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Establishing community-based integrated care for elderly patients through interprofessional teamwork: a qualitative analysis

BACKGROUND: Working in multidisciplinary teams is indispensable for ensuring high-quality care for elderly people in Japan’s rapidly aging society. However, health professionals often experience difficulty collaborating in practice because of their different educational backgrounds, ideas, and the r...

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Autores principales: Asakawa, Tomohiro, Kawabata, Hidenobu, Kisa, Kengo, Terashita, Takayoshi, Murakami, Manabu, Otaki, Junji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644561/
https://www.ncbi.nlm.nih.gov/pubmed/29066908
http://dx.doi.org/10.2147/JMDH.S144526
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author Asakawa, Tomohiro
Kawabata, Hidenobu
Kisa, Kengo
Terashita, Takayoshi
Murakami, Manabu
Otaki, Junji
author_facet Asakawa, Tomohiro
Kawabata, Hidenobu
Kisa, Kengo
Terashita, Takayoshi
Murakami, Manabu
Otaki, Junji
author_sort Asakawa, Tomohiro
collection PubMed
description BACKGROUND: Working in multidisciplinary teams is indispensable for ensuring high-quality care for elderly people in Japan’s rapidly aging society. However, health professionals often experience difficulty collaborating in practice because of their different educational backgrounds, ideas, and the roles of each profession. In this qualitative descriptive study, we reveal how to build interdisciplinary collaboration in multidisciplinary teams. METHODS: Semi-structured interviews were conducted with a total of 26 medical professionals, including physicians, nurses, public health nurses, medical social workers, and clerical personnel. Each participant worked as a team member of community-based integrated care. The central topic of the interviews was what the participants needed to establish collaboration during the care of elderly residents. Each interview lasted for about 60 minutes. All the interviews were recorded, transcribed verbatim, and subjected to content analysis. RESULTS: The analysis yielded the following three categories concerning the necessary elements of building collaboration: 1) two types of meeting configuration; 2) building good communication; and 3) effective leadership. The two meetings described in the first category – “community care meetings” and “individual care meetings” – were aimed at bringing together the disciplines and discussing individual cases, respectively. Building good communication referred to the activities that help professionals understand each other’s ideas and roles within community-based integrated care. Effective leadership referred to the presence of two distinctive human resources that could coordinate disciplines and move the team forward to achieve goals. CONCLUSION: Taken together, our results indicate that these three factors are important for establishing collaborative medical teams according to health professionals. Regular meetings and good communication facilitated by effective leadership can promote collaborative practice and mutual understanding between various professions.
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spelling pubmed-56445612017-10-24 Establishing community-based integrated care for elderly patients through interprofessional teamwork: a qualitative analysis Asakawa, Tomohiro Kawabata, Hidenobu Kisa, Kengo Terashita, Takayoshi Murakami, Manabu Otaki, Junji J Multidiscip Healthc Original Research BACKGROUND: Working in multidisciplinary teams is indispensable for ensuring high-quality care for elderly people in Japan’s rapidly aging society. However, health professionals often experience difficulty collaborating in practice because of their different educational backgrounds, ideas, and the roles of each profession. In this qualitative descriptive study, we reveal how to build interdisciplinary collaboration in multidisciplinary teams. METHODS: Semi-structured interviews were conducted with a total of 26 medical professionals, including physicians, nurses, public health nurses, medical social workers, and clerical personnel. Each participant worked as a team member of community-based integrated care. The central topic of the interviews was what the participants needed to establish collaboration during the care of elderly residents. Each interview lasted for about 60 minutes. All the interviews were recorded, transcribed verbatim, and subjected to content analysis. RESULTS: The analysis yielded the following three categories concerning the necessary elements of building collaboration: 1) two types of meeting configuration; 2) building good communication; and 3) effective leadership. The two meetings described in the first category – “community care meetings” and “individual care meetings” – were aimed at bringing together the disciplines and discussing individual cases, respectively. Building good communication referred to the activities that help professionals understand each other’s ideas and roles within community-based integrated care. Effective leadership referred to the presence of two distinctive human resources that could coordinate disciplines and move the team forward to achieve goals. CONCLUSION: Taken together, our results indicate that these three factors are important for establishing collaborative medical teams according to health professionals. Regular meetings and good communication facilitated by effective leadership can promote collaborative practice and mutual understanding between various professions. Dove Medical Press 2017-10-11 /pmc/articles/PMC5644561/ /pubmed/29066908 http://dx.doi.org/10.2147/JMDH.S144526 Text en © 2017 Asakawa et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Asakawa, Tomohiro
Kawabata, Hidenobu
Kisa, Kengo
Terashita, Takayoshi
Murakami, Manabu
Otaki, Junji
Establishing community-based integrated care for elderly patients through interprofessional teamwork: a qualitative analysis
title Establishing community-based integrated care for elderly patients through interprofessional teamwork: a qualitative analysis
title_full Establishing community-based integrated care for elderly patients through interprofessional teamwork: a qualitative analysis
title_fullStr Establishing community-based integrated care for elderly patients through interprofessional teamwork: a qualitative analysis
title_full_unstemmed Establishing community-based integrated care for elderly patients through interprofessional teamwork: a qualitative analysis
title_short Establishing community-based integrated care for elderly patients through interprofessional teamwork: a qualitative analysis
title_sort establishing community-based integrated care for elderly patients through interprofessional teamwork: a qualitative analysis
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644561/
https://www.ncbi.nlm.nih.gov/pubmed/29066908
http://dx.doi.org/10.2147/JMDH.S144526
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