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Analyzing the Interprofessional Working of a Home-Based Primary Care Team*

Published online by Cambridge University Press:  07 August 2014

Tracy Smith-Carrier Open the ORCID record for Tracy Smith-Carrier [Opens in a new window]  and
Sheila Neysmith
Tracy Smith-Carrier*
Affiliation:
School of Social Work, King’s University College at Western University
Sheila Neysmith
Affiliation:
Factor-Inwentash Faculty of Social Work, University of Toronto
*
†La correspondance et les demandes de tirés-à-part doivent être adressées à: / Correspondence and requests for offprints should be sent to:Tracy Smith-Carrier, Ph.D.School of Social WorkKing’s University College at Western University266 Epworth AvenueLondon, ON Canada N6A 2M3(tsmithca@uwo.ca)
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Abstract

Increasingly, interprofessional teams are responsible for providing integrated health care services. Effective teams, however, are not the result of chance but require careful planning and ongoing attention to team processes. Based on a case study involving interviews, participant observation, and a survey, we identified key attributes for effective interprofessional working (IPW) within a home-based primary care (HBPC) setting. Recognizing the importance of a theoretical model that reflects the multidimensional nature of team effectiveness research, we employed the integrated team effectiveness model to analyze our findings. The results indicated that a shared vision, common goals, respect, and trust among team members – as well as processes for ongoing communication, effective leadership, and mechanisms for conflict resolution – are vital in the development of a high-functioning IPW team. The ambiguity and uncertainty surrounding the context of service provision (clients’ homes), as well the negotiation of external relationships in the HBPC field, require further investigation.

Résumé

De plus en plus, les équipes interprofessionnelles sont chargées de fournir la prestation de services de soins de santé intégrés. Cependant, les équipes efficaces ne sont pas le fruit du hasard, mais nécessitent une planification minutieuse et une attention soutenue au processus de développer l’équipe. Basée sur une étude de cas portant sur des entretiens, l’observation participante, et une enquête, nous avons identifié les attributs clés pour le travail interprofessionnel efficace (TIE) dans le cadre de soins primaires à domicile (SPD). Reconnaissant l’importance d’un modèle théorique qui reflète la nature multi-dimensionnelle de la recherche sur l’efficacité de l’équipe, nous avons utilisé le modèle de l’efficacité de l’équipe integrée pour analyser nos résultats. Ces résultats indiquaient qu’une vision commune, des objectifs communs, le respect et la confiance entre les membres de l’équipe—ainsi que la communication continue, la direction efficace et des mécanismes de résolution des conflits—sont essentiels pour le développement d’une equipe de TIE qui fonctionne très bien. L’ambiguité et l’incertitude qui entoure le cadre de la prestation de services (à domicile), ainsi que la négociation des relations extérieures dans le domaine SPD, nécessitent la recherche plus approfondie.

Keywords

agingcase studyhome-based primary careinterprofessional teamsolder adultsteam integrationvieillissmentétude de cassoins primaires à domicileéquipes interprofessionellesaînésintégration de l’équipe
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 33 , Issue 3 , September 2014 , pp. 271 - 284
Copyright
Copyright © Canadian Association on Gerontology 2014 

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Footnotes

*

Funding: This research was funded by the Social Sciences and Humanities Research Council of Canada

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