Table 2 Barriers and facilitators for the implementation of an IAC in a care region of Canton BL
From: Mapping implementation strategies to reach community-dwelling older adults in Northwest Switzerland
Barriers | |
Preparation phase | |
Political and legal context | Meso-level: • The care law does not specify how community care providers will collaborate with the IAC, thus there is no obligation for them to refer older adults to the IAC. |
Socio-cultural context | Meso-level: • Conflicting interests of all actors involved in care, leading to different attitudes and perceptions towards the IAC services. • Presence of multiple community care providers for older adults with different outcome expectations regarding the IAC. • Insufficient/contradictory information on services available in the care region, making older adults, caregivers and community care providers less likely to be aware of and contact the IAC. |
Implementation phase | |
Setting | Micro-level: • The IAC management leads the promotion of the IAC with low front-line engagement. |
Facilitators | |
Preparation phase | |
Socio-cultural context | Meso-level: • A champion among the research team: a family physician, head of the department of Family Medicine of the local university who voluntarily and enthusiastically contributes with ideas to overcome the barriers and facilitate the promotion of the IAC. • The members of the community, part of the cantonal group of this project, include representatives of health and social care organizations, family physicians, nurses, social workers and other health professionals, as well as representatives of senior organizations and caregivers. They contributed in the identification of barriers and provided recommendations on strategies to reach older adults. |