Persistent somatic symptoms and functional disorders (PSS/FD) are often complex conditions requiring care from multiple disciplines. One way of bringing the different disciplines together is through collaborative care. Little is known about the implementation barriers faced and relevant strategies to tackle the barriers in this field. Therefore, using expert knowledge, we aim to develop realistic strategies for dealing with implementation barriers of collaborative care in PSS/FD. The Research World Café method is a single-session, expert-based method with multiple focus-groups forming and reforming to answer a set of inter-related questions, under the guidance of moderators. Using this method, participants involved in PSS/FD care across different areas of healthcare in the Netherlands developed several realistic strategies for dealing with ten implementation barriers for collaborative care in PSS/FD that were previously identified in a Delphi study. Strategies were grouped into strategy clusters using a card-sorting task. Thirty-three participants took part, representing ten different disciplines, most commonly physiotherapists, psychologists, and physicians. In total, 54 strategies, identified in response to the ten barriers, were grouped into eight strategy clusters. The strategy clusters were professional education, communication, care coordination, care pathways, joint consults, funding, patient involvement, and prevention. We identified a number of useful strategies for dealing with implementation barriers for collaborative care in PSS/FD. Many strategies provided ways to deal with multiple barriers at once. The effects of applying these strategies in collaborative care in PSS/FD will need testing through implementation studies, as well as in other areas needing multidisciplinary care.

中文翻译：

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改善功能障碍和持续性躯体症状协作护理实施的策略：使用研究世界咖啡馆设计的定性研究

持续性躯体症状和功能障碍 (PSS/FD) 通常是复杂的病症，需要多学科的护理。将不同学科结合在一起的一种方法是通过协作护理。对于该领域面临的实施障碍以及解决障碍的相关策略知之甚少。因此，利用专业知识，我们的目标是制定现实的策略来应对 PSS/FD 协作护理的实施障碍。研究世界咖啡馆方法是一种单次会议、基于专家的方法，在主持人的指导下形成和改革多个焦点小组，以回答一系列相互关联的问题。使用这种方法，参与荷兰不同医疗保健领域的 PSS/FD 护理的参与者制定了几种现实的策略，用于处理先前在德尔福研究中发现的 PSS/FD 协作护理的十个实施障碍。使用卡片分类任务将策略分组为策略集群。三十三名参与者参加了会议，代表十个不同的学科，最常见的是物理治疗师、心理学家和医生。总共有 54 项策略是针对这 10 个障碍而确定的，分为 8 个策略组。这些策略包括专业教育、沟通、护理协调、护理途径、联合咨询、资助、患者参与和预防。我们确定了一些有用的策略来应对 PSS/FD 协作护理的实施障碍。许多策略提供了同时应对多个障碍的方法。将这些策略应用于 PSS/FD 协作护理的效果需要通过实施研究以及其他需要多学科护理的领域进行测试。