Do primary care professionals agree about progress with implementation of primary care teams: results from a cross sectional study
View/ Open
Full Text
Date
2016-11-22Author
Tierney, E.
O’Sullivan, M.
Hickey, L.
Hannigan, A.
May, C.
Cullen, W.
Kennedy, N.
Kineen, L.
MacFarlane, A.
Metadata
Show full item recordUsage
This item's downloads: 0 (view details)
Cited 7 times in Scopus (view citations)
Recommended Citation
Tierney, E. O’Sullivan, M.; Hickey, L.; Hannigan, A.; May, C.; Cullen, W.; Kennedy, N.; Kineen, L.; MacFarlane, A. (2016). Do primary care professionals agree about progress with implementation of primary care teams: results from a cross sectional study. BMC Family Practice 17 ,
Published Version
Abstract
Background: Primary care is the cornerstone of healthcare reform with policies across jurisdictions promoting interdisciplinary team working. The effective implementation of such health policies requires understanding the perspectives of all actors. However, there is a lack of research about health professionals' views of this process. This study compares Primary Healthcare Professionals' perceptions of the effectiveness of the Primary Care Strategy and Primary Care Team (PCT) implementation in Ireland.
Methods: Design and Setting: e-survey of (1) General Practitioners (GPs) associated with a Graduate Medical School (N = 100) and (2) Primary Care Professionals in 3 of 4 Health Service Executive (HSE) regions (N = 2309). After piloting, snowball sampling was used to administer the survey. Descriptive analysis was carried out using SPSS. Ratings across groups were compared using non-parametric tests.
Results: There were 569 responses. Response rates varied across disciplines (71 % for GPs, 22 % for other Primary Healthcare Professionals (PCPs). Respondents across all disciplines viewed interdisciplinary working as important. Respondents agreed on lack of progress of implementation of formal PCTs (median rating of 2, where 1 is no progress at all and 5 is complete implementation). GPs were more negative about the effectiveness of the Strategy to promote different disciplines to work together (median rating of 2 compared to 3 for clinical therapists and 3.5 for nurses, P = 0.001). Respondents identified resources and GP participation as most important for effective team working. Protected time for meetings and capacity to manage workload for meetings were rated as very important factors for effective team working by GPs, clinical therapists and nurses. A building for co-location of teams was rated as an important factor by nurses and clinical therapists though GPs rated it as less important. Payment to attend meetings and contractual arrangements were considered important factors by GPs but not by nurses or clinical therapists.
Conclusion: PCPs and GPs agree there is limited PCT implementation. GPs are most negative about this implementation. There is some disagreement about which resources are most important for effective PCT working. These findings provide valuable data for clinicians and policy makers about implementation of interdisciplinary teams in primary care.
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 Ireland
Related items
Showing items related by title, author, creator and subject.
-
Developments in health literacy over time: A longitudinal qualitative research study
McKenna, Verna (NUI Galway, 2019-12-12)Introduction Conceptualising health literacy as a relational concept, which involves how individuals interact with complex health and social systems, requires a greater understanding of the context of people’s health ... -
Toward international collaboration on credentialing in health promotion and health education: The Galway Consensus Conference
Barry, Margaret M. (SAGE Journals Online, 2009-05)The interest in competencies, standards, and quality assurance in the professional preparation of public health professionals whose work involves health promotion and health education dates back several decades. In ... -
Researching health inequalities in adolescents: The development of the Health Behaviour in School-Aged Children (HBSC) Family Affluence Scale.
Molcho, Michal (Elsevier, 2008)Socioeconomic inequalities in adolescent health have been little studied until recently, partly due to the lack of appropriate and agreed upon measures for this age group. The difficulties of measuring adolescent socioeconomic ...