Aubin M, Vézina L, Bergeron R, Laberge A
Unité de médecine familiale de l'Hôpital Laval.
Can Fam Physician. 2001 Apr;47:751-8.
To describe perceptions of physicians and home care professionals working in local community service centres (CLSCs) with respect to collaboration on home care follow up, and to identify conditions likely to help or hinder cooperation. DESIGN: Descriptive study using individual and group interviews. SETTING: Areas served by three CLSCs in the Quebec city region. PARTICIPANTS: Forty-five general practitioners with large home care practices and coordinators and representatives of CLSC home care teams. MAIN OUTCOME MEASURES: Perceptions of physicians and home care professionals with respect to interprofessional cooperation on and barriers to home care follow up. RESULTS: Most participants thought that cooperation would be beneficial to complex case management and continuity of follow-up care. In practice, however, cooperation is hindered by differences in medical practice and home care team service delivery and in methods of remuneration, and lack of knowledge of the other field of practice. CONCLUSION: All participants recognized the importance of cooperation. This study did not reveal any real integration of medical and CLSC home care services. Efforts must be made to identify the strategies most conducive to improving interprofessional cooperation.
描述在当地社区服务中心（CLSC）工作的医生和家庭护理专业人员对家庭护理随访合作的看法，并确定可能有助于或阻碍合作的条件。设计：采用个人和小组访谈的描述性研究。地点：魁北克市地区三个CLSC服务的区域。参与者：45名负责大量家庭护理工作的全科医生以及CLSC家庭护理团队的协调员和代表。主要观察指标：医生和家庭护理专业人员对家庭护理随访中的跨专业合作及障碍的看法。结果：大多数参与者认为合作将有利于复杂病例管理和后续护理的连续性。然而，在实践中，医疗实践、家庭护理团队服务提供方式、薪酬方法的差异以及对其他实践领域的知识缺乏阻碍了合作。结论：所有参与者都认识到合作的重要性。本研究未揭示医疗服务与CLSC家庭护理服务的真正整合情况。必须努力确定最有利于改善跨专业合作的策略。
