van Staalduinen Dorine J, van den Bekerom Petra E A, Groeneveld Sandra M, Franx Arie, Stiggelbout Anne M, van den Akker-van Marle M Elske
Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.
Institute of Public Administration, Leiden University, Turfmarkt 99, 2511 DP, Den Haag, The Netherlands.
Int J Integr Care. 2023 Aug 10;23(3):5. doi: 10.5334/ijic.7516. eCollection 2023 Jul-Sep.
An important aspect of Value-Based Healthcare (VBHC) is providing the full cycle of care for a specific medical condition through interprofessional collaboration. This requires employees from diverse professional backgrounds to interact, but there is limited knowledge on how professionals perceive such interprofessional collaboration. We aimed to provide insight into how different professionals perceive Integrated Practice Unit (IPU) composition and what factors influence the quality of interprofessional collaboration within IPUs.
A survey was administered to employees from different professional backgrounds (medical specialists, nurses, allied health professionals, administrative employees) working in IPUs to assess their perception of the composition of their IPU and the quality of the interactions. Subsequently, semi-structured interviews were conducted to gain a deeper understanding of the findings of the survey.
Medical specialists and nurses were most frequently considered to be part of an IPU and indicated that they have high quality interactions. Allied health professionals were less often considered part of the team by all other professional groups and all report low quality interaction with this group. The extent to which a professional group is perceived as a team member depends on their visibility, involvement in the treatment of the patient, and shared interest. Differences in the quality of interprofessional collaboration are influenced by organizational structures, knowledge of each other's expertise, and by ways of communication.
In VBHC, there seems to be a lack of common perception of an IPU's composition and a failure to always achieve high quality interprofessional collaboration. Given the importance of interprofessional collaboration in VBHC, effort should be invested in achieving a shared understanding and improved collaboration.
基于价值的医疗保健（VBHC）的一个重要方面是通过跨专业协作提供针对特定医疗状况的全周期护理。这要求来自不同专业背景的员工进行互动，但对于专业人员如何看待这种跨专业协作的了解有限。我们旨在深入了解不同专业人员如何看待综合实践单元（IPU）的组成以及哪些因素影响IPU内跨专业协作的质量。
对在IPU工作的不同专业背景的员工（医学专家、护士、专职医疗人员、行政人员）进行了一项调查，以评估他们对其IPU组成的看法以及互动质量。随后进行了半结构化访谈，以更深入地理解调查结果。
医学专家和护士最常被视为IPU的一部分，并表示他们有高质量的互动。专职医疗人员被所有其他专业组视为团队成员的频率较低，并且所有人都报告与该组的互动质量较低。一个专业组被视为团队成员的程度取决于他们的可见度、对患者治疗的参与度以及共同兴趣。跨专业协作质量的差异受组织结构、对彼此专业知识的了解以及沟通方式的影响。
在VBHC中，似乎对IPU的组成缺乏共同认识，并且并非总能实现高质量的跨专业协作。鉴于跨专业协作在VBHC中的重要性，应投入精力以达成共同理解并改善协作。
