title: Interprofessional collaboration in primary health care: a review of facilitators and barriers perceived by involved actors.
abstract: BACKGROUND
  The epidemiological transition calls for redefining the roles of the various professionals involved in primary health care towards greater collaboration. We aimed to identify facilitators of, and barriers to, interprofessional collaboration in primary health care as perceived by the actors involved, other than nurses.
  
  
  METHODS
  Systematic review using synthetic thematic analysis of qualitative research. Articles were retrieved from Medline, Web of science, Psychinfo and The Cochrane library up to July 2013. Quality and relevance of the studies were assessed according to the Dixon-Woods criteria. The following stakeholders were targeted: general practitioners, pharmacists, mental health workers, midwives, physiotherapists, social workers and receptionists.
  
  
  RESULTS
  Forty-four articles were included. The principal facilitator of interprofessional collaboration in primary care was the different actors' common interest in collaboration, perceiving opportunities to improve quality of care and to develop new professional fields. The main barriers were the challenges of definition and awareness of one another's roles and competences, shared information, confidentiality and responsibility, team building and interprofessional training, long-term funding and joint monitoring.
  
  
  CONCLUSIONS
  Interprofessional organization and training based on appropriate models should support collaboration development. The active participation of the patient is required to go beyond professional boundaries and hierarchies. Multidisciplinary research projects are recommended.
authors.affiliation: Department of General Practice, University of Lyon 1, Lyon, France.
authors.forename: I
authors.initials: I
authors.lastname: Supper
authors.affiliation: Department of Pharmacy, University of Lyon 1, Lyon, France.
authors.forename: O
authors.initials: O
authors.lastname: Catala
authors.affiliation: Department of Sociology, University of Lilles, Lilles, France.
authors.forename: M
authors.initials: M
authors.lastname: Lustman
authors.affiliation: Department of Psychology, University of Lyon 2, Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Chemla
authors.affiliation: Institute for Research and Information in Health Economics, IRDES, Paris, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Bourgueil
authors.affiliation: Department of General Practice, University of Lyon 1, Lyon, France.
authors.forename: L
authors.initials: L
authors.lastname: Letrilliart
mesh_terms: D003299:Cooperative Behavior; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000523:psychology; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D010361:Patients / Q000523:psychology; D011320:Primary Health Care
keywords: cooperative behaviour; interprofessional relations; patient care team; primary health care/organization and administration; qualitative research