ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 166
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Patients’ experiences of interprofessional collaborative
practice: An integrative review
Ms Alexandra Davidson1, Jaimon Kelly2, Prof Lauren Ball3, Prof Mark Morgan1, Dianne Reidlinger1
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Faculty of Health Sciences and Medicine, Bond University, 2Centre for Online Health – Centre for
Health Services Research, The University of Queensland, 3The University of Queensland
Background
Understanding patient experiences and perceptions of healthcare is vital to improving care quality.
Interprofessional collaborative practice occurs when multiple health professionals work together with
the patient as part of the team. This integrative review explored how patients with chronic conditions
experience interprofessional collaborative practice in primary care.
Methods
Medline, Embase, CINAHL and Web of Science were searched in duplicate for qualitative, quantitative
and mixed-methods primary studies. Empirical full-text studies in primary care that reported
experiences of interprofessional collaborative practice by adults with chronic conditions, in any
language or publication year, were included. Study quality was appraised with the Mixed Methods
Appraisal Tool. Primary care patients’ experiences and perceptions of interprofessional collaborative
practice were extracted and meta-synthesised to inductively generate themes and present findings.
Results
Forty-eight studies with a total of 3803 participants were included. Three themes were developed:
(1) interacting with healthcare teams: patients acknowledged the need to widen their network and
involve a range of health professionals, patients built relationships with professionals who provided
holistic approaches to overcome management challenges; (2) valuing convenient healthcare: patients
preferred co-located healthcare teams, having a care plan outlining shared goals and having a care
coordinator; and (3) engaging self-care: patient engagement was circumstantial, some patients
were actively involved and led health professionals, whilst others were passive due to convenience
and competing needs. Quality appraisal of individual studies identified limitations due to incomplete
reporting, poor study design and likely positive publication bias.
Conclusions
Overall, patients had positive experiences of interprofessional collaborative practice. Patients reported
better experiences when they felt they had a more engaged role in their care. Poorer experiences
came from situations where interprofessional collaborative practice was either conducted poorly or did
not occur. Primary healthcare professionals should explore ways to encourage patient involvement and
better teamwork to support interprofessional collaborative practice.
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