PubMed · 2010 · 108 citations · 21 references
ManagementSocial WorkHealth Care LeadershipPrimary CareTeamworkHealth Care Team LeadershipHealthcare Team LeadershipInterdisciplinary CollaborationInterprofessional CollaborationInterprofessional LeadershipTeam-based Primary CareCollaborative Care ArrangementsCollaborative Practice ModelsHealth Care Team DynamicsHealth Care TeamworkInductive Thematic AnalysisInterprofessional ImplementationInterprofessional Practice ModelsNurse Practitioners
OBJECTIVE: To examine family health team (FHT) members' perspectives and experiences of interprofessional collaboration and perceived benefits. DESIGN: Qualitative case study using semistructured interviews. SETTING: Fourteen FHTs in urban and rural Ontario. PARTICIPANTS: Purposeful sample of the members of 14 FHTs, including family physicians, nurse practitioners, nurses, dietitians, social workers, pharmacists, and managers. METHODS: A multiple case-study approach involving 14 FHTs was employed. Thirty-two semistructured interviews were conducted and data were analyzed by employing an inductive thematic approach. A member-checking technique was also undertaken to enhance the validity of the findings. MAIN FINDINGS: Five main themes are reported: rethinking traditional roles and scopes of practice, management and leadership, time and space, interprofessional initiatives, and early perceptions of collaborative care. CONCLUSION: This study shows the importance of issues such as roles and scopes of practice, leadership, and space to effective team-based primary care, and provides a framework for understanding different types of interprofessional interventions used to support interprofessional collaboration.
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Thomas Bodenheimer, Kevin Grumbach, Robert A. Berenson · New England Journal of Medicine · 2009 · 125 citations