Interprofessional collaboration regarding patients’ care plans in primary care: a focus group study into influential factors

BMC Family Practice

Research Article

Trudy van der Weijden¹  Marloes Amantia van Bokhoven¹  Ramon Daniëls²  Jerôme Jean Jacques van Dongen³  Stephanie Anna Lenzen³  Anna Beurskens³ 

[1] Department of Family Medicine, CAPHRI School for Public health and Primary Care, Maastricht University, Maastricht, The Netherlands;Research Centre for Autonomy and Participation for People with Chronic Illnesses, Zuyd University of Applied Sciences, Nieuw Eyckholt 300, 6419 DJ, Heerlen, The Netherlands;Research Centre for Autonomy and Participation for People with Chronic Illnesses, Zuyd University of Applied Sciences, Nieuw Eyckholt 300, 6419 DJ, Heerlen, The Netherlands;Department of Family Medicine, CAPHRI School for Public health and Primary Care, Maastricht University, Maastricht, The Netherlands;

关键词: Interprofessional collaboration;    Multidisciplinary teamwork;    Interprofessional Relations;    Cooperative behaviour;    Health care team;    Primary health care;    Qualitative research;    Focus groups;   

DOI  :  10.1186/s12875-016-0456-5

 received in 2016-01-18, accepted in 2016-05-19,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThe number of people with multiple chronic conditions demanding primary care services is increasing. To deal with the complex health care demands of these people, professionals from different disciplines collaborate. This study aims to explore influential factors regarding interprofessional collaboration related to care plan development in primary care.MethodsA qualitative study, including four semi-structured focus group interviews (n = 4). In total, a heterogeneous group of experts (n = 16) and health care professionals (n = 15) participated. Participants discussed viewpoints, barriers, and facilitators regarding interprofessional collaboration related to care plan development. The data were analysed by means of inductive content analysis.ResultsThe findings show a variety of factors influencing the interprofessional collaboration in developing a care plan. Factors can be divided into 5 key categories: (1) patient-related factors: active role, self-management, goals and wishes, membership of the team; (2) professional-related factors: individual competences, domain thinking, motivation; (3) interpersonal factors: language differences, knowing each other, trust and respect, and motivation; (4) organisational factors: structure, composition, time, shared vision, leadership and administrative support; and (5) external factors: education, culture, hierarchy, domain thinking, law and regulations, finance, technology and ICT.ConclusionsImproving interprofessional collaboration regarding care plan development calls for an integral approach including patient- and professional related factors, interpersonal, organisational, and external factors. Further, the leader of the team seems to play a key role in watching the patient perspective, organising and coordinating interprofessional collaborations, and guiding the team through developments. The results of this study can be used as input for developing tools and interventions targeted at executing and improving interprofessional collaboration related to care plan development.

【 授权许可】

CC BY   
© The Author(s). 2016