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家庭健康团队中的跨专业合作:基于安大略省的研究。

Interprofessional collaboration in family health teams: An Ontario-based study.

机构信息

Office of Continuing Education and Professional Development, Faculty of Medicine, at the University of Toronto in Ontario.

出版信息

Can Fam Physician. 2010 Oct;56(10):e368-74.

Abstract

OBJECTIVE

To examine family health team (FHT) members' perspectives and experiences of interprofessional collaboration and perceived benefits.

DESIGN

Qualitative case study using semistructured interviews.

SETTING

Fourteen FHTs in urban and rural Ontario.

PARTICIPANTS

Purposeful sample of the members of 14 FHTs, including family physicians, nurse practitioners, nurses, dietitians, social workers, pharmacists, and managers.

METHODS

A multiple case-study approach involving 14 FHTs was employed. Thirty-two semistructured interviews were conducted and data were analyzed by employing an inductive thematic approach. A member-checking technique was also undertaken to enhance the validity of the findings.

MAIN FINDINGS

Five main themes are reported: rethinking traditional roles and scopes of practice, management and leadership, time and space, interprofessional initiatives, and early perceptions of collaborative care.

CONCLUSION

This study shows the importance of issues such as roles and scopes of practice, leadership, and space to effective team-based primary care, and provides a framework for understanding different types of interprofessional interventions used to support interprofessional collaboration.

摘要

目的

探讨家庭健康团队(FHT)成员对跨专业合作的看法和经验,以及他们对合作的益处的看法。

设计

采用半结构式访谈的定性案例研究。

地点

安大略省的 14 个城市和农村的 FHT。

参与者

14 个 FHT 的成员,包括家庭医生、护士从业者、护士、营养师、社会工作者、药剂师和经理。

方法

采用多案例研究方法,涉及 14 个 FHT。进行了 32 次半结构化访谈,并采用归纳主题方法进行数据分析。还采用了成员核对技术来提高研究结果的有效性。

主要发现

报告了五个主要主题:重新思考传统角色和实践范围、管理和领导力、时间和空间、跨专业举措以及对协作护理的早期看法。

结论

这项研究表明,角色和实践范围、领导力和空间等问题对基于团队的初级保健至关重要,并为理解支持跨专业合作的不同类型的跨专业干预措施提供了框架。

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本文引用的文献

1
A scoping review to improve conceptual clarity of interprofessional interventions.
J Interprof Care. 2011 May;25(3):167-74. doi: 10.3109/13561820.2010.529960. Epub 2010 Dec 23.
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An emerging framework for understanding the nature of interprofessional interventions.
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