Norwegian general practitioners’ collaboration with municipal care providers – a qualitative study of structural conditions

Purpose: The purpose of this study was to explore the structural mechanisms that facilitate or counteract collaboration between general practitioners (GPs) and other providers of municipal healthcare. Good collaboration between these actors is crucial for high-quality care, especially for persons in...

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Main Authors: Sissel Steihaug, Bård Paulsen, Line Melby
Format: Article
Language:English
Published: Taylor & Francis Group 2017-10-01
Series:Scandinavian Journal of Primary Health Care
Subjects:
Online Access:http://dx.doi.org/10.1080/02813432.2017.1397264
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author Sissel Steihaug
Bård Paulsen
Line Melby
author_facet Sissel Steihaug
Bård Paulsen
Line Melby
author_sort Sissel Steihaug
collection DOAJ
description Purpose: The purpose of this study was to explore the structural mechanisms that facilitate or counteract collaboration between general practitioners (GPs) and other providers of municipal healthcare. Good collaboration between these actors is crucial for high-quality care, especially for persons in need of coordinated services. Material and methods: The study is based on semistructured interviews with 12 healthcare providers in four Norwegian municipalities: four GPs, six nurses and two physiotherapists. Results: GPs are key collaborating partners in the healthcare system. Their ability to collaborate is affected by a number of structural conditions. Mostly, this leads to GPs being too little involved in potential collaborative efforts: (i) individual GPs prioritize with whom they want to collaborate among many possible collaborative partners, (ii) inter-municipal constraints hamper GPs in contacting collaboration partners and (iii) GPs fall outside the hospital-municipality collaboration. Conclusions: We argue a common leadership for primary care services is needed. Furthermore, inter-professional work must be a central focus in the planning of primary care services. However, a dedicated staff, sufficient resources, adequate time and proper meeting places are needed to accomplish good collaboration.
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spelling doaj.art-b92d802e5eb6401d8d9a0fca5d8419e72022-12-21T19:01:24ZengTaylor & Francis GroupScandinavian Journal of Primary Health Care0281-34321502-77242017-10-0135434435110.1080/02813432.2017.13972641397264Norwegian general practitioners’ collaboration with municipal care providers – a qualitative study of structural conditionsSissel Steihaug0Bård Paulsen1Line Melby2SINTEF Technology and SocietySINTEF Technology and SocietySINTEF Technology and SocietyPurpose: The purpose of this study was to explore the structural mechanisms that facilitate or counteract collaboration between general practitioners (GPs) and other providers of municipal healthcare. Good collaboration between these actors is crucial for high-quality care, especially for persons in need of coordinated services. Material and methods: The study is based on semistructured interviews with 12 healthcare providers in four Norwegian municipalities: four GPs, six nurses and two physiotherapists. Results: GPs are key collaborating partners in the healthcare system. Their ability to collaborate is affected by a number of structural conditions. Mostly, this leads to GPs being too little involved in potential collaborative efforts: (i) individual GPs prioritize with whom they want to collaborate among many possible collaborative partners, (ii) inter-municipal constraints hamper GPs in contacting collaboration partners and (iii) GPs fall outside the hospital-municipality collaboration. Conclusions: We argue a common leadership for primary care services is needed. Furthermore, inter-professional work must be a central focus in the planning of primary care services. However, a dedicated staff, sufficient resources, adequate time and proper meeting places are needed to accomplish good collaboration.http://dx.doi.org/10.1080/02813432.2017.1397264Collaborationgeneral practitionermunicipal healthcarestructural conditionsintegrated care
spellingShingle Sissel Steihaug
Bård Paulsen
Line Melby
Norwegian general practitioners’ collaboration with municipal care providers – a qualitative study of structural conditions
Scandinavian Journal of Primary Health Care
Collaboration
general practitioner
municipal healthcare
structural conditions
integrated care
title Norwegian general practitioners’ collaboration with municipal care providers – a qualitative study of structural conditions
title_full Norwegian general practitioners’ collaboration with municipal care providers – a qualitative study of structural conditions
title_fullStr Norwegian general practitioners’ collaboration with municipal care providers – a qualitative study of structural conditions
title_full_unstemmed Norwegian general practitioners’ collaboration with municipal care providers – a qualitative study of structural conditions
title_short Norwegian general practitioners’ collaboration with municipal care providers – a qualitative study of structural conditions
title_sort norwegian general practitioners collaboration with municipal care providers a qualitative study of structural conditions
topic Collaboration
general practitioner
municipal healthcare
structural conditions
integrated care
url http://dx.doi.org/10.1080/02813432.2017.1397264
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