Competencies to promote collaboration between primary and secondary care doctors: an integrative review
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RESEARCH ARTICLE
Open Access
Competencies to promote collaboration between primary and secondary care doctors: an integrative review Marijn Janssen1* , Margaretha H. Sagasser2, Cornelia R. M. G. Fluit3, Willem J. J. Assendelft4, Jacqueline de Graaf1 and Nynke D. Scherpbier4
Abstract Background: In a society where ageing of the population and the increasing prevalence of long-term conditions are major issues, collaboration between primary and secondary care is essential to provide continuous, patientcentred care. Doctors play an essential role at the primary-secondary care interface in realising ‘seamless’ care. Therefore, they should possess collaborative competencies. However, knowledge about these collaborative competencies is scarce. In this review we explore what competencies doctors need to promote collaboration between doctors at the primary-secondary care interface. Methods: We conducted an integrative literature review. After a systematic search 44 articles were included in the review. They were analysed using a thematic analysis approach. Results: We identified six themes regarding collaborative competencies: ‘patient-centred care: a common concern’, ‘roles and responsibilities’, ‘mutual knowledge and understanding’, ‘collaborative attitude and respect’, ‘communication’ and ‘leadership’. In every theme we specified components of knowledge, skills and attitudes as found in the reviewed literature. The results show that doctors play an important role, not only in the way they collaborate in individual patient care, but also in how they help shaping organisational preconditions for collaboration. Conclusions: This review provides an integrative view on competencies necessary for collaborative practice at the primary-secondary care interface. They are part of several domains, showing the complexity of collaboration. The information gathered in this review can support doctors to enhance and learn collaboration in daily practice and can be used in educational programmes in all stages of medical education. Keywords: (intraprofessional) collaboration, Primary-secondary care interface, Doctors, Competencies, Integrative review
* Correspondence: [email protected] 1 Department of internal medicine Nijmegen, Radboud university medical centre, Geert Grooteplein Zuid 10, postal route 463, PO box 9101, 6500 HB Nijmegen, the Netherlands Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Co
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