Le bon fonctionnement des services de soins : ce qui fait équipe ?

Background: In the Democratic Republic of Congo (DRC), healthcare services are still focused on disease control and mortality reduction in specific groups. The need to broaden the scope from biomedical criteria to bio-psychosocial (BPS) dimensions has been increasingly recognized.Aim: The objective of this study was to identify the barriers and facilitators to providing healthcare at the health centre (HC) level to enable BPS care.Settings: This qualitative study was conducted in six HCs (two urban and four rural) in South-Kivu (eastern DRC) which were selected based on their accessibility and their level of primary healthcare organization.Methods: Seven focus group discussions (FGDs) involving 29 healthcare workers were organized. A data synthesis matrix was created based on the Rainbow Model framework. We identified themes related to plausible barriers and facilitators for BPS approach.Results: Our study reports barriers common to a majority of HCs: misunderstanding of BPS care by healthcare workers, home visits mainly used for disease control, solidarity initiatives not locally promoted, new resources and financial incentives expected, accountability summed up in specific indicators reporting. Availability of care teams and accessibility to patient information were reported as facilitators to change.Conclusion: This analysis highlighted major barriers that condition providers’ mindset and healthcare provision at the primary care level in South-Kivu. Accessibility to the information regarding BPS status of individuals within the community, leadership of HC authorities, dynamics of HC teams and local social support initiatives should be considered in order to develop an effective BPS approach in this region.

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“…One of the strategies proposed would be to promote social mutuality between the health facility agents. 20 …”

Section: Discussionmentioning

confidence: 99%

“… 32 The organisation of the team is characterised by a distribution of tasks within the units of the health facility, participation in decision-making and transmission of information. 20 By positive leadership we mean, altogether, expectations, objectives and values that make the management of a leader effective. 33 …”

Section: Discussionmentioning

confidence: 99%

Barriers and facilitators in the implementation of bio-psychosocial care at the primary healthcare level in South Kivu, Democratic Republic of Congo

Molima

Karemere

Bisimwa

et al. 2021

African Journal of Primary Health Care & Family Medicine

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“…Analysis includes all 19 articles because each report offered complementary data. The results reflect the international nature of the topic, with data from Canada, 7,[28][29][30][31] the United Kingdom, 11,21,[24][25][26][27]31,32 the United States of America, 19,[33][34][35] Australia, 36 France 37 and Italy. 38 Studies were published in a wide range of disciplinary journals including health services and policy, medicine, sociology and management.…”

Section: Resultsmentioning

confidence: 75%

“…34 One study gave examples of leadership, describing it as frequent visits to the units; advocating in executive meetings; reminding doctors of unit protocols and mediating power imbalances. 37 Positive IP relations were noted in units where medical leaders shared knowledge and included staff in decision-making and who: ‘always involve[s] you in everything, every member of the team is involved so it’s not like “I’m in charge and you do what I say”. She’ll accept anything you say about improving things or doing things differently’ (Finn et al., 32 p. 1087).…”

Section: Resultsmentioning

confidence: 99%

A meta-ethnographic review of interprofessional teamwork in hospitals: what it is and why it doesn’t happen more often

Dariel

Cristofalo

2018

J Health Serv Res Policy

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Objectives Although interprofessional teamwork has been shown to improve patient safety, it is not yet routine practice in most hospital settings. There is also a lack of clarity regarding what teamwork actually means, with terms such as collaboration, coordination, networking and knotworking often being used interchangeably. In this study, we analyse 20 years of qualitative research on interprofessional teamwork in hospital settings and examine what it looks like and the factors influencing it. Methods The literature search included articles published between 1996 and 2016, and articles were included if they examined interprofessional teamwork within a hospital using qualitative methodology. We used meta-ethnographic analysis of eligible primary studies applying reciprocal translation and line of argument synthesis. Results Nineteen articles were included. Interprofessional teamwork was largely absent in acute care and found to be influenced by systems perpetuating power imbalances, organizational practices that interfered with interprofessional interactions, representations of teamwork and leadership. Conclusions Future strategies to improve interprofessional practices should include policies and structural changes to develop healthcare systems that facilitate these practices.

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“…Les coefficients de corrélation obtenus en (b) indique bien que l'usage du digital est un vecteur de partage de l'information comme de la coopération. Nous retrouvons là les éléments mis en évidence par les travaux de Benzidia (2013), Dumas, Douguet et Fahmi (2016) Figure 2). Une augmentation de salariés qualifiés d'un point augmente l'usage du digital de 0,340 point.…”

Section: Discussion Des Résultatsunclassified

Les déterminants de l’acceptation des TI par les acteurs de la supply chain dans le secteur pharmaceutique camerounais

Babei

Mellouli

2020

Logistique & Management

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En se basant sur les travaux liés aux acteurs de la supply chain zdans une logique de qualification d'une part et sur ceux liés aux outils numériques de la supply chain dans une logique d'intégration d'autre part, cet article se propose d'identifier les déterminants del'acceptation des technologies d'information (TI) dans les supplychains africaines. Pour aborder ce questionnement, nous avons adopté une démarche méthodologique de type quantitative via une régression logistique binaire et des tests additionnels. Les résultats indiquent tout d'abord une faible diffusion du digital dans les tâches effectuées par les acteurs de la supply chain mais ils montrent aussi que ces projets de transformation digitale sontdes préalables importants à la fois pour la coopération et pour le partage d'information logistique. Cet article souligne enfin le rôle clé et incitateur du taux d'équipements dans l'acceptation des technologies mises à disposition.

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Le bon fonctionnement des services de soins : ce qui fait équipe ?

Cited by 14 publications

References 15 publications

Barriers and facilitators in the implementation of bio-psychosocial care at the primary healthcare level in South Kivu, Democratic Republic of Congo

Barriers and facilitators in the implementation of bio-psychosocial care at the primary healthcare level in South Kivu, Democratic Republic of Congo

A meta-ethnographic review of interprofessional teamwork in hospitals: what it is and why it doesn’t happen more often

Les déterminants de l’acceptation des TI par les acteurs de la supply chain dans le secteur pharmaceutique camerounais

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