How health care complexity leads to cooperation and affects the autonomy of health care professionals

Health Care Analysis : HCA : Journal of Health Philosophy and Policy
Eric MollemanFrans Jaspers

Abstract

Health professionals increasingly face patients with complex health problems and this pressurizes them to cooperate. The authors have analyzed how the complexity of health care problems relates to two types of cooperation: consultation and multidisciplinary teamwork (MTW). Moreover, they have analyzed the impact of these two types of cooperation on perceived professional autonomy. Two teams were studied, one team dealing with geriatric patients and another treating oncology patients. The authors conducted semi-structured interviews, studied written documents, held informal discussions and observed the teams at work. Consultation was most likely to take place when a patient had multiple problems. However, if these problems were interrelated, i.e. the solution for one problem interfered with solving another, then MTW was favored. The same was true when the available information was equivocal such that there were conflicting interpretations of a problem. How the professionals perceived the relationship between complexity and the need to cooperate depended on their expertise, their occupational background, and their work orientation. Consultation did not affect the professional autonomy of the health care professionals. MTW however...Continue Reading

References

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Citations

Mar 14, 2013·Journal of Multidisciplinary Healthcare·Jennifer Chamberlain-SalaunKim Usher
Jul 23, 2014·Journal of Interprofessional Care·Gillian HewittRuth Harris
Nov 29, 2011·Revista de calidad asistencial : organo de la Sociedad Española de Calidad Asistencial·J Prades, J M Borràs
Sep 21, 2011·Sociology of Health & Illness·Dino NumeratoGiovanni Fattore
Mar 19, 2016·Health Services Research·T Michael KashnerSheri A Keitz
May 20, 2017·Scandinavian Journal of Caring Sciences·Ulla BeijerÕie Umb Carlsson
Jun 15, 2017·BMC Veterinary Research·Björn G M EussenRobert Jan Blomme
Apr 23, 2009·Journal of Advanced Nursing·Manda BroekhuisBert Meijboom

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