Multidisciplinary collaboration in primary care: a systematic review

Saint-Pierre, Cecilia; Herskovic, Valeria; Sepúlveda, Marcos

doi:10.1093/fampra/cmx085

Cited by 121 publications

(102 citation statements)

References 111 publications

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“…These elements were consistent with what has been previously reported in both team-based primary health care (Donnelly et al, 2013; Gocan et al , 2014; Morgan et al , 2015; Saint-Pierre et al , 2018) and the broader literature on collaborative practice (Reeves et al , 2017). The findings of this study add to this growing body of literature on collaborative practice that has clearly identified the importance of team processes (e.g.…”

Section: Discussionsupporting

confidence: 88%

Measuring the performance of interprofessional primary health care teams: understanding the teams perspective

Donnelly

Ashcroft

Mofina

et al. 2019

Prim Health Care Res Dev

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Aim: The aim of the study was to describe practices that support collaboration in interprofessional primary health care teams, and identify performance indicators perceived to measure the impact of this collaboration from the perspective of interprofessional health providers. Background: Despite the surge of interprofessional primary health care models implemented across Canada, there is little evidence as to whether or not the intended outcomes of primary health care teams have been achieved. Part of the challenge is determining the most appropriate measures that can demonstrate the value of collaborative care. To date, little remains known about performance measurement from the providers contributing to the collaborative care process in interprofessional primary care teams. Having providers from a range of disciplinary backgrounds assist in the development of performance measures can help identify measures most relevant to demonstrate the value of collaborative care on the intended outcomes of interprofessional primary care models. Methods: A qualitative study; part of a larger mixed methods developmental evaluation to examine performance measurement in interprofessional primary health care teams. A stakeholder workshop was conducted at an annual association meeting of interprofessional primary health care teams in the province of Ontario, Canada. Six questions guided the workshop groups and participant responses were documented on worksheets and flip charts. All responses were collected and entered verbatim into a word document. Qualitative analytic strategies were applied to each question. Findings: A total of 283 primary health care providers from 14 health professions working in interprofessional primary health care teams participated. Top three elements of interprofessional collaboration (total n = 628) were communication (n = 146), co-treatment (n = 112) and patient-based conferences (n = 81). Top three performance indicators currently used to demonstrate the value of interprofessional collaboration (total n = 241) were patient experience (n = 71), patient health status (n = 35) and within team referrals (n = 30).

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Section: Discussionsupporting

confidence: 88%

Measuring the performance of interprofessional primary health care teams: understanding the teams perspective

Donnelly

Ashcroft

Mofina

et al. 2019

Prim Health Care Res Dev

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“…Our findings are consistent with previous studies which highlighted trust . clarity of role and responsibility, personal contact and two‐way communication as fundamental to effective interprofessional working and continuity of care …”

Section: Discussionsupporting

confidence: 93%

“…20,21 Our findings are consistent with previous studies which highlighted trust. [20][21][22] clarity of role and responsibility, [22][23][24][25] personal contact 24,26 and two-way communication 22 as fundamental to effective interprofessional working and continuity of care. 21 Referring to the "reliable and good" AHP was a way for GPs to lessen the risk of negative patient experiences that could damage the GP-patient relationship and the practice's reputation.…”

Section: Discussionmentioning

confidence: 99%

Influences on general practitioner referral to allied health professionals for fall prevention in primary care

et al. 2019

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Objective To explore influences on referral for fall prevention from general practitioners (GPs) to allied health professionals (AHPs) to better equip AHPs engage with GPs regarding fall prevention. Methods Qualitative, semi‐structured interviews with GPs (n = 24), practice nurses (n = 3) and AHPs (n = 15) and field notes were analysed inductively using constant comparative methods. Results Three main themes regarding influences on GP referral to AHPs for fall prevention were identified as follows: GPs' knowledge of AHPs; The “reliable and good” AHP; and Patient feedback‐Patient choice. Three‐way communication and trust between GP, patient and AHP underpinned each of these themes. Conclusions Strategies for encouraging GP referral include AHPs personally contacting GPs to explain their services; writing to GPs about every patient seen; and being aware that interprofessional relationships are based on trust and take time to develop. GPs and AHPs are encouraged to communicate directly rather than relying on patients to convey verbal information.

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“…Previous systematic reviews investigating healthcare collaboration have highlighted the importance of effective multidisciplinary communication [20,63]. While important to collaboration, there has been little recognition of the role of hospital allied health professionals from the perspective of primary care practitioners.…”

Section: Discussionmentioning

confidence: 99%

Methods and Effectiveness of Communication Between Hospital Allied Health and Primary Care Practitioners: a Systematic Narrative Review

Sheehan

Laver

Bhopti

et al. 2020

Preprint

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Background There is a compelling rationale that effective communication between hospital allied health professionals and primary care practitioners could improve quality and continuity of patient care. It is not known which methods of communication are used, nor how effectively they facilitate the transition of care when a patient is discharged home from hospital. Our systematic review aims to investigate the methods and effectiveness of communication between hospital allied health professionals and primary care practitioners. Method Systematic review of quantitative and qualitative studies with narrative synthesis. Medline, CINAHL, EMBASE, PsycInfo and Proquest Nursing and Allied Health Sources were searched from January 2003 until January 2020 for studies that examined hospital allied health professionals communicating with primary care practitioners. Risk of bias in the different study designs were appraised using recognised tools and a content analysis conducted of the methodologies used. Results From the located 12,281 papers (duplicates removed), 24 studies met the inclusion criteria with hospital allied health professionals communicating in some form with primary care practitioners. There was, however, limited literature investigating the methods and/or the effectiveness of communication between hospital allied health professionals and primary care practitioners.Conclusion There is currently no 'gold standard' method or measure of communication between hospital allied health professionals and primary care practitioners. There is an urgent need to develop and evaluate multidisciplinary communication with enhanced health information technologies to improve collaboration across healthcare settings and facilitate continuity of integrated people-centred care.Registration: www.crd.york.uk PROSPERO CRD42019120410

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Multidisciplinary collaboration in primary care: a systematic review

Cited by 121 publications

References 111 publications

Measuring the performance of interprofessional primary health care teams: understanding the teams perspective

Measuring the performance of interprofessional primary health care teams: understanding the teams perspective

Influences on general practitioner referral to allied health professionals for fall prevention in primary care

Methods and Effectiveness of Communication Between Hospital Allied Health and Primary Care Practitioners: a Systematic Narrative Review

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