Exploring current practices in case-based discussion to enhance interprofessional learning in occupational health...

BackgroundInterprofessional learning, particularly through interprofessional case-based discussion (CBD), can enhance interprofessional collaboration between occupational health professionals involved in the return-to-work of sick-listed workers.ObjectiveTo explore current CBD practices within Dutch occupational health practice and professionals' needs and anticipated barriers regarding interprofessional CBD.MethodsAn explanatory sequential mixed-methods design was used, comprising a survey (n = 119), observation sessions (n = 3), and semi-structured interviews (n = 11) with occupational physicians, insurance physicians, and labor experts. The survey assessed current CBD practices, while observation sessions provided contextual insight. Semi-structured interviews offered in-depth understanding of current CBD practices and explored anticipated needs and barriers for interprofessional CBD. Interview data were analyzed using thematic content analysis. Findings were synthesized into a preliminary conceptual overview.ResultsCBD was predominantly conducted within monoprofessional groups. Overall, professionals were satisfied with their current CBD and valued the professional growth it fosters. Effective CBD was associated with skilled chairmanship, a structured approach, and a safe group atmosphere. Interprofessional CBD was expected to enhance mutual understanding and reduce distrust. Anticipated needs for interprofessional CBD included organizational support, a structured approach, and process-focused chairmanship. Anticipated barriers were primarily logistical, such as challenges in scheduling and information sharing. The conceptual overview suggests that interprofessional CBD can build upon existing CBD practice, but requires additional structural and process-related support.ConclusionsThis exploratory study provides initial insight into the anticipated value of (interprofessional) CBD for occupational health professionals. Results offer guidance for the future research on, and development and organization of interprofessional CBD within this field.