Primary care professionals perspective on working as a team Kirti - PowerPoint PPT Presentation

Jul 29, 2023 •176 likes •277 views

Primary care professionals perspective on working as a team Kirti Doekhie, LLM MSc, Dr. M. Buljac, Dr. M. Strating, Prof. Dr. J. Paauwe Institute of Health Policy and Management Erasmus University Rotterdam, The Netherlands EFPC conference

Primary care professionals’ perspective on working as a team Kirti Doekhie, LLM MSc, Dr. M. Buljac, Dr. M. Strating, Prof. Dr. J. Paauwe Institute of Health Policy and Management Erasmus University Rotterdam, The Netherlands EFPC conference 30 August – 1 September 2015
Background • Growing prevalence of people with multimorbidity - Need for more collaboration instead of fragmentation between multiple primary care professionals • What is a primary care team? - romanticizing of the effectiveness of teams - real teams versus pseudo teams
Input – Process – Outcome (IPO) Framework Process Outcome Input Communication dimensions Perceived team Team composition • Frequency, Timeliness. Accuracy, effectiveness by team • Team size Problem solving members • Diversity (subjective outcome) Relationship dimensions • Shared goals, Shared knowledge, Mutual Respect
Methods • Cross-sectional study in Dutch primary care setting • Survey analysis following the IPO model (n=159) - 13 different disciplines, e.g. general practitioners, remedial therapists, dieticians, practice nurses - 38 different primary care teams: � community care teams (n=16) � physiotherapy centers (n=9) � general practitioners centers (n=6) � monodisciplinary centers (n=6) � primary health care centers (n=1))
Results – Input • Professionals have different indications of their team size and diversity - Average team size ranges between 8 to 10 members - Average diversity is .45
Results - Process • Rankings of the degree of relational coordination with another PC professional vary between disciplines Relational coordination in eyes of: 1 2 3 4 1Physiotherapist 3.85 2.82 2.75 2.15 2(registered or licensed) Nurse 2.99 4.58 2.49 1.84 3Occupational Therapist 4.64 4.79 2.93 4.07 4Speech Therapist 4.29 4.00 4.19 3.00
Results – IPO Framework Process Outcome Input β = .38* Communication dimensions Team composition • Frequency, Timeliness. Accuracy, β = .32* • Team size Problem solving Perceived team • Diversity β = .23* effectiveness by Relationship dimensions team members • Shared goals, Shared knowledge , (subjective outcome) Mutual Respect * Significant at the .05 level
Conclusions & Practice Implications • Dutch primary care setting is very complex - Inner and outer circles • Conceptualization of “primary care teams” differs between perspectives - Patient and primary care professionals’ perspectives • Practice implications: - Investing in communication and relationships - Organizing meetings to reflect on the underlying collaborations between disciplines
Thank you for your attention! Kirti Doekhie, LLM MSc +31 10 408 9554 doekhie@bmg.eur.nl

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