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Multidisciplinary Collaboration in Professional Networks for PD A Mixed-Method Analysis.

Martijn van der Eijk1, Bastiaan R Bloem2, Frouke A P Nijhuis1

  • 1Department of Neurology, Radboud Institute of Health Sciences (RIHS), Radboud University Medical Center, Nijmegen, The Netherlands.

Journal of Parkinson'S Disease
|October 8, 2015
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Summary

ParkinsonNet improved professional connections in Parkinson care by 52%, but team performance and communication require further enhancement for optimal patient outcomes.

Keywords:
Parkinson diseasecollaborationcommunity networkmultidisciplinary communicationsocial networking

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Area of Science:

  • Neurology
  • Healthcare Management
  • Social Network Analysis

Background:

  • ParkinsonNet aims to enhance Parkinson care quality through regional professional networks in The Netherlands.
  • Facilitating multidisciplinary collaboration is a core objective of ParkinsonNet.

Purpose of the Study:

  • To evaluate if the ParkinsonNet concept improves multidisciplinary collaboration among healthcare professionals in Parkinson's care.

Main Methods:

  • Established a new regional network with 101 healthcare professionals.
  • Utilized questionnaires to assess professional connections and team performance.
  • Conducted interviews to identify collaboration barriers and facilitators.
  • Applied social network analysis to sub-networks around hospitals at baseline and one year post-implementation.

Main Results:

  • 'Knowing each other' connections increased by 52% and 'professional contact' connections by 34%.
  • Positive changes correlated with central roles of neurologists and nurse specialists.
  • Perceived team performance showed no change; issues with information exchange and interdisciplinary communication persisted.
  • Professionals often lacked awareness of other involved healthcare providers and their treatments for individual patients.

Conclusions:

  • ParkinsonNet partially improved multidisciplinary collaboration.
  • Central roles of nurse specialists and neurologist commitment to expert referral were key facilitators.
  • Additional strategies are necessary to enhance multidisciplinary care across institutions and around individual patients.