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Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative Study
This study aimed to assess interprofessional collaboration between general physicians and emergency departments in the French speaking regions of Belgium. Eight group interviews were conducted both in rural and urban areas, including in Brussels. Findings showed that the relational components of col...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Ubiquity Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853879/ https://www.ncbi.nlm.nih.gov/pubmed/29588632 http://dx.doi.org/10.5334/ijic.2520 |
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author | Karam, Marlène Tricas-Sauras, Sandra Darras, Elisabeth Macq, Jean |
author_facet | Karam, Marlène Tricas-Sauras, Sandra Darras, Elisabeth Macq, Jean |
author_sort | Karam, Marlène |
collection | PubMed |
description | This study aimed to assess interprofessional collaboration between general physicians and emergency departments in the French speaking regions of Belgium. Eight group interviews were conducted both in rural and urban areas, including in Brussels. Findings showed that the relational components of collaboration, which are highly valued by individuals involved, comprise mutual acquaintanceship and trust, shared power and objectives. The organizational components of collaboration included out-of-hours services, role clarification, leadership and overall environment. Communication and patient’s role were also found to be key elements in enhancing or hindering collaboration across these two levels of care. Relationships between general physicians and emergency departments’ teams were tightly linked to organizational factors and the general macro-environment. Health system regulation did not appear to play a significant role in promoting collaboration between actors. A better role clarification is needed in order to foster multidisciplinary team coordination for a more efficient patient management. Finally, economic power and private practice impeded interprofessional collaboration between the care teams. In conclusion, many challenges need to be addressed for achievement of a better collaboration and more efficient integration. Not only should integration policies aim at reinforcing the role of general physicians as gatekeepers, also they should target patients’ awareness and empowerment. |
format | Online Article Text |
id | pubmed-5853879 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Ubiquity Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-58538792018-03-27 Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative Study Karam, Marlène Tricas-Sauras, Sandra Darras, Elisabeth Macq, Jean Int J Integr Care Research and Theory This study aimed to assess interprofessional collaboration between general physicians and emergency departments in the French speaking regions of Belgium. Eight group interviews were conducted both in rural and urban areas, including in Brussels. Findings showed that the relational components of collaboration, which are highly valued by individuals involved, comprise mutual acquaintanceship and trust, shared power and objectives. The organizational components of collaboration included out-of-hours services, role clarification, leadership and overall environment. Communication and patient’s role were also found to be key elements in enhancing or hindering collaboration across these two levels of care. Relationships between general physicians and emergency departments’ teams were tightly linked to organizational factors and the general macro-environment. Health system regulation did not appear to play a significant role in promoting collaboration between actors. A better role clarification is needed in order to foster multidisciplinary team coordination for a more efficient patient management. Finally, economic power and private practice impeded interprofessional collaboration between the care teams. In conclusion, many challenges need to be addressed for achievement of a better collaboration and more efficient integration. Not only should integration policies aim at reinforcing the role of general physicians as gatekeepers, also they should target patients’ awareness and empowerment. Ubiquity Press 2017-10-02 /pmc/articles/PMC5853879/ /pubmed/29588632 http://dx.doi.org/10.5334/ijic.2520 Text en Copyright: © 2017 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Research and Theory Karam, Marlène Tricas-Sauras, Sandra Darras, Elisabeth Macq, Jean Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative Study |
title | Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative Study |
title_full | Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative Study |
title_fullStr | Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative Study |
title_full_unstemmed | Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative Study |
title_short | Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative Study |
title_sort | interprofessional collaboration between general physicians and emergency department teams in belgium: a qualitative study |
topic | Research and Theory |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853879/ https://www.ncbi.nlm.nih.gov/pubmed/29588632 http://dx.doi.org/10.5334/ijic.2520 |
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