What do patients experience? Interprofessional collaborative practice for chronic conditions in primary care: an integrative review

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Abstract

Background: Improving the patient experience is one of the quadruple aims of healthcare. Therefore, understanding
patient experiences and perceptions of healthcare interactions is paramount to quality improvement. This integrative
review aimed to explore how patients with chronic conditions experience Interprofessional Collaborative Practice in
primary care.
Methods: An integrative review was conducted to comprehensively synthesize primary studies that used qualitative,
quantitative, and mixed methods. Databases searched were Medline, Embase, CINAHL and Web of Science on June
1st, 2021. Eligible studies were empirical full-text studies in primary care that reported experiences or perceptions of
Interprofessional Collaborative Practice by adult patients with a chronic condition, in any language published in any
year. Quality appraisal was conducted on included studies using the Mixed Method Appraisal Tool. Data on patients’
experiences and perceptions of Interprofessional Collaborative Practice in primary care were extracted, and fndings
were thematically analyzed through a meta-synthesis.
Results: Forty-eight (n=48) studies met the inclusion criteria with a total of n=3803 participants. Study quality of
individual studies was limited by study design, incomplete reporting, and the potential for positive publication bias.
Three themes and their sub-themes were developed inductively: (1) Interacting with Healthcare Teams, subthemes:
widening the network, connecting with professionals, looking beyond the condition, and overcoming chronic
condition collectively; (2) Valuing Convenient Healthcare, subthemes: sharing space and time, care planning creates
structure, coordinating care, valuing the general practitioner role, and afording healthcare; (3) Engaging Self-care,
subthemes: engaging passively is circumstantial, and, engaging actively and leading care.
Conclusions: Patients overwhelmingly had positive experiences of Interprofessional Collaborative Practice, signaling it is appropriate for chronic condition management in primary care. The patient role in managing their chronic
condition was closely linked to their experience. Future studies should investigate how the patient role impacts the
experience of patients, carers, and health professionals in this context.
Systematic review registration: PROSPERO: CRD42020156536.
Original languageEnglish
Article number8
JournalBMC Primary Care
Volume23
Issue number1
DOIs
Publication statusPublished - 14 Jan 2022

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