A scoping review of interprofessional collaborative practice and education using the lens of the Triple Aim

Abstract

The Triple Aim unequivocally connects interprofessional healthcare teams to the provision of better healthcare services that would eventually lead to improved health outcomes. This review of the interprofessional education (IPE) and collaborative practice empirical literature from 2008 to 2013 focused on the impact of this area of inquiry on the outcomes identified in the Triple Aim. The preferred reporting items for systematic reviews and meta-analyses methodology were employed including: a clearly formulated question, clear inclusion criteria to identify relevant studies based on the question, an appraisal of the studies or a subset of the studies, a summary of the evidence using an explicit methodology and an interpretation of the findings of the review. The initial search yielded 1176 published manuscripts that were reduced to 496 when the inclusion criteria were applied to refine the selection of published manuscripts. Despite a four-decade history of inquiry into IPE and/or collaborative practice, scholars have not yet demonstrated the impact of IPE and/or collaborative practice on simultaneously improving population health, reducing healthcare costs or improving the quality of delivered care and patients’ experiences of care received. We propose moving this area of inquiry beyond theoretical assumptions to systematic research that will strengthen the evidence base for the effectiveness of IPE and collaborative practice within the context of the evolving imperative of the Triple Aim.

Toward interprofessional learning and education: Mapping common outcomes for prequalifying healthcare professional programs in the United Kingdom

“…In the USA, IPE has been highlighted as one approach to help achieve the "triple aim" of "improving the experience of care, improving the health of the population and reducing per capita healthcare costs" (Berwick et al 2008;Brandt et al 2014;Earnest & Brandt 2014). In Australia, an extensive exercise was undertaken to develop recommendations for IPE and interprofessional practice based on a national approach to IPE curriculum development linked to workforce planning and capacity building using a "four dimensional model of curriculum development" framework (Health Workforce Australia 2013).…”

Social Justice, Social Determinants of Health, Interprofessional Practice and Community Engagement as Formative Elements of a Nurse Practitioner Managed Health Center

“…what actually can be measured and what is the most appropriate methodology). The work of Brandt et al [19] and Goldman et al [23] identify that previous research has focused on three types of impact (of IPE/IPP). These are short-term changes on the learner; practice-based processes and organizational level policy change.…”

“…Socialization into health professions roles involves mutual learning through interactions with professionals from other disciplines to understand their roles, values, attitudes, skills, behaviors, and norms [18]. Although the IPE and collaborative practice movement began about 40 years ago, high quality evaluation research remains critical to show their effectiveness [19]. , n.d.) that the goal is to, "Increase the proportion of academic institutions with health professions education programs whose prevention curricula include interprofessional educational experiences" [21].…”

Collaborative practices between correctional and mental health services in Norway: Expanding the roles and responsibility competence domain

“…The latter is mediated also by structures internal to the individual professional. Perceptions of collaborative practice are one such internal structure and may include the way a professional views the professional power differences between collaborators (Ødegård 2006).Although the longer term impact of collaborative practice on population health and the quality of care and patient experiences are difficult to establish (Brandt, Lutfiyya, King, & Chioreso, 2014), improving collaborative practice, as a focus of organisational quality improvement, has been linked to positive service user outcomes including reduced length of patient hospital stay, lower costs, improvement in the way drugs are prescribed and increased audit activity (Zwarenstein, Goldman, & Reeves, 2009). In the innovation literature, the space between different groups of collaborator, demarcated by professional, departmental or organisational boundaries, is described as a highly productive area where a diversity of ideas meet and generate socially innovative solutions to practice problems (Vangen & Huxham, 2013).…”