Physician's Perceptions of Interprofessional Collaboration in Clinical Training Hospitals in Northeastern Japan.
Physician's Perceptions of Interprofessional Collaboration in Clinical Training Hospitals in Northeastern Japan.
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DOI：
10.4021/jocmr1474w
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发表时间：
2013-10
期刊：
影响因子：
--
通讯作者：
Inoue Y
中科院分区：
文献类型：
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作者：
Minamizono S;Hasegawa H;Hasunuma N;Kaneko Y;Motohashi Y;Inoue Y
医疗保健部门之间需要有效和高效的跨专业协作(IPC)。尽管日本医生被期望在IPC方面发挥领导作用，但有人指出，他们对IPC的看法比其他医疗保健专业人员更负面。本研究的目的是澄清日本医生对IPC的认知，以及哪些因素影响他们的看法。这项横断面研究调查了位于日本东北部东北地区的一个县的一所大学医院和六家基金会医院的732名医生。这些医院获准提供研究生临床培训。从提供以患者为中心的医疗服务、预防医疗事故、提高医疗服务质量三个方面调查了医生对IPC的认知。共有409名从事临床工作的医生对调查作出了充分回应。使用Logistic回归模型分析与医生对IPC的负面认知相关的因素。41.1%、34.0%、33.7%的患者对综合医院以患者为中心、预防医疗事故、提高医疗质量持负面看法。对于IPC提供以患者为中心的护理的负面看法与年龄较大(50岁以上；优势比(OR)：2.73；95%可信区间(CI)：1.11-6.68)和较低的专业间会议频率(不开会；OR：2.95；95%CI：1.43-6.08)有关。对预防医疗事故的IPC的负面看法与较低的专业间会议频率相关(不开会，OR：3.23；95%CI：1.58-6.62)。中年(40-49岁，OR：2.93；95%CI：1.20-7.12)和较低的专业间会议频率(不开会；OR：2.75；95%CI：1.34-5.66)与IPC在改善医疗质量方面的负面看法有关。在我们的研究中，医生对IPC的负面看法与年龄和较低的跨专业会议频率有关。我们的发现表明，有效的定期跨专业会议有助于分享关于患者的信息，并让医生更好地了解彼此，这应该会对以患者为中心的护理质量产生积极影响。
Effective and efficient interprofessional collaboration (IPC) is needed between departments in a healthcare setting. Although Japanese physicians are expected to provide leadership in IPC, it has been suggested that their perception of IPC is more negative than among other healthcare professionals. The purpose of this study was to clarify Japanese physician’s perceptions of IPC and what factors influenced their views. This cross-sectional study surveyed 732 medical doctors at a university hospital and six foundation hospitals in a prefecture located in Tohoku district, northeastern Japan. Those hospitals were approved for delivery of postgraduate clinical training. Physician’s perceptions of IPC were investigated for three items, namely providing patient-centered care, preventing medical accidents, and improving the quality of medical care. A total of 409 doctors who were engaged in clinical practice, responded adequately to the survey. Factors associated with negative perceptions towards IPC among physicians were analyzed using a logistic regression model. The proportion of negative perceptions of IPC for providing patient-centered care, preventing medical accidents, and improving the quality of medical care were 41.1%, 34.0% and 33.7%, respectively. Negative perceptions of IPC for providing patient-centered care were associated with older age (50 + years; odds ratio (OR): 2.73; 95% confidence interval (CI): 1.11 - 6.68) and a lower frequency of interprofessional meetings (no meetings; OR: 2.95; 95%CI: 1.43 - 6.08). Negative perceptions of IPC for preventing medical accidents were associated with a lower frequency of interprofessional meetings (no meetings, OR: 3.23; 95%CI: 1.58 - 6.62). Negative perceptions of IPC for improving the quality of medical care were associated with middle age (40 - 49 years, OR: 2.93; 95%CI: 1.20 - 7.12) and a lower frequency of interprofessional meetings (no meetings; OR: 2.75; 95%CI: 1.34 - 5.66). Physician’s negative perceptions of IPC in our study were associated with age and a lower frequency of interprofessional meetings. Our findings suggest that effective regular interprofessional meetings serve to share information about patients, and to allow physicians to understand each other better, which should have a positive impact on the quality of patient-centered care.