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Planning for interprofessional change in primary health care: exploring the use of the Interprofessional Resource Centre

Authors Patterson C, Arthur H, Peachey G, Vohra J, Price D, Pearson D, Mariani R

Received 30 January 2013

Accepted for publication 27 March 2013

Published 14 May 2013 Volume 2013:4 Pages 117—125

DOI http://dx.doi.org/10.2147/AMEP.S43462

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 5

Christine Patterson,1 Heather Arthur,1,2 Gladys Peachey,1 Julie Vohra,1 David Price,3 Dave Pearson,4 Rob Mariani5

1School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; 2Heart and Stroke Foundation of Ontario/Michael G DeGroote Endowed Chair in Cardiovascular Nursing Research, McMaster University, Hamilton, ON, Canada; 3Department of Family Medicine, McMaster University, Hamilton, ON, Canada; 4Central West Local Health Integration Network, Brampton, ON, Canada; 5Ascentum Consulting, Ottawa, ON, Canada

Importance: Resources to support change are needed for solo practitioners who are transitioning to family health teams (FHTs) which involve multiple health disciplines working together to provide team-based care.
Objective: The purpose of this project was: (1) to explore the use of an online resource, the Interprofessional Resource Centre (IRC), when planning for interprofessional change and; (2) to explore the experience of planning interprofessional change.
Design and setting: Six FHTs organized under the structure of one Local Health Integrated Network (LHIN) in Ontario, Canada.
Intervention: Participants in six FHTs were directed to the IRC to support planning interprofessional change. In addition, two of the six FHTs participated in pilot site meetings with investigators where they received in-person support to apply the information from the IRC to an interprofessional activity.
Results: Pilot site participants reported the IRC was useful for planning, but they cited lack of time to use it as a key barrier. When planning for interprofessional change, providers experienced challenges with physician buy-in and team dynamics. As a strategy for change, providers would like to learn from other FHTs who have experienced success with interprofessional change; at the LHIN level, they saw a need for more educational opportunities. Participation was found to be low among those only receiving online support.
Conclusion and relevance: Based on the results of the study, it appears that online resource centers do have some value in knowledge translation when combined with in-person meetings. In exploring the planning of interprofessional change in primary health care teams, it was found that buy-in with physicians is a key challenge.

Keywords: online, knowledge transfer, family health teams, team-based care, supporting change, buy-in

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Other article by this author:

Interprofessional Resource Centre: a knowledge translation strategy

Christine Patterson, Julie Vohra, David Price, et al

Advances in Medical Education and Practice 2011, 2:35-41

Published Date: 19 January 2011

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