi study. Strategies were grouped into strategy clusters using a card-sorting task.
RESULTS: Thirty-three participants took part, representing ten different disciplines, most commonly physiotherapists, psychologists, and physicians. In total, 54 strategies, identified in response to the ten barriers, were grouped into eight strategy clusters. The strategy clusters were professional education, communication, care coordination, care pathways, joint consults, funding, patient involvement, and prevention.
CONCLUSIONS: We identified a number of useful strategies for dealing with implementation barriers for collaborative care in PSS/FD. Many strategies provided ways to deal with multiple barriers at once. The effects of applying these strategies in collaborative care in PSS/FD will need testing through implementation studies, as well as in other areas needing multidisciplinary care.
摘要：
背景：持续躯体症状和功能障碍（PSS/FD）通常是复杂的疾病，需要多个学科的护理。将不同学科结合在一起的一种方法是通过协作护理。对面临的实施障碍和解决这一领域障碍的相关战略知之甚少。因此,利用专业知识，我们的目标是制定切实可行的策略，以应对PSS/FD中协作护理的实施障碍。
方法：TheResearchWorldCafé方法是一个单一会话，以专家为基础的方法，通过多个焦点小组的形成和改革来回答一系列相互关联的问题，在主持人的指导下。使用此方法，在荷兰不同医疗保健领域参与PSS/FD护理的参与者制定了几种现实的策略,以应对先前在Delphi研究中发现的PSS/FD中协作护理的10个实施障碍.使用卡片分类任务将策略分组为策略集群。
结果：33名参与者参加，代表十个不同的学科，最常见的物理治疗师，心理学家,和医生。总的来说,54个战略，根据十个障碍确定，分为八个战略集群。战略集群是专业教育，通信,护理协调，护理途径，联合咨询，资金,患者参与,和预防。
结论：我们确定了许多有用的策略来应对PSS/FD中协作护理的实施障碍。许多策略提供了同时应对多个障碍的方法。在PSS/FD的协作护理中应用这些策略的效果将需要通过实施研究进行测试，以及其他需要多学科护理的领域。
方法：TheResearchWorldCafé方法是一个单一会话，以专家为基础的方法，通过多个焦点小组的形成和改革来回答一系列相互关联的问题，在主持人的指导下。使用此方法，在荷兰不同医疗保健领域参与PSS/FD护理的参与者制定了几种现实的策略,以应对先前在Delphi研究中发现的PSS/FD中协作护理的10个实施障碍.使用卡片分类任务将策略分组为策略集群。
结果：33名参与者参加，代表十个不同的学科，最常见的物理治疗师，心理学家,和医生。总的来说,54个战略，根据十个障碍确定，分为八个战略集群。战略集群是专业教育，通信,护理协调，护理途径，联合咨询，资金,患者参与,和预防。
结论：我们确定了许多有用的策略来应对PSS/FD中协作护理的实施障碍。许多策略提供了同时应对多个障碍的方法。在PSS/FD的协作护理中应用这些策略的效果将需要通过实施研究进行测试，以及其他需要多学科护理的领域。
