Improving physician engagement in interprofessional collaborative practice in rural emergency departments

Wilson, Kelly Might; Leeman, Jennifer; Saunders, Barry F.; Havens, Donna Sullivan

doi:10.1016/j.xjep.2017.12.005

Cited by 3 publications

(1 citation statement)

References 63 publications

(204 reference statements)

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“…Finally, extrinsic rewards, such as incentives and awards, are powerful means to support engagement ( n = 13; 7.5%). The final category (others/unclear) comprises studies ( n = 12) that report on organizational policies for improving engagement [ 47 , 57 , 58 , 60 , 63 , 80 , 111 , 125 , 140 – 142 ].…”

Section: Resultsmentioning

confidence: 99%

Exploring physician engagement in health care organizations: a scoping review

Prenestini,

Palumbo,

Grilli

et al. 2023

BMC Health Serv Res

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Rationale Enhancing health system effectiveness, efficiency, and appropriateness is a management priority in most world countries. Scholars and practitioners have focused on physician engagement to facilitate such outcomes. Objectives Our research was intended to: 1) unravel the definition of physician engagement; 2) understand the factors that promote or impede it; 3) shed light on the implications of physician engagement on organizational performance, quality, and safety; and 4) discuss the tools to measure physician engagement. Method A scoping review was undertaken. Items were collected through electronic databases search and snowball technique. The PRISMA extension for Scoping Reviews (PRISMA-ScR) statement and checklist was followed to enhance the study replicability. Results The search yielded 16,062 records. After an initial screening, 300 were selected for potential inclusion in this literature review. After removing duplicates and records not meeting the inclusion criteria, full-text analysis of 261 records was performed, yielding a total of 174 records. Discussion Agreement on the conceptualization of physician engagement is thin; furthermore, scholars disagree on the techniques and approaches used to assess its implementation and implications. Proposals have been made to overcome the barriers to its adoption, but empirical evidence about implementing physician engagement is still scarce. Conclusions Our scoping review highlights the limitations of the extant literature about physician engagement. Physician engagement is a relatively ill-defined concept: developing an evidence base for its actual implementation is necessitated to provide reliable guidance on how the governance of health care organizations could be improved. Although we did not assess the quality or the robustness of current empirical research, our findings call for further research to: 1) identify potential drivers of physician engagement, 2) develop dependable assessment tools providing health care organizations with guidance on how to foster physician engagement, and 3) evaluate engagement’s actual impact on health care organizations’ performance.

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