ArticleJournal of the Royal Society of Medicine2009
Is multidisciplinary teamwork the key? A qualitative study of the development of respiratory services in the UK.
Article in Journal of the Royal Society of Medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Tailored or adapted interventions for adults with chronic obstructive pulmonary disease and at least one other long-term condition: a mixed methods review.The Cochrane database of systematic reviews · 2021Pooled it
- Retrospective Analysis of the Ventilatory Workload Kinetic Index during Stability and Crisis in Patients with Asthma and COPD in a Monitored Program.Geriatrics (Basel, Switzerland) · 2024Article
- Reflections on integrated care from those working in and leading integrated respiratory teams.London journal of primary care · 2018Article
- Barriers and facilitators to integrating primary and specialist healthcare in the United Kingdom: a narrative literature review.Future healthcare journal · 2018Review
- Effectiveness of Teamwork in an Integrated Care Setting for Patients with COPD: Development and Testing of a Self-Evaluation Instrument for Interprofessional Teams.International journal of integrated care · 2016Article
- An exploration of how nurse prescribing is being used for patients with respiratory conditions across the east of England.BMC health services research · 2014Article
- Integrating specialist advice following reforms: an interview-based survey.JRSM short reports · 2013Article
- A qualitative study of stakeholder views of a community-based anticipatory care service for patients with COPD.Primary care respiratory journal : journal of the General Practice Airways Group · 2012Article
- From awareness to involvement? A qualitative study of respiratory patients' awareness of health service change.Health expectations : an international journal of public participation in health care and health policy · 2011Article
- Collaborative working within UK NHS secondary care and across sectors for COPD and the impact of peer review: qualitative findings from the UK National COPD Resources and Outcomes Project.International journal of integrated care · 2010Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesUsing frameworks, such as the long-term conditions pyramid of healthcare, primary care organizations (PCOs) in England and Wales are exploring ways of developing services for people with long-term respiratory disease. We aimed to explore the current and planned respiratory services and the roles of people responsible for change.
settingA purposive sample of 30 PCOs in England and Wales.
designSemi-structured telephone interviews with the person responsible for driving the reconfiguration of respiratory services. Recorded interviews were transcribed and coded, and themes identified. The association of the composition of the team driving change with the breadth of services provided was explored using a matrix.
resultsAll but two of the PCOs described clinical services developed to address the needs of people with respiratory conditions, usually with a focus on preventing admissions for chronic obstructive pulmonary disease (COPD). Although the majority identified the need to develop a strategic approach to service development and to meet educational needs of primary care professionals, relatively few described clearly developed plans for addressing these issues. Involvement of clinicians from both primary and secondary care was associated with a broad multifaceted approach to service development. Teamwork was often challenging, but could prove rewarding for participants and could result in a fruitful alignment of objectives. The imminent merger of PCOs and overriding financial constraints resulted in a 'fluid' context which challenged successful implementation of plans.
conclusionsWhile the majority of PCOs are developing clinical services for people with complex needs (principally in order to reduce admissions), relatively few are addressing the broader strategic issues and providing for local educational needs. The presence of multidisciplinary teams, which integrated primary and secondary care clinicians with PCO management, was associated with more comprehensive service provision addressing the needs of all respiratory patients. Future research needs to provide insight into the structures, processes and inter-professional relationships that facilitate development of clinical, educational and policy initiatives which aim to enhance local delivery of respiratory care.
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