Activities to Promote Interprofessional Practice at Primary Healthcare Level: A Systematic Review

L. Africa, J. Frantz, Nondwe B. Mlenzana
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Abstract

Currently, there is a trend towards interprofessional practice. Consequently, healthcare professionals must devise strategies to deal with the challenges faced in the public health sector. Investigating the ways in which healthcare professionals promote interprofessional care principles to manage patient care outcomes is crucial. Primary healthcare is a significant level of health service delivery, therefore, the implementation of interprofessional practice at this level is especially important. In this review, we aim to explore and describe the activities outlined in the literature, which are used to promote interprofessional practice at primary healthcare level. A systematic search of seven databases was conducted for articles published between 2008 and 2021. All articles with a quantitative, qualitative or mixed methodology, a primary healthcare facility study setting, and full-text availability were included. A methodological appraisal tool was adapted from the RE-AIM framework. Twelve studies were included in the final review. Interprofessional clinics, interprofessional collaborative practices, collaborative care processes, and interprofessional team training were the primary activities identified in the review. These studies aimed to promote interprofessional practice in healthcare settings through various activities. There was limited information regarding the efficiency of the activities. According to the findings, undertaking interprofessional collaborative practice models appears to be the most practicable strategy for implementing interprofessional activities. It is crucial that facility management support this endeavour for its implementation to be successful.
促进初级卫生保健水平跨专业实践的活动:系统回顾
目前,有一种跨专业实践的趋势。因此,保健专业人员必须制定战略,以应对公共卫生部门面临的挑战。调查医疗保健专业人员促进跨专业护理原则以管理患者护理结果的方式至关重要。初级保健是提供保健服务的一个重要层面,因此,在这一层面实施跨专业实践尤为重要。在这篇综述中,我们的目的是探索和描述文献中概述的活动,这些活动用于促进初级卫生保健水平的跨专业实践。对2008年至2021年间发表的文章进行了7个数据库的系统检索。所有采用定量、定性或混合方法、初级卫生保健设施研究设置和全文可用性的文章均被纳入。从RE-AIM框架改编了一个方法学评估工具。最终综述纳入了12项研究。跨专业诊所、跨专业合作实践、合作护理流程和跨专业团队培训是本综述确定的主要活动。这些研究旨在通过各种活动促进医疗保健机构的跨专业实践。关于这些活动的效率的资料有限。根据研究结果,开展跨专业合作实践模式似乎是实施跨专业活动最可行的策略。至关重要的是,设施管理部门支持这一努力,以使其成功实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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