title: Developing interprofessional collaboration: a longitudinal case of secondary prevention for patients with osteoporosis.
abstract: The aim of this study was to explore the development of interprofessional collaboration aiming to improve secondary prevention of osteoporosis by studying this topic expansively from the perspectives of different stakeholders. The method used was a longitudinal single case study with both qualitative and quantitative data sources. The findings elucidate that the bottom-up structure used triggers a freedom to act for the professionals and a changed leadership. Such an approach seems to make managers aware of the need for a horizontal organizational focus that, in this case, was crucial for developing interprofessional collaboration. Furthermore, the study shows that continuous feedback was central to motivate professionals to collaborate. Constructive feedback was created by interprofessional and patient-centered interaction skills, facilitated by confirming leadership promoting ability to recognize the efficacy of joint collaboration. The interprofessional collaboration resulted in an improved chain of care with increased transparency and collective control with benefits for both patients and providers. Outcomes at the system level showed an appreciable increase in patients investigated for osteoporosis: 88% were followed up in primary care and nearly half had improved their health behavior. The implementation of a bottom-up structure where leaders and professionals are developing interdependency, measuring collective performance and using feedback loops generated, in this case, motivational forces for interprofessional collaboration. It is reasonable to assume that these findings could be transferable to similar healthcare settings.
authors.affiliation: Division of Public Health Sciences, Department of Health and Environmental Sciences, University of Karlstad, Karlstad, Sweden. helene@kau.se
authors.forename: Helene Victoria
authors.initials: HV
authors.lastname: Hjalmarson
authors.forename: Bengt
authors.initials: B
authors.lastname: Ahgren
authors.forename: Margaretha Strandmark
authors.initials: MS
authors.lastname: Kjölsrud
mesh_terms: D003299:Cooperative Behavior; D006801:Humans; D007400:Interprofessional Relations; D008137:Longitudinal Studies; D019982:Organizational Case Studies; D010024:Osteoporosis / Q000517:prevention & control*; D010348:Patient Care Team; D016730:Program Development; D058996:Quality Improvement; D055502:Secondary Prevention; D013548:Sweden