BackgroundThis paper describes the development and implementation of an intervention to facilitate teamwork between general practice and outside allied and community health services and providers.MethodsA 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.ResultsFacilitating 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.ConclusionsCurrent 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.
The Uniform Guidelines on Employee Selection Procedures have not changed since being promulgated by the U.S. Equal Employment Opportunity Commission and three other agencies in 1978, even though assessment psychology and adverse impact law have evolved. Introducing the symposium, this article suggests that political conflict prevented the Guidelines from being revised in the 1980s and 1990s and could prevent modification from occurring in the future. Instead of relying exclusively on the Guidelines, managers directing selection processes should periodically monitor legal developments and research trends that are reshaping assessment practice.
Structured interviewing is useful because informally conducted interviews are not predictive of job performance. This article describes components of structured interviews, emphasizing practices supported by research and common sense. There is no “one size fits all” remedy, but jurisdictions can benefit by adopting a step-by-step agenda.
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