Cunningham Centre, Darling Downs Health, Toowoomba, QLD 4350, Australia.
Faculty of Medicine, Rural Clinical School, The University of Queensland, Toowoomba, QLD 4350, Australia.
Int J Environ Res Public Health. 2021 May 13;18(10):5162. doi: 10.3390/ijerph18105162.
Evidence is mounting regarding the positive effects of Interprofessional Education and Collaborative Practice (IPECP) on healthcare outcomes. Despite this, IPECP is only in its infancy in several Australian rural healthcare settings. Whilst some rural healthcare teams have successfully adopted an interprofessional model of service delivery, information is scarce on the factors that have enabled or hindered such a transition. Using a combination of team surveys and individual semi-structured team member interviews, data were collected on the enablers of and barriers to IPECP implementation in rural health settings in one Australian state. Using thematic analysis, three themes were developed from the interview data: IPECP remains a black box; drivers at the system level; and the power of an individual to make or break IPECP. Several recommendations have been provided to inform teams transitioning from multi-disciplinary to interprofessional models of service delivery.
越来越多的证据表明,跨专业教育和协作实践(IPECP)对医疗保健结果有积极影响。尽管如此,在澳大利亚的一些农村医疗保健环境中,IPECP 仍处于起步阶段。虽然一些农村医疗保健团队已经成功采用了跨专业的服务提供模式,但关于促成或阻碍这种转变的因素的信息却很少。本研究采用团队调查和个人半结构化团队成员访谈相结合的方法,在澳大利亚一个州的农村卫生环境中收集了有关 IPECP 实施的促成因素和障碍的数据。通过主题分析,从访谈数据中得出了三个主题:IPECP 仍然是一个黑盒子;系统层面的驱动力;以及个人推动或阻碍 IPECP 的能力。为了为从多学科向跨专业服务提供模式过渡的团队提供信息,提出了一些建议。