Mavronicolas Heather A, Laraque Fabienne, Shankar Arti, Campbell Claudia
a Bureau of HIV/AIDS Prevention and Control , New York City Department of Health and Mental Hygiene , Queens , New York , USA.
b Viral Hepatitis Surveillance, Prevention and Control Program , New York City Department of Health and Mental Hygiene , Queens , New York , USA.
J Interprof Care. 2017 May;31(3):368-375. doi: 10.1080/13561820.2016.1270921.
Care coordination programmes are an important aspect of HIV management whose success depends largely on HIV primary care provider (PCP) and case manager collaboration. Factors influencing collaboration among HIV PCPs and case managers remain to be studied. The study objective was to test an existing theoretical model of interprofessional collaborative practice and determine which factors play the most important role in facilitating collaboration. A self-administered, anonymous mail survey was sent to HIV PCPs and case managers in New York City. An adapted survey instrument elicited information on demographic, contextual, and perceived social exchange (trustworthiness, role specification, and relationship initiation) characteristics. The dependent variable, perceived interprofessional practice, was constructed from a validated scale. A sequential block wise regression model specifying variable entry order examined the relative importance of each group of factors and of individual variables. The analysis showed that social exchange factors were the dominant drivers of collaboration. Relationship initiation was the most important predictor of interprofessional collaboration. Additional influential factors included organisational leadership support of collaboration, practice settings, and frequency of interprofessional meetings. Addressing factors influencing collaboration among providers will help public health programmes optimally design their structural, hiring, and training strategies to foster effective social exchanges and promote collaborative working relationships.
护理协调计划是艾滋病毒管理的一个重要方面，其成功很大程度上取决于艾滋病毒初级保健提供者（PCP）与个案管理员之间的协作。影响艾滋病毒初级保健提供者与个案管理员之间协作的因素仍有待研究。该研究的目的是检验一种现有的跨专业协作实践理论模型，并确定哪些因素在促进协作方面发挥最重要的作用。向纽约市的艾滋病毒初级保健提供者和个案管理员发送了一份自行填写的匿名邮件调查问卷。一份经过改编的调查问卷收集了有关人口统计学、背景情况以及感知到的社会交换（可信赖度、角色明确度和关系建立）特征的信息。因变量“感知到的跨专业实践”由一个经过验证的量表构建而成。一个指定变量进入顺序的逐步分组回归模型检验了每组因素以及各个变量的相对重要性。分析表明，社会交换因素是协作的主要驱动因素。关系建立是跨专业协作最重要的预测因素。其他有影响的因素包括组织领导对协作的支持、实践环境以及跨专业会议的频率。解决影响提供者之间协作的因素将有助于公共卫生项目优化其结构、招聘和培训策略，以促进有效的社会交换并推动协作工作关系。
