ArticleJournal of the Medical Library Association : JMLA2013
Knowledge flow and exchange in interdisciplinary primary health care teams (PHCTs): an exploratory study.
Article in Journal of the Medical Library Association : JMLA, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Describing knowledge encounters in healthcare: a mixed studies systematic review and development of a classification.Implementation science : IS · 2017Pooled it
- The effect of family physician team processes on chronic disease management performance from a structural network perspective.BMC primary care · 2024Article
- The dilemma of the split between theory and reality as experienced by primary healthcare professionals: a mixed methods study of evidence-based practice in a primary care context.BMC primary care · 2024Article
- Network approaches and interventions in healthcare settings: A systematic scoping review.PloS one · 2023Article
- A Feeling of Ambiguity: A Qualitative Content Analysis of Managers' Experiences of Evidence-Based Practice in Swedish Primary Care.Journal of healthcare leadership · 2022Article
- Primary Care Case Conferences to Mitigate Social Determinants of Health: A Case Study from One FQHC System.American journal of accountable care · 2021Article
- Evidence-based practice in primary healthcare from the managerial point of view - a national survey.BMC health services research · 2021Article
- Context, complexity and process in the implementation of evidence-based innovation: a realist informed review.BMC health services research · 2020Review
- How the study of networks informs knowledge translation and implementation: a scoping review.Implementation science : IS · 2019Article
- Healthcare teams as complex adaptive systems: understanding team behaviour through team members' perception of interpersonal interaction.BMC health services research · 2018Article
- Social network analysis of Iranian researchers in the field of violence.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveImproving the process of evidence-based practice in primary health care requires an understanding of information exchange among colleagues. This study explored how clinically oriented research knowledge flows through multidisciplinary primary health care teams (PHCTs) and influences clinical decisions.
methodsThis was an exploratory mixed-methods study with members of six PHCTs in Ontario, Canada. Quantitative data were collected using a questionnaire and analyzed with social network analysis (SNA) using UCINet. Qualitative data were collected using semi-structured interviews and analyzed with content analysis procedures using NVivo8.
resultsIt was found that obtaining research knowledge was perceived to be a shared responsibility among team members, whereas its application in patient care was seen as the responsibility of the team leader, usually the senior physician. PHCT members acknowledged the need for resources for information access, synthesis, interpretation, or management.
conclusionInformation sharing in interdisciplinary teams is a complex and multifaceted process. Specific interventions need to be improved such as formalizing modes of communication, better organizing knowledge-sharing activities, and improving the active use of allied health professionals. Despite movement toward team-based models, senior physicians are often gatekeepers of uptake of new evidence and changes in practice.
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