Evidence map›Paper›PMID 27821117›Full record

ArticleBMC health services research2016

An ideal-typical model for comparing interprofessional relations and skill mix in health care.

Walter Schönfelder, Elin Anita Nilsen

Abstract read
In one paragraph

Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

2 authors.

Walter SchönfelderInstitute for Child Welfare Services and Social Work, UiT The Arctic University of Norway, Breivika, Tromsø, 9037, Norway. Walter.schonfelder@uit.no.ORCID 0000-0003-0199-154X
Elin Anita NilsenSchool of Business and Economics, UiT The Arctic University of Norway, Breivika, Tromsø, 9037, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComparisons of health system performance, including the regulations of interprofessional relations and the skill mix between health professions are challenging. National strategies for regulating interprofessional relations vary widely across European health care systems. Unambiguously defined and generally accepted performance indicators have to remain generic, with limited power for recognizing the organizational structures regulating interprofessional relations in different health systems. A coherent framework for in-depth comparisons of different models for organizing interprofessional relations and the skill mix between professional groups is currently not available. This study aims to develop an ideal-typical framework for categorizing skill mix and interprofessional relations in health care, and to assess the potential impact for different ideal types on care coordination and integrated service delivery.

methodsA document analysis of the Health Systems in Transition (HiT) reports published by the European Observatory on Health Systems and Policies was conducted. The HiT reports to 31 European health systems were analyzed using a qualitative content analysis and a process of meaning condensation.

resultsThe educational tracks available to nurses have an impact on the professional autonomy for nurses, the hierarchy between professional groups, the emphasis given to negotiating skill mix, interdisciplinary teamwork and the extent of cooperation across the health and social service interface. Based on the results of the document analysis, three ideal types for regulating interprofessional relations and skill mix in health care are delimited. For each ideal type, outcomes on service coordination and holistic service delivery are described.

conclusionsComparisons of interprofessional relations are necessary for proactive health human resource policies. The proposed ideal-typical framework provides the means for in-depth comparisons of interprofessional relations in the health care workforce beyond of what is possible with directly comparable, but generic performance indicators.

Indexed as

Interprofessional RelationsDelivery of Health CareEducation, NursingEuropeHealth PersonnelHealth PolicyHealth Services ResearchHumansNursesProfessional AutonomyComparative health services researchHealth careIdeal typeInterdisciplinary teamworkInterprofessional relationsNursing educationProfessional autonomyProfessional hierarchyProfessional jurisdictionSkill mixSocial care

Identifiers

PMID27821117
PMCPMC5100279

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.