Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: The Team-link study

Mark F. Harris, Bibiana C. Chan, Christopher Daniel, Qing Wan, Nick Zwar, Gawaine Powell Davies

Research output: Contribution to journalArticleResearchpeer-review

25 Citations (Scopus)
1 Downloads (Pure)

Abstract

Abstract. Background. This paper describes the development and implementation of an intervention to facilitate teamwork between general practice and outside allied and community health services and providers. Methods. A review of organizational theory and a qualitative study of 9 practices was used to design an intervention which was applied in four Divisions of General Practice and 26 urban practices. Clinical record review and qualitative interviews with participants were used to determine the key lessons from its implementation. Results. Facilitating teamwork across organizational boundaries was very challenging. The quality of the relationship between professionals was of key importance. This was enabled by joint education and direct communication between providers. Practice nurses were key links between general practices and allied and community health services. Conclusions. Current arrangements for Team Care planning provide increased opportunities for access to allied health. However the current paper based system is insufficient to build relationships or effectively share roles as part of a patient care team. Facilitation is feasible but constrained by barriers to communication and trust.

Original languageEnglish
Article number104
JournalBMC Health Services Research
Volume10
DOIs
Publication statusPublished - 28 Apr 2010
Externally publishedYes

Fingerprint

General Practice
Community Health Services
Health
Communication Barriers
Patient Care Team
Joints
Nurses
Communication
Interviews
Education

Cite this

@article{9ba269217c7340a886535a32293953b5,
title = "Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: The Team-link study",
abstract = "Abstract. Background. This paper describes the development and implementation of an intervention to facilitate teamwork between general practice and outside allied and community health services and providers. Methods. A review of organizational theory and a qualitative study of 9 practices was used to design an intervention which was applied in four Divisions of General Practice and 26 urban practices. Clinical record review and qualitative interviews with participants were used to determine the key lessons from its implementation. Results. Facilitating teamwork across organizational boundaries was very challenging. The quality of the relationship between professionals was of key importance. This was enabled by joint education and direct communication between providers. Practice nurses were key links between general practices and allied and community health services. Conclusions. Current arrangements for Team Care planning provide increased opportunities for access to allied health. However the current paper based system is insufficient to build relationships or effectively share roles as part of a patient care team. Facilitation is feasible but constrained by barriers to communication and trust.",
author = "Harris, {Mark F.} and Chan, {Bibiana C.} and Christopher Daniel and Qing Wan and Nick Zwar and Davies, {Gawaine Powell}",
year = "2010",
month = "4",
day = "28",
doi = "10.1186/1472-6963-10-104",
language = "English",
volume = "10",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BioMed Central",

}

Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers : The Team-link study. / Harris, Mark F.; Chan, Bibiana C.; Daniel, Christopher; Wan, Qing; Zwar, Nick; Davies, Gawaine Powell.

In: BMC Health Services Research, Vol. 10, 104, 28.04.2010.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers

T2 - The Team-link study

AU - Harris, Mark F.

AU - Chan, Bibiana C.

AU - Daniel, Christopher

AU - Wan, Qing

AU - Zwar, Nick

AU - Davies, Gawaine Powell

PY - 2010/4/28

Y1 - 2010/4/28

N2 - Abstract. Background. This paper describes the development and implementation of an intervention to facilitate teamwork between general practice and outside allied and community health services and providers. Methods. A review of organizational theory and a qualitative study of 9 practices was used to design an intervention which was applied in four Divisions of General Practice and 26 urban practices. Clinical record review and qualitative interviews with participants were used to determine the key lessons from its implementation. Results. Facilitating teamwork across organizational boundaries was very challenging. The quality of the relationship between professionals was of key importance. This was enabled by joint education and direct communication between providers. Practice nurses were key links between general practices and allied and community health services. Conclusions. Current arrangements for Team Care planning provide increased opportunities for access to allied health. However the current paper based system is insufficient to build relationships or effectively share roles as part of a patient care team. Facilitation is feasible but constrained by barriers to communication and trust.

AB - Abstract. Background. This paper describes the development and implementation of an intervention to facilitate teamwork between general practice and outside allied and community health services and providers. Methods. A review of organizational theory and a qualitative study of 9 practices was used to design an intervention which was applied in four Divisions of General Practice and 26 urban practices. Clinical record review and qualitative interviews with participants were used to determine the key lessons from its implementation. Results. Facilitating teamwork across organizational boundaries was very challenging. The quality of the relationship between professionals was of key importance. This was enabled by joint education and direct communication between providers. Practice nurses were key links between general practices and allied and community health services. Conclusions. Current arrangements for Team Care planning provide increased opportunities for access to allied health. However the current paper based system is insufficient to build relationships or effectively share roles as part of a patient care team. Facilitation is feasible but constrained by barriers to communication and trust.

UR - http://www.scopus.com/inward/record.url?scp=77951239922&partnerID=8YFLogxK

U2 - 10.1186/1472-6963-10-104

DO - 10.1186/1472-6963-10-104

M3 - Article

VL - 10

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

M1 - 104

ER -