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- Title
Integrating professionals in French multi-professional health homes: Fostering collaboration beyond the walls.
- Authors
Alrabie, Nour
- Abstract
Current evidence of the effectiveness of multi-disciplinary co-location for healthcare integration is mixed. This case study investigates a territorial healthcare project that is implemented across four French rural healthcare practices that co-locate multi-disciplinary healthcare practitioners. Two levels of collaboration were identified: (i) local, intra-team collaboration (i.e., care and prevention) and (ii) territorial, inter-team collaboration (i.e., patient therapeutic education and knowledge sharing). An analysis of 50 interviews with healthcare professionals uncovers important aspects of successful multi-disciplinary collaboration, which is an intermediary between co-location and care integration. By highlighting the social dimension of care integration, with a specific focus on the professional component of interpersonal integration, this study expands the theory of care integration by identifying three antecedents of multi-disciplinary collaboration: (i) prior general practitioner joint-practice experience, (ii) professional impetus (i.e., initiated by practitioners) and (iii) general practitioner peer group membership. Successful multi-disciplinary co-location and, in turn, collaboration offer a range of benefits to both patients and practitioners and advance progress towards promising perspectives, such as local competence transfer and territorial contagion.
- Subjects
FRANCE; ATTITUDE (Psychology); CLINICAL competence; COMMUNICATION; CONTENT analysis; CONTINUUM of care; GROUP medical practice; HEALTH care teams; HEALTH promotion; HEALTH services accessibility; INTEGRATED health care delivery; INTERPROFESSIONAL relations; INTERVIEWING; CASE studies; MEDICAL quality control; MEDICAL personnel; PATIENT-professional relations; PATIENT education; PRIMARY health care; RURAL health; RURAL health clinics; TIME management; WORK environment; QUALITATIVE research; SOCIAL support; EVALUATION of human services programs
- Publication
Health Services Management Research, 2020, Vol 33, Issue 2, p86
- ISSN
0951-4848
- Publication type
Article
- DOI
10.1177/0951484819858828