title: Factors enabling shared care with primary healthcare providers in community settings: the experiences of interdisciplinary palliative care teams.
abstract: Interdisciplinary palliative care (PC) teams experience a number of barriers in their efforts to establish and maintain shared care partnerships with primary health care providers (PHCPs) in caring for patients in community settings. A qualitative study,was undertaken in southern Ontario to examine how teams negotiate barriers in order to share mutual responsibility for patients with PHCPs (i.e., family physicians and community nurses). Over a one-year period, focus group interviews (n=15) were conducted with five teams to explore their experiences to better understand the factors that enable shared care. Using a conceptual framework put forth by Williams et al. (2010), the findings reveal that teams circumvent local level barriers through four enabling factors: team characteristics, geography, adaptation of practice, and relationship building. Understanding these factors and strategies to foster them will assist other jurisdictions wanting to establish a similar shared care service delivery model.
authors: School of Geography and Earth Sciences, McMaster University, 1280 Main Street West, Hamilton, Ontario, Canada. Idemiglio@nosm.ca
authors: Lily
authors: L
authors: DeMiglio
authors: Allison
authors: A
authors: Williams
mesh_terms: D003152:Community Health Nursing; D003159:Community-Institutional Relations; D003299:Cooperative Behavior; D005194:Family Practice; D017144:Focus Groups; D006699:Home Care Services; D017051:Hospice Care / Q000458:organization & administration*; D006738:Hospices / Q000458:organization & administration*; D006801:Humans; D007400:Interprofessional Relations; D009864:Ontario; D010348:Patient Care Team / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*