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Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study.

Harris MF, Chan BC, Daniel C, Wan Q, Zwar N, Davies GP, Team-link project te - BMC Health Serv Res (2010)

Bottom Line: Current arrangements for Team Care planning provide increased opportunities for access to allied health.However the current paper based system is insufficient to build relationships or effectively share roles as part of a patient care team.Facilitation is feasible but constrained by barriers to communication and trust.

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Affiliation: Centre for Primary Health Care and Equity, University of New South Wales, UNSW, Sydney, NSW 2052, Australia. m.f.harris@unsw.edu.au

ABSTRACT

Background: This paper describes the development and implementation of an intervention to facilitate teamwork between general practice and outside allied and community health services and providers.

Methods: A review of organizational theory and a qualitative study of 9 practices was used to design an intervention which was applied in four Divisions of General Practice and 26 urban practices. Clinical record review and qualitative interviews with participants were used to determine the key lessons from its implementation.

Results: Facilitating teamwork across organizational boundaries was very challenging. The quality of the relationship between professionals was of key importance. This was enabled by joint education and direct communication between providers. Practice nurses were key links between general practices and allied and community health services.

Conclusions: Current arrangements for Team Care planning provide increased opportunities for access to allied health. However the current paper based system is insufficient to build relationships or effectively share roles as part of a patient care team. Facilitation is feasible but constrained by barriers to communication and trust.

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Key elements of the development and evaluation process (adapted from [6]).
© Copyright Policy - open-access
Related In: Results  -  Collection

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Figure 1: Key elements of the development and evaluation process (adapted from [6]).

Mentions: Figure 1 summarises the four stages of the development of the Team-link study and the activities conducted at each stage (adapted from [6]).


Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study.

Harris MF, Chan BC, Daniel C, Wan Q, Zwar N, Davies GP, Team-link project te - BMC Health Serv Res (2010)

Key elements of the development and evaluation process (adapted from [6]).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2877025&req=5

Figure 1: Key elements of the development and evaluation process (adapted from [6]).
Mentions: Figure 1 summarises the four stages of the development of the Team-link study and the activities conducted at each stage (adapted from [6]).

Bottom Line: Current arrangements for Team Care planning provide increased opportunities for access to allied health.However the current paper based system is insufficient to build relationships or effectively share roles as part of a patient care team.Facilitation is feasible but constrained by barriers to communication and trust.

View Article: PubMed Central - HTML - PubMed

Affiliation: Centre for Primary Health Care and Equity, University of New South Wales, UNSW, Sydney, NSW 2052, Australia. m.f.harris@unsw.edu.au

ABSTRACT

Background: This paper describes the development and implementation of an intervention to facilitate teamwork between general practice and outside allied and community health services and providers.

Methods: A review of organizational theory and a qualitative study of 9 practices was used to design an intervention which was applied in four Divisions of General Practice and 26 urban practices. Clinical record review and qualitative interviews with participants were used to determine the key lessons from its implementation.

Results: Facilitating teamwork across organizational boundaries was very challenging. The quality of the relationship between professionals was of key importance. This was enabled by joint education and direct communication between providers. Practice nurses were key links between general practices and allied and community health services.

Conclusions: Current arrangements for Team Care planning provide increased opportunities for access to allied health. However the current paper based system is insufficient to build relationships or effectively share roles as part of a patient care team. Facilitation is feasible but constrained by barriers to communication and trust.

Show MeSH