Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative Study

This study aimed to assess interprofessional collaboration between general physicians and emergency departments in the French speaking regions of Belgium. Eight group interviews were conducted both in rural and urban areas, including in Brussels. Findings showed that the relational components of col...

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Main Authors: Marlène Karam, Sandra Tricas-Sauras, Elisabeth Darras, Jean Macq
Format: Article
Language:English
Published: Ubiquity Press 2017-10-01
Series:International Journal of Integrated Care
Subjects:
Online Access:https://www.ijic.org/articles/2520
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author Marlène Karam
Sandra Tricas-Sauras
Elisabeth Darras
Jean Macq
author_facet Marlène Karam
Sandra Tricas-Sauras
Elisabeth Darras
Jean Macq
author_sort Marlène Karam
collection DOAJ
description This study aimed to assess interprofessional collaboration between general physicians and emergency departments in the French speaking regions of Belgium. Eight group interviews were conducted both in rural and urban areas, including in Brussels. Findings showed that the relational components of collaboration, which are highly valued by individuals involved, comprise mutual acquaintanceship and trust, shared power and objectives. The organizational components of collaboration included out-of-hours services, role clarification, leadership and overall environment. Communication and patient’s role were also found to be key elements in enhancing or hindering collaboration across these two levels of care. Relationships between general physicians and emergency departments’ teams were tightly linked to organizational factors and the general macro-environment. Health system regulation did not appear to play a significant role in promoting collaboration between actors. A better role clarification is needed in order to foster multidisciplinary team coordination for a more efficient patient management. Finally, economic power and private practice impeded interprofessional collaboration between the care teams. In conclusion, many challenges need to be addressed for achievement of a better collaboration and more efficient integration. Not only should integration policies aim at reinforcing the role of general physicians as gatekeepers, also they should target patients’ awareness and empowerment.
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spelling doaj.art-a2e08cb5266c459ea6c811a7751d1e1e2022-12-22T03:19:45ZengUbiquity PressInternational Journal of Integrated Care1568-41562017-10-0117410.5334/ijic.25203105Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative StudyMarlène Karam0Sandra Tricas-Sauras1Elisabeth Darras2Jean Macq3Catholic University of LouvainCatholic University of LouvainCatholic University of LouvainCatholic University of LouvainThis study aimed to assess interprofessional collaboration between general physicians and emergency departments in the French speaking regions of Belgium. Eight group interviews were conducted both in rural and urban areas, including in Brussels. Findings showed that the relational components of collaboration, which are highly valued by individuals involved, comprise mutual acquaintanceship and trust, shared power and objectives. The organizational components of collaboration included out-of-hours services, role clarification, leadership and overall environment. Communication and patient’s role were also found to be key elements in enhancing or hindering collaboration across these two levels of care. Relationships between general physicians and emergency departments’ teams were tightly linked to organizational factors and the general macro-environment. Health system regulation did not appear to play a significant role in promoting collaboration between actors. A better role clarification is needed in order to foster multidisciplinary team coordination for a more efficient patient management. Finally, economic power and private practice impeded interprofessional collaboration between the care teams. In conclusion, many challenges need to be addressed for achievement of a better collaboration and more efficient integration. Not only should integration policies aim at reinforcing the role of general physicians as gatekeepers, also they should target patients’ awareness and empowerment.https://www.ijic.org/articles/2520interprofessional collaborationintegrationprimary careemergency department
spellingShingle Marlène Karam
Sandra Tricas-Sauras
Elisabeth Darras
Jean Macq
Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative Study
International Journal of Integrated Care
interprofessional collaboration
integration
primary care
emergency department
title Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative Study
title_full Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative Study
title_fullStr Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative Study
title_full_unstemmed Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative Study
title_short Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium: A Qualitative Study
title_sort interprofessional collaboration between general physicians and emergency department teams in belgium a qualitative study
topic interprofessional collaboration
integration
primary care
emergency department
url https://www.ijic.org/articles/2520
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AT elisabethdarras interprofessionalcollaborationbetweengeneralphysiciansandemergencydepartmentteamsinbelgiumaqualitativestudy
AT jeanmacq interprofessionalcollaborationbetweengeneralphysiciansandemergencydepartmentteamsinbelgiumaqualitativestudy