Analysis of initial barriers and facilitators to the implementation of a county wide integrated care project in Estonia: experience from the PAIK service

ConclusionsIn the focus group discussions we identified 3 critical barriers and 3 critical facilitators to integrated care provision in Estonia. These included the need to change the payment system, change to doctor attitudes towards the social care system and its capacity. The key facilitators included highly motivated local leadership, decision maker support and the nurses willingness and motivation to change their roles in the healthcare system.LimitationsOur results are most likely context specific and limited to the experience and opinions of the region. However, we expect similar barriers to be encountered by other pilots deciding to pursue a more integrated service provision in their region of Estonia.Suggestions for future: The findings of this study could be compiled into a report and shared with other pilots in Estonia and beyond as well as in meetings with the decision makers. Published on 2021-09-01 00:00:00
Source: International Journal of Integrated Care - Category: Nursing Source Type: research