title: Physician's Perceptions of Interprofessional Collaboration in Clinical Training Hospitals in Northeastern Japan.
abstract: BACKGROUND
  Effective and efficient interprofessional collaboration (IPC) is needed between departments in a healthcare setting. Although Japanese physicians are expected to provide leadership in IPC, it has been suggested that their perception of IPC is more negative than among other healthcare professionals. The purpose of this study was to clarify Japanese physician's perceptions of IPC and what factors influenced their views.
  
  
  METHODS
  This cross-sectional study surveyed 732 medical doctors at a university hospital and six foundation hospitals in a prefecture located in Tohoku district, northeastern Japan. Those hospitals were approved for delivery of postgraduate clinical training. Physician's perceptions of IPC were investigated for three items, namely providing patient-centered care, preventing medical accidents, and improving the quality of medical care. A total of 409 doctors who were engaged in clinical practice, responded adequately to the survey. Factors associated with negative perceptions towards IPC among physicians were analyzed using a logistic regression model.
  
  
  RESULTS
  The proportion of negative perceptions of IPC for providing patient-centered care, preventing medical accidents, and improving the quality of medical care were 41.1%, 34.0% and 33.7%, respectively. Negative perceptions of IPC for providing patient-centered care were associated with older age (50 + years; odds ratio (OR): 2.73; 95% confidence interval (CI): 1.11 - 6.68) and a lower frequency of interprofessional meetings (no meetings; OR: 2.95; 95%CI: 1.43 - 6.08). Negative perceptions of IPC for preventing medical accidents were associated with a lower frequency of interprofessional meetings (no meetings, OR: 3.23; 95%CI: 1.58 - 6.62). Negative perceptions of IPC for improving the quality of medical care were associated with middle age (40 - 49 years, OR: 2.93; 95%CI: 1.20 - 7.12) and a lower frequency of interprofessional meetings (no meetings; OR: 2.75; 95%CI: 1.34 - 5.66).
  
  
  CONCLUSIONS
  Physician's negative perceptions of IPC in our study were associated with age and a lower frequency of interprofessional meetings. Our findings suggest that effective regular interprofessional meetings serve to share information about patients, and to allow physicians to understand each other better, which should have a positive impact on the quality of patient-centered care.
authors: Department of Health Care Policy, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, Japan ; Department of Community Medicine and Primary Care Development, Akita University School of Medicine, 1-1-1 Hondo, Akita, Japan.
authors: Sachiko
authors: S
authors: Minamizono
authors: Hitoshi
authors: H
authors: Hasegawa
authors: Naoko
authors: N
authors: Hasunuma
authors: Yoshihiro
authors: Y
authors: Kaneko
authors: Yutaka
authors: Y
authors: Motohashi
authors: Yuji
authors: Y
authors: Inoue
keywords: Cooperative behavior; Interdepartmental relations; Interprofessional collaboration; Patient-centered care; Physician’s role; Professional practice
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