Primary care professionals perspective on working as a team Kirti - PowerPoint PPT Presentation

Primary care professionals’ perspective on working as a team Kirti Doekhie, LLM MSc, Dr. M. Buljac, Dr. M. Strating, Prof. Dr. J. Paauwe Institute of Health Policy and Management Erasmus University Rotterdam, The Netherlands EFPC conference 30 August – 1 September 2015

Background • Growing prevalence of people with multimorbidity - Need for more collaboration instead of fragmentation between multiple primary care professionals • What is a primary care team? - romanticizing of the effectiveness of teams - real teams versus pseudo teams

Input – Process – Outcome (IPO) Framework Process Outcome Input Communication dimensions Perceived team Team composition • Frequency, Timeliness. Accuracy, effectiveness by team • Team size Problem solving members • Diversity (subjective outcome) Relationship dimensions • Shared goals, Shared knowledge, Mutual Respect

Methods • Cross-sectional study in Dutch primary care setting • Survey analysis following the IPO model (n=159) - 13 different disciplines, e.g. general practitioners, remedial therapists, dieticians, practice nurses - 38 different primary care teams: � community care teams (n=16) � physiotherapy centers (n=9) � general practitioners centers (n=6) � monodisciplinary centers (n=6) � primary health care centers (n=1))

Results – Input • Professionals have different indications of their team size and diversity - Average team size ranges between 8 to 10 members - Average diversity is .45

Results - Process • Rankings of the degree of relational coordination with another PC professional vary between disciplines Relational coordination in eyes of: 1 2 3 4 1Physiotherapist 3.85 2.82 2.75 2.15 2(registered or licensed) Nurse 2.99 4.58 2.49 1.84 3Occupational Therapist 4.64 4.79 2.93 4.07 4Speech Therapist 4.29 4.00 4.19 3.00

Results – IPO Framework Process Outcome Input β = .38* Communication dimensions Team composition • Frequency, Timeliness. Accuracy, β = .32* • Team size Problem solving Perceived team • Diversity β = .23* effectiveness by Relationship dimensions team members • Shared goals, Shared knowledge , (subjective outcome) Mutual Respect * Significant at the .05 level

Conclusions & Practice Implications • Dutch primary care setting is very complex - Inner and outer circles • Conceptualization of “primary care teams” differs between perspectives - Patient and primary care professionals’ perspectives • Practice implications: - Investing in communication and relationships - Organizing meetings to reflect on the underlying collaborations between disciplines

Thank you for your attention! Kirti Doekhie, LLM MSc +31 10 408 9554 doekhie@bmg.eur.nl

Primary care professionals perspective on working as a team Kirti - PowerPoint PPT Presentation

Primary care professionals perspective on working as a team Kirti Doekhie, LLM MSc, Dr. M. Buljac, Dr. M. Strating, Prof. Dr. J. Paauwe Institute of Health Policy and Management Erasmus University Rotterdam, The Netherlands EFPC conference

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Primary care professionals perspective on working as a team Kirti - PowerPoint PPT Presentation

Primary care professionals perspective on working as a team Kirti Doekhie, LLM MSc, Dr. M. Buljac, Dr. M. Strating, Prof. Dr. J. Paauwe Institute of Health Policy and Management Erasmus University Rotterdam, The Netherlands EFPC conference

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