Providing primary care using an interprofessional collaborative practice model: What clinicians have learned

2017 ◽  
Vol 33 (6) ◽  
pp. 410-416 ◽  
Author(s):  
Cynthia S. Selleck ◽  
Matthew Fifolt ◽  
Heidi Burkart ◽  
Jennifer Sandson Frank ◽  
William A. Curry ◽  
...  
Keyword(s):  
Primary Care ◽  
Collaborative Practice ◽  
Practice Model ◽  
Interprofessional Collaborative Practice

scholarly journals What do patients experience? Interprofessional collaborative practice for chronic conditions in primary care: an integrative review

2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Alexandra R. Davidson ◽  
Jaimon Kelly ◽  
Lauren Ball ◽  
Mark Morgan ◽  
Dianne P. Reidlinger
Keyword(s):  
Primary Care ◽  
Chronic Conditions ◽  
Chronic Condition ◽  
Collaborative Practice ◽  
Integrative Review ◽  
Patient Role ◽  
Interprofessional Collaborative Practice ◽  
Sharing Space ◽  
Patients Experience

Abstract Background Improving the patient experience is one of the quadruple aims of healthcare. Therefore, understanding patient experiences and perceptions of healthcare interactions is paramount to quality improvement. This integrative review aimed to explore how patients with chronic conditions experience Interprofessional Collaborative Practice in primary care. Methods An integrative review was conducted to comprehensively synthesize primary studies that used qualitative, quantitative, and mixed methods. Databases searched were Medline, Embase, CINAHL and Web of Science on June 1st, 2021. Eligible studies were empirical full-text studies in primary care that reported experiences or perceptions of Interprofessional Collaborative Practice by adult patients with a chronic condition, in any language published in any year. Quality appraisal was conducted on included studies using the Mixed Method Appraisal Tool. Data on patients’ experiences and perceptions of Interprofessional Collaborative Practice in primary care were extracted, and findings were thematically analyzed through a meta-synthesis. Results Forty-eight (n = 48) studies met the inclusion criteria with a total of n = 3803 participants. Study quality of individual studies was limited by study design, incomplete reporting, and the potential for positive publication bias. Three themes and their sub-themes were developed inductively: (1) Interacting with Healthcare Teams, subthemes: widening the network, connecting with professionals, looking beyond the condition, and overcoming chronic condition collectively; (2) Valuing Convenient Healthcare, subthemes: sharing space and time, care planning creates structure, coordinating care, valuing the general practitioner role, and affording healthcare; (3) Engaging Self-care, subthemes: engaging passively is circumstantial, and, engaging actively and leading care. Conclusions Patients overwhelmingly had positive experiences of Interprofessional Collaborative Practice, signaling it is appropriate for chronic condition management in primary care. The patient role in managing their chronic condition was closely linked to their experience. Future studies should investigate how the patient role impacts the experience of patients, carers, and health professionals in this context. Systematic review registration PROSPERO: CRD42020156536.

Sustainability of an Interprofessional Collaborative Practice Model for Population Health

2020 ◽  
Vol 44 (3) ◽  
pp. 221-234
Author(s):  
Maria R. Shirey ◽  
Cynthia S. Selleck ◽  
Connie White-Williams ◽  
Michele Talley ◽  
Doreen C. Harper
Keyword(s):  
Population Health ◽  
Collaborative Practice ◽  
Practice Model ◽  
Interprofessional Collaborative Practice

scholarly journals Impact of Interprofessional Primary Care Practice on Patient Outcomes: A Scoping Review

SAGE Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 215824402093589
Author(s):  
Livia R. M. McCutcheon ◽  
Stuart T. Haines ◽  
Ruta Valaitis ◽  
Deborah A. Sturpe ◽  
Grant Russell ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Outcomes ◽  
Primary Care Practice ◽  
Collaborative Practice ◽  
Economic Outcomes ◽  
Future Research ◽  
Care Practice ◽  
Interprofessional Collaborative Practice ◽  
Primary Care Settings ◽  
The Impact

Systematic reviews have provided some insight into the impact of interprofessional collaborative practice on patient outcomes. Despite strong interest in interprofessional collaborative practice, relatively little is known about its impact in primary care settings. This scoping literature review describes the essential elements of an interprofessional primary care practice and explores what is known about its impact on patient care including clinical, humanistic, and economic outcomes. We completed a review of the literature examining the breadth of knowledge related to interprofessional collaborative practice in primary care settings. A search was conducted to identify studies based on predefined criteria. A total of 51 studies met the criteria. A total of 27 studies reported a significantly positive clinical outcome with the interprofessional collaborative practice model, 27 studies reported no difference, and one study reported negative outcome in mortality. A total of 15 studies reported a significantly positive humanistic outcome. There was little to no difference in economic outcomes. This study provides new insights for future research that examines the impact of interprofessional primary care practice.

scholarly journals Development of an Interprofessional Collaborative Practice Model for Older LGBT Adults

LGBT Health ◽  
2017 ◽  
Vol 4 (6) ◽  
pp. 442-444 ◽  
Author(s):  
Jeffrey Kwong ◽  
Walter Bockting ◽  
Sigrid Gabler ◽  
Laurel Daniels Abbruzzese ◽  
Phyllis Simon ◽  
...  
Keyword(s):  
Collaborative Practice ◽  
Practice Model ◽  
Interprofessional Collaborative Practice

scholarly journals Conditions Influencing Collaboration Among the Primary Care Disciplines as They Prepare the Future Primary Care Physician Workforce

2020 ◽  
Vol 52 (6) ◽  
pp. 398-407 ◽  
Author(s):  
Patricia A. Carney ◽  
Erin K. Thayer ◽  
Larry A. Green ◽  
Eric J. Warm ◽  
Eric S. Holmboe ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Primary Care ◽  
Family Medicine ◽  
Interprofessional Education ◽  
Primary Care Physicians ◽  
The United States ◽  
Care Physician ◽  
Collaborative Practice ◽  
Interprofessional Collaborative Practice ◽  
Resident Graduates

Background and Objectives: Much can be gained by the three primary care disciplines collaborating on efforts to transform residency training toward interprofessional collaborative practice. We describe findings from a study designed to align primary care disciplines toward implementing interprofessional education. Methods: In this mixed methods study, we included faculty, residents and other interprofessional learners in family medicine, internal medicine, and pediatrics from nine institutions across the United States. We administered a web-based survey in April/May of 2018 and used qualitative analyses of field notes to study resident exposure to team-based care during training, estimates of career choice in programs that are innovating, and supportive and challenging conditions that influence collaboration among the three disciplines. Complete data capture was attained for 96.3% of participants. Results: Among family medicine resident graduates, an estimated 87.1% chose to go into primary care compared to 12.4% of internal medicine, and 36.5% of pediatric resident graduates. Qualitative themes found to positively influence cross-disciplinary collaboration included relationship development, communication of shared goals, alignment with health system/other institutional initiatives, and professional identity as primary care physicians. Challenges included expressed concerns by participants that by working together, the disciplines would experience a loss of identity and would be indistinguishable from one another. Another qualitative finding was that overwhelming stressors plague primary care training programs in the current health care climate—a great concern. These include competing demands, disruptive transitions, and lack of resources. Conclusions: Uniting the primary care disciplines toward educational and clinical transformation toward interprofessional collaborative practice is challenging to accomplish.

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