Conditions for successful interprofessional collaboration in integrated care – Lessons from a primary care setting in Denmark |
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| Authors: | Andreas Nielsen Hald Mickael Bech Viola Burau |
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| Institution: | 1. Department of Public Health, Aarhus University, Bartholins Allé, 8000, Aarhus C, Denmark;2. VIVE—The Danish Center for Social Science Research, Olof Palmes Allé 22, 8200 Aarhus N;3. Department of Political Science, Aarhus University, Bartholins Allé 7, 8000, Aarhus C, Denmark;1. Girona Biomedical Research Institute (IdIBGI), Girona, Catalonia, Spain;2. Memory and Dementia Assessment Unit, Hospital Santa Caterina, Institut d’Assistència Sanitària, Salt, Catalonia, Spain;3. Department of Medical Sciences, University of Girona, Girona, Catalonia, Spain;4. Paul Baerwald School of Social Work and Social Welfare, The Hebrew University in Jerusalem, Jerusalem, Israel;5. Centro de Estudios Monetarios y Financieros, Banco de España, Madrid, Spain;1. Research Unit for General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark;2. DaCHE – Danish Centre for Health Economics Research, Institute of Public Health, University of Southern Denmark, Odense, Denmark;3. Department for the Study of Culture, University of Southern Denmark, Odense, Denmark;4. Research Unit for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark;1. James Cook University, Australian Institute of Tropical Health and Medicine, Australia;2. The University of Queensland, School of Economics, Australia;3. The University of Queensland, Centre for the Business and Economics of Health, Australia;1. Department of Political Science, Aarhus University, Bartholins Allé 9, 8000, Aarhus C, Denmark;2. Department of Public Health, Aarhus University, Bartholins Allé 2, 8000, Aarhus C, Denmark;3. DEFACTUM – Public Health and Health Services Research, Central Denmark Region, Olof-Palmes Allé 15, 8200, Aarhus N, Denmark;4. Prehospital Emergency Department, Aarhus University Hospital, Olof Palmes Allé 34, 8200, Aarhus C, Denmark;1. University of Bergamo, Italy;2. Webster University Geneva, Switzerland;1. Faculty of Social Sciences, Charles University, Opletalova 26, 110 00 Prague, Czech Republic;2. University Hospital Ostrava - Medical Faculty of Ostrava University, Department of Neurology, Ostrava, Czech Republic;3. Department of Neurology, Comprehensive Stroke Centre, Charles University, Faculty of Medicine and University Hospital in Hradec Králové, Hradec Králové, Czech Republic;4. St. Anne’s University Hospital and Faculty of Medicine- Masaryk University, Department of Neurology, Brno, Czech Republic;5. County Hospital Chomutov, Neurology, Chomutov, Czech Republic;6. Palacký Medical School and University Hospital, Comprehensive Stroke Center- Department of Neurology, Olomouc, Czech Republic;7. Hospital Jihlava, Department of Neurology, Jihlava, Czech Republic;8. University Hospital Ostrava, Department of Neurology, Ostrava, Czech Republic;9. Agel Research and Training Institute- Ostrava Vitkovice Hospital, Neurology, Ostrava, Czech Republic;10. 2nd Medical School of Charles University and Motol University Hospital, Department of Neurology, Prague, Czech Republic;11. Executive Board of Czech Stroke Society, Czech Neurological Society of the J. E. Purkyně Czech Medical Society, Prague, Czech Republic |
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| Abstract: | IntroductionIncreasing demand for interprofessional collaboration in health care settings has led to a greater focus on how conditions influence the success of interprofessional collaboration, but little is known about the magnitude of the interactions between different conditions. This paper aims to examine the relationships of intervention conditions and context conditions at the professional and organisational level and examine how they influence the staff’s perceived success of the interprofessional collaboration.MethodsThe study was conducted as a multilevel cross-sectional survey in March of 2019 in the second largest municipality in Denmark, Aarhus. The study population was all frontline-staff members and managers in nursing homes, home care units and health care units. The final sample consisted of 498 staff members and 27 managers. Confirmatory path analysis was used to analyse the data.ResultsThe results indicate that context conditions greatly influence intervention conditions at the professional and organisational level and that the professional and organisational levels moderately co-variate. Professional level context conditions have the biggest influence on staff’s perceived success, partly because its influence is confounded by intervention conditions.ConclusionPractice and research in health care settings should re-focus their attention from a broad understanding of context as unchangeable and inconsequential, to understanding context as an important condition type for interprofessional collaboration that needs to be further understood and researched. |
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| Keywords: | Public health practice Organization and administration Health workforce Personnel management Health planning Mediation analysis |
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