{"id":4994,"date":"2023-03-27T23:13:56","date_gmt":"2023-03-27T21:13:56","guid":{"rendered":"https:\/\/www.jphres.org\/?p=4994"},"modified":"2023-04-02T14:12:21","modified_gmt":"2023-04-02T12:12:21","slug":"experimenting-clinical-pathways-in-general-practice-a-focus-group-investigation-with-italian-general-practitioners","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/95\/","title":{"rendered":"Experimenting clinical pathways in general practice: a focus group investigation with Italian general practitioners"},"content":{"rendered":"

DOI<\/strong>\u00a0https:\/\/doi.org\/10.4081\/jphr.2012.e30<\/a><\/p>\n

\n

Lucia Zannini<\/strong>(1*)<\/sup>,\u00a0Cesarina Cattaneo<\/strong>(2)<\/sup>,\u00a0Paolo Peduzzi<\/strong>(3)<\/sup>,\u00a0Silvia Lopiccoli<\/strong>(4)<\/sup>,\u00a0Francesco Auxilia<\/strong>(5)<\/sup><\/p>\n

1<\/i><\/sup>\u00a0University of Milano,\u00a0Italy<\/i>.<\/div>\n
2<\/i><\/sup>\u00a0University of Milano,\u00a0Italy<\/i>.<\/div>\n
3<\/i><\/sup>\u00a0University of Milano,\u00a0Italy<\/i>.<\/div>\n
4<\/i><\/sup>\u00a0ASL Monza Brianza,\u00a0Italy<\/i>.<\/div>\n
5<\/i><\/sup>\u00a0Section of Public Health, Department of Biomedical Sciences for Health, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore di Milano,\u00a0Italy<\/i>.<\/div>\n<\/div>\n
<\/div>\n
Abstract<\/div>\n
\n

Background.<\/em>\u00a0Clinical governance is considered crucial in primary care. Since 2005, clinical pathways have been experimentally implemented at the Local Health Authority of Monza Brianza (ASLMB), Italy, to develop general practitioners\u2019 (GPs) care of patients affected by some chronic diseases. The experimentation was aimed at introducing clinical governance in primary care, increasing GPs\u2019 involvement in the care of their patients, and improving both patients\u2019 and professionals\u2019 satisfaction. In the period 2005-2006, 12% of the 763 employed GPs in the ASLMB were involved in the experiment, while this percentage increased to 15-20% in 2007-2008.\u00a0Design and Methods.<\/em>\u00a0Twenty-four GPs were purposively sampled, randomly divided into two groups and asked to participate in focus groups (FGs) held in 2008, aimed at evaluating their perception of the experiment. The FGs were audio-recorded, dialogues were typed out and undergone to a thematic analysis, according to the Interpretative Phenomenological Approach.\u00a0Results.\u00a0<\/em>Four major themes emerged: i) clinical pathways can result in GPs working in a more efficient and effective fashion; ii) they can assure higher levels of both patient and professional satisfaction, since they sustain a caring approach and strengthen the GPs\u2019 role; iii) nevertheless, clinical pathways increase the bureaucratic workload and problems can arise in relationships among GPs and the LHA; iv) the implementation of clinical pathways can be improved, especially by reducing bureaucracy and by assuring their continuity.\u00a0Conclusions<\/em>. Managerial aspects should be considered with care in order to experimentally introduce clinical pathways in general practice, and continuity of the experimentation should be guaranteed to improve GPs\u2019 adherence and commitment.<\/p>\n

Author Biographies<\/p>\n

\n
\n

Lucia Zannini,\u00a0University of Milano<\/span><\/h3>\n

Department of Biomedical Sciences for Health<\/p>\n<\/div>\n<\/div>\n

\n
\n

Cesarina Cattaneo,\u00a0University of Milano<\/span><\/h3>\n

Department of Biomedical Sciences for Health<\/p>\n<\/div>\n<\/div>\n

\n
\n

Paolo Peduzzi,\u00a0University of Milano<\/span><\/h3>\n

Department of Biomedical Sciences for Health<\/p>\n<\/div>\n<\/div>\n

\n
\n

Silvia Lopiccoli,\u00a0ASL Monza Brianza<\/span><\/h3>\n

Health Management Unit<\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

DOI\u00a0https:\/\/doi.org\/10.4081\/jphr.2012.e30 Lucia Zannini(1*),\u00a0Cesarina Cattaneo(2),\u00a0Paolo Peduzzi(3),\u00a0Silvia Lopiccoli(4),\u00a0Francesco Auxilia(5) 1\u00a0University of Milano,\u00a0Italy. 2\u00a0University of Milano,\u00a0Italy. 3\u00a0University of Milano,\u00a0Italy. 4\u00a0ASL Monza Brianza,\u00a0Italy. 5\u00a0Section of Public Health, Department of Biomedical Sciences for Health, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore di Milano,\u00a0Italy. Abstract Background.\u00a0Clinical governance is considered crucial in primary care. Since 2005, clinical pathways have been experimentally implemented at … Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-4994","page","type-page","status-publish"],"yoast_head":"\nExperimenting clinical pathways in general practice: a focus group investigation with Italian general practitioners - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/95\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Experimenting clinical pathways in general practice: a focus group investigation with Italian general practitioners - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"DOI\u00a0https:\/\/doi.org\/10.4081\/jphr.2012.e30 Lucia Zannini(1*),\u00a0Cesarina Cattaneo(2),\u00a0Paolo Peduzzi(3),\u00a0Silvia Lopiccoli(4),\u00a0Francesco Auxilia(5) 1\u00a0University of Milano,\u00a0Italy. 2\u00a0University of Milano,\u00a0Italy. 3\u00a0University of Milano,\u00a0Italy. 4\u00a0ASL Monza Brianza,\u00a0Italy. 5\u00a0Section of Public Health, Department of Biomedical Sciences for Health, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore di Milano,\u00a0Italy. 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