San Martín-Rodríguez Leticia, Beaulieu Marie-Dominique, D'Amour Danielle, Ferrada-Videla Marcela
Department of Family Medicine, University of Montreal and Centre de recherche du Centre hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.
J Interprof Care. 2005 May;19 Suppl 1:132-47. doi: 10.1080/13561820500082677.
Successful collaboration in health care teams can be attributed to numerous elements, including processes at work in interpersonal relationships within the team (the interactional determinants), conditions within the organization (the organizational determinants), and the organization's environment (the systemic determinants). Through a review of the literature, this article presents a tabulated compilation of each of these determinant types as identified by empirical research and identifies the main characteristics of these determinants according to the conceptual work. We then present a "showcase" of recent Canadian policy initiatives--The Canadian Health Transition Fund (HTF)--to illustrate how the various categories of determinants can be mobilized. The literature review reveals that very little of the empirical work has dealt with determinants of interprofessional collaboration in health, particularly its organizational and systemic determinants. Furthermore, our overview of experience at the Canadian HTF suggests that a systemic approach should be adopted in evaluative research on the determinants of effective collaborative practice.
医疗团队中的成功协作可归因于众多因素，包括团队内部人际关系中的工作流程（互动决定因素）、组织内部的条件（组织决定因素）以及组织的环境（系统决定因素）。通过对文献的回顾，本文列出了实证研究确定的每种决定因素类型，并根据概念性研究确定了这些决定因素的主要特征。然后，我们展示了加拿大近期的政策举措——加拿大健康转型基金（HTF），以说明如何调动各类决定因素。文献综述表明，很少有实证研究涉及医疗领域跨专业协作的决定因素，尤其是其组织和系统决定因素。此外，我们对加拿大健康转型基金经验的概述表明，在对有效协作实践决定因素的评估研究中应采用系统方法。
