Health team for the elderly: a feasibility study for preventive home visits

Cronfalk, Berit Seiger; Fjell, Astrid; Carstens, Nina; Rosseland, Lars Malvin Kvinge; Rongve, Arvid; Rönnevik, Dag-Helge; Seiger, Åke; Skaug, Knut; Vae, Karen Johanne Ugland; Wennersberg, Marianne Hauge; Boström, Anne‐Marie

doi:10.1017/s1463423617000019

Cited by 18 publications

(38 citation statements)

References 35 publications

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“…Six studies reported both qualitative and quantitative data [313233343536], ten qualitative only [27293738394041424344], and three quantitative only [283045]. The numbers and characteristics of the participants involved in the included publications are given in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…The results showed that joining currently disconnected professionals, extending their professional responsibilities and facilitation of knowledge sharing are untapped resources in primary care that could increase the level of work satisfaction of professionals [2740], quality of care [28324243] and improve preventive care planning [3238]. However, the habitual way in which professionals operate must be synchronized and their modes of communication systemised.…”

Section: Resultsmentioning

confidence: 99%

“…Another critical determinant for succeeding in improving MPC relates to the professionals’ time [49]. In several studies, HCPs engaged in quality development after their working hours or reported that finding time during the day was an obstacle to participating in sharing reflections and learning from collaborative partners [35383943]. …”

Section: Resultsmentioning

confidence: 99%

“…Similarly, GPs satisfaction with the collaboration with nursing homes positively correlated with relational continuity [30]. The implementation of new interventions was also found to be easier in municipalities in which the HCPs were already well known among the target group [38]. This could indicate a culture of scepticism and a lack of curiosity and openness among different professional disciplines.…”

Section: Resultsmentioning

confidence: 99%

“…The studies in this review have illustrated that exploring new professional constellations and work practices could improve care efficiency and the level of work satisfaction of professionals [28384043]. However, this will amplify the demand for the establishment of collaborative procedures and the necessary infrastructure to facilitate effective communication and professionals’ access to up-dated patient data.…”

Section: Discussionmentioning

confidence: 99%

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A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care

Sørensen¹,

Stenberg²,

Garnweidner-Holme

2018

Int J Integr Care

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Introduction:Multi-professional collaboration (MPC) is essential for the delivery of effective and comprehensive care services. As in other European countries, primary care in Norway is challenged by altered patient values and the increased expectations of health administrations to participate in team-based care. This scoping review reports on the organisational, processual, relational and contextual facilitators of collaboration between general practitioners (GP) and other healthcare professionals (HCPs) in primary care.Methods:A systematic search in specialist and Scandinavian databases retrieved 707 citations. Following the inclusion criteria, nineteen studies were considered eligible and examined according to Arksey and O’Malley’s methodological framework for scoping reviews. The retrieved literature was analysed employing a content analysis approach. A group of stakeholders commented on study findings to enhance study validity.Results:Primary care research into MPC is immature and emerging in Norway. Our analysis showed that introducing common procedures for documentation and handling of patient data, knowledge sharing, and establishing local specialised multi-professional teams, facilitates MPC. The results indicate that advancements in work practices benefit from an initial system-level foundation with focus on local management and MPC leadership. Further, our results show that it is preferable to enhance collaborative skills before introducing new professional teams, roles and responsibilities. Investing in professional relations could build trust, respect and continuity. In this respect, sufficient time must be allocated during the working day for professionals to share reflections and engage in mutual learning.Conclusion:There is a paucity of research concerning the application and management of MPC in Norwegian primary care. The work practices and relations between professionals, primary care institutions and stakeholders on a macro level is inadequate. Health care is a complex system in which HCPs need managerial support to harvest the untapped benefits of MPC in primary care. As international research demonstrates, local managers must be supported with infrastructure on a macro level to understand the embedding of practice and look at what professionals actually do and how they work.

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