title: Facilitating Implementation of Interprofessional Collaborative Practices Into Primary Care: A Trilogy of Driving Forces.
abstract: Implementing interprofessional collaborative practices in primary care is challenging, and research about its facilitating factors remains scarce. The goal of this participatory action research study was to better understand the driving forces during the early stage of the implementation process of a community-driven and patient-focused program in primary care titled "TRANSforming InTerprofessional cardiovascular disease prevention in primary care" (TRANSIT). Eight primary care clinics in Quebec, Canada, agreed to participate by creating and implementing an interprofessional facilitation team (IFT). Sixty-three participants volunteered to be part of an IFT, and 759 patients agreed to participate. We randomized six clinics into a supported facilitation ("supported") group, with an external facilitator (EF) and financial incentives for participants. We assigned two clinics to an unsupported facilitation ("unsupported") group, with no EF or financial incentives. After 3 months, we held one interview for the two EFs. After 6 months, we held eight focus groups with IFT members and another interview with each EF. The analyses revealed three key forces: (1) opportunity for dialogue through the IFT, (2) active role of the EF, and (3) change implementation budgets. Decision-makers designing implementation plans for interprofessional programs should ensure that these driving forces are activated. Further research should examine how these forces affect interprofessional practices and patient outcomes.
authors.forename: Céline
authors.initials: C
authors.lastname: Bareil
authors.forename: Fabie
authors.initials: F
authors.lastname: Duhamel
authors.forename: Lyne
authors.initials: L
authors.lastname: Lalonde
authors.forename: Johanne
authors.initials: J
authors.lastname: Goudreau
authors.forename: Eveline
authors.initials: E
authors.lastname: Hudon
authors.forename: Marie-Thérèse
authors.initials: MT
authors.lastname: Lussier
authors.forename: Lise
authors.initials: L
authors.lastname: Lévesque
authors.forename: Sylvie
authors.initials: S
authors.lastname: Lessard
authors.forename: Alain
authors.initials: A
authors.lastname: Turcotte
authors.forename: Gilles
authors.initials: G
authors.lastname: Lalonde
mesh_terms: D003299:Cooperative Behavior; D006302:Health Services Research; D006801:Humans; D033183:Interdisciplinary Communication; D058007:Physicians, Primary Care; D059017:Primary Care Nursing; D011320:Primary Health Care / Q000458:organization & administration*; D016730:Program Development