Discipline of Physiotherapy, College of Healthcare Sciences, James Cook University, Townsville, Australia.
Discipline of Physiotherapy, School of Health Sciences, the University of Newcastle, Callaghan, Australia.
J Interprof Care. 2021 Mar-Apr;35(2):217-228. doi: 10.1080/13561820.2020.1732311. Epub 2020 Apr 16.
This integrative review synthesizes research studies in order to explore the perceptions of allied health professionals regarding interprofessional collaboration in primary health care. A comprehensive literature search was conducted using three electronic databases and a manual search of the . The Crowe Critical Appraisal Tool was used to assess the quality of included papers. Study findings were extracted, critically examined and grouped into themes. Twelve studies conducted in six different countries met the inclusion criteria. Thematic analysis revealed five themes: (1) shared philosophy; (2) communication and clinical interaction; (3) physical environment; (4) power and hierarchy; and (5) financial considerations. This review has identified diverse key elements related to interprofessional collaboration in primary health care, as perceived by allied health professionals. Opportunity for frequent, informal communication appeared essential for interprofessional collaboration to occur. Allied health professionals working in close proximity to health practitioners from other professions had more regular interprofessional interactions than those who were geographically separated. Co-location of multiple primary health care services within the same physical space may offer increased opportunities for interprofessional collaboration. Future research should avoid reporting on allied health professionals in primary health care collectively, and isolate data to the individual professions. Direct observational methods are warranted to investigate whether allied health professionals' perceptions of interprofessional collaboration align with their actual clinical interactions in primary health care settings.
这篇综述综合了研究，旨在探索从事初级卫生保健的辅助医疗专业人员对跨专业合作的看法。使用三个电子数据库和手动搜索. 进行了全面的文献检索。使用 Crowe 批判性评估工具评估了纳入论文的质量。提取、批判性检查并将研究结果分组为主题。在六个不同的国家进行了 12 项符合纳入标准的研究。主题分析揭示了五个主题：（1）共同的理念；（2）沟通和临床互动；（3）物理环境；（4）权力和等级；（5）财务考虑。这项综述确定了从事初级卫生保健的辅助医疗专业人员所感知的跨专业合作的不同关键要素。频繁、非正式沟通的机会似乎是跨专业合作发生的关键。与来自其他专业的卫生从业人员密切合作的辅助医疗专业人员比那些地理位置分开的人员有更多的定期跨专业互动。在同一物理空间内集中多种初级卫生保健服务可能会提供更多的跨专业合作机会。未来的研究应避免将初级卫生保健中的辅助医疗专业人员集体报告，并将数据孤立到各个专业。需要直接观察方法来调查辅助医疗专业人员对跨专业合作的看法是否与其在初级卫生保健环境中的实际临床互动一致。
