Interprofessional collaboration regarding
patients' care plans in primary care: a focus
group study into influential factors.
Abstract
BACKGROUND:
The number of people with multiple chronic conditions demanding primary care services is
increasing. To deal with the complex health care demands of these people, professionals from
different disciplines collaborate. This study aims to explore influential factors regarding
interprofessional collaboration related to care plan development in primary care.
METHODS:
A qualitative study, including four semi-structured focus group interviews (n = 4). In total, a
heterogeneous group of experts (n = 16) and health care professionals (n = 15) participated.
Participants discussed viewpoints, barriers, and facilitators regarding interprofessional
collaboration related to care plan development. The data were analysed by means of inductive
content analysis.
RESULTS:
The findings show a variety of factors influencing the interprofessional collaboration in
developing a care plan. Factors can be divided into 5 key categories: (1) patient-related
factors: active role, self-management, goals and wishes, membership of the team; (2)
professional-related factors: individual competences, domain thinking, motivation; (3)
interpersonal factors: language differences, knowing each other, trust and respect, and
motivation; (4) organisational factors: structure, composition, time, shared vision, leadership
and administrative support; and (5) external factors: education, culture, hierarchy, domain
thinking, law and regulations, finance, technology and ICT.
CONCLUSIONS:
Improving interprofessional collaboration regarding care plan development calls for an
integral approach including patient- and professional related factors, interpersonal,
organisational, and external factors. Further, the leader of the team seems to play a key role in
watching the patient perspective, organising and coordinating interprofessional
collaborations, and guiding the team through developments. The results of this study can be
used as input for developing tools and interventions targeted at executing and improving
interprofessional collaboration related to care plan development.
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