Family physicians collaborating for health system integration: a scoping review

BMC Health Services Research

Research

Han Han¹  Angela M. Coderre-Ball¹  Colleen Grady¹  Nadia Alam²  Da Hye Kim³ 

[1] Centre for Studies in Primary Care, Department of Family Medicine, Queen’s University, 220 Bagot Street, K7L 5E9, Kingston, ON, Canada;Halton Healthcare, Toronto, Canada;DFCM and IHPME, University of Toronto, Toronto, Canada;School of Medicine, Queen’s University, Kingston, Canada;

关键词: Family physician;    Integrated care;    Inter-organizational collaboration;    Structure;    Processes;   

DOI  :  10.1186/s12913-023-09063-w

 received in 2022-09-07, accepted in 2023-01-13,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundIn Canada, Ontario Health Teams (OHTs) are a new model for integrated healthcare. Core to OHTs are family physicians (FPs) and their ability to collaborate with other FPs and healthcare providers. Whereas the factors for intra-organizational collaboration have been well-studied, inter-organizational collaboration between FPs and other healthcare organizations as an integrated care network, are less understood. This paper aims to explore the structural factors, processes, and theoretical frameworks that support FPs’ collaboration for integrated healthcare.MethodsA scoping review was undertaken based on Joanna Briggs Institute (JBI) methodology for scoping review and using the Preferred Reporting Items for Systematic Review and Meta-Analysis for Scoping Review (PRISMA_ScR) checklist. A search for academic and relevant grey literature published between 2000–2021 was conducted across databases (MEDLINE, EMBASE, EBSCOhost).Thematic analysis was used to identify the key findings of the selected studies.ResultsThirty-two studies were included as eligible for this review. Three structural components were identified as critical to FPs’ successful participation in inter-organizational partnerships: (1) shared vision/values, (2) leadership by FPs, and (3) defined decision-making procedures. Also, three processes were identified: (1) effective communication, (2) a collective sense of motivation for change, and (3) relationships built on trust. Three theoretical frameworks provided insight into collaborative initiatives: (1) Social Identity Approach, (2) framework of interprofessional collaboration, and (3) competing values framework.ConclusionFPs hold unique positions in healthcare and this review is the first to synthesize the best evidence for building collaborations between FPs and other healthcare sectors. These findings will inform collaboration strategies for healthcare integration, including with OHTs.

【 授权许可】

CC BY   
© The Author(s) 2023

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