An Overview of Reviews on Interprofessional Collaboration in Primary Care: Barriers and Facilitators
Introduction: Interprofessional collaboration (IPC) is becoming more widespread in primary care due to the increasing complex needs of patients. However, its implementation can be challenging. We aimed to identify barriers and facilitators of IPC in primary care settings. Methods: An overview of rev...
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doaj-77f027465f4649f9b8d8a7f5639fb2342021-07-14T06:18:54ZengUbiquity PressInternational Journal of Integrated Care1568-41562021-06-0121210.5334/ijic.55895150An Overview of Reviews on Interprofessional Collaboration in Primary Care: Barriers and FacilitatorsCloe Rawlinson0Tania Carron1Christine Cohidon2Chantal Arditi3Quan Nha Hong4Pierre Pluye5Isabelle Peytremann-Bridevaux6Ingrid Gilles7Center for Primary Care and Public Health (Unisanté), Route de Corniche 10, 1010 LausanneCenter for Primary Care and Public Health (Unisanté), Route de Corniche 10, 1010 LausanneCenter for Primary Care and Public Health (Unisanté), Route de Corniche 10, 1010 LausanneCenter for Primary Care and Public Health (Unisanté), Route de Corniche 10, 1010 LausanneDepartment of Family Medicine, McGill University, 5858, Chemin de la Côte-des-Neiges, Montreal, QuebecDepartment of Family Medicine, McGill University, 5858, Chemin de la Côte-des-Neiges, Montreal, QuebecCenter for Primary Care and Public Health (Unisanté), Route de Corniche 10, 1010 LausanneCenter for Primary Care and Public Health (Unisanté), Route de Corniche 10, 1010 LausanneIntroduction: Interprofessional collaboration (IPC) is becoming more widespread in primary care due to the increasing complex needs of patients. However, its implementation can be challenging. We aimed to identify barriers and facilitators of IPC in primary care settings. Methods: An overview of reviews was carried out. Nine databases were searched, and two independent reviewers took part in review selection, data extraction and quality assessment. A thematic synthesis was carried out to highlight the main barriers and facilitators, according to the type of IPC and their level of intervention (system, organizational, inter-individual and individual). Results: Twenty-nine reviews were included, classified according to six types of IPC: IPC in primary care (large scope) (n = 11), primary care physician (PCP)-nurse in primary care (n = 2), PCP-specialty care provider (n = 3), PCP-pharmacist (n = 2), PCP-mental health care provider (n = 6), and intersectoral collaboration (n = 5). Most barriers and facilitators were reported at the organizational and inter-individual levels. Main barriers referred to lack of time and training, lack of clear roles, fears relating to professional identity and poor communication. Principal facilitators included tools to improve communication, co-location and recognition of other professionals’ skills and contribution. Conclusions: The range of barriers and facilitators highlighted in this overview goes beyond specific local contexts and can prove useful for the development of tools or guidelines for successful implementation of IPC in primary care.https://www.ijic.org/articles/5589interprofessionalcollaborationprimary carebarriersfacilitatorsoverviewreview |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Cloe Rawlinson Tania Carron Christine Cohidon Chantal Arditi Quan Nha Hong Pierre Pluye Isabelle Peytremann-Bridevaux Ingrid Gilles |
spellingShingle |
Cloe Rawlinson Tania Carron Christine Cohidon Chantal Arditi Quan Nha Hong Pierre Pluye Isabelle Peytremann-Bridevaux Ingrid Gilles An Overview of Reviews on Interprofessional Collaboration in Primary Care: Barriers and Facilitators International Journal of Integrated Care interprofessional collaboration primary care barriers facilitators overview review |
author_facet |
Cloe Rawlinson Tania Carron Christine Cohidon Chantal Arditi Quan Nha Hong Pierre Pluye Isabelle Peytremann-Bridevaux Ingrid Gilles |
author_sort |
Cloe Rawlinson |
title |
An Overview of Reviews on Interprofessional Collaboration in Primary Care: Barriers and Facilitators |
title_short |
An Overview of Reviews on Interprofessional Collaboration in Primary Care: Barriers and Facilitators |
title_full |
An Overview of Reviews on Interprofessional Collaboration in Primary Care: Barriers and Facilitators |
title_fullStr |
An Overview of Reviews on Interprofessional Collaboration in Primary Care: Barriers and Facilitators |
title_full_unstemmed |
An Overview of Reviews on Interprofessional Collaboration in Primary Care: Barriers and Facilitators |
title_sort |
overview of reviews on interprofessional collaboration in primary care: barriers and facilitators |
publisher |
Ubiquity Press |
series |
International Journal of Integrated Care |
issn |
1568-4156 |
publishDate |
2021-06-01 |
description |
Introduction: Interprofessional collaboration (IPC) is becoming more widespread in primary care due to the increasing complex needs of patients. However, its implementation can be challenging. We aimed to identify barriers and facilitators of IPC in primary care settings. Methods: An overview of reviews was carried out. Nine databases were searched, and two independent reviewers took part in review selection, data extraction and quality assessment. A thematic synthesis was carried out to highlight the main barriers and facilitators, according to the type of IPC and their level of intervention (system, organizational, inter-individual and individual). Results: Twenty-nine reviews were included, classified according to six types of IPC: IPC in primary care (large scope) (n = 11), primary care physician (PCP)-nurse in primary care (n = 2), PCP-specialty care provider (n = 3), PCP-pharmacist (n = 2), PCP-mental health care provider (n = 6), and intersectoral collaboration (n = 5). Most barriers and facilitators were reported at the organizational and inter-individual levels. Main barriers referred to lack of time and training, lack of clear roles, fears relating to professional identity and poor communication. Principal facilitators included tools to improve communication, co-location and recognition of other professionals’ skills and contribution. Conclusions: The range of barriers and facilitators highlighted in this overview goes beyond specific local contexts and can prove useful for the development of tools or guidelines for successful implementation of IPC in primary care. |
topic |
interprofessional collaboration primary care barriers facilitators overview review |
url |
https://www.ijic.org/articles/5589 |
work_keys_str_mv |
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