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A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care
INTRODUCTION: Multi-professional collaboration (MPC) is essential for the delivery of effective and comprehensive care services. As in other European countries, primary care in Norway is challenged by altered patient values and the increased expectations of health administrations to participate in t...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Ubiquity Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137624/ https://www.ncbi.nlm.nih.gov/pubmed/30220896 http://dx.doi.org/10.5334/ijic.3959 |
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author | Sørensen, Monica Stenberg, Una Garnweidner-Holme, Lisa |
author_facet | Sørensen, Monica Stenberg, Una Garnweidner-Holme, Lisa |
author_sort | Sørensen, Monica |
collection | PubMed |
description | INTRODUCTION: Multi-professional collaboration (MPC) is essential for the delivery of effective and comprehensive care services. As in other European countries, primary care in Norway is challenged by altered patient values and the increased expectations of health administrations to participate in team-based care. This scoping review reports on the organisational, processual, relational and contextual facilitators of collaboration between general practitioners (GP) and other healthcare professionals (HCPs) in primary care. METHODS: A systematic search in specialist and Scandinavian databases retrieved 707 citations. Following the inclusion criteria, nineteen studies were considered eligible and examined according to Arksey and O’Malley’s methodological framework for scoping reviews. The retrieved literature was analysed employing a content analysis approach. A group of stakeholders commented on study findings to enhance study validity. RESULTS: Primary care research into MPC is immature and emerging in Norway. Our analysis showed that introducing common procedures for documentation and handling of patient data, knowledge sharing, and establishing local specialised multi-professional teams, facilitates MPC. The results indicate that advancements in work practices benefit from an initial system-level foundation with focus on local management and MPC leadership. Further, our results show that it is preferable to enhance collaborative skills before introducing new professional teams, roles and responsibilities. Investing in professional relations could build trust, respect and continuity. In this respect, sufficient time must be allocated during the working day for professionals to share reflections and engage in mutual learning. CONCLUSION: There is a paucity of research concerning the application and management of MPC in Norwegian primary care. The work practices and relations between professionals, primary care institutions and stakeholders on a macro level is inadequate. Health care is a complex system in which HCPs need managerial support to harvest the untapped benefits of MPC in primary care. As international research demonstrates, local managers must be supported with infrastructure on a macro level to understand the embedding of practice and look at what professionals actually do and how they work. |
format | Online Article Text |
id | pubmed-6137624 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Ubiquity Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-61376242018-09-15 A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care Sørensen, Monica Stenberg, Una Garnweidner-Holme, Lisa Int J Integr Care Research and Theory INTRODUCTION: Multi-professional collaboration (MPC) is essential for the delivery of effective and comprehensive care services. As in other European countries, primary care in Norway is challenged by altered patient values and the increased expectations of health administrations to participate in team-based care. This scoping review reports on the organisational, processual, relational and contextual facilitators of collaboration between general practitioners (GP) and other healthcare professionals (HCPs) in primary care. METHODS: A systematic search in specialist and Scandinavian databases retrieved 707 citations. Following the inclusion criteria, nineteen studies were considered eligible and examined according to Arksey and O’Malley’s methodological framework for scoping reviews. The retrieved literature was analysed employing a content analysis approach. A group of stakeholders commented on study findings to enhance study validity. RESULTS: Primary care research into MPC is immature and emerging in Norway. Our analysis showed that introducing common procedures for documentation and handling of patient data, knowledge sharing, and establishing local specialised multi-professional teams, facilitates MPC. The results indicate that advancements in work practices benefit from an initial system-level foundation with focus on local management and MPC leadership. Further, our results show that it is preferable to enhance collaborative skills before introducing new professional teams, roles and responsibilities. Investing in professional relations could build trust, respect and continuity. In this respect, sufficient time must be allocated during the working day for professionals to share reflections and engage in mutual learning. CONCLUSION: There is a paucity of research concerning the application and management of MPC in Norwegian primary care. The work practices and relations between professionals, primary care institutions and stakeholders on a macro level is inadequate. Health care is a complex system in which HCPs need managerial support to harvest the untapped benefits of MPC in primary care. As international research demonstrates, local managers must be supported with infrastructure on a macro level to understand the embedding of practice and look at what professionals actually do and how they work. Ubiquity Press 2018-08-30 /pmc/articles/PMC6137624/ /pubmed/30220896 http://dx.doi.org/10.5334/ijic.3959 Text en Copyright: © 2018 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 Sørensen, Monica Stenberg, Una Garnweidner-Holme, Lisa A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care |
title | A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care |
title_full | A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care |
title_fullStr | A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care |
title_full_unstemmed | A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care |
title_short | A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care |
title_sort | scoping review of facilitators of multi-professional collaboration in primary care |
topic | Research and Theory |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137624/ https://www.ncbi.nlm.nih.gov/pubmed/30220896 http://dx.doi.org/10.5334/ijic.3959 |
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