| Autor: |
Jaruseviciene L; Department of Family Medicine, Lithuanian University of Health Sciences (LUHS), Kaunas, LT, Lithuania., Kontrimiene A; Department of Family Medicine, Lithuanian University of Health Sciences (LUHS), Kaunas, LT, Lithuania., Zaborskis A; Department of Preventive Medicine, Lithuanian University of Health Sciences (LUHS), Kaunas, LT, Lithuania., Liseckiene I; Department of Family Medicine, Lithuanian University of Health Sciences (LUHS), Kaunas, LT, Lithuania., Jarusevicius G; Department of Cardiology, Lithuanian University of Health Sciences (LUHS), Kaunas, LT, Lithuania., Valius L; Department of Family Medicine, Lithuanian University of Health Sciences (LUHS), Kaunas, LT, Lithuania., Lazarus JV; Barcelona Institute for Global Health (ISGlobal), Hospital Clinic, University of Barcelona, Barcelona, Spain. |
| Abstrakt: |
During past decades the science of collaboration in health care has progressed significantly worldwide, although in some regions (e.g.: Central and Eastern Europe) these processes are slower. The aim of this study was to develop a new, multidimensional measurement tool of the developing collaboration in primary health care (PHC). This study included both qualitative (thematic analysis of the data from focus group discussions) and quantitative (a 36-item cross-sectional questionnaire) methods in order to develop and test a new measurement scale. The collaboration scale between community nurses (CNs) and general practitioners (GPs) in primary health-care teams (COPAN scale) was created. It initially revealed five determining factors: "Goal Oriented Team Synergy", "Team Structure and Leadership", "Organizational Background for Teamwork", "Competence" and "Diffusion of Functions." Two and three-factor scales (COPAN-2 and COPAN-3) were developed after confirmatory factor analysis with sufficient psychometric characteristics to be applied in practice. This study reports the reliability of a novel tool that can be used to measure collaboration of CNs and GPs in PHC. The newly developed scale has the potential to become an easy-to-use tool in the monitoring of teamwork situations within PHC settings of low integration or newly evolving teams. |
