Norwegian general practitioners' collaboration with municipal care providers - a qualitative study of structural conditions

Autor: Line Melby, Sissel Steihaug, Bård Paulsen
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Attitude of Health Personnel
Interprofessional Relations
Nurses
Norwegian
InformationSystems_GENERAL
03 medical and health sciences
0302 clinical medicine
Nursing
General Practitioners
Health care
Humans
Medicine
municipal healthcare
030212 general & internal medicine
Cooperative Behavior
Qualitative Research
Research Articles
integrated care
Primary Health Care
Norway
business.industry
lcsh:Public aspects of medicine
Communication
030503 health policy & services
Public Health
Environmental and Occupational Health
lcsh:RA1-1270
Health Services
Collaboration
Hospitals
language.human_language
Integrated care
Physical Therapists
Leadership
structural conditions
general practitioner
language
Global Positioning System
0305 other medical science
business
Delivery of Health Care
Healthcare providers
Qualitative research
Healthcare system
Zdroj: Scandinavian Journal of Primary Health Care
Scandinavian Journal of Primary Health Care, Vol 35, Iss 4, Pp 344-351 (2017)
Popis: Purpose: The purpose of this study was to explore the structural mechanisms that facilitate or counteract collaboration between general practitioners (GPs) and other providers of municipal healthcare. Good collaboration between these actors is crucial for high-quality care, especially for persons in need of coordinated services. Material and methods: The study is based on semistructured interviews with 12 healthcare providers in four Norwegian municipalities: four GPs, six nurses and two physiotherapists. Results: GPs are key collaborating partners in the healthcare system. Their ability to collaborate is affected by a number of structural conditions. Mostly, this leads to GPs being too little involved in potential collaborative efforts: (i) individual GPs prioritize with whom they want to collaborate among many possible collaborative partners, (ii) inter-municipal constraints hamper GPs in contacting collaboration partners and (iii) GPs fall outside the hospital-municipality collaboration. Conclusions: We argue a common leadership for primary care services is needed. Furthermore, inter-professional work must be a central focus in the planning of primary care services. However, a dedicated staff, sufficient resources, adequate time and proper meeting places are needed to accomplish good collaboration.
Databáze: OpenAIRE
Externí odkaz: