Piloting the Nephrology Awareness Program “niere.schützen” in Austrian Family Practices
DOI: 10.3238/zfa.2016.0466-0473german translation / full article
Background: In January 2016 a campaign to raise nephrology awareness (“niere.schützen”) was launched in Styria, Austria. The aim was the early detection of patients at risk of renal failure, and to take suitable action to delay progression of the disease, including cardiovascular measures. The referral procedure and accompanying information documents drawn up for the purpose of this investigation were pretested on 10 registered Styrian family practitioners.
Methods: Semi-structured interviews were conducted with the family practitioners, and general practice case vignettes used to reveal comprehensibility and application problems.
Results: Content categorization of the anonymous recorded interviews of 10 family practitioners (4 male/6 female) clearly showed the need to modify referral procedures and the provided accompanying information. The additional feasibility test carried out on the basis of general practice case vignettes specifically brought to light the need to change the referral procedure, as only 53 % of cases were conducted in accordance with it. It was therefore modified and the provided information summarized and expressed more succinctly in order to make the process simpler and clearer. Furthermore, factors hindering implementation and application such as a lack of compensation were gathered and presented to the appropriate body.
Conclusions: This report clearly shows the need for feasibility and plausibility checks of planned awareness campaigns in private practice in order to detect possible comprehension problems and hindering factors in advance and to ensure the widest possible acceptance of proposed measures.