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5 results

  • Patients’ experiences of and roles in interprofessional collaborative practice in primary care: a constructivist grounded theory study

  • Alexandra R. Davidson, Mark Morgan, Lauren Ball, Dianne P. Reidlinger
  • Journal:
    Primary Health Care Research & Development / Volume 25 / 2024
    Published online by Cambridge University Press:
    09 May 2024, e24
    • Article
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  • Aim:

    This constructivist grounded theory study aimed to (1) explore patients’ experiences of and roles in interprofessional collaborative practice for chronic conditions in primary care and (2) consider the relevance and alignment of an existing theoretical framework on patients’ roles and based on the experiences of patient advocates.

    Background:

    High-quality management of chronic conditions requires an interprofessional collaborative practice model of care considering an individual’s mental, physical, and social health situation. Patients’ experiences of this model in the primary care setting are relatively unknown.

    Methods:

    A constructivist grounded theory approach was taken. Interview data were collected from primary care patients with chronic conditions across Australia in August 2020 – February 2022. Interviews were recorded, transcribed verbatim, and thematically analysed by (1) initial line-by-line coding, (2) focused coding, (3) memo writing, (4) categorisation, and (5) theme and sub-theme development. Themes and sub-themes were mapped against an existing theoretical framework to expand and confirm the results from a previous study with a similar research aim.

    Findings:

    Twenty adults with chronic conditions spanning physical disability, diabetes, heart disease, cancer, autoimmune, and mental health conditions participated. Two themes were developed: (1) Adapting to Change with two sub-themes describing how patients adapt to interprofessional team care and (2) Shifting across the spectrum of roles, with five sub-themes outlining the roles patients enact while receiving care. The findings suggest that patients’ roles are highly variable and fluid in interprofessional collaborative practice, and further work is recommended to develop a resource to support greater patient engagement in interprofessional collaborative practice.

  • Decriminalizing mental illness: specialized policing responses

  • Charles Dempsey, Cameron Quanbeck, Clarissa Bush, Kelly Kruger
  • Journal:
    CNS Spectrums / Volume 25 / Issue 2 / April 2020
    Published online by Cambridge University Press:
    29 November 2019, pp. 181-195

  • De-institutionalization of mental health patients has evolved, over nearly 3 generations now, to a status quo of mental health patients experiencing myriad contacts with first-responders, primarily police, in lieu of care. The current institutions in which these patients rotate through are psychiatric emergency units, emergency rooms, jails, and prisons. Although more police are now specially trained to respond to calls that involve mental health patients, the criminalization of persons with mental illness has been steadily increasing over the past several decades. There have also been deaths. The Crisis Intervention Team (CIT) model fosters mental health acumen among first responders, and facilitates collaboration among first responders, mental health professionals, and mental health patients and their families. Here, we review some modern, large city configurations of CIT, the co-responder model, the mitigating effects of critically situated community-based programs, as well as barriers to the success of joint efforts to better address this pressing problem.

  • Views of general practitioners and head and neck surgeons on the referral system for suspected cancer: a survey

  • G S Bethell, P Leftwick
  • Journal:
    The Journal of Laryngology & Otology / Volume 129 / Issue 9 / September 2015
    Published online by Cambridge University Press:
    03 August 2015, pp. 893-897
    Print publication:
    September 2015
  • Background:

    The two-week wait referral system for suspected cancer was introduced in the National Health Service in 2000. This study aimed to identify areas for improvement to the two-week wait system by seeking the opinions of doctors working in primary and secondary care.

    Method:

    A questionnaire was distributed to general practitioners and head and neck surgeons within North West England with ethical consent.

    Results:

    Twenty-seven general practitioners and 15 head and neck surgeons responded. Of the general practitioners, 59.3 per cent declared that they never attend training on referrals in this specialty. Overall, 59.3 per cent of general practitioners and 86.7 per cent of head and neck surgeons felt that the two-week wait system could be improved.

    Conclusion:

    The main areas for further work are development of pre-referral communication between primary and secondary care along with development of practical educational measures for general practitioners.