CSIRO Publishing blank image blank image blank image blank imageBooksblank image blank image blank image blank imageJournalsblank image blank image blank image blank imageAbout Usblank image blank image blank image blank imageShopping Cartblank image blank image blank image You are here: Journals > Australian Journal of Primary Health   
Australian Journal of Primary Health
http://www.latrobe.edu.au/aipc/
  The issues influencing community health services and primary health care
 
blank image Search
 
blank image blank image
blank image
 
  Advanced Search
   

Journal Home
About the Journal
Editorial Board
Contacts
Content
Online Early
Current Issue
Just Accepted
All Issues
Special Issues
Sample Issue
For Authors
General Information
Instructions to Authors
Submit Article
For Referees
Referee Guidelines
Review Article
Annual Referee Index
For Subscribers
Subscription Prices
Customer Service
Print Publication Dates

blue arrow e-Alerts
blank image
Subscribe to our email Early Alert or RSS feeds for the latest journal papers.

red arrow Connect with us
blank image
facebook   youtube

 

Article << Previous     |     Next >>        Online Early    

Multidisciplinary collaboration in primary care: through the eyes of patients

Lynn H. Cheong A, Carol L. Armour B and Sinthia Z. Bosnic-Anticevich A C

A Faculty of Pharmacy, Building A15, University of Sydney, Sydney, NSW 2006, Australia.
B Woolcock Institute of Medical Research, 431 Glebe Point Road, Glebe, NSW 2037, Australia.
C Corresponding author. Email: sinthia.bosnic-anticevich@sydney.edu.au

Australian Journal of Primary Health - http://dx.doi.org/10.1071/PY12019
Submitted: 17 February 2012  Accepted: 30 May 2012   Published online: 31 July 2012


 
PDF (185 KB) $25
 Export Citation
 Print
  
Abstract

Managing chronic illness is highly complex and the pathways to access health care for the patient are unpredictable and often unknown. While multidisciplinary care (MDC) arrangements are promoted in the Australian primary health care system, there is a paucity of research on multidisciplinary collaboration from patients’ perspectives. This exploratory study is the first to gain an understanding of the experiences, perceptions, attitudes and potential role of people with chronic illness (asthma) on the delivery of MDC in the Australian primary health care setting. In-depth semi-structured interviews were conducted with asthma patients from Sydney, Australia. Qualitative analysis of data indicates that patients are significant players in MDC and their perceptions of their chronic condition, perceived roles of health care professionals, and expectations of health care delivery, influence their participation and attitudes towards multidisciplinary services. Our research shows the challenges presented by patients in the delivery and establishment of multidisciplinary health care teams, and highlights the need to consider patients’ perspectives in the development of MDC models in primary care.

Additional keywords: general medical practitioner, interprofessional care, pharmacist.


References

Anderson C, Blenkinsopp A, Armstrong M (2004) Feedback from community pharmacy users on the contribution of community pharmacy to improving the public’s health: a systematic review of the peer reviewed and non-peer reviewed literature 1990–2002. Health Expectations 7, 191–202.
CrossRef |

Australian Bureau of Statistics (2008) ‘Year book Australia.’ Cat. no. 1301.0. (Commonwealth of Australia: Canberra)

Australian Government Department of Health and Ageing (2009) ‘Pharmacy. Home Medicines Review Program – fact sheet.’ Available at http://www.health.gov.au/internet/main/publishing.nsf/Content/ppsac-hmr [Verified April 2012]

Australian Government Department of Health and Ageing (2011) ‘MBS primary care items. History of key MBS primary care initiatives 1999–2010.’ Available at http://www.health.gov.au/internet/main/publishing.nsf/Content/mbsprimarycare-History [Verified April 2012]

Australian Government Department of Health and Ageing (2012) ‘MBS primary care items. Chronic disease management (CDM) Medicare items.’ Available at http://www.health.gov.au/internet/main/publishing.nsf/Content/mbsprimarycare-chronicdiseasemanagement [Verified April 2012]

Bajorek BV, Krass I, Ogle SJ, Duguid M, Shenfield GM (2005) Optimizing the use of antithrombotic therapy for atrial fibrillation in older people: a pharmacist-led multidisciplinary intervention. Journal of the American Geriatrics Society 53, 1912–1920.
CrossRef |

Bodenheimer T (1999) The movement for improved quality in health care. The New England Journal of Medicine 340, 488–492.
CrossRef | CAS |

Britt H, Miller GC, Charles J, Henderson J, Bayram C, Pan Y, Valenti L, Harrison C, O’Halloran J, Fahridin S (2010) ‘General practice activity in Australia 2009–10. General practice series no. 27.’ Cat. no. GEP 27. (AIHW: Canberra)

Clark NM, Nothwehr F (1997) Self-management of asthma by adult patients. Patient Education and Counseling 32, S5–S20.
CrossRef | CAS |

Gerteis M, Edgman-Levitan S, Daley J, Delbanco T (Eds) (1993) ‘Through the patient’s eyes: understanding and promoting patient-centred care.’ 1st edn. (Jossey-Bass: San Francisco)

Gittell JH, Fairfield KM, Bierbaum B, Head W, Jackson R, Kelly M, Laskin R, Lipson S, Siliski J, Thornhill T, Zuckerman J (2000) Impact of relational coordination on quality of care, postoperative pain & functioning, and length of stay: a nine-hospital study of surgical patients. Medical Care 38, 807–819.
CrossRef | CAS |

Grumbach K, Bodenheimer T (2004) Can health care teams improve primary care practice? Journal of the American Medical Association 291, 1246–1251.
CrossRef | CAS |

Harolds J (2005) Effective radiology teams. Journal of the American College of Radiology 2, 151–158.
CrossRef |

Harris MF, Jayasinghe UW, Taggart JR, Christl B, Proudfoot JG, Crookes PA, Beilby JJ, Davies GP (2011) Multidisciplinary team care arrangements in the management of patients with chronic disease in Australian general practice. Medical Journal of Australia 194, 236–239.

Horne R, Weinman J (2002) Self-regulation and self-management in asthma: exploring the role of illness perceptions and treatment beliefs in explaining non-adherence to preventer medication. Psychology & Health 17, 17–32.
CrossRef |

Jünger S, Pestinger M, Elsner F, Krumm N, Radbruch L (2007) Criteria for successful multiprofessional cooperation in palliative care teams. Palliative Medicine 21, 347–354.
CrossRef |

Laforest L, Van Ganse E, Devouassoux G, Osman L, Brice K, Massol J, Bauguil G, Chamba G (2007) Asthmatic patients’ poor awareness of inadequate disease control: a pharmacy-based survey. Annals of Allergy, Asthma & Immunology 98, 146–152.
CrossRef |

Leventhal H, Diefenbach M, Leventhal E (1992) Illness cognition: using common sense to understand treatment adherence and affect cognition interactions. Cognitive Therapy and Research 16, 143–163.
CrossRef |

MacKian S (2002) ‘A review of health seeking behaviour: problems and prospects.’ Available at http://www.infosihat.gov.my/artikelHP/bahanrujukan/HEandICT/Health_seeking_behaviour.pdf [Verified 5 August 2011]

Malterud K (2001) Qualitative research: standards, challenges, and guidelines. Lancet 358, 483–488.
CrossRef | CAS |

McAlister FA, Stewart S, Ferrua S, McMurray JJ (2004) Multidisciplinary strategies for the management of heart failure patients at high risk for admission: a systematic review of randomized trials. Journal of the American College of Cardiology 44, 810–819.

Meltzer D, Chung J, Khalili P, Marlow E, Arora V, Schumock G, Burt R (2010) Exploring the use of social network methods in designing healthcare quality improvement teams. Social Science & Medicine 71, 1119–1130.
CrossRef |

Miles M, Huberman M (1994) ‘Qualitative data analysis: an expanded sourcebook.’ 2 edn. (Sage Publications: Thousand Oaks, CA)

Minai BA, Martin JE, Cohn RC (2004) Results of a physician and respiratory therapist collaborative effort to improve long-term metered-dose inhaler technique in a pediatric asthma clinic. Respiratory Care . 49, 600–605.

Naik Panvelkar P, Armour C, Saini B (2010) Community pharmacy-based asthma services – what do patients prefer? The Journal of Asthma 47, 1085–1093.
CrossRef |

Oandasan I, D’Amour D, Zwarenstein M, Barker K, Purden M, Beaulieu M, Reeves S, Nasmith L, Bosco C, Ginsburg L, Tregunno D (2004). Interprofessional education for collaborative patient-centred practice: research and findings report. Health Canada, Ottawa.

Patel PH, Welsh C, Foggs MB (2004) Improved asthma outcomes using a coordinated care approach in a large medical group. Disease Management 7, 102–111.
CrossRef |

Rabe KF, Adachi M, Lai CKW, Soriano JB, Vermeire PA, Weiss KB, Weiss ST (2004) Worldwide severity and control of asthma in children and adults: The global asthma insights and reality surveys. The Journal of Allergy and Clinical Immunology 114, 40–47.
CrossRef |

San Martín-Rodríguez L, Beaulieu M, D’Amour D, Ferrada-Videla M (2005) The determinants of successful collaboration: A review of theoretical and empirical studies. Journal of Interprofessional Care 19, 132–147.
CrossRef |

Schneider A, Biessecker K, Quinzler R, Kaufmann-Kolle P, Meyer F, Wensing M, Szecsenyi J (2007) Asthma patients with low perceived burden of illness: a challenge for guideline adherence. Journal of Evaluation in Clinical Practice 13, 846–852.

Shaw SN (2008) More than one dollop of cortex: patients’ experiences of interprofessional care at an urban family health centre. Journal of Interprofessional Care 22, 229–237.
CrossRef |

Shenton AK (2004) Strategies for ensuring trustworthiness in qualitative research projects. Education for Information 22, 63–75.

Strauss A, Corbin J (1990) ‘Basics of qualitative research: grounded theory procedures and techniques.’ 2nd edn. (Sage Publications: London)

Suter E, Arndt J, Arthur N, Parboosingh J, Taylor E, Deutschlander S (2009) Role understanding and effective communication as core competencies for collaborative practice. Journal of Interprofessional Care 23, 41–51.
CrossRef |

Tootelian DH, Rolston LW, Negrete MJ (2006) Consumer receptiveness to non-traditional roles for community pharmacists. Health Marketing Quarterly 23, 43–56.
CrossRef |

Van C, Mitchell B, Krass I (2011) General practitioner–pharmacist interactions in professional pharmacy services. Journal of Interprofessional Care 25, 366–372.
CrossRef |

Weinreb JC (2004) Building a team for change in an academic radiology department. Radiology 232, 327–330.
CrossRef |

World Health Organization (2010) ‘Framework for action on interprofessional education and collaborative practice.’ (World Health Organization: Geneva)

Xyrichis A, Lowton K (2008) What fasters or prevents interprofessional teamworking in primary and community care? A literature review. International Journal of Nursing Studies 45, 140–153.
CrossRef |

Zhang Y, Vitry A, Roughead E, Ryan P, Gilbert A (2010) Co-morbidity and the utilisation of health care for Australian veterans with diabetes. Diabetic Medicine 27, 65–71.
CrossRef |


   
Subscriber Login
Username:
Password:  

 
    
Legal & Privacy | Contact Us | Help

CSIRO

© CSIRO 1996-2013