Interprofessional teamwork innovations for primary health care practices and practitioners: evidence from a comparison of reform in three countries

Harris, Mark F, Advocat, Jenny, Crabtree, Benjamin F, Levesque, Jean-Frederic, Miller, William L, Gunn, Jane M, Hogg, William, Scott, Cathie M, Chase, Sabrina M, Halma, Lisa and Russell, Grant M 2016, Interprofessional teamwork innovations for primary health care practices and practitioners: evidence from a comparison of reform in three countries, Journal of multidisciplinary healthcare, vol. 9, pp. 35-46, doi: 10.2147/JMDH.S97371.

Attached Files
Name Description MIMEType Size Downloads

Title Interprofessional teamwork innovations for primary health care practices and practitioners: evidence from a comparison of reform in three countries
Author(s) Harris, Mark F
Advocat, Jenny
Crabtree, Benjamin F
Levesque, Jean-Frederic
Miller, William L
Gunn, Jane M
Hogg, William
Scott, Cathie M
Chase, Sabrina M
Halma, Lisa
Russell, Grant M
Journal name Journal of multidisciplinary healthcare
Volume number 9
Start page 35
End page 46
Total pages 12
Publisher Dove Medical Press
Place of publication Macclesfield, Eng.
Publication date 2016
ISSN 1178-2390
Keyword(s) interprofessional care
primary health care
teamwork
research synthesis
Summary Context: A key aim of reforms to primary health care (PHC) in many countries has been to enhance interprofessional teamwork. However, the impact of these changes on practitioners has not been well understood.Objective: To assess the impact of reform policies and interventions that have aimed to create or enhance teamwork on professional communication relationships, roles, and work satisfaction in PHC practices.Design: Collaborative synthesis of 12 mixed methods studies.Setting: Primary care practices undergoing transformational change in three countries: Australia, Canada, and the USA, including three Canadian provinces (Alberta, Ontario, and Quebec).Methods: We conducted a synthesis and secondary analysis of 12 qualitative and quantitative studies conducted by the authors in order to understand the impacts and how they were influenced by local context.Results: There was a diverse range of complex reforms seeking to foster interprofessional teamwork in the care of patients with chronic disease. The impact on communication and relationships between different professional groups, the roles of nursing and allied health services, and the expressed satisfaction of PHC providers with their work varied more within than between jurisdictions. These variations were associated with local contextual factors such as the size, power dynamics, leadership, and physical environment of the practice. Unintended consequences included deterioration of the work satisfaction of some team members and conflict between medical and nonmedical professional groups.Conclusion: The variation in impacts can be understood to have arisen from the complexity of interprofessional dynamics at the practice level. The same characteristic could have both positive and negative influence on different aspects (eg, larger practice may have less capacity for adoption but more capacity to support interprofessional practice). Thus, the impacts are not entirely predictable and need to be monitored, and so that interventions can be adapted at the local level.
Language eng
DOI 10.2147/JMDH.S97371
Field of Research 11 Medical And Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2016, Harris et al.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30118932

Document type: Journal Article
Collections: Faculty of Business and Law
Open Access Checking
Department of Management
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in TR Web of Science
Scopus Citation Count Cited 0 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 15 Abstract Views, 0 File Downloads  -  Detailed Statistics
Created: Tue, 26 Feb 2019, 14:36:15 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.