Keys to success of a community of clinical practice in primary care
The current reality of primary care (PC) makes it essential to have telemedicine systems available to facilitate communication between care levels. Communities of practice have great potential in terms of care and education, and that is why the Online Communication Tool between Primary and Hospital...
| Autores: | , , , , , |
|---|---|
| Formato: | artículo |
| Fecha de publicación: | 2018 |
| País: | España |
| Recursos: | Universitat Autònoma de Barcelona |
| Repositorio: | Dipòsit Digital de Documents de la UAB |
| Idioma: | inglés |
| OAI Identifier: | oai:ddd.uab.cat:190817 |
| Acesso em linha: | https://ddd.uab.cat/record/190817 https://dx.doi.org/urn:doi:10.1186/s12875-018-0739-0 |
| Access Level: | acceso abierto |
| Palavra-chave: | Primary health care Problem solving Telemedicine Referral and consultation Education medical continuing |
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Keys to success of a community of clinical practice in primary carea qualitative evaluation of the ECOPIH projectLacasta Tintorer, David|||0000-0002-3882-1870Manresa, J.M.|||0000-0001-8306-5798Pujol Ribera, Enriqueta|||0000-0002-9475-0755Flayeh Beneyto, SouhelMundet-Tudurí, Xavier|||0000-0002-0318-8657Saigí Rubió, Francesc|||0000-0001-9616-1551Primary health careProblem solvingTelemedicineReferral and consultationEducation medical continuingThe current reality of primary care (PC) makes it essential to have telemedicine systems available to facilitate communication between care levels. Communities of practice have great potential in terms of care and education, and that is why the Online Communication Tool between Primary and Hospital Care was created. This tool enables PC and non-GP specialist care (SC) professionals to raise clinical cases for consultation and to share information. The objective of this article is to explore healthcare professionals' views on communities of clinical practice (CoCPs) and the changes that need to be made in an uncontrolled real-life setting after more than two years of use. A descriptive-interpretative qualitative study was conducted on a total of 29 healthcare professionals who were users and non-users of a CoCP using 2 focus groups, 3 triangular groups and 5 individual interviews. There were 18 women, 21 physicians and 8 nurses. Of the interviewees, 21 were PC professionals, 24 were users of a CoCP and 7 held managerial positions. For a system of communication between PC and SC to become a tool that is habitually used and very useful, the interviewees considered that it would have to be able to find quick, effective solutions to the queries raised, based on up-to-date information that is directly applicable to daily clinical practice. Contact should be virtual - and probably collaborative - via a platform integrated into their habitual workstations and led by PC professionals. Organisational changes should be implemented to enable users to have more time in their working day to spend on the tool, and professionals should have a proactive attitude in order to make the most if its potential. It is also important to make certain technological changes, basically aimed at improving the tool's accessibility, by integrating it into habitual clinical workstations. The collaborative tool that provides reliable, up-to-date information that is highly transferrable to clinical practice is valued for its effectiveness, efficiency and educational capacity. In order to make the most of its potential in terms of care and education, organisational changes and techniques are required to foster greater use. The online version of this article (10.1186/s12875-018-0739-0) contains supplementary material, which is available to authorized users. 22018-01-0120182018-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/190817https://dx.doi.org/urn:doi:10.1186/s12875-018-0739-0reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:1908172026-06-06T12:50:31Z |
| dc.title.none.fl_str_mv |
Keys to success of a community of clinical practice in primary care a qualitative evaluation of the ECOPIH project |
| title |
Keys to success of a community of clinical practice in primary care |
| spellingShingle |
Keys to success of a community of clinical practice in primary care Lacasta Tintorer, David|||0000-0002-3882-1870 Primary health care Problem solving Telemedicine Referral and consultation Education medical continuing |
| title_short |
Keys to success of a community of clinical practice in primary care |
| title_full |
Keys to success of a community of clinical practice in primary care |
| title_fullStr |
Keys to success of a community of clinical practice in primary care |
| title_full_unstemmed |
Keys to success of a community of clinical practice in primary care |
| title_sort |
Keys to success of a community of clinical practice in primary care |
| dc.creator.none.fl_str_mv |
Lacasta Tintorer, David|||0000-0002-3882-1870 Manresa, J.M.|||0000-0001-8306-5798 Pujol Ribera, Enriqueta|||0000-0002-9475-0755 Flayeh Beneyto, Souhel Mundet-Tudurí, Xavier|||0000-0002-0318-8657 Saigí Rubió, Francesc|||0000-0001-9616-1551 |
| author |
Lacasta Tintorer, David|||0000-0002-3882-1870 |
| author_facet |
Lacasta Tintorer, David|||0000-0002-3882-1870 Manresa, J.M.|||0000-0001-8306-5798 Pujol Ribera, Enriqueta|||0000-0002-9475-0755 Flayeh Beneyto, Souhel Mundet-Tudurí, Xavier|||0000-0002-0318-8657 Saigí Rubió, Francesc|||0000-0001-9616-1551 |
| author_role |
author |
| author2 |
Manresa, J.M.|||0000-0001-8306-5798 Pujol Ribera, Enriqueta|||0000-0002-9475-0755 Flayeh Beneyto, Souhel Mundet-Tudurí, Xavier|||0000-0002-0318-8657 Saigí Rubió, Francesc|||0000-0001-9616-1551 |
| author2_role |
author author author author author |
| dc.subject.none.fl_str_mv |
Primary health care Problem solving Telemedicine Referral and consultation Education medical continuing |
| topic |
Primary health care Problem solving Telemedicine Referral and consultation Education medical continuing |
| description |
The current reality of primary care (PC) makes it essential to have telemedicine systems available to facilitate communication between care levels. Communities of practice have great potential in terms of care and education, and that is why the Online Communication Tool between Primary and Hospital Care was created. This tool enables PC and non-GP specialist care (SC) professionals to raise clinical cases for consultation and to share information. The objective of this article is to explore healthcare professionals' views on communities of clinical practice (CoCPs) and the changes that need to be made in an uncontrolled real-life setting after more than two years of use. A descriptive-interpretative qualitative study was conducted on a total of 29 healthcare professionals who were users and non-users of a CoCP using 2 focus groups, 3 triangular groups and 5 individual interviews. There were 18 women, 21 physicians and 8 nurses. Of the interviewees, 21 were PC professionals, 24 were users of a CoCP and 7 held managerial positions. For a system of communication between PC and SC to become a tool that is habitually used and very useful, the interviewees considered that it would have to be able to find quick, effective solutions to the queries raised, based on up-to-date information that is directly applicable to daily clinical practice. Contact should be virtual - and probably collaborative - via a platform integrated into their habitual workstations and led by PC professionals. Organisational changes should be implemented to enable users to have more time in their working day to spend on the tool, and professionals should have a proactive attitude in order to make the most if its potential. It is also important to make certain technological changes, basically aimed at improving the tool's accessibility, by integrating it into habitual clinical workstations. The collaborative tool that provides reliable, up-to-date information that is highly transferrable to clinical practice is valued for its effectiveness, efficiency and educational capacity. In order to make the most of its potential in terms of care and education, organisational changes and techniques are required to foster greater use. The online version of this article (10.1186/s12875-018-0739-0) contains supplementary material, which is available to authorized users. |
| publishDate |
2018 |
| dc.date.none.fl_str_mv |
2 2018-01-01 2018 2018-01-01 |
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Article http://purl.org/coar/resource_type/c_6501 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
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article |
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https://ddd.uab.cat/record/190817 https://dx.doi.org/urn:doi:10.1186/s12875-018-0739-0 |
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https://ddd.uab.cat/record/190817 https://dx.doi.org/urn:doi:10.1186/s12875-018-0739-0 |
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Inglés eng |
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Inglés |
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eng |
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open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/ |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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