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What role conceptions do multi-healthcare professionals have of physicians and what role expectation do they have of physicians in a community?

BACKGROUND: To create an effective community-based integrated care system, interprofessional collaboration based on healthcare professionals’ mutual understanding of their respective roles must be promoted. This study aimed to identify the role conception and role expectation that other healthcare p...

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Autores principales: Haruta, Junji, Goto, Ryohei, Ozone, Sachiko, Maeno, Tetsuhiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8565048/
https://www.ncbi.nlm.nih.gov/pubmed/34727872
http://dx.doi.org/10.1186/s12875-021-01568-9
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author Haruta, Junji
Goto, Ryohei
Ozone, Sachiko
Maeno, Tetsuhiro
author_facet Haruta, Junji
Goto, Ryohei
Ozone, Sachiko
Maeno, Tetsuhiro
author_sort Haruta, Junji
collection PubMed
description BACKGROUND: To create an effective community-based integrated care system, interprofessional collaboration based on healthcare professionals’ mutual understanding of their respective roles must be promoted. This study aimed to identify the role conception and role expectation that other healthcare professionals have towards physicians in the context of a community-based integrated care system. METHODS: We organized focus groups and adopted ‘Role Theory’ as a theoretical framework. We collected data from healthcare professionals attending a conference on community-based integrated care systems in Japan. Fifty-four non-physician healthcare professionals consented to participate in 7 focus groups. Theme analysis based on the verbatim recorded transcripts was conducted in accordance with the framework of “Role Theory”. RESULTS: The role conception of physicians is as a figure of intellectual authority positioned at the top of a traditional hierarchy, with a personal character of criticism/autonomy/closedness, not accommodative of interference from others, and upholding the Biomedical Model as an absolute standard. In response to this, the role expectation of physicians in the community is that they undertake actions that only physicians can undertake to ensure that a flat organization functions properly in providing medical explanations during patient transitions, and to offer healthcare support for patients who are difficult to access. This role expectation also includes the perception of patients as human beings, with physicians adapting to the Bio-Psycho-Social Model, explaining to patients about their disease as an authoritative voice based on an understanding of psychosocial circumstances, and sharing the prognosis of disease or disability. The expected personal character is a person with an open mind who allows others to seek advice, as well as a sense of approachableness which facilitates such seeking of advice. CONCLUSION: In the context of a community-based integrated care system, physicians should consider the understanding of their role conception and role expectation that other professionals have of them, and endeavor to create an open relationship with all healthcare professionals while giving careful consideration to their own role.
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spelling pubmed-85650482021-11-04 What role conceptions do multi-healthcare professionals have of physicians and what role expectation do they have of physicians in a community? Haruta, Junji Goto, Ryohei Ozone, Sachiko Maeno, Tetsuhiro BMC Fam Pract Research BACKGROUND: To create an effective community-based integrated care system, interprofessional collaboration based on healthcare professionals’ mutual understanding of their respective roles must be promoted. This study aimed to identify the role conception and role expectation that other healthcare professionals have towards physicians in the context of a community-based integrated care system. METHODS: We organized focus groups and adopted ‘Role Theory’ as a theoretical framework. We collected data from healthcare professionals attending a conference on community-based integrated care systems in Japan. Fifty-four non-physician healthcare professionals consented to participate in 7 focus groups. Theme analysis based on the verbatim recorded transcripts was conducted in accordance with the framework of “Role Theory”. RESULTS: The role conception of physicians is as a figure of intellectual authority positioned at the top of a traditional hierarchy, with a personal character of criticism/autonomy/closedness, not accommodative of interference from others, and upholding the Biomedical Model as an absolute standard. In response to this, the role expectation of physicians in the community is that they undertake actions that only physicians can undertake to ensure that a flat organization functions properly in providing medical explanations during patient transitions, and to offer healthcare support for patients who are difficult to access. This role expectation also includes the perception of patients as human beings, with physicians adapting to the Bio-Psycho-Social Model, explaining to patients about their disease as an authoritative voice based on an understanding of psychosocial circumstances, and sharing the prognosis of disease or disability. The expected personal character is a person with an open mind who allows others to seek advice, as well as a sense of approachableness which facilitates such seeking of advice. CONCLUSION: In the context of a community-based integrated care system, physicians should consider the understanding of their role conception and role expectation that other professionals have of them, and endeavor to create an open relationship with all healthcare professionals while giving careful consideration to their own role. BioMed Central 2021-11-02 /pmc/articles/PMC8565048/ /pubmed/34727872 http://dx.doi.org/10.1186/s12875-021-01568-9 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Haruta, Junji
Goto, Ryohei
Ozone, Sachiko
Maeno, Tetsuhiro
What role conceptions do multi-healthcare professionals have of physicians and what role expectation do they have of physicians in a community?
title What role conceptions do multi-healthcare professionals have of physicians and what role expectation do they have of physicians in a community?
title_full What role conceptions do multi-healthcare professionals have of physicians and what role expectation do they have of physicians in a community?
title_fullStr What role conceptions do multi-healthcare professionals have of physicians and what role expectation do they have of physicians in a community?
title_full_unstemmed What role conceptions do multi-healthcare professionals have of physicians and what role expectation do they have of physicians in a community?
title_short What role conceptions do multi-healthcare professionals have of physicians and what role expectation do they have of physicians in a community?
title_sort what role conceptions do multi-healthcare professionals have of physicians and what role expectation do they have of physicians in a community?
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8565048/
https://www.ncbi.nlm.nih.gov/pubmed/34727872
http://dx.doi.org/10.1186/s12875-021-01568-9
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