The Adoption of Roles by Primary Care Providers during Implementation of the New Chronic Disease Guidelines in Urban Mongolia: A Qualitative Study

Oyun Chimeddamba, Darshini Ayton, Nansalmaa Bazarragchaa, Bayarsaikhan Dorjsuren, Anna Peeters and Catherine Joyce
Additional contact information
Oyun Chimeddamba: School of Public Health and Preventive Medicine, Monash University, Melbourne 3004, Australia
Darshini Ayton: School of Public Health and Preventive Medicine, Monash University, Melbourne 3004, Australia
Nansalmaa Bazarragchaa: Mongolian Public Health Professionals’ Association, Ulaanbaatar 210646A, Mongolia
Bayarsaikhan Dorjsuren: Department for Health Systems Governance and Finance, World Health Organization, Geneva 1202, Switzerland
Anna Peeters: School of Health and Social Development, Deakin University, Geelong 3220, Australia
Catherine Joyce: School of Public Health and Preventive Medicine, Monash University, Melbourne 3004, Australia

IJERPH, 2016, vol. 13, issue 4, 1-10

Abstract: (1) Background : In 2011, new chronic disease guidelines were introduced across Mongolia. No formal advice was provided regarding role delineation. This study aimed to analyse the roles that different primary care providers adopted, and the variations in these, in the implementation of the guidelines in urban Mongolia; (2) Methods : Ten group interviews with nurses and ten individual interviews each with practice doctors and practice directors were conducted. Data was analysed using a thematic approach based on the identified themes relevant to role delineation; (3) Results : There was some variability and flexibility in role delineation. Factors involving teamwork, task rotation and practice flexibility facilitated well the guideline implementation. However, factors including expectations and decision making, nursing shortage, and training gaps adversely influenced in the roles and responsibilities. Some role confusion and dissatisfaction was identified, often associated with a lack of training or staff turnover; (4) Conclusions : Findings suggest that adequate ongoing training is required to maximize the range of roles particular provider types, especially primary care nurses, are competent to perform. Ensuring that role delineation is specified in guidelines could remove confusion and enhance implementation of such guidelines.

Keywords: clinical guidelines; family health centre; primary care; role delineation; Mongolia (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/13/4/407/pdf (application/pdf)
https://www.mdpi.com/1660-4601/13/4/407/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:13:y:2016:i:4:p:407-:d:67710

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().