Cargando…

Physician’s Perceptions of Interprofessional Collaboration in Clinical Training Hospitals in Northeastern Japan

BACKGROUND: Effective and efficient interprofessional collaboration (IPC) is needed between departments in a healthcare setting. Although Japanese physicians are expected to provide leadership in IPC, it has been suggested that their perception of IPC is more negative than among other healthcare pro...

Descripción completa

Detalles Bibliográficos
Autores principales: Minamizono, Sachiko, Hasegawa, Hitoshi, Hasunuma, Naoko, Kaneko, Yoshihiro, Motohashi, Yutaka, Inoue, Yuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3748659/
https://www.ncbi.nlm.nih.gov/pubmed/23976907
http://dx.doi.org/10.4021/jocmr1474w
_version_ 1782281102559281152
author Minamizono, Sachiko
Hasegawa, Hitoshi
Hasunuma, Naoko
Kaneko, Yoshihiro
Motohashi, Yutaka
Inoue, Yuji
author_facet Minamizono, Sachiko
Hasegawa, Hitoshi
Hasunuma, Naoko
Kaneko, Yoshihiro
Motohashi, Yutaka
Inoue, Yuji
author_sort Minamizono, Sachiko
collection PubMed
description BACKGROUND: Effective and efficient interprofessional collaboration (IPC) is needed between departments in a healthcare setting. Although Japanese physicians are expected to provide leadership in IPC, it has been suggested that their perception of IPC is more negative than among other healthcare professionals. The purpose of this study was to clarify Japanese physician’s perceptions of IPC and what factors influenced their views. METHODS: This cross-sectional study surveyed 732 medical doctors at a university hospital and six foundation hospitals in a prefecture located in Tohoku district, northeastern Japan. Those hospitals were approved for delivery of postgraduate clinical training. Physician’s perceptions of IPC were investigated for three items, namely providing patient-centered care, preventing medical accidents, and improving the quality of medical care. A total of 409 doctors who were engaged in clinical practice, responded adequately to the survey. Factors associated with negative perceptions towards IPC among physicians were analyzed using a logistic regression model. RESULTS: The proportion of negative perceptions of IPC for providing patient-centered care, preventing medical accidents, and improving the quality of medical care were 41.1%, 34.0% and 33.7%, respectively. Negative perceptions of IPC for providing patient-centered care were associated with older age (50 + years; odds ratio (OR): 2.73; 95% confidence interval (CI): 1.11 - 6.68) and a lower frequency of interprofessional meetings (no meetings; OR: 2.95; 95%CI: 1.43 - 6.08). Negative perceptions of IPC for preventing medical accidents were associated with a lower frequency of interprofessional meetings (no meetings, OR: 3.23; 95%CI: 1.58 - 6.62). Negative perceptions of IPC for improving the quality of medical care were associated with middle age (40 - 49 years, OR: 2.93; 95%CI: 1.20 - 7.12) and a lower frequency of interprofessional meetings (no meetings; OR: 2.75; 95%CI: 1.34 - 5.66). CONCLUSIONS: Physician’s negative perceptions of IPC in our study were associated with age and a lower frequency of interprofessional meetings. Our findings suggest that effective regular interprofessional meetings serve to share information about patients, and to allow physicians to understand each other better, which should have a positive impact on the quality of patient-centered care.
format Online
Article
Text
id pubmed-3748659
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Elmer Press
record_format MEDLINE/PubMed
spelling pubmed-37486592013-08-23 Physician’s Perceptions of Interprofessional Collaboration in Clinical Training Hospitals in Northeastern Japan Minamizono, Sachiko Hasegawa, Hitoshi Hasunuma, Naoko Kaneko, Yoshihiro Motohashi, Yutaka Inoue, Yuji J Clin Med Res Original Article BACKGROUND: Effective and efficient interprofessional collaboration (IPC) is needed between departments in a healthcare setting. Although Japanese physicians are expected to provide leadership in IPC, it has been suggested that their perception of IPC is more negative than among other healthcare professionals. The purpose of this study was to clarify Japanese physician’s perceptions of IPC and what factors influenced their views. METHODS: This cross-sectional study surveyed 732 medical doctors at a university hospital and six foundation hospitals in a prefecture located in Tohoku district, northeastern Japan. Those hospitals were approved for delivery of postgraduate clinical training. Physician’s perceptions of IPC were investigated for three items, namely providing patient-centered care, preventing medical accidents, and improving the quality of medical care. A total of 409 doctors who were engaged in clinical practice, responded adequately to the survey. Factors associated with negative perceptions towards IPC among physicians were analyzed using a logistic regression model. RESULTS: The proportion of negative perceptions of IPC for providing patient-centered care, preventing medical accidents, and improving the quality of medical care were 41.1%, 34.0% and 33.7%, respectively. Negative perceptions of IPC for providing patient-centered care were associated with older age (50 + years; odds ratio (OR): 2.73; 95% confidence interval (CI): 1.11 - 6.68) and a lower frequency of interprofessional meetings (no meetings; OR: 2.95; 95%CI: 1.43 - 6.08). Negative perceptions of IPC for preventing medical accidents were associated with a lower frequency of interprofessional meetings (no meetings, OR: 3.23; 95%CI: 1.58 - 6.62). Negative perceptions of IPC for improving the quality of medical care were associated with middle age (40 - 49 years, OR: 2.93; 95%CI: 1.20 - 7.12) and a lower frequency of interprofessional meetings (no meetings; OR: 2.75; 95%CI: 1.34 - 5.66). CONCLUSIONS: Physician’s negative perceptions of IPC in our study were associated with age and a lower frequency of interprofessional meetings. Our findings suggest that effective regular interprofessional meetings serve to share information about patients, and to allow physicians to understand each other better, which should have a positive impact on the quality of patient-centered care. Elmer Press 2013-10 2013-08-05 /pmc/articles/PMC3748659/ /pubmed/23976907 http://dx.doi.org/10.4021/jocmr1474w Text en Copyright 2013, Minamizono et al. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Minamizono, Sachiko
Hasegawa, Hitoshi
Hasunuma, Naoko
Kaneko, Yoshihiro
Motohashi, Yutaka
Inoue, Yuji
Physician’s Perceptions of Interprofessional Collaboration in Clinical Training Hospitals in Northeastern Japan
title Physician’s Perceptions of Interprofessional Collaboration in Clinical Training Hospitals in Northeastern Japan
title_full Physician’s Perceptions of Interprofessional Collaboration in Clinical Training Hospitals in Northeastern Japan
title_fullStr Physician’s Perceptions of Interprofessional Collaboration in Clinical Training Hospitals in Northeastern Japan
title_full_unstemmed Physician’s Perceptions of Interprofessional Collaboration in Clinical Training Hospitals in Northeastern Japan
title_short Physician’s Perceptions of Interprofessional Collaboration in Clinical Training Hospitals in Northeastern Japan
title_sort physician’s perceptions of interprofessional collaboration in clinical training hospitals in northeastern japan
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3748659/
https://www.ncbi.nlm.nih.gov/pubmed/23976907
http://dx.doi.org/10.4021/jocmr1474w
work_keys_str_mv AT minamizonosachiko physiciansperceptionsofinterprofessionalcollaborationinclinicaltraininghospitalsinnortheasternjapan
AT hasegawahitoshi physiciansperceptionsofinterprofessionalcollaborationinclinicaltraininghospitalsinnortheasternjapan
AT hasunumanaoko physiciansperceptionsofinterprofessionalcollaborationinclinicaltraininghospitalsinnortheasternjapan
AT kanekoyoshihiro physiciansperceptionsofinterprofessionalcollaborationinclinicaltraininghospitalsinnortheasternjapan
AT motohashiyutaka physiciansperceptionsofinterprofessionalcollaborationinclinicaltraininghospitalsinnortheasternjapan
AT inoueyuji physiciansperceptionsofinterprofessionalcollaborationinclinicaltraininghospitalsinnortheasternjapan