Professional perceptions of joint working in primary care and social care services for older people in Scotland

Hubbard, Gill; Themessl‐Huber, Markus

doi:10.1080/13561820500165167

Cited by 26 publications

(43 citation statements)

References 16 publications

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“…Some studies point to the fact that co-location is a necessary prerequisite for integrated care [363738]. A recent study found that co-location of multiple disciplines within a primary care practice was associated with increased capacity to provide broad, specialised and preventive care for people with chronic disease [39 p. 5].…”

Section: Theory and Methodsmentioning

confidence: 99%

Co-location as a Driver for Cross-Sectoral Collaboration with General Practitioners as Coordinators: The Case of a Danish Municipal Health Centre

Scheele¹,

Vrangbæk

2016

International Journal of Integrated Care

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The issue of integrated care and inter-sectoral collaboration is on the health policy agenda in many countries. Yet, there is limited knowledge about the effects of the different policy instruments used to achieve this. This paper studies co-location as a driver for cross-sectoral collaboration with general practitioners (GPs) acting as coordinators in a municipal health centre. The purpose of the health centre, which is staffed by health professionals from municipal, regional and private sectors, is to provide primary health services to the citizens of the municipality. Co-locating these professionals is supposed to benefit e.g., elder citizens and patients with chronic diseases who frequently require services from health professionals across administrative sectors.Methodologically, the analysis is based on qualitative data in the form of semi-structured interviews with the health professionals employed at the health centre and with administrative managers from municipal and regional government levels.The study finds that co-location does not function as a driver for cross-sectoral collaboration in a health centre when GPs act as coordinators. Cross-sectoral collaboration is hampered by the general practitioners’ work routines and professional identity, by organisational factors and by a lack of clarity concerning the content of collaboration with regard to economic and professional incentives.

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Section: Theory and Methodsmentioning

confidence: 99%

Co-location as a Driver for Cross-Sectoral Collaboration with General Practitioners as Coordinators: The Case of a Danish Municipal Health Centre

Scheele¹,

Vrangbæk

2016

International Journal of Integrated Care

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“…In a discussion of professional perspectives on working together, Hubbard and Themessl-Huber (2005) highlight that that joint working is not just about transferring information, but about creating new thinking. They argue that there is a need to focus attention on "how knowledge is created rather than upon how knowledge is exchanged".…”

mentioning

confidence: 99%

Professional differences in interprofessional working

Baxter

Brumfitt

2008

Journal of Interprofessional Care

122

104

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UK government policy is encouraging healthcare staff to blur traditional roles, in the drive to increase joint working between practitioners. However there is currently a lack of clarity regarding the impact that changes to traditional working practice might have on staff delivering the services, or on patient care. In this article, we report findings from three qualitative case studies examining joint working practice in stroke care, in which the influence of professional differences was a subsidiary theme. We draw on findings from individual semi-structured interviews, as well as fieldwork observations, to describe the influence of professional knowledge and skills, role and identity, and power and status considerations in interprofessional working. The insights that were gained contribute to the understanding of how professional differences impact on healthcare staff joint working, and suggest that the elements identified need to be fully considered in drives towards changed working practice.

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“…Further work is required to explore the impact of SAP on outcomes for service users and carers as well as in more diverse populations. The effect that improving joint working will have on outcomes for older people and their informal carers also requires study (Hubbard and Themessl-Huber 2005).…”

Section: Discussionmentioning

confidence: 99%

“…Partnership working is a central theme of the current UK Government"s "Third Way" policies (Hudson 2002) and aims to blur boundaries in order to provide seamless care across health and social care to patients (Hubbard and Themessl-Huber 2005). However, overcoming the barriers to joint working have been likened to demolishing the Berlin Wall .…”

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confidence: 99%

Implementing the Single Assessment Process: Opportunities and challenges

Dickinson

2006

Journal of Interprofessional Care

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2Implementing the Single Assessment Process: Opportunities and Challenges. AbstractThe Single Assessment Process (SAP) has been introduced as part of the National Service Framework for Older People (DoH 2001) and has major implications for health and social care.The aim of this study was to evaluate a pilot introduction of the Single Assessment Process in the South-East of England. A qualitative case study design incorporating observation and semi-structured interviews were used to collect data.Assessment visits were observed and recorded, and interviews were carried out with older people and their carers (n=9), health and social care practitioners, operational managers, and other key individuals involved in the pilot (n=26).Overall the evaluation found three major themes that had an impact on the implementation of the Single Assessment Process. These were: the process of implementing policy and change, the health and social care boundary, and communication and sharing of assessments. Front-line practitioners (street-level bureaucrats) had a major impact on the SAP implementation, particularly through their reluctance to engage with the process, work together and share assessments. Success of the national SAP implementation will depend on the extent to which those working directly with older people can be engaged in the policy process.

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Professional perceptions of joint working in primary care and social care services for older people in Scotland

Cited by 26 publications

References 16 publications

Co-location as a Driver for Cross-Sectoral Collaboration with General Practitioners as Coordinators: The Case of a Danish Municipal Health Centre

Co-location as a Driver for Cross-Sectoral Collaboration with General Practitioners as Coordinators: The Case of a Danish Municipal Health Centre

Professional differences in interprofessional working

Implementing the Single Assessment Process: Opportunities and challenges

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