Professional Role Identity: At the Heart of Medical Collaboration Across Organisational Boundaries
Purpose: The purpose of this paper was to help answer two persistent calls in the literature: the first asks to strengthen the understanding of medical collaboration across levels of healthcare delivery; the second one requests paying more attention to the individual experience of different forms of...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2019-04-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | https://www.ijic.org/articles/4184 |
| _version_ | 1818164058040303616 |
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| author | Nassera Touati Charo Rodriguez Marie-Andrée Paquette Lara Maillet Jean-Louis Denis |
| author_facet | Nassera Touati Charo Rodriguez Marie-Andrée Paquette Lara Maillet Jean-Louis Denis |
| author_sort | Nassera Touati |
| collection | DOAJ |
| description | Purpose: The purpose of this paper was to help answer two persistent calls in the literature: the first asks to strengthen the understanding of medical collaboration across levels of healthcare delivery; the second one requests paying more attention to the individual experience of different forms of professional work. Accordingly, the study was guided by the following research question: How do family physicians and specialists working at different levels of healthcare delivery enact their professional identity when interacting in their situated clinical contexts? Methodology: This was a multiple interpretive case study in which, based on Giddens’ ideas, professional identity was viewed as a dynamic structural element of social life recursively related to professionals’ collaborative actions through sensemaking processes. The study involved 57 participants. Face-to-face individual semi-structured interviews and organizational documents were the main sources of data. Deductive-inductive thematic analysis was adopted as strategy for data analysis. Findings: Three prevailing physicians’ identity roles were elicited: medical expert, care coordinator, and team member. These professional identities, not mutually exclusive, were instantiated in three specific modalities of collaboration: quasi-inexistent, restrained, and extended. The entanglement of a particular identity role and a specific collaborative practice became meaningful through a complex net of organizational and institutional features, and patients’ nosological profiles. |
| first_indexed | 2024-12-11T16:59:25Z |
| format | Article |
| id | doaj.art-c14ee9db4b8142569f653a18881c9cae |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-12-11T16:59:25Z |
| publishDate | 2019-04-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-c14ee9db4b8142569f653a18881c9cae2022-12-22T00:57:52ZengUbiquity PressInternational Journal of Integrated Care1568-41562019-04-0119210.5334/ijic.41844086Professional Role Identity: At the Heart of Medical Collaboration Across Organisational BoundariesNassera Touati0Charo Rodriguez1Marie-Andrée Paquette2Lara Maillet3Jean-Louis Denis4École Nationale d’Administration Publique (ENAP), QuébecDepartment of Family Medicine, Faculty of Medicine, McGill University, QuebecAction Center for Prevention and Rehabilitation of Disabilities at Work, University of SherbrookeÉcole Nationale d’Administration Publique (ENAP), QuébecSchool of public health, University of MontrealPurpose: The purpose of this paper was to help answer two persistent calls in the literature: the first asks to strengthen the understanding of medical collaboration across levels of healthcare delivery; the second one requests paying more attention to the individual experience of different forms of professional work. Accordingly, the study was guided by the following research question: How do family physicians and specialists working at different levels of healthcare delivery enact their professional identity when interacting in their situated clinical contexts? Methodology: This was a multiple interpretive case study in which, based on Giddens’ ideas, professional identity was viewed as a dynamic structural element of social life recursively related to professionals’ collaborative actions through sensemaking processes. The study involved 57 participants. Face-to-face individual semi-structured interviews and organizational documents were the main sources of data. Deductive-inductive thematic analysis was adopted as strategy for data analysis. Findings: Three prevailing physicians’ identity roles were elicited: medical expert, care coordinator, and team member. These professional identities, not mutually exclusive, were instantiated in three specific modalities of collaboration: quasi-inexistent, restrained, and extended. The entanglement of a particular identity role and a specific collaborative practice became meaningful through a complex net of organizational and institutional features, and patients’ nosological profiles.https://www.ijic.org/articles/4184professional identitycollaborationphysicianscase study |
| spellingShingle | Nassera Touati Charo Rodriguez Marie-Andrée Paquette Lara Maillet Jean-Louis Denis Professional Role Identity: At the Heart of Medical Collaboration Across Organisational Boundaries International Journal of Integrated Care professional identity collaboration physicians case study |
| title | Professional Role Identity: At the Heart of Medical Collaboration Across Organisational Boundaries |
| title_full | Professional Role Identity: At the Heart of Medical Collaboration Across Organisational Boundaries |
| title_fullStr | Professional Role Identity: At the Heart of Medical Collaboration Across Organisational Boundaries |
| title_full_unstemmed | Professional Role Identity: At the Heart of Medical Collaboration Across Organisational Boundaries |
| title_short | Professional Role Identity: At the Heart of Medical Collaboration Across Organisational Boundaries |
| title_sort | professional role identity at the heart of medical collaboration across organisational boundaries |
| topic | professional identity collaboration physicians case study |
| url | https://www.ijic.org/articles/4184 |
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