The 'PRICE' of Physical Activity Referral Schemes (PARS): Stakeholders' Recommendations for Delivering Quality Care to Patients.
Francis A AlbertAduli Enoch Othniel Malau-AduliMelissa J CroweBunmi Sherifat Malau-AduliPublished in: International journal of environmental research and public health (2021)
Evidence-based strategies are needed to curb the growing cases of physical inactivity related morbidities. Delivering holistic care through collaborative shared decision making could boost the effectiveness of physical activity referral schemes (PARS) and foster the quality of care for patients with multimorbidity. A qualitative study involving semi-structured telephone interviews was utilised to gain insights from Australian PARS stakeholders (general practitioners, exercise physiologists, and patients). A pluralistic evaluation approach was employed to explore and integrate participants' opinions and experiences of PARS and their recommendations were used to develop a model for quality care delivery in PARS initiatives. Five overarching themes: promote, relate, incentivise, communicate, and educate were identified as the 'PRICE' for developing effective and functional PARS programmes that foster quality patient care. It was evident that PARS programmes or policies aimed at optimising publicity, encouraging incentives, improving interdisciplinary information sharing and professional relationships between patients and healthcare professionals can transform healthcare delivery and provide top quality PARS care services to patients. Therefore, governments, healthcare systems, and PARS administrators can translate and leverage the insights from this study to optimise the delivery of high quality care to PARS patients.
Keyphrases
- healthcare
- end stage renal disease
- physical activity
- quality improvement
- chronic kidney disease
- newly diagnosed
- ejection fraction
- palliative care
- mental health
- prognostic factors
- patient reported outcomes
- public health
- hepatitis c virus
- body mass index
- depressive symptoms
- human immunodeficiency virus
- high intensity
- clinical practice
- pain management
- health information
- patient reported
- sleep quality
- health insurance
- hiv testing