title: Interprofessional collaboration and diabetes care in Switzerland: A mixed-methods study.
abstract: To face the increasing prevalence of diabetes in Switzerland, a cantonal programme has been implemented. One of its goals is to promote collaborative approaches among healthcare professionals (HCPs). The objectives of the current study were to examine HCPs' perceptions about the collaboration they experience in diabetes care and to determine whether perceptions differed among professional groups. A mixed-methods study was conducted. First, a total of 332 HCPs comprising diabetes specialists and non-specialists participated by completing a questionnaire on interprofessional collaboration. Focus groups were then led in order to deepen the understanding and complement the interpretation of quantitative results. Quantitative results showed a perception of a moderate level of collaboration. Mean scores for specialists were systematically worse than those of non-specialists and more prominently in the "level of conflict dimension," which means that specialists generally perceived a lower level of collaboration and a higher level of possible conflict associated with it. Qualitative results highlighted the vagueness in role definition and emphasised a form of reluctance by general physicians to collaborate with specialists, as the physicians felt that they were losing their responsibilities. The findings suggest that it is not the need to collaborate that encourages HCPs involved in collaborative schemes to desire or to know how to successfully initiate, promote, or conduct interprofessional collaboration. This study highlights the important perceptions about collaboration that could be taken into account when planning future collaborative programmes.
authors.affiliation: a Institute of Social and Preventive Medicine , Lausanne University Hospital and University of Lausanne , Lausanne , Switzerland.
authors.forename: Angélick
authors.initials: A
authors.lastname: Schweizer
authors.affiliation: b National Institute of Graduate Studies and Research in Care, IUFRS, University of Lausanne , Lausanne , Switzerland.
authors.forename: Diane
authors.initials: D
authors.lastname: Morin
authors.affiliation: a Institute of Social and Preventive Medicine , Lausanne University Hospital and University of Lausanne , Lausanne , Switzerland.
authors.forename: Valérie
authors.initials: V
authors.lastname: Henry
authors.affiliation: a Institute of Social and Preventive Medicine , Lausanne University Hospital and University of Lausanne , Lausanne , Switzerland.
authors.forename: Raphaël
authors.initials: R
authors.lastname: Bize
authors.affiliation: a Institute of Social and Preventive Medicine , Lausanne University Hospital and University of Lausanne , Lausanne , Switzerland.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Peytremann-Bridevaux
mesh_terms: D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D003920:Diabetes Mellitus / Q000628:therapy*; D017144:Focus Groups; D058005:General Practitioners / Q000523:psychology; D006801:Humans; D007400:Interprofessional Relations; D008511:Medicine; D009726:Nurses / Q000523:psychology; D010348:Patient Care Team; D013557:Switzerland
keywords: Diabetes; interprofessional collaboration; mixed methods; nurses; physicians