Interprofessional teamwork in comprehensive primary healthcare services: Findings from a mixed methods study

2017 ◽  
Vol 32 (3) ◽  
pp. 274-283 ◽  
Author(s):  
Michael Bentley ◽  
Toby Freeman ◽  
Fran Baum ◽  
Sara Javanparast
Keyword(s):  
Mixed Methods ◽  
Primary Healthcare ◽  
Healthcare Services ◽  
Mixed Methods Study ◽  
Interprofessional Teamwork

scholarly journals Perception and Use of Primary Healthcare Services Among People With Cardiometabolic Diseases in Two Resource-Limited Areas in Nepal: A Mixed Methods Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Nicholas Peoples ◽  
Enying Gong ◽  
Kamal Gautam ◽  
Shree N. Khanal ◽  
Brandon A. Kohrt ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Primary Healthcare ◽  
Barriers To Care ◽  
Healthcare Services ◽  
Mixed Methods Study ◽  
Future Research ◽  
Health Coverage ◽  
Sampling Frame ◽  
Cardiometabolic Diseases ◽  
Bedside Manner

Nepal is a country in south Asia with a high burden of cardiometabolic diseases (CMDs). Strengthening primary healthcare (PHC) is a key strategy to mitigate this increasing burden and achieve universal health coverage. While previous studies in Nepal have assessed PHC use among the elderly, none have specifically explored PHC use among people with CMDs. Therefore, this mixed-methods study aimed to assess the use and perception of PHC services in Nepal among people living with CMDs for primary and secondary prevention of cardiovascular disease. We used a quantitative survey followed-up by semi-structured qualitative interviews. The sampling frame comprised five PHC facilities in Sindhuli district (rural; eastern Nepal) and five in Kailali district (urban; western Nepal), with participants selected from each facility via convenience sampling. 114 people (mean age: 54.5 ± 14.7, sex ratio 1.04) with CMDs participated in the survey. Survey data showed general dissatisfaction with PHC services. Medicine cost was rated “too expensive” by 52 and 63% of rural and urban participants, respectively. Interview data showed that perceived poor bedside manner was tied to negative perceptions of PHC quality, and vice versa. Lack of resources and excessive barriers to care was mentioned by every interviewee. In conclusion, PHC use was high but overall satisfaction relatively low. Our results suggest that bedside manner is a practical target for future research. Additionally, we identified several barriers to care, and, based on existing literature, we suggest electronic-health interventions may have potential to mitigate these challenges.

scholarly journals Access to, and experiences of, healthcare services by trafficked people: findings from a mixed-methods study in England

2016 ◽  
Vol 66 (652) ◽  
pp. e794-e801 ◽  
Author(s):  
Joanne Westwood ◽  
Louise M Howard ◽  
Nicky Stanley ◽  
Cathy Zimmerman ◽  
Clare Gerada ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Healthcare Services ◽  
Mixed Methods Study

scholarly journals Perceived barriers of tobacco dependence treatment: a mixed-methods study among primary healthcare physicians in Armenia

2018 ◽  
Vol 20 ◽  
Author(s):  
Arusyak Harutyunyan ◽  
Armine Abrahamyan ◽  
Varduhi Hayrumyan ◽  
Varduhi Petrosyan
Keyword(s):  
Smoking Cessation ◽  
Mixed Methods ◽  
Primary Healthcare ◽  
Quantitative Data ◽  
Tobacco Dependence ◽  
Mixed Methods Study ◽  
Perceived Barriers ◽  
Smoking Cessation Counseling ◽  
Tobacco Dependence Treatment ◽  
Smoking Cessation Services

AbstractBackgroundDespite compelling evidence that physicians play a prominent role in smoking cessation, most smokers do not receive the recommended smoking cessation counseling.AimTo identify perceived barriers that hinder primary healthcare physicians (PHPs) from providing smoking cessation treatment to patients in Armenia.MethodsA sequential exploratory mixed-methods study was conducted among PHPs from two Armenian cities (Yerevan and Gyumri). We implemented qualitative phase through focus group discussions (FGDs) using a semi-structured guide. For the subsequent quantitative phase, the data were collected through cross-sectional survey. A directed deductive content analysis technique was used to analyze the FGDs and questionnaires were analyzed descriptively. Following the data collection (March 2015–May 2016) and descriptive analysis, the qualitative and quantitative data sets were merged by drawing quantitative data onto qualitative categories.FindingsOverall, 23 PHPs participated in five FGDs and 108 participants completed the survey. Three main categories of barriers were identified: physician-based, patient-based, and system-based barriers. The main physicians-based barriers were insufficient knowledge and inadequate training on tobacco-dependence treatment. Lack of patients’ motivation to quit, poor compliance with the treatment, patients’ withdrawal symptoms were identified as patient-based disincentives. System-based barriers included lack of reimbursement for providing smoking cessation counseling, high price and low availability of smoking cessation medications. Most of the qualitative descriptions were confirmed by quantitative findings.ConclusionsTargeted interventions are needed to address barriers that limited PHPs’ involvement in providing smoking cessation services in Armenia. There is an urgent need to enhance PHPs’ knowledge and skills in delivering smoking cessation counseling, to increase patients’ demand for smoking cessation services, and to ensure availability and affordability of smoking cessation services in Armenia.

scholarly journals Tuberculosis care for migrant patients in Portugal: a mixed methods study with primary healthcare providers

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ana Maria Tavares ◽  
Ana Cristina Garcia ◽  
Ana Gama ◽  
Ana B. Abecasis ◽  
Miguel Viveiros ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Primary Healthcare ◽  
Healthcare Providers ◽  
Mixed Methods Study ◽  
Primary Healthcare Providers ◽  
Tuberculosis Care

Experiences with primary healthcare in Fuzhou, urban China, in the context of health sector reform: a mixed methods study

2013 ◽  
Vol 29 (2) ◽  
pp. e107-e126 ◽  
Author(s):  
Rosalind McCollum ◽  
Lieping Chen ◽  
Tang ChenXiang ◽  
Xiaoyun Liu ◽  
Barbara Starfield ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Primary Healthcare ◽  
Health Sector ◽  
Urban China ◽  
Mixed Methods Study ◽  
Health Sector Reform ◽  
Sector Reform

Interprofessional collaborative practice in primary healthcare settings in Indonesia: A mixed-methods study

2019 ◽  
Vol 17 ◽  
pp. 100279
Author(s):  
Ardi Findyartini ◽  
Daniel Richard Kambey ◽  
Rezki Yeti Yusra ◽  
Amandha Boy Timor ◽  
Candrika Dini Khairani ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Primary Healthcare ◽  
Collaborative Practice ◽  
Mixed Methods Study ◽  
Interprofessional Collaborative Practice ◽  
Healthcare Settings

scholarly journals Interprofessional teamwork: the role of professional identity and signature pedagogy – a mixed methods study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Stephanie Best ◽  
Christian Beech ◽  
Iain J. Robbé ◽  
Sharon Williams
Keyword(s):  
Mixed Methods ◽  
Professional Identity ◽  
Social Care ◽  
Mixed Methods Study ◽  
Content Type ◽  
Interprofessional Team ◽  
Signature Pedagogy ◽  
Interprofessional Teamwork ◽  
Health And Social Care ◽  
Practical Implications

PurposeOne overlooked determinant of interprofessional teamwork is the mobilisation of professional identity. Taking a health or social care practitioner out of their professional silo and placing them in an interprofessional team setting will challenge their professional identity. The theory of signature pedagogy was used to investigate the challenges and what is needed to support practitioners to mobilise their professional identity to maximise teamwork.Design/methodology/approachA cross-sectional mixed methods study was undertaken in the form of three focus groups, with members of health and social care teams in Wales, UK. Using nominal group technique, participants explored and ranked the challenges and benefits of mobilising their professional identity within an interprofessional setting.FindingsFindings on mobilising professional identity were found to be aligned closely with the three signature pedagogy apprenticeships of learning to think and to perform like others in their profession and to act with moral integrity. The biggest challenge facing practitioners was thinking like others in their profession while in an interprofessional team.Research limitations/implicationsThe focus of this study is health and social care teams within Wales, UK, which may limit the results to teams that have a similar representation of professionals.Practical implicationsHealthcare leaders should be aware of the opportunities to promote mobilisation of professional identity to maximise teamwork. For example, at induction, by introducing the different roles and shared responsibilities. Such practical implications do have consequences for policy as regards interprofessional team development and organisational commitments to adult learning and evaluation.Originality/valueThis is the first study of professional identity of interprofessional healthcare and social professionals using signature pedagogy to gain a better understanding of teamwork.

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