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Interprofessional teamwork in comprehensive primary healthcare services: Findings from a mixed methods study
Michael Bentley1, Toby Freeman1, Fran Baum1
1a Southgate Institute for Health, Society and Equity, Flinders University , Adelaide , Australia.
Journal of Interprofessional Care
|November 29, 2017
Summary
Interprofessional teamwork in Australian primary healthcare (PHC) services is influenced by funding, policy changes, and service restructuring. A shared culture and co-location can support teamwork, but policy shifts may hinder it.
Area of Science:
- Health Services Research
- Teamwork in Healthcare
- Primary Health Care Delivery
Background:
- Comprehensive primary healthcare (CPHC) emphasizes interprofessional teamwork.
- Australian primary healthcare (PHC) services underwent significant restructuring.
- Understanding factors affecting interprofessional collaboration is crucial for effective service delivery.
Purpose of the Study:
- To identify factors enabling and hindering interprofessional teamwork in Australian PHC services.
- To examine the impact of health sector restructuring on healthcare teams.
- To provide insights for policy and decision-makers regarding interprofessional collaboration.
Main Methods:
- Data collected from a 5-year project on CPHC effectiveness.
- Online survey of 154 practitioners and managers.
- Interviews with 60 managers and practitioners across six PHC services.
Main Results:
- Majority of respondents engaged in interprofessional care through meetings, case conferencing, and referrals.
- Funding cuts and policy changes negatively impacted interprofessional work.
- Shared CPHC culture and co-location presented both facilitators and barriers to teamwork.
Conclusions:
- Policy and structural changes significantly affect interprofessional teamwork in PHC.
- Decision-makers must consider the impact of changes on team functioning.
- Minimizing negative effects of restructuring is essential for maintaining effective interprofessional collaboration.
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