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Kei Miyazaki,1 Tomohiro Taguchi,2 Yousuke Takemura3 1Department of Community Medicine NABARI, Mie University School of Medicine, Tsu City, Mie, Japan; 2Community Medicine, Fujita Health University School of Medicine, Toyoake City, Aichi, Japan; 3Department of General Medicine, Northern TAMA Medical Center (Tokyo Metropolitan Health and Hospitals Corporation), Higashimurayama City, Tokyo, JapanCorrespondence: Kei Miyazaki, Department of Community Medicine NABARI, Mie University School of Medicine, 2-174 Edobashi, Tsu City, Mie Prefecture, 514-8507, Japan, Tel +81 59 231 5290, Fax +81 59 231 5289, Email KeiMiyazaki.MD@gmail.comPurpose: Research suggests that daily previsit team huddling leads to improved teamwork, however there are no reports on the effect and mechanism of daily team reflection in primary care practice. To help healthcare professionals to integrate fragmented information and to enhance continuity, we previously developed and implemented a daily multidisciplinary team reflection (DMDTR) approach. The present study aimed to construct a conceptual diagram illustrating how participation in DMDTR influence medical care in an ambulatory clinic.Participants and Methods: In this qualitative study, we analyzed data from semi-structured interviews (n = 12) conducted with physicians, nurses, and medical assistants who regularly participated in DMDTR. Modified grounded theory approach (M-GTA) was adopted as the analysis method, and structure-construction qualitative research method (SCQRM) was used as a meta-theory to determine the number of cases correlatively with the research objectives.Results: Our conceptual diagram demonstrated that, through DMDTR, team members shared fragmented information to gain a more holistic view of the patient and discuss diverse points of view, a process that resulted in real-time problem solving through collaboration. This team approach showed benefit to each discipline and improves the care attributes of contextuality, coordination, accessibility, accountability, continuity, and comprehensiveness of care.Conclusion: We generated a conceptual diagram showing that DMDTR embodies a team approach that leads to improved care attributes, which results in enhanced quality of primary care.Keywords: interdisciplinary communication, patient care team, patient centered care, qualitative research |
