Bångsbo Angela, Dunér Anna, Dahlin-Ivanoff Synneve, Lidén Eva
University of Gothenburg, Institute of Neuroscience and Physiology, and Centre of Health and Ageing, SE.
University of Gothenburg, Department of Social Work, and Centre of Health and Ageing, University of Gothenburg, SE.
Int J Integr Care. 2022 Jun 15;22(2):22. doi: 10.5334/ijic.6005. eCollection 2022 Apr-Jun.
Inter-organisational collaboration is challenging but essential in managing the complex and comprehensive needs of frail older people. Therefore, there is a need to investigate the influence of different barriers to inter-organisational collaboration when implementing an integrated care programme. The aim of this study was to investigate both inpatient and outpatient staff views on the factors they deemed to be influential to inter-organisational collaboration for an integrated care programme.
The study was a cross-sectional study and included staff from hospitals, primary care and municipal health and social care.
There were no significant differences between staff from inpatient and outpatient care in measuring factors that may cause difficulties for inter-organisational collaboration. Staff views diverged significantly on all factors, such as educational level at long physical distances, laws and regulations, knowledge of each others work settings, experience from inter-organisational collaboration, different professions, variations in professional status and power, psychosocial factors such as positive work environment and interpersonal chemistry.
A multidisciplinary team culture and avenues for inter-organisational collaboration need to be developed for improved care continuity.
The staffs' educational level influenced what was perceived as barriers to inter-organisational collaboration, and may guide future development of integrated care programmes.
组织间合作具有挑战性，但对于满足体弱老年人复杂而全面的需求至关重要。因此，有必要研究在实施综合护理计划时不同组织间合作障碍的影响。本研究的目的是调查住院和门诊工作人员对他们认为对综合护理计划的组织间合作有影响的因素的看法。
该研究为横断面研究，纳入了来自医院、初级保健以及市政卫生和社会护理部门的工作人员。
在衡量可能给组织间合作带来困难的因素方面，住院护理和门诊护理的工作人员之间没有显著差异。在所有因素上，工作人员的看法存在显著分歧，比如身体距离较远时的教育水平、法律法规、对彼此工作环境的了解、组织间合作的经验、不同职业、专业地位和权力的差异、诸如积极的工作环境和人际默契等社会心理因素。
需要建立多学科团队文化和组织间合作途径，以改善护理的连续性。
工作人员的教育水平影响了被视为组织间合作障碍之物，并且可能为综合护理计划的未来发展提供指导。
