Implementation of Goal-Oriented Care in Belgium: Experiences From 25 Primary Care Organisations

TL;DR

This study explores how 25 primary care organizations in Belgium experienced implementing goal-oriented care, highlighting key factors for success.

Contribution

The study provides insights into the practical implementation of goal-oriented care in primary care settings, emphasizing collaboration and vision.

Findings

Seven themes supporting GOC implementation were identified, including collaboration and patient participation.

Resistance during implementation is viewed as an opportunity for reflection and improvement.

A clear vision and adaptation of tools are necessary for successful GOC implementation.

Abstract

Goal oriented care (GOC) and its readiness for implementation has been described in scientific literature, but research on GOC implementation in primary care organisations is limited. This study aims to capture the experiences of primary care organisations in implementing GOC in their context.

A qualitative study, with data triangulation, was conducted. Primary care organisations that experimented with the implementation of GOC in their context were followed. Data were analysed using inductive thematic analysis.

Seven themes supporting GOC implementation were identified. Project leaders from the primary care organisations experienced that related concepts can serve as a foundation for initiating the implementation of GOC. The implementation process is an iterative and reflective process, with resistance viewed as an integral part of the process, offering opportunities for reflection. Collaborating with partners, especially the active participation of patients, was seen as a facilitator. Furthermore, having a clear vision for GOC is necessary. Projects invested in adapting tools and processes to align with GOC and provided relevant training.

The findings led to recommendations that can guide the implementation of future GOC projects. Effective implementation extends beyond the development and adaptation of tools; it requires translating theoretical concepts into practical application and creating a shared vision on GOC.

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