The Chief Primary Care Medical Officer: Restoring Continuity

Doohan, Noemi; DeVoe, Jennifer E.

doi:10.1370/afm.2078

Cited by 6 publications

(6 citation statements)

References 40 publications

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“…Most articles used qualitative methods, several combined with quantitative research approaches, some used quantitative methods as surveys or questionnaires and a few articles were reviews or opinion papers. Six articles could not be fully scored due to the methods used in the article (opinion/discussion papers) [ 29 , 32 , 44 , 45 , 55 , 61 ], so no CAS was assigned. Two articles scored ‘yes’ on all questions of the critical appraisal tool, resulting in a maximum CAS of 12 [ 27 , 63 ].…”

Section: Resultsmentioning

confidence: 99%

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Competencies to promote collaboration between primary and secondary care doctors: an integrative review

Janssen

Sagasser²,

Fluit

et al. 2020

BMC Fam Pract

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Background In a society where ageing of the population and the increasing prevalence of long-term conditions are major issues, collaboration between primary and secondary care is essential to provide continuous, patient-centred care. Doctors play an essential role at the primary-secondary care interface in realising ‘seamless’ care. Therefore, they should possess collaborative competencies. However, knowledge about these collaborative competencies is scarce. In this review we explore what competencies doctors need to promote collaboration between doctors at the primary-secondary care interface. Methods We conducted an integrative literature review. After a systematic search 44 articles were included in the review. They were analysed using a thematic analysis approach. Results We identified six themes regarding collaborative competencies: ‘patient-centred care: a common concern’, ‘roles and responsibilities’, ‘mutual knowledge and understanding’, ‘collaborative attitude and respect’, ‘communication’ and ‘leadership’. In every theme we specified components of knowledge, skills and attitudes as found in the reviewed literature. The results show that doctors play an important role, not only in the way they collaborate in individual patient care, but also in how they help shaping organisational preconditions for collaboration. Conclusions This review provides an integrative view on competencies necessary for collaborative practice at the primary-secondary care interface. They are part of several domains, showing the complexity of collaboration. The information gathered in this review can support doctors to enhance and learn collaboration in daily practice and can be used in educational programmes in all stages of medical education.

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Section: Resultsmentioning

confidence: 99%

“…Several articles [ 22 – 24 , 26 , 29 , 37 , 40 , 42 , 43 , 45 – 47 , 49 , 50 , 53 , 56 , 60 , 61 , 63 ](2 with a low CAS and 3 with no CAS) mentioned the importance of knowledge about the partners in collaboration, their contexts and how this influences the way they work.…”

Section: Resultsmentioning

confidence: 99%

Competencies to promote collaboration between primary and secondary care doctors: an integrative review

Janssen

Sagasser²,

Fluit

et al. 2020

BMC Fam Pract

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“…The role disruption contributes to communication disruption between primary care providers, specialists and hospitalists and between nurses, patients and their providers. [18,19] The evolution of roles and how these affect team practice, communication and collaboration are important considerations because of the context it creates for role understanding. These factors can strike biases between professions that are unintended and even unconscious.…”

Section: Introductionmentioning

confidence: 99%

“…For instance, though the ACA promotes the relationship between hospital and community services on behalf of the patient and the continuity of care, by doing so, it disrupts traditional roles and how they function. [18] Through decades interdisciplinary teams have functioned in hospital settings with varying degrees of success, but it is unlikely that existing teams have performed at the expected level of Core Competency 2, once again modifying self and other professions' role-perceptions.…”

Section: Introductionmentioning

confidence: 99%

IPEC’s core competency 2 roles and responsibilities: What more do we need to implement these?

Harper¹

2019

JNEP

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The Interprofessional Education Collaborative (IPEC) has published guidelines to promote interprofessional collaboration. These guidelines are encompassed in four core competency sets. The core competencies are: Core 1: Value/Ethics, Core 2: Roles and Responsibilities, Core 3: Interprofessional Communication and Core 4: Teams and Teamwork. IPEC has outlined sub-competencies for each, which can be interpreted as a compilation of principles, behaviors, precepts and competencies. Together they serve to promote direction for interprofessional collaboration amongst health care professionals. However, the compilation may need more explanation to guide education and practice. Though the sub-competencies described in each core overlap in their application, specifically, Core 2: Roles and Responsibilities is explored for its underpinnings. The literature to date reflects educational delivery modes, but specific content is sparse, and not in the totality of the representative sub-competencies. Much of the literature omits the background that creates the context, and the content for, our deeper understanding of the principles. Therefore, important information is missing that underpins the competency statement set to teach and to learn these sub-competencies. The aim was to identify principles and applicable content to both support learning and to address barriers to learning, which may be essential to implement the sub-competency statements. The sub-competencies independent of further elucidation are unlikely to yield the comprehension needed for implementation and discernible actions that prompt interprofessional collaborative success.

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“…They propose that every hospital needs a Chief Primary Care Medical Officer who is expert in practice across the spectrum of care. 12 Recent cervical cancer screening guideline changes in Ontario are associated with reduced chlamydia testing and reduced reported chlamydia incidence for young women. Chlamydia incidence remains the same for males, despite increased chlamydia testing.…”

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confidence: 99%

In This Issue: Trends, Prescribing, Deprescribing

Stange¹

2017

Ann Fam Med

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The Chief Primary Care Medical Officer: Restoring Continuity

Cited by 6 publications

References 40 publications

Competencies to promote collaboration between primary and secondary care doctors: an integrative review

Competencies to promote collaboration between primary and secondary care doctors: an integrative review

IPEC’s core competency 2 roles and responsibilities: What more do we need to implement these?

In This Issue: Trends, Prescribing, Deprescribing

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