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.
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.
Authors: Sue E Kirby; Joyce L Chong; Maureen Frances; Gawaine Powell Davies; David A Perkins; Nicholas A Zwar; Mark F Harris Journal: Med J Aust Date: 2008-07-21 Impact factor: 7.738
Authors: Peter Craig; Paul Dieppe; Sally Macintyre; Susan Michie; Irwin Nazareth; Mark Petticrew Journal: Int J Nurs Stud Date: 2012-11-15 Impact factor: 5.837
Authors: Benjamin F Crabtree; William L Miller; Jane M Gunn; William E Hogg; Cathie M Scott; Jean-Frederic Levesque; Mark F Harris; Sabrina M Chase; Jenny R Advocat; Lisa M Halma; Grant M Russell Journal: Fam Pract Date: 2018-05-23 Impact factor: 2.267
Authors: Mark F Harris; Jenny Advocat; Benjamin F Crabtree; Jean-Frederic Levesque; William L Miller; Jane M Gunn; William Hogg; Cathie M Scott; Sabrina M Chase; Lisa Halma; Grant M Russell Journal: J Multidiscip Healthc Date: 2016-01-29